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Dr. Linder's Blog

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Monthly Archives: September 2011

Facebook Reaching Out to Plastic Surgery Patients

Facebook has become an amazing and powerful medium to reach out to people worldwide regarding services and valuable information ! On our page we both educate and entertain at the same time . Techniques in body sculpting plastic surgery are described with links to our portal websites .

Thank You,
Dr. Stuart A. Linder

Plastic Surgery Consultations in Las Vegas

Dr. Linder was excited to see patients in Las Vegas over the weekend.  Patients most often arrive for breast reconstruction and revision surgery.  One of the consultations was with a patient specifically with severe scar tissue contracture with the left implant elevated superiorly and hardening with Baker IV capsular contracture and pain.  These can easily be fixed by reducing scar tissue, releasing the capsule and softening the pocket.  The implants can also be replaced from the low profile to high profile saline or silicone implants to increase projection and reduce lateral width. 

Other consultations that day also included mommy makeover, including breast implant lift, tummy tuck and liposculpture of the hips.  These patients present to Beverly Hills from Las Vegas for surgery, including breast augmentation, breast revision, breast lift, breast reduction, liposculpture, and abdominoplasty.

HIGH PROFILE SALINE IMPLANTS

Great Candidate for Saline Implants

The below example is a patient showing with very narrow inframammary fold, minimal cleavage and bilateral breast hypoplasia.  Great candidate for saline implants placed under the muscle using high profile saline Allergan implants.  Due to the thickness of the muscle, the 500 cc, style 68 high profile Natrelle implants were placed through the periareolar approach and the subpectoral dual plane technique.  Preoperatively, she is hypoplastic, there is minimal upper pole fullness and the cleavage is approximately 4 cm along the intersternal distance.  Postoperatively, you can see at six weeks the implant position is excellent, there is good upper pole fullness and there is approximately 1.5 fingerbreadths of cleavage and the inframammary folds are even.  Because of the narrowness of this woman’s chest diameter, 12.5 cm inframammary fold distance, the high profile tapered implants are an excellent choice, allowing for upper pole fullness, good cleavage and reduction of lateral fullness or matronly appearance.  At six weeks she has softened appropriately and nicely.  She is now able to wear underwire brassieres and can continue workout and tissue expansion exercises. 

High profile saline implants are an excellent choice for younger patients under 25 years of age, who have thick muscle and bilateral breast hypoplasia as well as those who have narrow chest diameters.

Recovery After Breast Reduction

Dr. Linder very much enjoys the challenge of breast reduction surgery and performs reductions weekly. Breast reduction patients do extraordinarily well. Removing a significant amount of tissue from the breasts will enhance the patient emotionally and physically. Recovery after a breast reduction, usually requires certain steps. In Dr. Linder’s practice, the patients are either kept in an aftercare facility if they live a distance away or they often will be sent home with family members to take care of them overnight. If a patient undergoes a massive gigantomastic breast reduction, these will normally be performed in a hospital setting such as Cedars-Sinai Medical Center with a 23-hour overnight stay, usually approved by the insurance prior to the operation. Patients who are having anywhere between 500 and 1000 grams of breast reduction per side normally do not require hospitalization. Dr. Linder’s patients will have Jackson-Pratt drains placed for over 24 to 48 hours in order to remove fluid blood that may form around the inferior pedicle in order to prevent necrosis or problems with blood supply to the nipple areolar complex. We want to decompress the space around the pedicle that was created during the surgery, therefore, a 7 or 10 mm Jackson-Pratt drain will be placed for a minimum of 24 hours. Once the patients have left the recovery room, one-hour minimum in recovery by Federal law, they are asked to return the next morning at a set time. Once they return, the Bias dressings and the Jackson-Pratt drains will be removed. Brand new 4×4 gauze is placed and an athletic brassiere is then placed with the patient. The patients are asked not to remove any of these dressings or bras for the next seven days. They will be maintained on antibiotics, which is usually 750 mg of Keflex twice a day for one week and Vicodin ES p.r.n. pain, Zofran 5 mg ODT p.r.n. nausea and vomiting. Flexeril is usually not given because there is no submuscular dissection. Patients will be seen seven days later. During the first seven days, the patients will be asked to maintain their back and head elevated at 30 degrees in a bed or recliner as well as to keep the incisions dry and to maintain all dressings without changing them for seven days. If there is any oozing, they are asked to reinforce that with dressings. However, if there is significant oozing, the patients are required to immediately see Dr. Linder.

