As an Orange County plastic surgeon with almost 20 years of private practice experience, I have heard almost all the myths and misconceptions surrounding breast augmentation (BAM) surgery. I hope this blog will clarify some or all of the misconceptions regarding this surgery. The breast augmentation myths are listed in no specific order. Myth 1…
Avoiding “Avocado Hand” Injury “Joy Behar and former “Bachelorette” Andi Dorfman recently found out that “avocado hand” can be the pits. Both sliced into their hands while trying to cut avocados with a knife. Both wound up in the hospital, felled by a kitchen accident that has become so common it has its own nickname.”…
Fat transfer techniques have come a long way in the past ten years. Better equipment and better understanding of how to transfer fat has increased the rate of fat retention. The options for augmenting the face are weight gain (yes!), fillers such as Restylane, Juvederm, etc. and patients own fat. The advantage of fillers is…
No matter how good one’s face or body looks, bad breath (halithosis) is definitely an undesirable “friend” to carry around! In some cases, the treatment is very easy, yet many patients are unaware of these options. Please note, however, if the halithosis persists, please see a physician, as there are serious medical conditions which may…
Although fat transfer is not a new technique, its use has significantly increased over the past several years. Part of the reason is better instrumentation and technique, resulting in better fat retention. Fat transfer has several advantages. The patient is using his or her own fat and essentially recycling it to another position. This, in…
Many patients seeking breast augmentation in orange county ask me about different types of implants available. Most commonly asked question is “Do you use gummy bear implant?” The answer is yes and no! Let me clarify. The original gummy bear implant (style 410 Allergan), was developed several years ago. It is a tear-shaped implant, and…
The Mystery of The Cup Size After Breast Augmentation “Cup Size” is always a question which comes up during consultation with most of my breast augmentation patients. Most patients tell me they want to be a “full C cup”. However, in reality, most of the time, this is not what is desired as a final…
“Do your ears hang low? Do they wobble to and fro?” These clever old song lyrics tell of the sad plight of a person with large, droopy, protruding ears, whose earlobes are so saggy that one could tie them in a knot or bow. If your earlobes are similarly enlarged, sagging, or torn, earlobe repair…
Sagging brows and sagging eyelids can both be corrected with plastic surgery. Patients with these effects of aging may need a brow lift, blepharoplasty, or both. The following points can help you decide when to consider brow lift with blepharoplasty or just one procedure versus the other. Who Needs a Brow Lift Only? A brow…
When beginning any weight loss diet and exercise routine, it’s difficult to predict where the pounds will shed from first. However, it is safe to say that the arms will probably be slow to slim down despite your healthy lifestyle. The upper arms do not shed fat as easily as other places of the body,…
Signs of aging can affect both the face and the neck. These two areas can age at the same or different rates and in similar or different ways. While some individuals are candidates for just one of these rejuvenation procedures, many are candidates for both facelift and neck lift surgery. Depending on your rejuvenation goals…
As if the wrinkles, gray hairs, and fat accumulation weren’t enough, one of the many downsides of aging is breast sagging. If your breasts are sinking toward your toes, you may want to consider breast lift surgery. Breast lift surgery was one of the top five cosmetic surgical procedures in 2016, according to the American…
Preparing for a major surgery can fill you with uncertainty and anxiety, especially if it is new and uncharted territory. To alleviate your concerns and help you prepare, here are the details on what to expect with your Mommy Makeover procedure. Expect a Personalized Treatment The Mommy Makeover is designed to be customized for your…
Should I get fat transfer or fillers? There’s no easy answer to this question, which is why Dr. Jazayeri offers both treatments at his Orange County plastic surgery practice. However, once you consider the pros and cons of each, there’s most likely a right answer for you. Both fat transfer and dermal fillers are excellent methods of…
Are Anatomical Implants better than Round Breast Implants? This question has been brought up since tear shaped implants were introduced in the market. Originally these were called Gummy Bear implants because the silicone gel was more cohesive (firmer) than standard round implants. The increased cohesiveness does provide better and more long lasting results, if the…
Are There Risks That Go Along With Fat Transfer To Breasts? Fat transfer to the buttocks and breast tissue are the hottest cosmetic surgery trend. I especially like the idea of fat transfer to the breast, because in certain individuals who only want a cup size increase this is a great procedure. I have also…
As many of my blog readers already know, I have a wide palette when it comes to music. My iPod is all over the place! I am always curious what makes a piece of music enjoyable. So, naturally, I use my poor daughters as guinea pigs! When they are in my car, I start playing…
From a social and psychological perspective, any perception of a physical deformity can be both stigmatizing and traumatizing. Adults and children who have physical abnormalities may experience embarrassment and anxiety as well as stares, ridicule, or even abuse from others. If you have bat ear deformity, otoplasty can improve the appearance of your ears. What Is…
Many people are bothered by the appearance of their thighs. The perception that your thighs are fat or flabby may prevent you from feeling comfortable wearing shorts, skirts, dresses, and swimsuits. Both thigh lift surgery and liposuction can enhance the appearance of the thighs so that you can look and feel your best wearing any…
Facial beauty is about more than having smooth skin and well-sculpted eyebrows. The structure of your facial anatomy plays a substantial role in your perceived facial attractiveness. If your profile is aesthetically lacking, rhinoplasty and/or chin augmentation can help you achieve a more balanced and attractive facial profile. Rhinoplasty Nose surgery has been one of the most…
VBeam Laser For Treatment Of Rosacea The VBeam laser is a pulsed dye laser, which means that the laser energy is delivered in pulses and a dye is used to generate laser beams of different colors. Since the VBeam is used to treat dilated blood vessels, as in rosacea, it is often called a vascular laser. The laser targets blood vessels, in effect,…
In the battle against aging, it is easy to focus on the face and neglect the hands. The hands are one of the first parts of the body to show signs of aging such as sun spots, wrinkles, spider veins, and loss of volume and tissue firmness. Board-certified plastic surgeon Dr. Michael Jazayeri can perform hand…
When focusing on toning your body, there is one area that you should definitely not neglect: your upper arms. Flabby upper arms are difficult to tone, but with the right tools and resources, your upper arms can be toned, firm, and attractive. The following tips can help you tone your upper arms so that you…
How To Minimize Risk Of Capsular Contracture After Breast Augmentation? Breast augmentation is one of the most popular cosmetic procedures performed in the United States. In my experience over the past seventeen years, the three most common causes for breast revision are; implant deflation (more evident with saline implants), capsular contracture, and desired change in…
I am showing my age now, since this band existed 35 years ago! Novo Combo became very popular in the early Eighties, thanks to their songs being played on KROQ. What caught my attention was how much the band’s drummer, Michael Shrieve; playing style reminded…
Breast asymmetry is a condition that affects a significant number of women. This common condition may cause women to feel self-conscious about their appearance. Regardless of the cause of your breast asymmetry, various breast surgeries can treat breast asymmetry and restore a balanced, symmetrical bust line. What Causes Breast Asymmetry? Breast asymmetry is identified when…
Scheduled to launch in October 2018, the Webb telescope (named after NASA’s second director James Webb) is the next most exciting news for the future of space exploration. As good as the Hubble telescope has been, the Webb telescope will hopefully address some of the short comings of Hubble. Although its mass is…
One of the major downsides of aging is that the skin loses volume. A loss of volume in the face can be quite noticeable and cause you to look older than your age. Sun exposure, stress, and aging can all make your face look thinner and more tired and worn, even if you don’t feel…
Fat Transfer to Breast Breast augmentation has consistently been one of the most popular cosmetic procedures in the United States, and is always ranked number one or two in terms of popularity. Breast augmentation, however, is not always desired by some patients because of cost, fear of having a foreign material in their body, and…
As many of my regular blog readers know, I have 5 year old and soon to be 4 year old girls. I was planning to watch the final game of the 2016 European soccer championship between Portugal and France. So I prepared my daughters in advance by telling them how we let them watch television,…
Mixto Laser-Fractional CO2 Laser Mixto laser is a form of fractional CO2 laser. The usual CO2 laser burns the entire area treated, as compared to Mixto, which leaves islands of skin intact. This allows faster recovery and less downtime. The procedure can also be done using topical anesthesia, whereas full CO2 laser requires IV sedation…
