Archive for June, 2010

Reader Question: When Can We Have Sex After Plastic Surgery?

Reader Question:

I just had my boobies done and we are getting kinda horny. When can we have sex?

BTW – I could never ask my doctor. He seems so – I don’t know what.

I get this a lot. My patients like to talk:

Sex After Plastic Surgery – General Recommendations

After all, people don’t get plastic surgery to not enjoy it – do they?

Best Regards,

John Di Saia MD

Originally posted 2009-11-02 09:00:18.

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Merry Xmas – Dr Bittner’s Weird Green SUV & Other Bull

Daily Mail

Dr Bittner’s story has hit the British papers. They seem to love the Lipo’d fat for gasoline angle. I wonder if anyone believes the “after ten years of private practice, I am going back to South America to volunteer with a small clinic…where I can help those most in need” part. It sounds like he fled the US to avoid prosecution to me.

Best Regards,

John Di Saia MD

Related:

“Dr Bittner – A Radiologist Out Of the Lipo Business” Post

Originally posted 2008-12-24 08:30:00.

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Manute Bol Dead from Stevens-Johnson Syndrome – What is That?


Manute Bol, the former pro basketball center who spent ten years in the NBA, died Saturday in Charlottesville, Virginia, according to the Washington Post. He was 47. Bol became gravely ill in May after contracting Stevens-Johnson Syndrome, a rare skin disease, while in Sudan.

Huffington Post

Stevens-Johnson Syndrome is a very rare disease in which a patient’s body reacts poorly to a drug (usually Bactrim or Dilantin) causing the skin (and other tissue surfaces) to separate. This causes a person to become ill and frequently requires ventilatory support.

Fortunately, most patients recover from this uneventfully. I saw a few cases like this as a resident.

Best Regards,

John Di Saia MD

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Dr Jan Adams Summary

TMZ – link expired and removed

TMZ had a video that summarized the Dr Jan Adams story. They took it down though….perhaps lucky for him. We do have more for you though.

Best Regards,
John Di Saia MD

Related:

Jan Adams Surrenders California License

Dr Phil on Jan Adams

Originally posted 2007-11-23 16:20:00.

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Tort Reform Not Part of Doomed Healthcare Reform?

With all the rhetoric by the Obama administration about Health Care reform, the resounding victory by Scott Brown in Massachusetts must have Washington Democrats thinking: Are they on to us?

Don’t be fooled: special interest groups have plenty to do with that which is wrong with Washington and this bill.

The costs in Health Care have much to do with liability. Doctors have been making the public aware of this for decades. The problem is that the Democrats have a strong lobby in trial lawyers and they dare not undermine that.

Critics, especially Republicans and doctors, had long complained that the medical malpractice system showered huge fees on attorneys, did little for ordinary Americans and added billions of dollars in costs.

The trial lawyers are among the most significant donors to Democratic campaigns, and no Democrat running for reelection wants to offend them, even though some privately say that malpractice changes might be a good idea.

The nonpartisan Congressional Budget Office recently estimated that revamping the tort system could save $55 billion over 10 years. In addition, many doctors say that the threat of malpractice suits often forces them to order extra tests and other costly procedures — prime culprits in the booming cost of healthcare.

These excerpts are from the LA Times, not some conservative think tank. We would have been better off if this health care bill failed but now all we can do is wait for possible repeal.

Best Regards,

John Di Saia MD

Originally posted 2010-01-25 07:30:35.

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Men and Plastic Surgery

WFAA.com Story – link expired and removed

Men and plastic surgery. This piece takes a look.

The bottom line is that men are looking into cosmetic plastic surgery more than in years past. They are still the minority of the practice though…for now.

Best Regards,

John Di Saia MD

Originally posted 2006-02-10 13:55:00.

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ObamaCare Will Pack Emergency Rooms?


The new healthcare law will pack 32 million newly insured people into emergency rooms already crammed beyond capacity, according to experts on healthcare facilities.

A chief aim of the new healthcare law was to take the pressure off emergency rooms by mandating that people have insurance coverage. The idea was that if people have insurance, they will go to a doctor rather than putting off care until they faced an emergency.

People who build hospitals, however, say newly insured people will still go to emergency rooms for primary care because they don’t have a doctor.

The Hill

So much for ObamaCare improving medicine for most Americans. It looks like many of you will be going to the Emergency Room to get your care. Lucky You.

Best Regards,

John Di Saia MD

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Reader Laura on Non-Medical Grade Silicone PIP Implants

Reader Laura’s Comment:
“Is there any chance that these implants were used in the US? What signs should a woman be aware of in case she received one of these implants? How would a woman know if the implants she’s receiving are one of the best on the market and not a cheap knockoff?”


Tens of thousands of women with breast enlargements have been warned to have check-ups over fears they were given dangerous implants.

Up to 50,000 British women – including some breast cancer survivors – have implants filled with a silicone gel that may have been made for mattresses and so has not undergone vital safety tests.

In addition, there are concerns that a protective coating, designed to stop the implant from splitting and prevent any gel that leaks from spreading through the body, is missing.

Daily Mail

This is a return of the PIP or Poly Implant Prothese story. This company marketed saline-filled implants in the US years ago, but did not have a PMA to market their silicone-gel product here. The bottom line on avoiding cheap “knock off” products is to avoid the bargain basement plastic surgery outfits. They are the ones that cut corners to make things cheap.

I remember that the PIP saline-filled implants were cheaper than the domestic version, but not by much. I used very few of them when I shared office space with another doctor usually at the patient’s request. In one case an implant suffered an early rupture and I never used them again. I never even saw one of their silicone-gel implants, but am not surprised that they were made poorly after my brief experience with PIP saline-filled implants.

As far as external signs of having these implants, there probably wouldn’t be any. I advise patients to keep their implant identification cards, so they know what they have implanted. I give them to my patients on the day of surgery.

Best Regards,

John Di Saia MD

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Kate Beckinsale is Anti-Plastic Surgery

Source: hollywoodtuna.com/?p=1898

Kate Beckinsale Considers People Who Have Plastic Surgery “Shallow”

Well she’s 33 and on the record. Will she join the fray?

Best Regards,

John Di Saia MD

Originally posted 2006-10-04 11:30:00.

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Reader Laura on Joan Rivers’ Plastic Surgery

Reader Laura’s Comment:
“This is a story about the new documentary about Joan Rivers. Her birthday this coming Sunday has her turning 77. As a plastic surgeon, what do you think of her appearance? Has she over done the amount of work she’s had done on her face?”


Perhaps surprisingly, her looks and controversial plastic surgery are not a major focus in the documentary.

“When I went into doing this film I thought, ‘God, if I can just crack why she got all the plastic surgery.’ That was the fascination I had,” said co-director Stern. “But she’s so matter of fact about it that it’s almost boring. The answer is, ‘I feel I look better with the surgery. I feel I look good at 77. If it makes you feel good, do it.’”

LA Times

Joan Rivers is hilarious. As far as her plastic surgery goes she has probably had a bit more than she may have, but she is delightfully open about it. That is unusual. If she is happy, that’s OK by me. It is also difficult to know what she might look like without it.

Best Regards,

John Di Saia MD

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