Posts Tagged orange county plastic surgeon
Looking online you look like a “dark horse” candidate for a list of best oc tummy tuck surgeons. I see your results look nice and your medical board sheet is clean. You write that you don’t do liposuction with your full tummy tucks though and you keep your patients overnight with a private nurse. How do you get tight looking results without the lipo and is the overnight really necessary?
Thanks for the kind words “best oc tummy tuck surgeons” although the “dark horse” part is kinda plus and minus.
Lipo really doesn’t tighten anything. In tummy tuck surgery it is the design of the tissue removed and the closure that does that. The blood supply of the tissue after a tummy tuck makes lipo (in my opinion) risky if done too aggressively. I see my tummy tuck patients with less swelling and with a better shorter recovery since I dropped the flank lipo years ago. I do not make “Swell Hell” patients very often and my skin necrosis rate is very low.
The overnight stay with the private nurse is mainly for leg vein clot prophylaxis as well as to teach patient the “dos and don’t s” of tummy tuck post-op before they go home. I insist upon overnight stays of this sort for anything over a minor tummy tuck in a really healthy patient. The cost is nominal and my safety record has been really great.
I guess I have a defined philosophy for tummy tuck surgery and thus far it has worked pretty well.
John Di Saia MD
Originally posted 2011-07-01 07:30:51.
I get hassled about my take on liposuction gimmicks once in a while. To some other surgeons in Orange County, it is as if I am pissing on the very thing that makes your local plastic surgeon a living.
While I reserve the right to poke fun at what I see as the myriad of liposuction gimmicks out there, the main point is that liposuction can be a good procedure in the right patient. Whether or not the purportedly “newer and better” liposuction modalities (Smart Lipo, Vaser, Aqualipo and the like,) are really any better is debatable.
As liposuction modifications have been marketed with more hyperbole than seen in a late Billy May’s commercial, people have begun to think of these trademarked systems in progressively more unrealistic terms. Americans are suckers for technology and the marketing types know it.
A related problem is that liposuction is used in many patients for whom it is not the best idea. This again has more to do with liposuction becoming a commodity as opposed to an operation.
The Bottom Line:
Liposuction is best for people with relatively stable weight who have fatty deposits that remain despite diet and exercise. It is not a weight loss procedure but rather a body contouring operation. Some areas are more treatable than others. The skill and judgment of the surgeon are primary and pivotal in the outcome and the effectiveness of any one liposuction system over another is widely open to debate and may be more of a matter of advertising appeal than medical fact.
John Di Saia MD
Originally posted 2011-03-21 07:30:40.
I am in Orange County and have heard that you are a very good and honest plastic surgeon. I want to get my breast implants and saw one of your examples and she had boobs like mine are now. How do I know the best Orange County plastic surgeon when I see him?
Thanks for the kind words. To address your question, the Orange County Register InYourFace Blog, did a “tongue-in-cheek” post regarding which of two Hollywood plastic surgeons is best. [http://inyourface.ocregister.com/2010/08/30/hollywood-plastic-surgery-contest-whos-best/20553/] This underscores the point of what it really means to be the best. The best according to whom and at doing what?
The practice of plastic surgery varies quite a bit. Different practices vary regarding what they offer and at what price point. Some try to make it cheap and you get an “Assembly line” concept. Others (like mine) spend more individual time with the clients (in surgery and in the office) and target quality.
Some patients like an intimate environment with a few office staff. Others like to see an office full of people and are OK about less “face time” with their surgeon. In this regard, my office runs small and intimate.
John Di Saia MD
BTW – The example you mentioned involved a full lift with implants. Implants alone will not give you the same result.
Originally posted 2010-10-07 07:30:29.
Roughly 30 years ago, Mariel Hemingway, 49, had breast augmentation surgery that jeopardized her health. Now the actress wants to warn others of the potential dangers of plastic surgery. “I actually had silicone in my blood,” said Mariel. “So I did hyperbaric oxygen treatment to turn the silicone into silicone citrate so it could pass, but it took a long time to get that out of my system.”
Entertainers can have kinda unusual ideas about science. Apparently Mariel Hemingway is no exception.