Anaplastic Large-Cell Lymphoma after Breast Augmentation – Is It a True Cancer? Anaplastic large-cell Lymphoma (ALCL) is a hot topic today as it relates to breast implant surgery. According to Wikipedia, anaplastic large-cell lymphoma (ALCL) is a type of non-Hodgkin lymphoma involving aberrant T-cells. Recently, an association has been found between breast implants, especially textured implants in…
Butt Augmentation Using Fat Transfer Fat transfer to the buttocks (Brazilian Butt Lift) was the fastest growing cosmetic surgical procedure in 2015. With the advances in fat harvesting and transfer, butt augmentation has become more predictable, and more consistent results are achieved. For years, every time I performed liposuction, I thought about all the fat…
Not every plastic surgery procedure produces the desired results. Sometimes, plastic surgeons make procedural mistakes that lead to undesirable results. Here are a few common mistakes that plastic surgeons make in eyelid surgery. Performing an Eyelid Lift When a Brow Lift Is More Appropriate Some plastic surgeons perform eyelid surgery to correct eyelid hooding when, in…
Earlobe Repair Surgery Stretching of the earlobe is not a new tradition. It has been used for centuries especially by African tribes. We occasionally do see patients who want their stretched earlobes repaired, mainly because these patients are planning to enter a professional career. The earlobe repair procedure is performed comfortably under local anesthesia and…
Since the origin of humankind, men and women have had clear physical differences between them. The chest is one of the key parts of the body that tells others whether you are a man or a woman. If you are male and your chest portrays a more feminine appearance due to gynecomastia, male breast reduction…
Treatment of Lipoma with Liposuction A lipoma is an abnormal growth (tumor) of normal fat cells. The lipoma can grow anywhere in the body and in some cases, patients have multiple (sometimes 20-30) lipomas. The lipoma presents as a soft, almost rubbery mass under the skin. The gold standard, with the lowest risk of recurrence,…
Body contouring is both an art and a science. To successfully improve a patient’s body shape, the body contouring surgeon must perform the right procedure with the correct tools, and the surgeon must also have an eye for what will produce a more attractive figure. Dr. Jazayeri combines scientific and artistic skills when performing liposuction to…
Post-Operative Pain Management After Cosmetic Surgery Pain management is the new topic of the day in medicine and apparently in the government. Narcotic prescriptions are now tightly controlled and will be tracked so that a patient cannot jump from one provider to another. This tightening, of course, comes at a price, and the rate of…
Choosing the best breast implant size is not enough – women also have to choose the best implant shape, profile, and texture. Dr. Jazayeri has helped countless women make the most educated choices based on their preferences, their anatomy, and what will be best for them. Here are some of the different options for breast…
Pubic Lift-A Surgical Treatment for FUPA FUPA, believe it or not, stands for Fat Upper Pubic Area. I am not sure who first coined this term, but it was written about in the December 2012 edition of Cosmopolitan magazine article. Instagram has over 20,000 posts on FUPA! Benefits of Pubic Liposuction Include: Safe removal of…
Scars are your body’s way of healing from trauma, but the visual reminder can feel like you’ve been permanently disfigured. In fact, a desire to avoid having an unsightly scar could be stopping you from undergoing life-changing plastic surgery procedures. Believe it or not, there are ways to completely avoid scars or to minimize scars…
Many of my readers and/or patients probably don’t know this, but I still do take emergency room call. Why? I have asked myself this question sometimes. Most patients do not have insurance or means of paying and although I do get paid through the Emergency Medical Fund System, the amount of money received is a…
Major surgery such as abdominoplasty (tummy tuck surgery) will always be followed by a recovery period. Making it through recovery is an essential step before patients are able to fully enjoy the results of their procedure. This tummy tuck weekly recovery guide will help patients to know what to expect with recovery from tummy tuck…
Overweight or obese individuals who lose a significant amount of weight often experience numerous health benefits as a result. However, two unfortunate and very common side effects of major weight loss are sagging skin and stubborn fat deposits. There are several procedures that can help improve the appearance of sagging skin and unwanted fat deposits…
When Can I Have Sex After Cosmetic Surgery? No, I am not branching out into the porn industry! However, I do feel many patients want to ask this question, but are too embarrassed to do so. The act of making love, believe or not, is extremely physical and the average person will burn 300-500 calories…
Even though breast cancer isn’t the death sentence it was maybe 10 or 15 years ago, it is still one of the leading causes of death among women. It is estimated that in the United States, one in every eight women (about 12 percent) will develop breast cancer during her lifetime. It is the most…
In our last blog, Mentor® Breast Implant Warranties: Part 1, we discussed the warranties Mentor® offers to patients who receive MemoryGel® or MemoryShape® silicone breast implants. Now, we want to share with you the warranties Mentor® offers to patients who receive its saline-filled breast implants. Mentor®’s Warranties for Saline-Filled Breast Implants Mentor® offers patients two…
One of the first questions that breast augmentation patients ask is, “Are breast implants covered under warranty?” Each FDA-approved breast implant manufacturing company has its own warranty for breast implants. Depending on the manufacturer, the standard warranty will cover the cost of the implant plus a certain amount of surgical financial assistance for a period…
Is the IDEAL Breast Implant My Best Option for Breast Augmentation? In November 2014, the FDA approved yet another breast implant called the “IDEAL Implant“. The implant is designed by Dallas based plastic surgeon Robert Hamas. The implant is double lumen and both lumens are filled with saline (salt water). According to the company, this…
My daughters are now 4 and 3 years old, and I feel like someone who has kicked an addiction. Now I have never been addicted to anything, but what I have heard is for a previous addict, every day is a challenge to stay clean. I feel the same way as a parent. Every day…
Many people may not be willing to admit it, but a fear of general anesthesia is quite common. There is an unsettling notion about being knocked out, especially if you’ve seen the episode of Grey’s Anatomy where the patient never woke up from it. While the administration of general anesthesia is routine and the majority…
Bilateral Implant Exchange with Breast Lift For some patients, there is the misunderstanding that a large breast implant will result in a “perky” breast. When I really question the patient thoroughly, they are expecting a look which is only possible in action hero comic books (the small waisted, toned woman with big, perky breasts). Although…
Do I Need to Replace My Breast Implants Every Ten Years? The short answer is NO, you do not need to replace your breast implants every 10 years. However, the long answer is MAYBE. I am not sure where this myth has come about, that breast implants have to be replaced every ten years, but…
If you’re considering breast augmentation, it is likely that you have a few burning questions you need to be answered. By this point, you are probably familiar with the basic concepts such as implant type, incision location, and implant placement. If you haven’t already discussed these concepts with your plastic surgeon, read here for more…
The Importance of Post-Operative Breast Implant Massage At our Orange County practice, we perform a large number of breast augmentations, and over the past 15 years we have gained extensive experience regarding what may cause some of the complications associated with breast augmentation surgery. The three most common complications associated with breast augmentation, at least…
Mommy Makeover in Orange County Are you finished having kids and desire the attractive body that you had before you began motherhood? Like many women who have experienced pregnancy, you’ve probably tried living a healthy lifestyle, which consists of eating right and following a regular exercise routine. However, this often requires an excessive amount of…
A few months before my fiftieth birthday, I went to my PCP for my annual physical exam. He looked at the computer monitor for a few seconds and said: “Oh your birthday is coming up, I am going to send an authorization for your colonoscopy.” Thanks, Doc! To be honest, the procedure was not a…
While wearing earrings and gauges in the ears are trends that people have followed for years, the effects that they leave behind on the earlobes can be destructive. The earlobes consist of nothing more than skin and fat, so they are prone to permanent stretching and tearing. Fortunately, earlobe surgery can be performed to repair…
In my opinion, the answer is “it depends”. Let me elaborate. I watch my children, who are now 4 years and 30 months old very closely after they come home from pre-school. Most of the time my daughters are mimicking and repeating the events which happened during their day. Therefore, depending on the environment, children…
How to Get Your Body Ready for Summer… With swimsuit season almost here, you may be in pursuit of getting your “beach body.” And while you may have made progress and even seen an improvement in the appearance of your body, you might still be struggling to achieve your ultimate goal. When diet and exercise…
