Archive for category “Good Plastic Surgery in the OC”

Good Plastic Surgery in the OC – Satisfying Facial Dog Bite Surgery

Orange County Dog Bite Plastic Surgery

I met “S” in the emergency department of an Orange County hospital I no longer serve. She had been bitten on the lip by a large dog and incurred a fairly nasty wound. The dog bite repair here wound was a careful cleaning, trimming and closure by yours truly in the emergency department under local anesthesia. Unlike the majority of emergency patients with poor insurance coverage, this woman paid her bill slowly over about a year in payments.

She had a very nice outcome. It is too bad I can’t afford to do more of these, but they pay poorly even when insured and most patients are not as honorable as this one was. Good plastic surgery is not always cosmetic although cosmetic surgery pays most of our bills.

Best Regards,

John Di Saia MD

Originally posted 2011-09-23 07:30:34.

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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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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 Plastic Surgery in the OC – Pretty Eyelid Surgery

Good Eyelid Surgery Orange County California

This nice lady came to the office with tired looking eyes. She had an upper and lower lid blepharoplasty with canthopexy and 4 weeks later she was looking good.

Best Regards,

John Di Saia MD

Originally posted 2012-08-16 07:30:09.

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Nice Scar Revision – Orange County California

Scar revision is a type of surgery to improve scars. Advertising makes the treatment of scars very confusing. There are thousands of products with packaging promising anything and everything. Most people with disfiguring scars know most of these products offer little help.

Some scars can be improved with surgery however: scar revision surgery. Here’s an example of a scar revision case from my Orange County Practice:

Scar revision does not help all scars but rather scars that are wide or pigmented. In small cases, the surgery can be done in the office under local anesthesia only (numbing shots.) This brings the cost down. This doesn’t make it cheap, but makes it less expensive. Lasers are usually not used in scar revision surgery as they are not of proven benefit. Lasers do increase the cost however. :)

Best Regards,

John Di Saia MD

Related:

Dr D’s Scar Revision Practice Site Page

Originally posted 2011-11-18 07:30:42.

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Boob Job Redo Video

Boob job redo surgery is certainly more difficult than first time cases. Looking over some of my older YouTube videos, there was a desire to fix some up a bit. I had this boob job redo video with a patient testimonial. This video is now new and improved with reduction of annoying music and re-arrangement of the elements. It tells the story better now.

The story in short was this very nice young woman had been operated by a local surgeon who reported himself as the “best of the best.” Sound familiar? He nevertheless ran into a complication and after three operations left her pretty deformed. He reported to her that “this was as good as it was going to get.” Then she found Dr D through a friend. This was not an easy case and her result is just as much due to my work as her persistence, faith and patience.

Best Regards,

John Di Saia MD

Originally posted 2012-09-20 07:30:14.

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Good Liposuction Results – Woman Minus Baby Weight

Good liposuction results are nice smooth contours in the right client. Here is a young OC mom who wanted to get a few post-baby areas trimmed.

 

Good Liposuction Results

Good Liposuction Results Orange County California

She works out several times a week and is not fat by any means, but had some small problem areas that would not get better with exercise. Her biggest problem area was her tummy bulge and part of that was fatty. Here she is in the image before and 6 weeks after tumescent tummy liposuction with a nice result. Remember liposuction just trims the fat, but doesn’t do much to the skin or muscle wall. This is a good liposuction result showing not lumps or surface irregularities.

Best Regards,

John Di Saia MD

Originally posted 2012-11-01 07:30:57.

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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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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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Nice Lip Filler Result

lip filler

Here is a modest lip filler case before and five days later from my Orange County practice. Not every patient wants “Trout Pout meets domestic violence” on her lips. In this case we used Prevelle.

The exact filler choice is not as important (as long as a quality cosmetic material is used) in avoiding the trout pout as the quantity and technique. I recommend hyaluronic acid types in the lips to avoid unsightly lumps and bumps. Good technique limits the bruising.

Best Regards,

John Di Saia MD

BTW – A Dr D Comedy Podcast is on the subject of Celebrity Lip Fillers a la Dinosaur Lips.

Originally posted 2010-06-21 09:00:57.

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