Archive for category “Good Plastic Surgery in the OC”

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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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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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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Clean Smile Line Filler – Orange County California

Good Orange County Smile Line Injections

Here is a smile line filler case before and 2 weeks later from my Orange County practice. The anatomic areas treated were the Nasolabial folds and Marionette lines. Not all smile line filler results need to be scary. We used a hyaluronic acid based product.

The biggest problems with filler cases tend to revolve around the large amounts of filler that some practitioner place. Moderation leads to more natural results here. You might not get all your lines “erased” but you will look human when you leave. We look at this as a reasonable trade off. :)

Best Regards,

John Di Saia MD

Originally posted 2010-12-13 07:30:46.

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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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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 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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