Natrelle Inspira Breast Implant Approved By FDA The FDA recently approved the new silicone gel implant made by Allergan (Natrelle Inspira). It is highly cohesive gel implant and comes in round smooth and textured forms. The implant also comes with varying degrees of firmness (from soft to very firm). I have not had a chance…
Male Liposuction in Orange County Liposuction is one of the most common cosmetic surgical procedures performed in the United States. Over the past 20 years, techniques for liposuction have improved and so has the results (if the right patient is chosen). Liposuction is a very popular procedure among men. Men, unlike women, tend to store…
Orange County Tummy Tuck Surgery – Before and After Photos Tummy tuck (abdominoplasty) is one of the most popular procedures performed in our practice. This procedure removes loose skin, stretch marks, and tightens the abdominal muscles, resulting in a tighter and flatter abdomen. Most patients requiring this surgery have had either multiple pregnancies or massive…
Orange County Mommy Makeover Surgery – Before and After Photos Mommy Makeover surgery is one of my favorite procedures to perform, since it can provide a dramatic improvement in the trunk area. Mommy Makeover is really a catch phrase and typically includes improving the breast and the abdomen (stomach) area, the two areas most commonly…
The Rewards of Patience As many of you know by now, I am a wine aficionado. Penfolds Grange is the flagship wine of Penfolds Winery, and is considered Australia’s most iconic wine. The most recent release received a perfect 100 points by all the major wine critics. The winery’s motto has always been “The Rewards…
My youngest daughter Shylee turned two on August 19th. Over the past two weeks I have noticed her become more aware of her toilet training. Part of it is probably age, but some is most likely due to her starting pre-school. Recently, every time she wants to have a bowel movement, she acts ashamed and…
And Shane Falco’s Quicksand I am sure even if you are not a soccer (football for the rest of us) fan, by now you have heard about the dismantling of Brazil by Germany on July 8th. I have always had a soft spot for Brazil. I remember being six years old and watching Pele and…
When Can I Exercise After Breast Augmentation? Perhaps the most common question asked from a prospective breast augmentation patient is “When can I start exercising or go back to work after my breast augmentation procedure?” There are no studies to actually address and evaluate this question, so most of the information here is based on…
Some of my regular blog readers may remember the story of swimmer John Moffet from a previous blog. John was a senior at Newport Harbor High School when he set a world record in the 100 meter breaststroke. As a breaststroker myself, I had the opportunity to see him swim at meets. He was…
THE TRUTH ABOUT BREAST LIFT SURGERY Breast lift (mastopexy) is a common procedure requested by my patients. Many times, a patient comes to my office and is happy with her breast size, but feels the nipple and the breast skin is saggy and “just want a breast lift”. I wish it was that simple! I…
Reservoirs of HIV hide deep within the body. Scientists are now closing in on methods to wipe them out. By Apoorva Mandavilli In 2007, a little-known German doctor applied to speak at a prestigious AIDS conference, claiming to have cured a single case of the disease. He described a 41-year-old man, dubbed the “Berlin patient,” who had had…
It has been a while since writing a medically non-related blog, so here it goes! As many of you know, I have an interest in classical guitar and have played the instrument for many years. Recently, I have been too distracted to practice efficiently and have, out of necessity, put the instrument away for a…
THE MYSTERY OF BRA CUP SIZE Ahh, the dreaded cup size. As a board certified plastic surgeon, I have been in private practice for over 13 years and have operated on hundreds (if not thousands) of women desiring breast augmentation. As you can guess, the most common question is “what cup size am I going…
What age is “too old” for plastic surgery? Aesthetic plastic surgery, also known as cosmetic surgery, has gained tremendous popularity over the past 15 years and the number of procedures, both surgical and non-surgical, has increased by 200 to 300%. We are fortunate, as with this increasing popularity, there’s been tremendous improvement in technique, allowing…
BREAST AUGMENTATION IN THIN PATIENT Breast augmentation in the thin patient is always challenging. The patient with thin skin is typically very slim, which means narrow chest and limited amount of skin for expansion. The hardest part, especially in the young patient, is to convince the patient to choose the smallest implant with the least…
Bilateral Breast Reduction It is ironic living in Southern California to have a patient request to make her breasts smaller rather than larger. However, when the size of the breast is too large, gravity will pull on the breast, resulting in majority of weight of tissue to be in the bottom portion of the breast. …
BILATERAL OTOPLASTY Otoplasty (ear set-back) is one of my favorite procedures to perform. In a way, it is similar to rhinoplasty, as both involve judicious removal and reshaping of cartilage. With the current techniques, the recurrence rate is extremely low. It is a shame most patients who have prominent ears do not request this surgery,…
A LITTLE KNOWLEDGE CAN BE A DANGEROUS THING! The worst thing a patient can do is to go on the internet and think they have become an expert on a medical topic. Notice I specified medical, since it is possible to gain vast amount of knowledge on a topic which is more predictable than medicine.…
HOW TO CHOOSE THE RIGHT SIZE SPORTS BRA AFTER BREAST AUGMENTATION SURGERY After breast augmentation surgery, we recommend the patient wear a sports bra for three months after surgery. It is CRITICAL the patient does not wear a push-up or under-wire bra during this time. If the implant is being pushed up, the body will…
CORRECTION OF RECURRENT BREAST IMPLANT PTOSIS WITH DERMACELL ALLOGRAFT DERMIS Recurrent breast implant ptosis (or “bottoming out” of the implant pocket) is fortunately not common. However, it does happen. “Bottoming out” means that the breast implants have descended too low on the chest, thus making the nipple too high on the breast mound. If bottoming…
I am sure by now most of you have seen or heard about the movie Gravity, starting Sandra Bullock and George Clooney. In case you haven’t seen it, the basis of the movie is about two astronauts repairing a portion of the space station. Suddenly, things go horribly wrong and they have to use their…
INNER (MEDIAL) THIGH LIFT SURGERY AFTER WEIGHT LOSS Patients with significant weight loss typically present with loose skin of the inner (medial) thighs. Unfortunately, even though some fat may be present, the quality of the skin makes liposuction ineffective in these patients. Therefore, a thigh lift (thigh plasty) will be required. Traditionally, the incision for…
DON’T FRET TOO MUCH ABOUT BREAST IMPLANT PROFILES! Recently, many of my prospective patients have gone to various forums after their consultation for breast enhancement, and have become utterly confused due to missing, inaccurate, or excessive information. The stress over choosing the right breast implant profile has come up over and over again. Stop it!…
My oldest daughter, Lena, is now 27 months old and my youngest daughter, Shylee, turned one last month. Recently I took them to the park and they were sitting next to each other in the stroller. Shylee started making noises, which usually signals hunger. I handed her the bottle and she started to suck…
We watch Michel Telo’s Ai Se Eu Te Pego on our television’s YouTube channel a lot. It is a happy and cheerful song and we dance with our 2 1/2 year and one year old daughter (she is still a bit lost!). One time as we were watching the young crowd dance to this song,…
COST OF ABDOMINOPLASTY SURGERY Tummy tuck is one of the most common cosmetic procedures performed, and the results, given the right patient, can be dramatic. The cost of abdominoplasty can vary greatly, especially in competitive markets such as Southern California. As with all cosmetic surgery procedures, the price variation is due to a combination of factors. …
CHOOSING A PLASTIC SURGEON IN ORANGE COUNTY If you are fortunate to live in Southern California, finding a plastic surgeon should not be difficult…or is it? How do you choose your plastic surgeon? After all, you are trusting this person to cut you open, re-arrange things, possibly place foreign material inside your body, make you…
I have been in private practice for over 13 years, and I still take emergency room call. Why do I still do it? Well, there is the additional income, which helps, especially in this economy. But that is not the main reason. There are many times I have to operate either late at night or…
LIPOSUCTION OF UPPER ARMS Excess fat of arms can be an embarrassing “asset” for many patients. In most cases, the excess fat is of genetic origin, as I have seen patients with ideal body weight who have “chubby” arms. If the skin tone is normal, liposuction of the fat followed by a pressure garment will…
COST OF ARM LIFT SURGERY – BRACHIOPLASTY Arm lift surgery costs vary widely, depending on several factors such as surgeon experience and training, years in practice, surgeon’s overhead, and location of the surgeon’s practice and location of the surgery center. In general, a board certified plastic surgeon will charge more for an arm lift procedure…
FDA APPROVES NEW MENTOR SILICONE GEL IMPLANT This week the FDA approved a new silicone gel implant by Mentor. It is an anatomical shaped implant, textured, and has high cohesive silicone gel (the so called “gummy bear implant”). I spoke with my representative for Mentor, and this implant is very similar to the style 410…
