Archive for category “Good Plastic Surgery in the OC”

Good Tummy Tuck Results : In an Athlete

Good tummy tuck results in an athlete can be difficult. The surgery needs to be carefully modified and proscribed specifically in very fit clients. Below is a “Before & After” of an athletic woman who could not lose the loose “pudge” in her tummy. The portion of this extra flab near the panty has been called mother’s apron. The medical term is pannus. This patient did not have a very loose or prominent pannus, but was bothered by it. Although she was quite fit, she came wondering whether an “athlete tummy tuck” might be beneficial.

 

Good Tummy Tuck Results 

good tummy tuck results Orange County California

Good Athlete Tummy Tuck

 

Upon examination, a belly button hernia was also found with a lot of muscular wall thinning nearby. This was likely a derivative of child bearing. A tummy tuck with abdominal hernia repair was performed and at 5 months she was pleased.

 

 

 

Best Regards,

John Di Saia MD

Related:

More of Dr D’s Tummy Tuck Pictures

Originally posted 2010-12-20 07:30:45.

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Quality Earlobe Repair – Orange County California

Earlobe repair for tears (mostly from earrings) are pretty common. For the simple ones repair can be done in the office under local anesthesia (numbing shots.)

Good Earlobe Repair

The picture above is a before and after earlobe repair from a case in our South Orange County office. The larger repairs from plugs and infection problems with tissue loss are more complicated. Health insurance usually doesn’t cover this type of work, but single-sided simple repairs are not terribly expensive.

Best Regards,

John Di Saia MD

Related:

Earlobe Repair at Dr D’s Practice Site

Originally posted 2010-10-18 07:30:46.

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Tummy Tuck Redo – Orange County, California

Previously I discussed the relative reluctance of plastic surgeons to post images of revisions. Tummy Tuck Redo surgery can offer good results when the patients are properly chosen and the surgery is carefully focused. Not everything can be easily fixed of course.

tummy tuck redo

“M” is a lady who had had a tummy tuck twenty years prior. After she visited another surgeon she had additional upper abdominal liposuction some years later. She never got the tightness she had wanted from that liposuction so later she considered revision of her tummy tuck. She did very well with her redo tummy tuck. Her pre-operative skin excess was greatly improved and the hollows created by the prior liposuction were also corrected in part. Not seen well in these images is the “puffy pubis” (commonly called a Ken Doll) she had following her original surgery. This was also nicely improved via her revision.

She is quite pleased with her smoother sexier appearance.

Best Regards,

John Di Saia MD

Related:

Dr D’s Standard of Care for the Best Tummy Tuck

Originally posted 2011-12-16 07:30:06.

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Good Plastic Surgery in the OC – A Good Redo Boob Job

Redo Breast Lift Orange County Califrnia

Here we have images of a woman I first saw a few years ago. She had had two breast implant operations before and noted after her second (an enlargement with full lift) that her left breast progressively dropped (over about a year). I recommended re-operation to re-set the lift and downsize her implants. She agreed to the lift but not the implant size decrease. Smaller implants do not weigh as much so the rate of recurrent sag should have been less. As these were silicone gel implants this is particularly important. They weigh more than saline-filled implants.

The After image was taken at 1 month. She moved Out of State, but I predict that the sag probably recurred at least to some extent.

The Lesson:

(1) Large implants are hard to keep up. Plan on smaller implants or more surgery later if you select larger implants. Large silicone implants also harden (capsular contracture) more frequently/severely than smaller implants or saline implants. This also contributes to a higher redo rate.

Best Regards,

John Di Saia MD

Originally posted 2007-05-15 07:30:21.

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Good Plastic Surgery in the OC – Refreshed Eyelid Surgery

Blepharoplasty is upper and/or lower eyelid cosmetic surgery usually performed for redundancy of the skin and fat of eyelids. Insurance companies may pay for upper lid surgery if the lids get in the way of the patient’s vision. The rate they pay for the surgeon is usually pretty poor.

Upper and Lower Eyelid Surgery Blepharoplasty

This young woman came for cosmetic blepharoplasty of the upper and lower lids. This was performed through traditional trans-cutaneous incisions allowing the removal of skin and fat. At 6 weeks she was pleased.

Best Regards,

John Di Saia MD

Originally posted 2012-09-28 07:30:17.

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Good Liposuction Results – A Man Minus Beer Belly :)

Good Liposuction Results are not an expensive laser or an ultrasound gimmick. They are obtained via good judgment and technique. This means choosing the right client and having the integrity to counsel the wrong patient. When a potential client comes in looking to get thinner without diet or exercise being involved, the right thing is to turn him away. Give a novice surgeon an expensive laser liposuction system and turn him loose, and you’ll not get good surgical results. The machine doesn’t do the surgery or choose the clients. That is the surgeon’s job.

