Archive for November, 2005

Pamela Anderson and Implant Size

Pamela Anderson is a pretty small framed woman sporting pretty big implants. Nothing is wrong with full breasts (hey folks, I make them for a living), but is where is the point of “too much?”

Best Regards,

John Di Saia MD

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Often-disputed Truths About Fat and Liposuction

A trip through a local ad-ridden Orange County magazine brought this one on.

What you need to know about your fat:

(1) Unless you have a lot of it, it doesn’t weight much. So if you have liposuction, look for change in shape, not a change in weight.

(2) It is not easy to just take a little out here and put it there. It usually just melts away. Fat injections into the lips really don’t provide much long term benefit. And you get huge swelling right after it is done too.

(3) Your weight should really be stable before you have a large cosmetic body operation, unless you want new weight gains to end up in areas you might not like. Patients who gain and lose large amounts of weight frequently become less wonderful liposuction candidates for this reason.

(4) According to current thought, you don’t get new fat cells after your twenties, but you can “load up” the fat cells you already have with more fat. These buggers can hold a lot. Don’t get liposuction figuring you can eat all you want afterward and not gain weight. You will gain it back.

(5) Liposuction does not take the place of a good diet or regular exercise.

Best Regards,

John Di Saia MD

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Cosmetic Surgery Tax and Consequence

Keiser has said she thought people who could afford cosmetic surgery could afford to pay a little more. However, available data indicate otherwise. Contrary to the popular belief that cosmetic surgery is the indulgence of the rich, most patients are middle income and seek it out for healthy reasons. The tax would amount to several hundred dollars per surgical procedure, ample motivation for patients to travel out of state. In fact this is exactly what has happened in New Jersey, the only other state that has imposed a cosmetic surgery tax; estimates of revenue there have exceeded reality by 80 percent.
Source: seattlepi.nwsource.com/opinion/211363_surgerytax10.html

When New Jersey passed their cosmetic surgery tax law, I figured that the business would simply find its way around the tax. Well, according to this writer in his piece about a proposal in Seattle for a similar law, exactly that happened.

Legislators need to get a clue that they cannot just add additional taxes to quench their endless thirst for cash. Additional taxes simply cause additional problems. Currently collected tax money needs to be more efficiently spent.

Best Regards,

John Di Saia MD

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Huge Breast Implant Problems

Once in a while clients may become frustrated when I resist their desires to make them “really big” breasts. There is a method to my madness. This image (not one of my patients) displays a young lady with pretty huge breast implants:

(1) Notice the support bra that is attempting to hold them up.

(2) Notice the breast shape.

(3) Notice that these breast mounds are descending and the nipples are really low on her chest.

By not making your implants huge (and putting them under the pectoral muscles), we make these problems much less likely. This lady might have also been appropriate for a breast lift. Not having pre-operative images, we can’t know. It is possible that this woman really likes her breast implant appearance, but women looking for breast implants for themselves might not.

Best Regards,

John Di Saia MD

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Cheap Plastic Surgery

Looking through my local OC Weekly newspaper, it is again obvious why I do not advertise.

The ads I see are those of obvious “chop shops” in which speed and “cutting corners” are undoubtedly centers of focus. I would wager anesthesia services to be little or none and operating facilities to be sparsely outfitted. An emergency in such a place could end you up on Hard Copy.

I never really wanted to be the bargain basement guy. I never liked the idea of having to be done quickly to make a profit. At the prices advertised, quality cannot be the main goal of these outfits. Quality is always high on my list.

I would be very cautious of finding a plastic surgeon via such an advertisement.

Best Regards,

John Di Saia MD

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Barkin not a fan of cosmetic surgery

Breaking News.ie Story

“Movie star Ellen Barkin has sworn off undergoing cosmetic surgery because she thinks friends who’ve gone under the knife are living proof it doesn’t always make you look better.”

Of course, nothing ever always does anything and but I certainly see her point.  Too much surgery can be a a bad thing. I’d bet she’s had something already but is just talking it down.  Cosmetic surgery is not for everyone but some Hollywood-types take this stance and do it anyway at times in excess.

Best Regards,

John Di Saia MD

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