COST OF BREAST AUGMENTATION SURGERY IN ORANGE COUNTY Cosmetic surgery, specifically breast augmentation costs vary widely, depending on several factors such as surgeon experience and training, years in practice, surgeon’s overhead, and location of the surgeon’s practice and location of the surgery center. In general, a board certified plastic surgeon will charge more for a…
My oldest daughter is now old enough to appreciate music. We try to expose her to a wide range of music. At home she watches a wide range of videos on You tube (from Pit Bull to traditional Persian music). However, when she is in my car, I like to expose her to classical…
My father, and all fathers of his era, lived in very well defined marriage hierarchy. The man of the house went to work and supported the family and the wife stayed home and took care of the children and the house work. My father never changed diapers, never fed the kids or got…
ARM LIFT SURGERY UNDER LOCAL ANESTHESIA Arm lift (brachiplasty) is indicated when the patient has loose, excessive skin (with or without excess fat) of the arms. Liposuction alone will not be able to correct the skin laxity, and may even make the skin looseness worse by removing “structure” from the skin. Brachiplasty (arm lift surgery)…
KROQ (106.7FM) is my favorite radio station in the morning. I love Kevin and Bean’s sense of humor and the comedy bits they have on the show. A week ago they were speaking with Dr. Drew Pinsky (Dr. Drew) and he was concerned about children and young adults expecting to become famous without doing…
My oldest daughter recently turned two years old. She is very bright and records everything we say. This is both good and bad! I remember a week ago, I was very frustrated with her being a two year old and my then 8 month old daughter crying. I was trying to keep everything under…
As many of my regular bloggers know by now, I have an eight month old and a two year old girl. I have noticed over the past few months, my older daughter plays with her younger sister in a friendly way. However, given the chance, she does not mind inflicting some physical harm to her…
BREAST AUGMENTATION AND LIFT WITH AUTOLOGOUS BREAST TISSUE Over the past 5-10 years, some plastic surgeons have been using autologous breast tissue (patient’s own breast) to augment the breast. The most widely used indication has been for breast reconstruction. However, some plastic surgeons have been advocating it for cosmetic breast augmentation as well. Naturally, I…
WHAT I HAVE LEARNED AS A PLATIC SURGEON I have been in private practice for 13 years and have operated on at least 1500-2000 patients, if not more. This is what I have learned during these past thirteen years. Experience counts! In my opinion, the best resident ever, from the best plastic surgery program in…
EAT, FAST, AND LIVE LONGER???? This is the title, without the question marks, of a fascinating BBC program which aired on PBS (please support public television!) on 4/3/2013. I have provided the link for the actual program below. The origin of the link between calorie restriction and longevity probably originated in the United States,…
As many of my regular blog readers know, I am passionate about wine. But recently, I have been exploring beers as well. Once or twice a month, when we have casual get together with friends or family and casual food is eaten (pizza, etc.), beer just seems to hit the spot. Recently I came across…
MY INITIAL IMPRESSION OF THE NATRELLE STYLE 410 (GUMMY BEAR) IMPLANT Allergan recently announced the availability of the style 410 breast implant with much hoopla and excitement. I recently went to a meeting about this implant and have read and spoken with more experienced surgeons about this implant. As of today, I have not personally…
FDA approval of the Natrelle® 410 shaped gel implants There is a bit of confusion on the so called “gummy bear” silicone breast implant. Even I had to do some research to make sure I am giving the most accurate (to my knowledge) information. The “gummy bear” breast implant is a cohesive gel breast implant, which means the…
Having a dog as a pet and now having two small children has made me realize why we love our dogs and our children. We may deny it, but deep inside we all want to be loved and respected. With a dog and young children, unless one is abusive, the love is unconditional, regardless of…
Transgender Breast Augmentation or Male Breast Augmentation Breast augmentation for the transsexual or transgender patient is one of the most rewarding surgeries for this patient population. Even with estrogen hormone therapy, the breast tissue rarely becomes large enough to give the patient a sense of femininity, therefore male breast augmentation is recommended. See below video…
Liquid Rhinoplasty, Nose Job Without Surgery Occasionally I see a patient desiring improvement in their nose appearance who is hesitant to have surgery performed. This is potentially a good candidate for non surgical rhinoplasty. This is usually a secondary rhinoplasty case, and the patient already had a negative experience the first time. I do offer…
For those of you who read books, I hope you recognized my cheap tribute to Charles Dickens (A Tale of Two Cities). My 6 month old daughter, Shylee, still sleeps in our room, in her bassinette. My older daughter, Lena, sleeps in a separate room. They are far enough so that the noise of one…
If you are from Costa Rica or Iran, you have probably heard of Jorge Strunz and Ardeshir Farah. These are two phenomenal guitarists who have been playing together for over thirty years. Mosaico is their first album, released in 1982. I clearly remember it was around 11AM or 12PM, and I was driving on the…
SURGICAL TREATMENT OF SKIN CANCER – CASE STUDY Living in sunny Southern California has many benefits. Unfortunately for those of us who habitually sun bathe (naturally or via tanning salons) or through constant sun exposure, the risk of skin cancer also increases. I am presenting a case of a female with biopsy proven squamous cell…
SURGICAL TREATMENT OF KELOIDS As a plastic surgeon, many patients come to me for revision of scars. Many consider their scars as keloid. However, it is critical to make the correct diagnosis, as the treatment will vary. A wide, flat scar (will look like a stretch mark); means that as the wound was healing, there…
COMBINATION FACIAL PROCEDURES: A POWERFUL METHOD OF FACIAL REJUVENATION Combining of facial procedures, when indicated, can make a huge difference in a patient’s facial appearance. A very powerful combination is rhinoplasty (nose surgery) and a chin augmentation in a patient with large nose and small chin. In the patient shown below, the patient had upper…
NRA – No Rationale At all The NRA held a news conference this morning, addressing their solution to the tragedy which happened in Connecticut. Mr. Lapierre, the Executive Vice President of the NRA, suggested the only way to stop a bad guy with a gun, is to have a good guy with a gun available…
I have been a wine aficionado for the past thirteen years, so when I see a bottle of wine with an attractive label, my first impression is if this is a gimmick to sell a mediocre wine or not. When I go to Costco, I always browse the wine area, more as a habit than…
LONG STANDING SUPERFICIAL MASS LEFT THIGH LIPOMA VERSUS SEBACEOUS (DERMAL) CYST “Lumps and bumps” are very common reasons patients come to my office. They may have removal recommended by their primary physician or dermatologist, but the main reason these patients come to me are either the size of the mass or concern about cosmetic and…
My oldest daughter Lena is 19 months now. She goes to a very nice day care three times a week and she loves it. The advantage of day care is she has developed social skills and is learning words which we may not have thought of teaching her. The disadvantage of day care is that…
Where will US healthcare be in 20 years? I know, the title sounds very serious and imposing, but in reality, it is one person’s opinion…mine. However, I would like you to file this blog somewhere and re-read it in 20-30 years and see if I am right! Now that the election is over, here are…
BREAST LIFT (MASTOPEXY) UNDER LOCAL ANESTHESIA Many patients after significant weight loss or pregnancy develop loss of breast volume, especially in the upper portion. In addition, the skin may become loose or the nipple may drop below the inframmamary fold (where the breast tissue attaches to the chest wall). In these cases, typically a breast…
A few weeks ago, I was listening to KCRW (89.9 FM) during their excellent 10-12 Sunday morning programming and an expert on happiness was talking about the secret to being happy. In a nutshell, to be happy, he said, it is essential to have modest and realistic expectations. Almost all experts on this topic agree…
As I have mentioned in my previous blogs, I am a big fan of KCRW (89.9 FM) radio. They have great programming from 10-12 on most Sundays. One of these programs is called The Moth Radio Hour. In this program, people (both famous and non-famous) go on stage and talk about an event which has…
BREAST IMPLANT DEFLATION, BREAST IMPLANT LEAKS Breast augmentation is the most common cosmetic surgical procedure performed in the United States. My regular blog readers by now know ALL breast implants eventually leak. The average rate of deflation is around 2-3% at seven years post surgery. This means out of every 100 patients having breast augmentation…
Mommy Makeover Procedure – Actual Patient Video Many of you are by now familiar with the catch phrase mommy makeover. In retrospect, who ever coined this term should have trademarked it! I have written previously about mommy makeover in my blog. Here is a video on mommy makeover. Michael A. Jazayeri, M.D. is a board…
