Archive for category Dr D reactions

Dump The Cigarettes Hayden

Superior Gossip caught Hayden Panettiere smoking cigarettes.

Cigarettes contribute to early aging and cancer and death. If you are interested in maintaining your looks (and your life) I advise you to drop your cancer sticks in the nearest waste receptacle.

Best Regards,

John Di Saia MD

Originally posted 2009-12-17 09:00:52.

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Crazy Phone Call of the Week

Last week we had a few really hilarious phone calls, but the funniest person was one who I had seen for a cosmetic consult six months prior. She called to inform us that she had seen some other surgeons after seeing me and their surgical fees for liposuction were lower. Lisa, my office gal, had a look on her face that I really should have photographed as she spoke with this lady.

The woman went on to say she really wants me to do her surgery but has decided to only have liposuction and not liposuction along with laser re-surfacing. She then proceeded to tell us how she was going to have it for a fraction of that which we originally quoted by giving herself a multiple procedure discount (without multiple procedures) and eliminating anesthesia fees by having it under local.

While I understand that cosmetic surgery is expensive, it is laughable to think that any reputable surgeon will comply with a phone call of this sort. It makes little sense to defend my fee structure to a woman like this, but there are many types of doctors who perform liposuction including dermatologists, gynecologists and other non-plastic surgeons. These doctors tend to offer it for less. Then again they tend to do it in their offices with poor equipment and lighting. They did not attend residency programs to train them how to operate. Maybe our caller went to the emergency doctor down the street. He got tired of getting paid nothing for heart attacks so he opened a place and is doing cosmetic work. He is cheap.

Best Regards,

John Di Saia MD

Originally posted 2007-05-23 18:25:00.

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Reader and Dr D for Best of Orange County

Reader’s Comment:


“OMG Dr D – You should be the Best Nip/Tuck in the Best of the OC in the Register! I just voted for you. Post this to the blog!”

Best of the OC

I appreciate your vote of confidence.

Best Regards,

John Di Saia MD

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MTV True Life Episode and Dr D’s Reaction

MTV True Life Episode

This episode of MTV’s True Life features two women who are not pleased with the results of their plastic surgery and are looking at options. OK.

One has had silicone gel breast implants and afterward developed weakness and other unusual problems. Having the implants removed is pretty standard. As I have mentioned before these problems have not been connected with saline-filled implants and are even rare with silicone gel as well. Unfortunate is the fact that removal of the implants does not always result in improvement in the symptoms. Add this as another reason I stick with saline implants most of the time folks.

This woman seeks out other doctors in evaluating her options and sees a doctor who recommends replacement with body fat. This is a formerly frowned upon procedure that has actually obtained some traction in the plastic surgery community is the last few years although it is very expensive and variably effective. When the doctor on the show describes it as “just as safe as having a mole removed,” I wanted to reach through the screen and shake him violently by his scrawny little neck. Surgery is surgery knucklehead. Did he tell her she will be having several operations at a significant cost? I didn’t see that part.

The other lady is unhappy with her nose job and is seeking secondary rhinoplasty. Blaming her nose for her failure to succeed as a model is a warning sign that she may not be so happy with nose job #2 either, but that is a different story.

Best Regards,
John Di Saia MD

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Hippocrates Quotation & Comment

Whenever a doctor cannot do good, he must be kept from doing harm. Hippocrates

Hippocrates had it right here. It is too bad I did not find this quotation earlier as I just wrote an editorial about the Donde West law for Skin and Allergy News. It would have been an appropriate addition for my closing statement. I am starting to post famous quotations weekly @drdisaia for those interested. Most of these will not appear here on the blog.

Best Regards,

John Di Saia MD

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Is Cosmetic Surgery Evil?

I read an article that intimates that cosmetic surgery is some kind of evil conspiracy. It is pretty “over the top.” How do you respond to that? The author seems to really believe that all cosmetic surgery is an organized industry that dupes people into having dangerous surgery. The point is pretty naive.

Until we make a stand and educate potential victims that any cosmetic surgery, even a minor one, can be a life threatening procedure, the cosmetic surgeons will continue to put peoples’ life at risk.
Source: articlesbase.com/plastic-surgeries-articles/
botched-cosmetic-surgery-and-death-of-denise-hendry-1090502.html

No responsible surgeon intimates that surgery is simple. I think the author is confusing things just a bit here. The Hendry case to which she refers has been discussed here. That is a single malpractice case involving one doctor.


What it has to take to stop this evil money making industry?

Hmm. So the point here is that cosmetic plastic surgery should be illegal?

My practice is not part of some cosmetic surgery machine. Then again each plastic surgeon has his or her own philosophy. Mine hasn’t been dangerous and I intend to keep it that way.

Best Regards,

John Di Saia MD

Related:

Why NOT to Do Too Much Surgery All At Once

Plastic Surgeon versus Cosmetic Surgeon – What is the Difference?

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Dr D’s Opinion makes him Unpopular? Say it Ain’t So.