Beverly Hills breast reduction Before and After PhotoYour surgeon should be on-call 24 hours a day, 365 days a year for emergencies at any time and should have a Medicare State Licensed Hospital for emergencies in case the patient needs to be taken back to the hospital for bleeding or infection. This is an absolute must. The patients will then return seven days later, dressings are removed and a new sports bra or athletic brassiere will be placed with the patient and the dressings will be changed by the patient for the next seven days two to three times daily. Normally, the patients are off antibiotics and Vicodin and Tylenol can now be used for pain relief. We do not allow Advil, aspirin, Motrin, Excedrin, Ibuprofen or any aspirin-like products for the first three weeks. Sutures are removed usually on day 14 to 17 and the patients can then shower 48 hours later. Subsequently, the patients will use Kelo-cote twice a day, silicone gel spray to the incisions twice a day, once all sutures are removed. This helps to beautify the scar, reducing hyperpigmentation, keloiding, wide-spread scarring, the telangiectatic blood vessels that can be seen in the pink immature scarring. Patients will follow up two weeks later, now at four weeks, and again at eight weeks where normally the patients are ready for postoperative photography. Pictures are taken, lateral oblique and frontal views. At this time the patients may now exercise, aerobic and anaerobic, can wear underwire bras (usually by 4-5 weeks) and should wear athletic brassieres at night to maintain position of the breasts and to prevent recurrent gravitational descent.

63RD PRIME TIME EMMY AWARDS

BEVERLY HILLS STYLE

The fashion this year at the 2011 Emmy Awards was definitely form fitting, tight body contouring gowns and dresses, specific to the most beautiful female forms.  On the Red Carpet, it was obvious that a multitude of celebrities from daytime prime time television as well as the Motion Picture Industry decided to show off their figures to its greatness.  Women had beautiful designer made dresses specifically accentuating their breasts and lower body shapes.  Red, tight-fitting dresses were also hot in the 2011 Emmy Red Carpet.  Examples include, red hot dresses with tight fitting body sculpting attire for Sofia Vergara, Nina Dobreu and Lea Michele, who all wore similar red hot color gowns that were form-fitting to accentuate the female form at its finest. 

Beverly Hills plastic surgery peaks general award shows, including the Emmys, Golden Globe and the most prominent, The Academy Awards.  Women desire to be perfectly fit for their unique and form-fitted designer gowns and therefore often undergo body sculpting surgeries at least two to three months prior to walking the Red Carpet.

Beverly Hills Extreme Makeovers

Interestingly, patients are now presenting for total facial and body makeovers looking for specialists in Beverly Hills to recreate their entire image and appearance, to recreate youthfulness, enhancement and re-sculpt their bodies to perfection. 

Patients are presenting for cosmetic dentistry with Dr. Kevin Sands, a world recognized leader in cosmetic dentistry, including all forms of dental bonding, veneer and perfect smile dental work.  He has a multitude of celebrity clientele who have undergone his masterful artistry in perfect dental reconstruction and cosmetic perfection.  Patients are also presenting for facial rejuvenation surgery, including eyelids, rhinoplasty and dermal fillers. 

Dr. Robert Kotler is a facial cosmetic surgery specialist who performs absolute remarkable beautification and rejuvenation, creating a youthful appearance to the face through his eyelid surgery, brow lift and facelift procedures.  He is a world recognized leader in rhinoplasty and nasal surgery, creating the absolute perfection of proportionality of the nose to the specific woman’s facial structure.  Robert Kotler is considered a truly greater facial plastic surgeon with well over 35 years of experience and celebrity clientele from every major Hollywood studio. 