My second daughter, Shylee, is now more than one month old, and I am glad to say things are a bit smoother than my first round as a father! Unfortunately, Shylee is just like her older sister Lena. She is colicky and wakes up every hour or so at night. She makes noises which sound…
SURGERY OF THE UPPER EYELID,CASE STUDY Upper eyelid surgery (upper blepharoplasty) is a common procedure, done under local anesthesia, to correct excess fullness of the upper eyelid skin. In majority of cases, the patient has bilateral fullness. However, in this patient, her concern was the excess skin of the right upper eyelid skin compared to…
Those of you even faintly familiar with classical music know Beethoven wrote only (only!) nine symphonies. I hope the title makes sense as you read on. As of have grown older and more mature, I have found a new interest in Jazz and classical music. As an intermediate-early advanced classical guitar player, I have always…
SURGICAL CORRECTION OF GYNECOMASTIA – CASE STUDY WITH VIDEO Gynecomastia, also known as man boobs or moobs (terrible name!) is enlargement of male breast. In most cases the cause is idiopathic (no obvious cause). However, certain medications such as anabolic steroids and marijuana, to name a few, will make the breast tissue growth excessive. It…
I meant to write this blog right after the Olympics opening ceremony, but was busy with life and work. I apologize for the delay. I was on call on the day of the opening ceremony, and had to go to the hospital to repair a complex laceration on a patient’s leg. I was fortunate to…
UPPER EYELID SURGERY – CASE STUDY WITH VIDEO It has been said the eyes are the window to the soul. If this statement is true, then tired looking eyes are the windows to a tired soul! I will be discussing upper eyelid surgery in this blog. The patient typically complains of excess skin of the upper…
Lipoma Treatment – Removal of Lipoma Lipoma is a tumor. A tumor means abnormal growth, but it does not mean all tumors are cancerous. Tumors can be benign or malignant. A lipoma is abnormal, excess, growth of normal fat cells, and can occur anywhere in the body. Some patients have multiple lipomas throughout their body. …
No, our dog Bigsby (pronounced Bigzbee) did not pass away on July 14th. This is the day we gave him away. This is the story of Bigsby. My wife, a previous dog owner and lover, always visited Russo’s Pet Store in Fashion Island when we went there and we both played with puppies for a…
Asymmetrical Breast Surgery For clarification, our bodies are not symmetrical and ALL patients have some degree of asymmetry between right and left breast (breast asymmetry). This blog article will discuss major breast asymmetry and surgical options for correction of “uneven boobs”. The obvious question is if the breast asymmetry is due to asymmetrical growth of…
LIPOSUCTION SURGERY UNDER LOCAL ANESTHESIA – CASE STUDY WITH VIDEO Over the past two years, I have performed hundreds of liposuction procedures under local anesthesia. The obvious advantage is avoiding general anesthesia, leading to faster recovery. There is also less cost to the patient, as there are no anesthesia and surgery center fees. There are…
BREAST ASYMMETRY SURGERY – CASE STUDY WITH VIDEO Significant breast asymmetry is, fortunately, not as common as minor breast asymmetry, which is present in all patients. It is important to rule out congenital diseases such as Poland syndrome or other genetic abnormalities, since many involve other organ systems in the body, which may increase the…
Abdominoplasty (tummy tuck) is a very popular cosmetic surgery procedure. Mostly due to pregnancy, the abdominal skin becomes loose and develops stretch marks. The fascia between the abdominal muscles also stretches, creating weakness of the abdominal wall. This may result in a “beer belly” look even if the patient has ideal weight for height. An…
Breast augmentation is the most popular cosmetic surgical procedure performed. If a patient has developed loose skin with sagging of the nipple, a breast lift (mastopexy) will also be required. The patient in this video had massive weight loss (over 100 pounds) after gastric bypass surgery. An implant was used to give structure to the…
BREAST REDUCTION CASE STUDY Breast reduction is a popular procedure in plastic surgery. Although some patients desire this procedure for cosmetic reasons, majority of patients seeking this surgery do so for medical reasons. A heavy breast will cause constant pull and stress on the back and neck muscles, leading to chronic pain and poor posture. …
NATURAL LOOKING POUTY LIPS Non-surgical cosmetic procedures are very popular, and the number of procedures increases every year. The use of fillers to create pouty lips is one of the most requested procedures. Unfortunately, most practitioners do not understand the limitations of fillers, leading to unnatural looking lips. Most patients want to have “Angelina Jolie”…
FDA APPROVES NEW SILICONE BREAST IMPLANT BY SIENTRA As many of you may have heard, the FDA has approved Sientra Inc.’s silicone breast implants for use in the United States. This brings the number of FDA approved breast implant manufactures to three (Allergan-Natrelle, Mentor, and now Sientra). I decided to do a bit of investigative…
Torn or Streched Earlobe Repair Surgery Torn or streched ear lobes can sometimes be a frustrating problem as the patient cannot wear any earrings. With ear lobe stretching practices increasing, many patients eventually become embarrassed by the shape of their ear lobes and want them repaired. Unfortunately, I have seen many ear lobe repairs by…
Recently, I took care of a 20 something male that, in a moment of anger (what other reason than to show his love for his girlfriend!) punched a glass and sustained injuries to extensor tendons of his hand. As I walked into the room to see him for the first time, he was fixated…
A COMPLEX CHALLENGING OPEN WOUND OF THE LEFT HIP AREA The patient has been a paraplegic for the past twenty years and has had multiple closures of ulcers around the back/buttock area with local skin and muscle flaps. Recently, I was contacted as the on-call plastic surgeon to address a recurrent open area of the…
TREATMENT FOR AGE SPOTS WITH MIXTO LASER I am always a bit skeptical when it comes to lasers with less down time than the traditional C02 laser. The traditional C02 laser essentially causes a controlled superficial degree burn which requires 7-10 days for healing. As the new skin regenerates, new collagen is deposited, resulting in…
A Case Of Soft Tissue Mass In The Axilla (Under Arm/Armpit) A healthy woman in her late twenties was referred to me for a soft “lump” in her arm pit (axilla). She had noticed the mass for several years, but had decided to have it checked since it had gotten larger and was “getting in…
BREAST IMPLANT SIZING: WHY LARGER IS NOT ALWAYS BETTER A common misconception about breast implants is that a larger implant will give a fuller, more projected breast after a breast augmentation. Unfortunately, in order to keep the shape of the implant natural, this is physically impossible. As the implant increases in size, the diameter of…
The Sweetest Day by Control Freq; I heard this song eleven years ago on KCRW, a public radio station based in Santa Monica (yet another reason to support public radio and TV). I promised myself if I ever met the right woman, I would propose to her with this song. Two years later, I did,…
RHINOPLASTY CASE REPORT: WHEN MORE IS BETTER Rhinoplasty (nose surgery) is one of the most common cosmetic procedures performed. In most cases, rhinoplasty is about balanced removal of anatomy with small additions to the nasal tip, and narrowing the nasal bones. In some patients, however, only addition or augmenting the anatomy is the key to…
Orange County Breast Augmentation Surgery – Before and After Photos Breast augmentation is the most popular cosmetic surgery procedure in the United States, with over 300,000 surgeries performed. Breast augmentation surgery has a very high satisfaction rate, if the patient has realistic expectations and understands the limitations of the surgery within her anatomy. For example,…
An Unusual Case of Breast Implant Deflation A previous patient of mine came to my office recently for a left breast implant deflation. She had saline breast implants placed in 2006, and now had an obvious asymmetry on the left side. On examination, the left and right breasts were soft to touch, with no masses…
THINKING OUTSIDE THE BOX – AN ALTERNATIVE METHOD OF TREATING HEMANGIOMA OF THE LIP Sometimes it helps to think outside the box. A young patient was referred to me for a “lump” on her left upper lip. She had seen another plastic surgeon, who recommended a wedge resection (removing the entire lesion and surrounding tissue).…
How is Vaser Lipo different than traditional liposuction? Vaser Lipo, also known as Vaser liposuction, is another liposuction method which has become popular in recent years. For clarification, different companies can make the machine used for this procedure. However, since Sound Surgical Technologies (trademarked under the name Vaser Lipo) has become the first company to…
I am a late bloomer. I married a wonderful person at age 39 and now have my first child, a girl, at age 47. It has been 8 months since Lena was born, and I feel like a first year resident! As a resident, you are thrown into the “water of residency”, and by trial…
I am surprised how little Tintin is known in the United States. Well, this is going to change soon. A new animated (this is high quality animation) movie directed by Steven Spielberg will be released this month: Tintin and the Secret of the Unicorn. The character, a young and curious detective/journalist was created by Herge’,…
Reeduce Triglyceride Levels By Undergoing Liposuction A study presented at the annual meeting of the American Society of Plastic Surgeons this year measured triglyceride levels of patients undergoing liposuction before and after the procedure. 229 patients were included in the study. No difference was seen in patients with normal levels. However, in patients with high…
