COMBINING PROCEDURES IN PLASTIC/COSMETIC SURGERY-WHEN DOES IT MAKE SENSE?

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…

CAN PLASTIC SURGERY/COSMETIC SURGERY BE PERFORMED UNDER LOCAL ANESTHESIA (WITHOUT GENERAL ANESTHESIA)?

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…

MIXTO LASER RESURFACING

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.…

IT’S A GIRL!

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- A special time to love

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…

UPDATE ON VITAMIN D-SECOND UPDATE

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…

2009 BEAUJOLAIS-THE VINTAGE OF A LIFE TIME

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…

UPDATE ON VITAMIN D BLOG

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! …

ARE YOU GETTING D’S ON YOUR VITAMIN D?

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…