As we have discussed here before, silicone gel breast implants (especially older generation units implanted prior to cohesive gel models) have a tendency to leach silicone into the body. The body reacts to this gel and that reaction can create problems over the long term most often hardening of the breasts and severe capsule formation (capsular contracture.) While I agree that saline-filled implants are safer, some women still want silicone gel implants. I encourage them to get the cohesive gel variety (gummy bear breast implants) as they should have less of this leeching going on, but the jury is still out on the nature of tissue reactions with these newer silicone implants. Will they be any less severe than those of their less viscous predecessors? For women less risk tolerant, this Orange County plastic surgeon recommends saline-filled implants.
On Ms Hemingway’s suggestion that hyperbaric oxygen might help the body rid itself of silicone gel, I would be more prone to recommend a thorough removal of the implants and their scar capsules. While silicone gel can travel to distant sites, this is far more rare than concentration in the local tissues. Hyperbaric oxygen is not a proven treatment for silicone removal.
Scar capsules of older silicone implants (older meaning non cohesive gel units) can look like something from a Sigourney Weaver flick. If you have older silicone implants, my recommendation is usually to remove and/or replace them and certainly have the capsules removed as completely as possible in the process. The safe replacement interval for cohesive gel units has yet to be determined, but ten years would be a reasonable guess-ti-mate.
John Di Saia MD
I have just not had good luck finding a trustworthy plastic surgeon in the OC. It seems like all you guys are out for the dollars. How do I find one I can trust?
When it comes to choosing a plastic surgeon, there is probably nothing that is more of a matter of opinion. Different people use different methods to judge their prospective doctor. Some what the “Arrogance Pedigree:” a three piece suit, an accent and a line of bull that extends down the street. Others want a “Yes Man” who just does what they say they want whether or not it might be a good idea. Some people inquire little into a doctor’s qualifications or philosophy, two of the more important things a patient really should consider.
Of course if you ask a doctor what you might “need” and he or she attempts to sell you everything under the sun, you might be in the hands of the unethical. There are many such doctors around in Orange County and the US in general.
When choosing a surgeon I usually recommend a brief online evaluation and then an interview. If you know a patient or two treated by that doctor, then you are better off as well. Try to figure out what is a good result for your doctor. Having the same goals is helpful in choosing a surgeon. Some patients want results that some doctors would avoid….not a good match.
If you are looking for results that are designed to last long term, feel free to add me to your list.
John Di Saia MD
Do you (as a plastic surgeon) remove skin cancers? I would rather go to a plastic surgeon for the ones on my face rather than a dermatologist or regular doctor.
In short, “Yes.” I take care of quite a bit of skin cancer especially in my South Orange County office as it is really near the beach. In this economy, many patients are finding we are available and are trading up to plastic surgeons particularly for cancers on the face or really large ones.
John Di Saia MD
Originally posted 2009-10-12 07:30:47.
Mark Anthony Knight, the Orange plastic surgeon accused of having sex with a patient while her family waited outside, has agreed to give up his medical license later this month. Legal documents made public by the California Medical Board show that Knight will lose his license Dec. 15 to settle allegations of sexual misconduct. In April, the board accused Knight of inappropriate sexual contact with two patients. In one instance, legal documents say, Knight initiated sex with a 32-year-old tummy-tuck patient while her husband and children waited in the office. They were caught when the woman’s husband heard noise coming from the exam room.
I review cases for the California Medical Board but did not review this one. Sexual misconduct is unusual, but will of course catch some media time. Despite the fact that I have an office in Orange, I do not know this doctor. You gotta wonder what really happened with that tummy tuck patient. It sounds like something you would only see in a movie.
John Di Saia MD
Originally posted 2008-04-04 16:10:00.
I am worried about having to have surgery all the time if I get breast implants. Can breast implants last ten years? It seems the ladies I see posting online are going back to have surgery a lot.
Are you in Orange County California? Is that the Ocbody.com thing? If so, you may be seeing me soon. lol.
Here is a bit from a “thank you” card a patient sent me a few years ago:
“Wow – It has been a decade! My surgery was May 22, 1997 I think. That’s amazing. I told my husband just the other night that ‘they’ are still doing good and that some people have to have theirs replaced after a few years. See how good you are?!
This woman had saline-filled implants placed by me in 1997. They are at present 12 years old and she is without problems. Getting breast implant results to last ten years is a matter of focus:
Don’t have larger implants placed than your tissues will easily cover. Consider saline implants (which suffer less hardening over time) and have them placed under the muscle.
And yes, I am an Orange County Plastic Surgeon and that was the reason for the web site address when I registered it. I appreciate your consideration.
John Di Saia MD