How is Smart lipo different than traditional liposuction? Smartlipo, also known as laser lipo, is a relatively new technology which has become popular in recent years. For clarification, different companies can make the laser machine used for this procedure. However, since Cynosure (trademarked under the name Smartlipo) was the first company to gain most of…
Breast augmentation is the most common cosmetic surgical procedure in the United States. We routinely receive inquires, either by phone or e-mail, about the cost of Breast Augmentation in Orange County. I, therefore, decided to write about cosmetic surgery and pricing. Please note, since our practice is located in Orange County, California, the prices described…
What Age Is Too Old For Plastic Surgery? Aesthetic plastic surgery, also known as cosmetic surgery, has gained tremendous popularity over the past 15 years and the number of procedures, both surgical and non-surgical, has increased by 200-300%. We are fortunate, as with this increase in popularity, there has been tremendous improvement in technique, allowing…
Liposuction Under Local Anesthesia vs. General Anesthesia? Liposuction is one of the most common cosmetic procedures performed in the United States. Liposuction removes excess fat under the skin and if the patient has normal skin tone, the skin usually retracts resulting in a smoother, flatter body part. Most common areas of liposuction are the neck,…
DO I HAVE TO REPLACE MY BREAST IMPLANTS EVERY TEN YEARS? As an Orange County Plastic Surgeon, I am asked this question frequently. It is time to put this myth to death! Consider me the breast implant “myth busters”! I am not sure how the facts became twisted, but here is the truth. If you…
Some of my Orange County plastic surgery patients are worried about general anesthesia. This is a legitimate concern, but needs to be put in perspective. A recent review published in Plastic and Reconstructive Surgery, arguably the most recognized journal of plastic surgery in the world, found the risk of death from out patient surgery to be…
Multiple Plastic Surgery Procedures, In One Surgery Sometimes patients come to me for a plastic surgery/cosmetic procedure, not realizing to obtain the best result, an additional procedure or procedures may be recommended. This is not “selling” or “car salesman ship” for a lack of a better word. The classic example of combining procedures is the…
Plastic/Cosmetic Surgery Performed Under Local Anesthesia When I finished my plastic surgery residency in 1999, my impression was most cosmetic and reconstructive plastic surgery had to be performed under general anesthesia. May be my attendings chose this method of anesthesia for convenience, or simply lack of information at the time. However, many cosmetic and reconstructive…
Breast Implant Leak I occasionally receive frantic phone calls from patients, usually after hours, where the patient is in stress because she feels her breast implant has deflated. Stay calm! An implant leak, whether saline or silicone, is not dangerous to your health. In case of a saline implant deflation, the body will absorb the…
Orange County Laser Resurfacing I am sure many of you have heard of CO2 lasers for treating wrinkles of the face. The traditional CO2 laser causes thermal (heat) damage to the entire area of skin treated. This is a controlled damage and the depth of thermal injury is controlled by the machine and the operator.…
My daughter, Lena, was born on April 15th at 3:04 AM. We wish her health, happiness, and a refund check from the I.R.S. on her birthdays! But seriously, yesterday, as I was going on my usual walk with our dog, I started thinking about what can I do to be a good parent. I came…
VALENTINE’S DAY AND A SERENADE BY PHILIP ROSHEGER On the 14th of every February, we celebrate Valentine’s Day…the day of love and loving. I thought it fitting to post “Serenade “by Philip Rosheger on such a day. Philip Rosheger is an American classical guitarist and composer. In my opinion, he is not as well-known as…
The FDA has issued a communication to inform health care practitioners and the public about a possible association between breast implants and anaplastic large cell lymphoma (ALCL). Is this cause for panic and concern, especially if you already have breast implants? In my opinion, absolutely not! The American Society of Plastic Surgeons (ASPS) has actively…
The past few years there has been a lot of emphasis on using evidence (published data) to improve the care of the patient. This is called evidence based medicine. We, as plastic surgeons, can also benefit from this approach. I am glad to find many of my ideas and approaches to breast augmentation are also…
I just reviewed the latest recommendations regarding vitamin D levels and intake according to the Pharmacist’s Letter (January 2011-Volume 27-Number 270102). As always, if the blood level of 25(OH)D (calcidiol) is below 20 ng/ml, vitamin D deficiency exists and must be corrected. The general consensus is levels between 20-30 ng/ml are considered adequate. This is…
As my regular blog readers know, I occasionally write about non-medical topics which I feel are worth writing about. My goal is to enhance your appreciation of life and what it has to offer. Today, I want to thank Nature for giving us the 2009 vintage Beaujolais. Beaujolais is actually the most southern region of…
Hello Every one, This is an update on Vitamin D. It is confusing, I know. This study reports that levels of 20 ng/ml are sufficient for all persons. Both studies, there fore consider levels below 20 ng/ml as Vitamin D deficient. The previous article/blog recommended optimal Vitamin D levels to be between 30-50 ng/ml. Go figure! …
I know, the title is a bit corny, but hopefully it caught your attention. I decided to write this blog, since vitamin D insufficiency is being recognized more frequently. I was surprised to find my levels were low, considering I walk our dog an hour a day (usually in the late afternoon when the sun…
This blog has nothing to do with plastic surgery, but don’t go away! Recently there has been a lot of buzz about Stephen Hawking’s new book THE GRAND DESIGN. In his book, Hawking has dismissed the notion of God, saying that the discovery of other planets orbiting around a sun shows the Earth is not…
Breast augmentation is one of the most popular cosmetic procedures performed in the United States, with over 300,000 procedures performed every year. As simple a concept as breast augmentation is (just place an implant to enhance the size of the breast), it amazes me how many issues one must consider. First, the patient has to decide…
As an Orange County Plastic Surgeon, I am always surprised to find out many patients are unaware of certain terms or misunderstand certain plastic surgery terms. I have listed a “quick and dirty” list of the most common cosmetic terms used in our field. RHYTIDECTOMY-The medical term for face lift. BLEPHAROPLASTY-The medical term for cosmetic…
PREGNANCY, MILK PRODUCTION, AND BREAST AUGMENTATION As an Orange County breast augmentation surgeon, the question of pregnancy and breast augmentation often comes up. Obviously, if you are pregnant, the surgery has to be delayed until after delivery. But how long after delivery can breast augmentation be performed? The recommendation from the American Society of Plastic…
This blog has nothing to do with plastic surgery! But don’t leave! Read on and perhaps I can open Pandora’s Box for your musical taste. As many of my regular blog readers know, I am a big believer of having diversification in life. I have written about the benefits of exercise and music in previous…
Liposuction Surgery or Tummy Tuck Surgery Orange County, Santa Ana, Newport Beach A friend of mine once said “Physicians are just nerds trying to be cool.” The title above is my feeble attempt to sound hip! But joking aside, when a patient presents to me for improvement of the abdominal area, the question arises which…
In a previous blog I discussed the importance of breast support after breast augmentation. But what size to purchase? My method is not scientific at all but based on experience, having performed hundreds of breast augmentation surgeries over the past ten years. I measure the patient’s chest before surgery to come up with bra size. …
As an Orange County plastic surgeon, I feel fortunate to like what I do and be in a surgical field where majority of my patients do feel and look better after surgery. However, I never forget what happened one night when I was a second year general surgery resident rotating at the intensive care unit…
Many of you may have heard of “Mommy Makeover” surgery. I am not sure who started this catch phrase, but I like it! As have been stated in my previous blog, mommy makeover surgery addresses the changes which occur after pregnancy. These changes primarily affect the breast and the abdomen. The breast can be enhanced…
As an Orange County Plastic surgeon, rhinoplasty (nose surgery) is one of the most common procedures I perform. As with all elective cosmetic surgery, the question arises: should you spend thousands of dollars to have your nose done, look and feel bad for a few weeks, for the hope that you will look and feel…
As an Orange County plastic surgeon, I have many patients who request tummy tuck (abdominoplasty) to improve the loose skin and stretch marks around the abdomen area. The question always arises with elective, cosmetic surgery: should you, the patient, spend thousands of dollars for a medically unnecessary procedure which makes you feel and look bad…
Brachioplasty (arm lift) is a procedure which removes excess skin from the arm area. As an Orange County plastic surgeon, this procedure is mostly requested for patients who have had major weight loss. However, there are patients who normally have loose skin in the arm area because of genetics or age. Two types of brachioplasty…
