Archive for November, 2010

Extended Breast Implant Warranties – Yes or No?

Breast implants do have extended warranties available in some cases. The manufacturers offer these on saline filled implants. The traditional warranty on implants has been five years and has covered the implants as well as some of the costs for surgery (facility, anesthesia) mainly in the case of rupture. Extended warranties offer longer time periods and more support. Generally you have 30 days from surgery to obtain this coverage from the implant makers.

Who should consider these extended warranties?

Considering the warranties are inexpensive relative to the costs of re-operation, virtually anyone, but cosmetic patients with a history of problems or larger implants sizes are encouraged in my practice. Not many patients with smaller implant sizes rupture over this covered time period.

Best Regards,

John Di Saia MD

P.S. Warranty conditions are subject to change. Dr D does not run the implant companies. Please check these conditions as you decide upon whether or not to obtain extended warranties on your implants.

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Medical Advice – "No" to Liposuction

Not long ago in the office, I saw a nice gentleman of nearly 50 years who wanted liposuction of his upper and lower buttocks. What he had there was skin. Liposuction is not right to address skin. Every bulge you have is not fat folks. I told him the truth and he left without a recommendation for surgery.

Now and again I see a patient for whom I similarly recommended no surgery who returns after having surgery somewhere else. Sometimes the outcomes on what I considered ill-advised operations are scary. They go to validate my previous position, but don’t make me feel better.

When a surgeon who makes his living operating recommends no operation, I think that should be carefully considered advice.

Best Regards,

John Di Saia MD

Originally posted 2005-10-11 20:30:00.

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Inland Empire California Plastic Surgery Lawsuit

Three patients have sued an Inland plastic surgeon accused of dishonesty, unprofessional conduct and negligence by the state medical board. The lawsuits, filed in Riverside County and San Bernardino County superior courts, state surgeries that Dr. Borko Djordjevic performed in 2006 left patients permanently disfigured. The lawsuits accuse Djordjevic of negligence, battery and fraud. Two of the surgeries were performed after the Medical Board of California filed its accusation against Djordjevic on July 21, 2006. “This guy’s trouble,” said Upland attorney Brian Brandt, who filed lawsuits against Djordjevic and the now-defunct Beverly Hills Surgical Institute in Upland on behalf of patients Gina M. Chaney, of Rancho Cucamonga, and Patricia Gross, of Claremont, in San Bernardino County. “And he’s out there still operating.”
Source: www.pe.com/localnews/sbcounty/stories/PE_News_Local_D_doctor19.3e50679.html

Sometimes it amazes me how little patients look into a prospective plastic surgeon. Doctors get sued even when nothing wrong was done, but three lawsuits at one time is concerning. At the California Medical Board Web site (as of 8/2010,) his license is listed as canceled. They must have found something big.

Best Regards,

John Di Saia MD

P.S. I am not sure this is the same doctor but a Dr Borko Djordjevic lost his license in New Jersey for seven years according to this document. Could this be the same man?

Originally posted 2007-08-03 20:34:00.

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Amanda Bynes Plastic Surgery Rumors

Amanda Bynes has apparently twittered that she is quitting acting at the age of 24. This has sparked rumors that she might be having plastic surgery. Then again everything sparks rumors in Hollyweird.

Best Regards,
John Di Saia MD

Originally posted 2010-06-22 07:30:54.

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A Plastic Surgery Picture – What is This?

What is going on with this man’s skin? See the pigment spots and the crusty patches? Is this anything to worry about? The answer is on page 2.

Best Regards,

John Di Saia MD

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Lily Allen Septic After Miscarriage

Lily Allen is being treated in hospital for septicaemia just days after miscarrying a baby for the second time. The singer is said to be “responding well” to treatment for the bacterial infection of the blood after being taken to hospital in an ambulance.
Source: nme.com/news/lily-allen/53744

This is probably related to the miscarriage. She probably needs a D & C in which the placenta and other products of conception are cleaned out (If she didn’t have it after the miscarriage.) They can get infected and serve as a source for this sepsis, a blood borne infection. The treatment for sepsis is antibiotics, fluids and removal of the source. Best wishes to her as she recovers from this awful week.

Best Regards,

John Di Saia MD

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Jamie Lee Curtis Shuns Cosmetic Surgery

JAMIE LEE CURTIS has slammed actresses who resort to cosmetic surgery in a bid to regain their youthful good looks – despite going under the knife herself. The 46-year-old actress has famously enhanced her breasts, undergone liposuction treatment and bought Botox injections – but she now insists it was a mistake she will never repeat.
Source: contactmusic.com/new/xmlfeed.nsf/mndwebpages/curtis%20slams%20enhanced%20stars

After admitting that she has had cosmetic breast surgery, liposuction and Botox, Ms Curtis has decided that since it didn’t work out for her that no one else should have it.

Oh, I don’t know. Maybe her motivations were wrong or her expectations. I just don’t seem to see the same dissatisfaction in my patients. Then again I don’t know who operated her, or her medical condition, stability of her weight or anything else.

Was she looking to liposuction as weight loss? Did she get everything under the sun treated with Botox?

We will never know, but for the record, she doesn’t think you should do anything.

Now we all feel better…..

Best Regards,

John Di Saia MD

Originally posted 2005-09-04 15:40:00.

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Leann Rimes and Shape Cover – Mistake?

Leann Rimes did a bikini shoot for the cover of Shape magazine. She is a pretty gal sans plastic surgery by the looks of things. She may stand to benefit by a tummy tuck, eyelid surgery and/or breast enhancement if she wants improvement. Maybe she doesn’t want any of that. Fine.

Then consider putting her on the cover of Shape in less revealing attire or at the very least posed to show herself better. She does look OK, but OK is a relative statement. It is relative to the models who usually adorn these covers. Does the image they chose for the cover show Ms Rimes in her best light? Would plastic surgery change any of this? These are the questions here on CosmeticSurgeryTruth.com folks. This is a cosmetic surgery blog remember?

I am not saying she “needs” surgery or looks badly as some have surmised. Looking at some of the other images in the magazine, the cover shot seems a poor choice. Another image in the magazine looks much better tummy-wise. That one wasn’t on the cover. Beauty in general and plastic surgery are both issues of opinion.

Best Regards,

John Di Saia MD

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