 

Good Liposuction Results 

Good Liposuction Results in Orange County

Good Liposuction Orange County – Dr D

Here is a young OC man who wanted to jump start his physical improvement program with liposuction. His plan was to follow surgery with continued work with diet and exercise. Usually we like offering plastic surgery after weight loss. He seemed pretty serious though. The image shows him before and 4 months after liposuction with a nice result. He had a tumescent technique using a more or less standard (but well maintained) liposuction system with an experienced surgeon. No SmartLipo or other fancy tools for him. :)

Cosmetic surgery cannot take the place of diet and exercise, but can help you along. If this man had hit the cheeseburgers and his couch following his surgery, he would very well have seen his “soft” belly return.

Best Regards,

John Di Saia MD

Related:

Dr D’s Website Liposuction Section

Originally posted 2010-12-01 07:30:19.

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Epic Ear Plug Hole Repair

Ear Plug Hole Repair is sought more frequently when people with large holes and stretched lobes look into the job market.

People with Ear Plugs may decide to remove them and have the holes repaired. The reasons usually revolve around work. Here is a gent who wanted to enter the service and was told by his contact that the ear plug holes needed to be closed before he appeared for duty. He had removed his plugs several months before which we usually recommend as the holes will close down somewhat by doing this. His repair was performed in our South Orange County office under local anesthesia. At 2 weeks the repair looks pretty good although they improve over the months that follow.

Best Regards,

John Di Saia MD

Originally posted 2011-07-12 07:30:55.

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Good Thigh Lift Results – Orange County California

Good Thigh Lift Results

can be yours if you are the proper candidate and you have quality surgery.

 

The operation is designed to correct loose fatty skin along the inside of the thighs. As I have previously posted images of such operations in which things did not turn out well, here is an example of the other side of the coin. :)

Good thigh lift results Orange County California

This pretty forty something was in good shape, but had gained and lost a good deal of weight around the time of her pregnancies years prior. The result was that her inner thighs kind of touched and when she ran she felt them swinging around and slapping one another at times. The skin was loose and wrinkles were apparent. She found this inconsistent with her self-image and wanted it corrected.

A year after thigh lift surgery (upper right in the image) the problem was greatly improved (good thigh lift results.) In cases like hers the scar can be carefully hidden in the groin crease. Larger cases (such as after gastric bypass) with more loose skin can require extended incisions.

Best Regards,

John Di Saia MD

Related:

Dr D’s Website Body Lift Section

Originally posted 2012-11-15 07:30:44.

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Good (but Ugly) Plastic Surgery in the OC – Good Skin Graft


“Not all plastic surgery is cosmetic surgery, but cosmetic surgery pays the bills.”
This is a plastic surgery truism. There are plastic surgeons (like me!) who split their work between the things you need (that don’t pay your surgeon so well) and the things you want (that do.) In this sense cosmetic surgery is the subsidy upon which the needed (but less well reimbursed) work is supported.

Here is an ugly plastic surgery case of an ankle wound that needed some skin to close. The patient had had an operation by an orthopedist that got complicated. The skin graft surgery will leave a scar, but the wound that would have healed slowly if at all without it healed quickly afterward. This is an aspect of good plastic surgery rarely featured on your local news program.

Something to think about when you are considering cosmetic plastic surgery:

If you support a reconstructive plastic surgeon, he may be able to stay in business to be able to help you when you might need him. That cosmetic guy won’t be.

Best Regards,

John Di Saia MD

Originally posted 2012-10-10 07:30:20.

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Good Liposuction Results – Booty Refinement for You?

Good Liposuction Results can mean your future booty might be “refined.”

Liposuction is a popular procedure and when performed judiciously it can have good long lasting results. As we have discussed before it is not immune to large weight fluctuations. For patients in a reasonable weight range (plus or minus a few pounds,) it performs well in the right hands. Despite that which you see featured elsewhere good butt liposuction is not a matter of removing more, but rather removing the right amount in the right patient the right way.

Here is a case I did about ten years ago on a woman with a bit of extra (her words) “junk in her trunk.” She was later to call this “good butt liposuction” herself . :) No laser or other high tech gizmo was used. She did have a short anesthetic in a surgery center and there were no complications.

 

Good Liposuction Results

Good Liposuction Results Orange County California

Realistic Thigh Liposuction Orange County California

The operation made things quite a bit better. She was pleased. It did not however make her into a “thin woman.” It made her into a “thinner woman.” That is  a “good liposuction result.” :)

 

Best Regards,

John Di Saia MD

 

P.S. For those who have commented over the years that this or that doesn’t look much better, don’t have cosmetic surgery. If you can’t see improvement or have a picture in your head that must be your outcome, you are liable to be disappointed.

Originally posted 2013-02-22 07:30:52.

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