As an Orange County breast augmentation surgeon with over ten years of experience, I have performed hundreds of breast augmentation procedures. Many surgeons use the term “specialist”, so I won’t use that term. However, I can confidently consider my self a “seasoned” breast augmentation surgeon. So, is breast augmentation worth it? Remember, you as a…
Brachioplasty (arm lift) is a procedure which removes excess skin from the arm area. As an Orange County plastic surgeon, this procedure is mostly requested for patients who have had major weight loss. However, there are patients who normally have loose skin in the arm area because of genetics or age. Two types of brachioplasty…
Although not common, as an Orange County plastic surgeon, I have to be aware of body dysmorphic disorder (BDD) amongst my patients. BDD is defined in the DSM-IV-TR (psychiatric classification) as: Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person’s concern is markedly excessive. The preoccupation causes clinically…
As many of you are aware, health care has been a hot topic recently, and will remain a discussed and debated topic for months to come. Many experts expect a toned-down version of the health care bill to pass this summer. Instead of boring you with analytical detail, I am going to give you my…
BREAST AUGMENTATION SURGERY ORANGE COUNTY After breast augmentation, the breasts will be swollen for 3-6 months, although the majority of the swelling will be resolved by 3 months. Support, therefore, is critical to minimize discomfort. It is important a sports bra be worn for the first three months, which opens in the front. It will…
BREAST IMPLANT SPECIALIST ORANGE COUNTY As an Orange County breast augmentation surgeon, many patients are curious about the differences between saline and silicone implants. I want to focus on the life span of these implants. It is important to accept the fact no implant will last forever. When the implant will leak is unknown. Fortunately,…
BREAST AUGMENTATION ORANGE COUNTY As an Orange County breast augmentation surgeon, a common question is: “How long do my implants last?” No breast implant is permanent. Eventually, with time, the shell or other parts of the implant will break down resulting in an implant leak. When this happens is not known. Rarely, the leak can…
About 4 years ago, a young gentleman walked into my office for a liposuction consultation. I did my routine evaluation, asking him about his health, past medical history, medications he may be taking, drug allergies, previous surgeries, etc. After I performed my clinical examination and made my recommendation, he said: “Doctor, to be honest with…
IS RED WINE GOOD FOR YOUR HEALTH? Many of you have heard about resveratrol, this supposedly miraculous compound which is found in red wine. But how much do you really know about this topic? A while ago, there was a television program about the “French paradox”. The French diet is full of saturated fat and…
Orange County Liposuction Specialist As an Orange County liposuction surgeon, many patients ask about the recovery period. Depending on the patient, the area and amount of liposuction required, the procedure may be performed in the office under local anesthesia. In other cases, the procedure is performed in an outpatient surgery center using general anesthesia. After…
Nose Surgery Orange County Many of my Orange County rhinoplasty patients are concerned about post-op recovery. In majority of my cases, a full rhinoplasty is required. This means the hump is reduced, the tip is refined, the septum and the inside of the nose are addressed, and the bones are narrowed. For such cases, I…
Tummy Tuck Orange County As an Orange County mommy makeover surgeon, tummy tuck surgery is one of our most popular procedures. But what happens after the surgery? Tummy tuck surgery is an out-patient procedure, meaning the patient will go home after the procedure. In rare instances, the patient may be kept in the surgery center…
What happens after Breast implants? Orange County Breast Augmentation Specialist Dr. Michael Jazayeri As an Orange County breast surgeon I am going to take you through a patient’s recovery after breast augmentation. I see the patient 24-48 hours after surgery. The breast wrap is removed, which is always a relief, since it has to be…
Mommy Makeover Plastic Surgeon Mommy makeover is the catch phrase for cosmetic surgery involving the breast and abdomen, the two areas most commonly affected by pregnancy. The breasts typically “deflate” after pregnancy and breast feeding and almost always will require a breast augmentation to regain the lost volume. If there is sagging of the nipple…
BREAST AUGMENTATION ORANGE COUNTY: MASSAGING AFTER BREAST AUGMENTATION Breast Augmentation is the most common procedure requested by my Orange County patients. Some patients are curious as to why I recommend massaging the breast after augmentation. A breast implant is a foreign material. The body, initially, will try to absorb the implant. Since it cannot, the…
Aah, the joy of aging! Of course, some of us age gracefully like a fine Bordeaux wine. However, most of us do not. Fortunately, plastic surgery can improve many signs of facial aging. As always, I recommend avoiding the sun and discontinuation of smoking. This is the cheapest plastic surgery one can receive and it’s…
Although not very common, projected nipples are a concern for some of my Orange County plastic surgery patients. This is especially a concern for male patients. One of my patients was very concerned about his nipples showing through all his shirts and had to wear very thick fabric clothing, even in the summer. Needless to…
BREAST FEEDING AFTER BREAST AUGMENTATION “Can I breast feed after having breast surgery?” This is a question asked by many of my Orange County patients seeking breast augmentation. This is a difficult question to answer. If you have never had children, there is no way to determine if you are able to breast feed…
Tummy tuck (abdominoplasty) is one of the most popular procedures requested by my Orange County plastic surgery patients. Many patients are not aware there are three main types of abdominoplasty available. Mini-abdominoplasty, as the name implies, is not as involved as a standard tummy tuck. This procedure is indicated in patients who have loose skin…
I occasionally come across Orange County plastic surgery patients who have had or know someone who has had plastic surgery outside of the United States. In some instances, the outcome is good. However, in my opinion, the results are sub-optimal in majority of cases. This is not to say there are no competent plastic surgeons…
IGNORE THE INSIDE AND YOU WILL BE SORRY! Many of my Orange County rhinoplasty patients complain about the shape of their nose. Although it is important to address the cosmetic concerns of the patient, one must not forget an intra-nasal examination and address any issues inside the nose as well. Almost all patients have some…
I believe this is a valid question, since many of my Orange County plastic surgery patients look at themselves more often after surgery than before the procedure. For purpose of clarification, I like to divide symmetry into two categories: perfect and relative. Perfect symmetry means both sides of the area operated on (two breasts in…
Moles, moles and more moles Isn’t it sad the way we age? For men especially, we lose hair on our heads, and gain it in our nostrils and ears! We also develop more moles on our bodies as we age (this is true for women as well). Moles come in two varieties: malignant and non-malignant…
Liposuction Specialist Santa Ana, Orange County, Riverside County Liposuction, also known as liposculpture, is one of the most common cosmetic procedures performed in the United States. Many of my Orange County patients request liposuction as a separate or combined procedure. Liposuction literally means sucking out the fat and, in fact, this is what is done. …
NIPPLE SENSATION AFTER BREAST SURGERY IN ORANGE COUNTY “Will my nipple sensation change after surgery?” This is a common question asked by my Orange County patients seeking breast augmentation. Unfortunately, there is no way to know how your nipple sensitivity will change after augmentation. I tell my patients you have an equal chance of becoming…
ORANGE COUNTY SCARS AND ORANGE COUNTY PLASTIC SURGERY Scars, all my Orange County plastic surgery patients are concerned about scarring after surgery. Although the concern is understandable, having done hundreds of cosmetic and reconstructive procedures in orange county, I can confidently say the risk of undesirable scarring is low. In order to identify an…
I watched a fascinating show on KCET this weekend called Musical Minds. It was a show about how music affects the brain, and how music can be used to control certain neurological diseases. The show discussed how music can be used to focus the mind of neurological patients. These patients cannot function normally in public…
Abdominoplasty (tummy tuck) is one of the most requested surgeries from my Orange County patients. Seroma is one of the most common problems which may occur after abdominoplasty. In my practice, approximately 10% of patients develop seroma. Seroma is a collection of fluid under the skin. It can develop early (while the drains…
Capsular contracture means tightening of the capsule. Any non-absorbable foreign body which stays inside us will eventually form a capsule around it. In effect, since the body can’t expel the foreign body, our bodies ignore it by hiding it inside a “cocoon”. The same principal applies to breast implants as well, no matter what style…
BREAST LIFT-WHY IS IT NEEDED? Some of my Orange County patients are surprised and sometimes shocked to find out in addition to a breast augmentation, they require a breast lift (mastopexy) as well. Since most of my practice is referrals from previous Orange County patients, the patient compares herself to her friend. This is a…