In a similar fashion, patients present for body sculpting, including breast enhancement, breast revision, breast reduction, breast lifting, tummy tucks and total body lipo-contouring, to us, Dr. Linder, Beverly Hills Body Sculptor.  The name Linder with the Dr. Linder Bra has become a “figure in the community,” consistency with body sculpting from patients of every walk of lift, from celebrities and patients of international travelers worldwide. 

The Beverly Hills Extreme Makeover includes complete body and facial transformations from worldwide leaders and experts, including cosmetic dentistry, Dr. Kevin Sands; facial plastic surgery and rejuvenation with Dr. Robert Kotler and total body mommy makeovers and extreme body sculpting, lipo-contouring with Dr. Stuart Linder.

 

Holiday Body Sculpting Beverly Hills Style

Interestingly, numerous consultations are now presenting in September with the desire to be picture perfect, cocktail party perfect, holiday red carpet perfect for their newest fashion line specialty dresses.  Beverly Hills women are getting ready for the Thanksgiving, Christmas and New Year holiday parties, being perfect, camera-ready in their Valentino, Roberto Cavalli, Versace and Vera Wang dresses.
 In order to fit perfectly in masterpiece clothing, they will need to be fit and ready.  The multitude of body sculpting procedures that Dr. Linder performs, including those he has discussed on national television, including the bra bulge procedure, muffin top, muffin bottom and saddlebag procedures will greatly enhance these women’s figures by reducing that unwanted lipodystrophy or fatty distribution seen in the hips, the lateral bra areas and the outer thigh regions.  The newest fit dresses from these top designers would unfortunately accentuate the bra bulge (these are the tight fits along the lateral chest areas).  Removing the bra bulge with simple liposculpture technique will help to perfect that outer upper hourglass figure.  The shorter hemline dresses above the knee may accentuate the saddlebags and thereby liposculpturing these areas will greatly reduce the effects of the widening and gynoid appearance of the lower third of the body.  The pre-jean roll or the muffin top can be greatly exaggerated by the tightly fitted skirts and dresses and therefore removing the muffin top through the bidirectional suction tumescent technique that Dr. Linder performs will greatly reduce the upper jean roll bulge.
 Cocktail party season, holiday season is just around the corner.  Patients throughout Beverly Hills, in fact, worldwide, are now presenting for sculpting procedures in order to reduce the unflattering appearance that may be seen in the most exquisite dresses known to mankind.

BOARD CERTIFIED PLASTIC SURGEON

Criteria for Board Certification with the American Board of Plastic Surgery

In order to become a Board Certified Plastic Surgeon, the physician must first graduate from an accredited medical school, complete at least five years of additional training as a resident surgeon with a program accredited by the Accreditation Council for Medical Education or the Royal College of Physicians and Surgeons of Canada.  Therefore, it includes five years of residency training in all areas of surgery, two years devoted specifically to plastic and reconstructive surgery.  To be certified subsequently the doctor must specifically past both written and oral examinations after finishing a licensed plastic surgery fellowship.  To be a diplomate of the American Board of Plastic Surgery is a distinct honor.

The American Board of Plastic Surgery is one of 24 medical specialty boards recognized by the American Board of Medical Specialties.  It covers the full spectrum of plastic and reconstructive surgery, including head, neck, trunk and extremities.  Becoming a Diplomate of the American Board of Plastic Surgery signifies that certification has been met through requirements outlined.  The specific mission of the American Board of Plastic Surgery is to promote ethical, efficacious safe plastic surgery to the public, maintaining the highest of standards, including certification, education, examination and maintenance of certification.  A Board Certified Plastic Surgeon once again will have completed study in a medical degree in a recognized school and completed the training and an accredited residency program.  Each candidate will them pass written examinations subsequently and oral board examinations.  There are time limits of 10-year periods of which recertification will be required.

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