Posts Tagged surgery pictures

Good Plastic Surgery in the OC – A Good Redo Boob Job

Posted by admin in "Good Plastic Surgery in the OC", Dr D's Patients on April 29, 2013

Here we have images of a woman I first saw a few years ago. She had had two breast implant operations before and noted after her second (an enlargement with full lift) that her left breast progressively dropped (over about a year). I recommended re-operation to re-set the lift and downsize her implants. She agreed to the lift but not the implant size decrease. Smaller implants do not weigh as much so the rate of recurrent sag should have been less. As these were silicone gel implants this is particularly important. They weigh more than saline-filled implants.

The After image was taken at 1 month. She moved Out of State, but I predict that the sag probably recurred at least to some extent.

The Lesson:

(1) Large implants are hard to keep up. Plan on smaller implants or more surgery later if you select larger implants. Large silicone implants also harden (capsular contracture) more frequently/severely than smaller implants or saline implants. This also contributes to a higher redo rate.

Best Regards,

John Di Saia MD

Originally posted 2007-05-15 07:30:21.

Breast Lift, droopy, implant descent, Redo plastic surgery, repair, revision, silicone breast implants, surgery pictures

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Lipomas – Insurance Coverage Issues

Posted by admin in Dr D's Truth on March 26, 2013

Here are three lipomas I removed from a woman’s arm. Interestingly, the medical coding system has changed recently to cover removal of tumors like this as long as they are 3 cm or over. Her health insurance actually paid for the surgery. Then again they just assigned the majority of the cost to her deductible. When we tried to pre-approve the procedure, we were told that no approval was required. It is only when you bill the case that you find the real truth unfortunately.

Best Regards,

John Di Saia MD

Originally posted 2011-03-22 07:30:07.

Insurance Coverage, lipoma, surgery pictures

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Facial Dog Bite – Plastic Surgery Emergency – Picture Alert

Posted by admin in Dr D's Patients on December 28, 2012

Emergencies do occur in which you might want a plastic surgeon involved. Even people who have an axe to grind with cosmetic plastic surgery don’t seem to complain much when a plastic surgeon is available in an emergency. In the early hours of independence day, Dr D was requested in a local Anaheim emergency room to repair the effects of a dog bite to the face. In this case the upper lip was the most severely injured.

Both the upper and lower lip required surgery. The healing from this wound and the required surgery will take about a year and the patient should avoid sun exposure and cigarette smoking for months to optimize the outcome. Page 2 features a few pictures of the injury and an early after repair status update.

Best Regards,

John Di Saia MD

Originally posted 2010-08-20 07:30:20.

dog bite, emergency, face, plastic surgery, surgery pictures

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A Lipoma Can Get Really Large- Picture Alert

Posted by admin in Lumps, Picture Warning on December 26, 2011

Neck_lipoma

A lipoma is not something to be left alone. This Navy career man was told for 17 years by his doctor that this growing mass did not require removal. “It was just a lipoma.” This thing slowly grew to the point at which when he retired this large lump was visible even in clothing.

The bottom line here is that even if a soft fleshy lump is not cancer, it can grow and produce a problem if ignored for long enough.
My baseline recommendation is that people get these things removed early. On Page 2 is an image of the tumor once it was removed.

Best Regards,

John Di Saia MD

Dr D’s “Moles and Lipomas”

Originally posted 2009-11-10 07:30:14.

large, lipoma, plastic surgery, removal, surgery pictures

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Plastic Surgeon for Skin Cancer – Why?

Posted by admin in video clips on October 17, 2011

I have had a practice in Skin Cancer for years. When there was more cosmetic business around, I did less. Now I am doing more.

Why Do Patients Want A Plastic Surgeon For Their Skin Cancer Surgery?

Because I help minimize deformity. That’s one of the things plastic surgeons do. Looking at the image here, I helped not only make it look better, but reduce loss of function of the hand by reducing tissue loss.

Best Regards,

John Di Saia MD

P.S. I made a little YouTube video of part of this operation if you wanna check it out.

Originally posted 2009-03-04 08:30:00.

skin cancer, surgery pictures

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When You Really May Want A Plastic Surgeon For Skin Cancer….

Posted by admin in skin cancer on August 19, 2011

We discuss skin cancer and plastic surgery here intermittently – most recently here.

Large Basal Cell Skin Cancer Neck

Here is a case in which the gentleman had a really large skin cancer behind his neck. He of course didn’t realize it was that large. His dermatologist sent him to me before she did the removal surgery to take the skin cancer out.

After she removed the skin cancer, she sent him to me with the hole you will see after the jump (if you would like.) I operated on him the day after to perform a local flap to get this wound covered. These are not pretty cases. Many plastic surgeons avoid them as they believe that the results will impede their cosmetic practices. They may.

Obviously, this is not a cosmetic case although plastic surgery can make it look less objectionable that it would have in the hands of other specialists. If it were cosmetic, his health insurance wouldn’t have covered it. It did.

Best Regards,

John Di Saia MD

Originally posted 2009-12-31 07:30:12.

mohs, open wound, skin cancer, surgery pictures

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Dr D and an OC Eyelid Skin Cancer Case

Posted by admin in skin cancer on July 8, 2011

Left Lower Eyelid Skin Cancer

My blog visitors occasionally ask if as a plastic surgeon I treat skin cancer. In this economy, I am actually doing a fair amount of skin cancer. Sun exposure in Orange County California is part of our way of life. We could use a bit more sunscreen.

The patient you see to the right here had a skin cancer appear on her eyelid. She wanted a plastic surgeon to remove it and was referred to me by a local doctor. We were able to remove it under local anesthesia (numbing shots) alone.

Best Regards,

John Di Saia MD

Originally posted 2009-10-12 09:00:31.

eyelid, local anesthesia, O.C., orange county, plastic surgeon, skin cancer, surgery pictures

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