Somewhere on the internet, opinion about Dr D stews:

meet Dr. John Di Saia, a plastic surgeon whom we imagine to be the “real housewife”-maker of Orange County (since, on one of his blogs, he provides advice on “Cosmetic genital surgery — labia minora reduction”). On his other blog, “Truth in Cosmetic Surgery,” Dr. Di Saia seems to reach out to Padma Lakshmi, saying, “That arm scar is really ripe for improvement.”

Source: amuse-biatch.blogspot.com/2008/05/orange-county-plastic-surgeon-padma.html

OK the blog itself isn’t so bad on me. Now to the comments:

diSaia is a right wing asshole.

Well I do side with the military and police pretty often.

Yeah, I remember a blog post he wrote a couple years ago on how he felt Cindy Sheehan needed plastic surgery. It was disgusting. Someone wrote a not so happy comment about it and he started in on some anti-liberal bs. The guy needs to stick to fixing pussy lips and keep his shut.

Well I didn’t say that. I never say anyone “needs” plastic surgery. It is a choice like my choice to state my opinion here.

Best Regards,

John Di Saia MD

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Press Release- Dr D publishes "Unusual Labial Rejuvenation" in Journal Of Sexual Medicine

Here’s a press release on my latest medical journal publication for those interested.

Recent concern in the medical community has been focused upon discretionary surgery of the female genitalia. The American College of Obstetricians and Gynecologists in September of last year cautioned its members to be wary of procedures promoted as “designer vaginoplasty,” “revirgination,” and “G-spot amplification.” Dr John Di Saia, a board certified plastic surgeon in Orange County California, presents a case demonstrating his technique of safe cosmetic labiaplasty to demonstrate that within limitations these operations can be safely offered to appropriate patients with pleasing results.

Orange County, Ca — The world of Cosmetic surgery has seemingly become a carnival arena spiced with Internet cliques and sensationalistic television shows. Surgery has become a commodity of sorts and in the hyperbole that has been born the medical community has started to interject itself.

In September of 2007, the American College of Obstetricians and Gynecologists warned its members to be wary of vaginal surgical procedures offered by practitioners claiming to enhance appearance or sexual gratification. The piece advised that member physicians advise their patients to consider these operations of unproven effectiveness with potentially serious complications.

“Over the seven years that I have been offering reduction labiaplasty, the experience has been pretty good,” Dr John Di Saia explains. “The key in safely offering surgery in this area is to focus upon external structures and apply proper technique. The operation described in the recent publication was fairly extensive so it was performed in two parts. Staging surgery in this manner is designed to limit complications.” Long-term problems in the doctor’s cases have been virtually non-existent as he has improved his operation over the past few years. He understands the concerns of the American College of Obstetricians and Gynecologists, but would emphasize that reduction labiaplasty performed by an experienced surgeon on the external genitalia alone is safe and effective.

“I do not present these operations to the patient as the cure for an ailing sex life, but my patients have of course been concerned with appearance. Why else would they seek the services of a plastic surgeon?” the doctor adds. Patients presenting for labiaplasty have predominantly sought reduction of their external inner “lips” for reasons including discomfort in tight clothing, embarrassment and cosmetic displeasure. The doctor performs these operations under anesthesia at an accredited surgical facility.

About John Di Saia MD
John Di Saia MD is a board certified plastic surgeon practicing in Orange County, Ca. He is very active online as the author of Plastic Surgery Interactive (www.psinteractive.net) and his weblog Truth in Cosmetic Surgery (www.cosmeticsurgerytruth.blogspot.com). He also contributes to a few online plastic surgery forums and on occasion to the medical literature.

Media Contact
Dr Di Saia

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A Blogger Comment & the Practice of Plastic Surgery

A blogger came by and left the following comment:

Our skin obsessed society is sick. Plastic surgeons only exasperate the problem. Isn’t the job of doctor to do things that are medically necessary or prudent? Is giving some stupid celebrity bimbo bigger knockers medically necessary? Are people insecure little children that are nothing more than shallow materialists ? I guess so.

Source: fakieollie.com/blog (Brian)

This is funny really as the poster clearly has very little idea of how the practice of plastic surgery works. Most medically-necessary plastic surgery is performed in my geographic region by doctors who do not have busy cosmetic practices. The reason is pretty simple: because your insurance company pays a plastic surgeon poorly for it. Although I am sure the poster feels quite righteous in making his point, medically-necessary plastic surgery alone cannot keep a practice solvent. Cosmetic surgery is necessary to pay the bills. Most of us eventually do mostly cosmetic surgery, because we figure we should be able to live reasonably well for the years we took in training to get here.

Best Regards,

John Di Saia MD

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The Hate Dr Di Saia Hotline?

Today I received this fine e-mail:

FirstLastName = dr reality
Email =
Message = i find it interesting that loud mouth plastic surgeons never have anything done to themselves.

why don’t you try some lipo, chubby?

and that picture of you—do you think you should wear anything OTHER than a T-SHIRT?

Now I know how Sean Hannity feels. Maybe I should start the “Hate Dr Di Saia” hotline?

I figure that this is the prank of some frustrated individual with some issues. Personal attacks mean you can’t debate my content. That is a win in my book.

Best Regards,

John Di Saia MD

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