-THE NON-OPERATED OPERATED NOSE I know the title is confusing. However, I chose this title to make a point. What is the purpose of having one’s nose cosmetically altered if it screams “I had surgery on my nose”? So what makes a nose look unnatural? In my opinion, the most common alteration is to shave…
I have always said “God is a Man.” After the man “delivers the goods”, it is the poor woman who has to suffer the effects and after-effects of pregnancy. Cosmetic footprints of pregnancy include varicose veins, deflation and sagging of breasts, stretch marks and weakened abdominal muscles. Of course I, as a man, can never…
Abdominoplasty (tummy tuck) surgery is one of the most common surgeries I perform in Orange County. Many patients from Orange County request this surgery, since we are a “beach” community and appearance in a bikini or swim suit is important. I have examined many before and after tummy tuck photos to determine what makes a…
One of the most common causes for breast surgery re-operation after augmentation is patient dissatisfaction with the size of the implant. Most Orange County patients who see me for a consultation ask to be a “full C cup”. This “size” has always baffled me, since bras come in C cup and D cups. One cannot…
I recently came across an article by Reuters, which I think is interesting. The article discusses an increasing trend in patients seeking cosmetic plastic surgery in order to improve their chances in the job market. Just a few weeks ago, there was an article in the Los Angeles Times about the same trend occurring in…
Has the economy gotten you depressed? I know I am! Many of my friends are putting off or delaying “luxury” activities. However, this does not mean we have to die either! Many of us, especially women, suffer from spider veins (telangectasia) and varicose veins on the thighs and legs. Many are embarrassed by them, but…
Gynecomastia is the medical term for enlarged breast in men. In majority of men, the cause is genetic and idiopathic (no known cause). Typically, the breast tissue grows around puberty and remains large. It is important to rule out reversible causes such as certain medication, anabolic steroid use, excessive alcohol intake, and medical conditions causing…
Mixto is a form of fractional CO2 laser. According to the company information site, www.laseringusa.com , Mixto SX is named for the “mixture” or “mix” of CO2 energy and fractional resurfacing. The SX stands for surgical, since the laser can be utilized to make surgical cuts with little or no bleeding. The standard CO2 laser…
Fractional laser resurfacing is an exciting new area in laser treatment of the skin. Traditionally, the CO2 laser has been considered the “gold standard” for improvement of wrinkles and pigmentation on the facial skin. There is no question standard CO2 treatment is the most effective for improving deep wrinkles on the face. Unfortunately, such an…
I occasionally have a patient inquire about anatomical or tear-drop shape implants, so I wanted to give my opinion and experience with these implants. Anatomical implants are flatter on the top and fuller on the bottom. Imagine cutting a tear drop from top to bottom in half. Each half will look like the tear-drop implant.…
Many patients are concerned about pain after surgery. This is especially true for abdominoplasty (tummy tuck) surgery. To put most of you at ease, I have had many patients who have had C-sections prior to their tummy tuck surgery. All of them have told me the pain of tummy tuck surgery is less than C-section. …
The surface of breast implants come in two varieties: smooth and textured. The smooth surface is the covering of the implant which is made of silicone. The inside of the implant contains silicone or can be filled at the time of surgery with saline (salt water). The textured implant has a textured surface attached to…
Many patients are not aware of the hand being one of the main victims of aging. As we age, the hand loses the fat under the skin, which results in tendons and vessels under the skin becoming more pronounced. Sun damage may also cause age spots on the skin, accentuating the aging of the hand.…
During my general surgery residency back in the 1990’s, I came across many older, “old school” general surgeons. When these surgeons find out I was interested in plastic surgery, their contempt for our specialty was obvious. These old-timers felt plastic surgery was for “other surgical specialty rejects”. Plastic surgery was viewed as vain and vulgar…
The face is the most visible part of our body, and it’s always exposed to the public (unless you are a celebrity and hide your face with a scarf and sunglasses!) Unfortunately, we are all victims of genetics and the laws of gravity. Eventually, the signs of aging will make noticeable changes in our face. …
The eyes and the nose are the focal points of the face. If you are interested to learn more about nose surgery, please click here. This blog, however, will focus on the eye brows. Aging and genetic factors can affect the upper eye lids and their associated structures. The upper eye lid changes which may…
O.K., this blog has nothing to do with plastic surgery…or does it? I will let you decide…please read on. A friend of mine send me a YouTube video and it compelled me to write this blog. I think the topic is relevant, especially now with new year’s resolutions coming up. A few years ago, around…
The first face transplant in the United States was performed this week at the Cleveland Clinic. What is significant other than being the first face transplant in the U.S. is the amount of defect which was reconstructed. Approximately 80% of the face (including skin and bone) was reconstructed with the transplant. The previous three face…
Breast Augmentation is the most common aesthetic surgical procedure performed in the United States, with over 300,000 surgeries annually. There are basically three styles of implants available. The most common style, which is used by majority of plastic surgeons, is the smooth, round implant. As the name implies, the implant is round in shape and…
The economy is gloomy. We are in a recession and experts agree the economy will not rebound for the next 1-2 years. It is time to be frugal! I have recommended this regimen for 10 years now, and it seems like a good time to put my advice in the blog. The cheapest plastic surgery…
I recently read an article on British patients going to other countries for plastic surgery. The same phenomenon happens here as well. I have seen many patients travel to Mexico, South America, or even Middle East for plastic surgery procedures. I understand the primary reason is the cost. The same procedure in the United States…
Liposuction was initially introduced in the late 1970’s by a French Gynecologist. American Plastic Surgeons visited France and the technique was brought and further refined in the United States. Since this is an effective and safe technique (with current modifications) it has stood the test of time and the results are reproducible. The current technique…
Breast Augmentation is the most common aesthetic surgical procedure performed in the United States, with over 300,000 surgeries annually. The goal of breast augmentation is to enhance the size of the breast and mainly provide fullness to the upper portion of the breast. Currently, there are two types of implant available: saline and silicone. The…
Rhinoplasty (nose surgery) is one of the most challenging, yet satisfying procedures in plastic surgery. Improving the shape of the nose has a dramatic and positive effect on the face. Yet, nasal surgery is not as simple as it seems. Many patients think that just “shave the hump and make my tip a little…
Many patients are frustrated by the loose skin/stretch marks and protuberant (“beer belly”) appearance of their abdomen after pregnancy or significant weight loss. One can exercise 24 hours a day, seven days a week, but the loose skin and the weak abdominal muscle will remain. Only plastic surgery can address these issues. The…
Prominent ears, also known as bat ears or dumbo ears are surprisingly common, if you look for it. I have noticed approximately 5% of the population have some form of “ears sticking out”. In fact, an actress in a famous, long running TV sitcom has prominent ears, and she always hides them by covering the…
Since opening my new office in Santa Ana more than a year ago, I have made some interesting observations. There are individuals who equate quality (or lack thereof) with location. I occasionally go to wine tasting events at a major wine store, and the topic of my new office came up. The person who was…
I know, it is a corny title, but I chose this title to illustrate a point. Don’t be fooled by “catchphrases”. Abdominoplasty is the correct medical term for tummy tuck, just as liposuction is the correct medical term for liposculpture. I have even seen the term neck shrink lift used for liposuction of neck. Ah,…
Mommy makover seems to be the new catch phrase in plastic surgery. But what is it? The essence of mommy makeover is to improve the appearance of the breast and abdomen. Since these two areas are the most affected after a pregnancy, the term mommy makeover was coined for this combination procedure. Regarding the breast surgery…
Breast Augmentation is the most common cosmetic surgery procedure in the United States, with, according to the American Society of Plastic Surgeons, over 300,000 procedures performed annually. Currently, there are two types of implants approved for breast augmentation: saline-filled and silicone gel filled implant. The saline (sterile salt water) implant is empty prior…
Our Medical Director, Michael A. Jazayeri, M.D., has been in private practice in Orange County since 1999. He is certified by The American Board of Plastic Surgery and is a member of American Society of Plastic Surgeons. His decision to become a plastic surgeon was based upon a desire to combine his artistic abilities as…