Pulsed Magnetic Fields and Plastic Surgery

I've been helping with beta-testing an interesting device this past six months made by a company called Ivivi

This technology involves pulsed electro-magnetic fields (PEMF) which has a number of interesting effects when used on patients. The effect of pulsed magnetic fields tuned to certain frequencies (as opposed to the regular static magnet you'd buy off the shelf) is modulation of some of the side-effects that cells recieve with inflamation, trauma, or in this case, elective Plastic Surgery.

Clinically what you see is less pain and swelling. It's been my impression that pain control is comparable to the now common Marcaine pain-pumps that have become common as a adjunct to narcotics for post-op pain control. However, the potential benefits of PEMF devices like the Ivivi go much farther.

In animal models you also see an tremendous increase in blood vessel stimulation. The potential uses for this extend far beyond Plastic Surgery. Current clinical trials are exploring many areas including arthritis, migraines, preventing hair loss during chemotherapy, increased wound healing, and non-surgical treatment of coronary artery disease.

Given the long safety history of similar technology and the inexpensive price we're likely to see with the devices, expect for this device to potentially have a large impact in some areas of health care. Don't be surprised if this technology doesn't trickle down to over the counter-style devices in the future.

Thread lifts - the jury is out

The "Thread-lift" procedure has become very popular recently. The concept involves a suture with uni-directional bards that's threaded under the skin and secured, producing points of vector-like pull. It's being heavily marketed, especially by many providers who don't perform traditional facelifts. The advantage of this procedure is rapid recovery with little down time, as well as being an office-based procedure under local.

However, nothing in life is free. What's becoming clear in physician to physician contacts is some of the limitations and complications associated with it. Namely - early relaxation, palpable threads, and unnatural looking vectors of pull. Some of this was highlighted in the New York times recently in an article that can be found at:
NY Times

I had the privledge of training under one of the early beta-testers for the original desighn of the threads & I have to say that the early results are very impressive. However, it's clear that a lot of problems have been seen. I think a lot of this is in patient selection. If you need a facelift, this isn't going to work (at least for long). It's particularly problematic for early relaxation when used for neck-suspension or brow elevation with "heavy" necks or brows.

The best quote about the threadlift (which is dead accurate) is that this procedure is for "Those who want a face-lift but don't need it." Those would be the late 30 to mid 40 year old with good skin and minimal laxity. This is a new and somewhat controversial area in lowering the traditional age-range for facial cosmetic surgery. What's going to happen as you age with permanent suture material holding focal points in your face? My guess is that you'll see some very bizarre looking people with laxity around the fixed barbs. Will this be an uncorrectable or difficult to treat deformity? No one knows yet. what we do know from anecdotal reports is that doing a face-lift after barbs is potentially more difficult do because of inflamation and scar.

Sticker shock is also something I noticed with this. These threads cost nearly $100/each presently and that is either marked up by the Physician or the charge for the procedure is increased to get the total. The bill on these comes pretty close to a full facelift at times and can be the source of some surprise when the patient is quoted on this.

The bottom line is the role for these is being sorted out. There are a lot of Physicians putting these in anyone and you're getting a lot of problems from it. Better patient selection is going to provide better & longer lasting results. These may in fact prove most ideal for patients showing early relaxation from a traditional lift of the brow, neck, of face rather then replacing those procedures

Who's a Plastic Surgeon? (and who is not)

Many patients may not know it by looking thru the yellow pages or on the internet, but the doctor you're looking at for a "Plastic surgeon" may not even be trained in Surgery at all. In fact they may well not even be a medical doctor. Financial pressures from falling reimbursement for insurance cases has led a whole new group of providers to try and reinvent themselves as providers for cosmetic surgeries.

One of the educational activities of the Amer. Society of Plastic surgery (ASPS) has been to educate the public on exactly the distinction between how we (plastic surgeons) and they are trained. This includes the emphasis on whether or not your surgeon is "board certified" or "board eligible" in Plastic Surgery. To many people's eyes, this campaigns has been a failure to this point.

This would seem to be a pretty low bar, no? As it stands, there is very deliberate confusion put out by an alphabet soup of cosmetic surgery "boards" all of which are trying to tag along to the pop-culture cache of traditional Plastic Surgery procedures(and their potential associated financial rewards). Does it make sense that may ENT's, OBGYN's, General surgeons, dermatologist, ER physicians, and even dentists have unilaterally decided they're qualified to do cosmetic procedures far outside their areas of proctored training?

Well that horse is long out of the barn. Look in your yellow pages under Plastic Surgeons notice a number of ads for "Facial Plastic Surgeon" (who are ENT's) or "Cosmetic Surgeons" (who can be anybody) without making any distinction that these providers AREN'T Plastic Surgeons. The Yellow Pages don't care who you are as long as your check clears.


Welcome to Plastic Surgery 101. Blogging is a new adventure for me so I'm not sure which direction things are going to go here. What I'd like to do is highlight some of the areas of Plastic Surgery that are confusing to most people & explain/comment on things in a way that's both fun to read & informative.

My name is Dr. Robert Oliver , Jr. & I'm a Plastic Surgeon in Birmingham, Alabama. I was fully trained in both General and Plastic Surgey before focusing my interest in Cosmetic Plastic Surgery and breast reconstruction. I've joined my father, Dr. Robert Oliver Sr., in practice in 2005.

Stay tuned for content update!

Dr. Rob Oliver


Best Holiday Wishes

All of us at Rodeo Drive Plastic Surgery offer our best holiday wishes to all of our patients and friends. The holiday season is our busiest time of year and we find ourselves very busy doing all sorts of procedures, like rhinoplasty and tummy tuck. We hope the season finds you busy and relaxed at the same time!

Scar Reduction After Plastic Surgery

Rodeo Drive Plastic Surgery has developed an interdisciplinary program to help minimize scarring following plastic surgery. This is used to help patients who undergo such surgical procedures as tummy tucks or breast surgery, which include the creation of scars as part of the surgery.

When patients decide to undergo any surgery -- including plastic surgery -- one major concern is the possibility of unsightly scarring. All surgery involves some scarring, but the risk of thickened or raised scars is often greater for those with a family or previous history of scarring and those with darker colored skin. Risks also can be increased when surgery is performed on the torso such as in tummy tucks or on the breasts such as in breast lifts or breast augmentations.

At Rodeo Drive Plastic Surgery we have pioneered the concept of a multidisciplinary approach to scar intervention and minimization. The Rodeo Drive Scar Reduction Program integrates the work of our plastic surgeons and dermatologists to provide a comprehensive -- and groundbreaking -- approach to minimizing scarring.

During surgery, our plastic surgeons use meticulous technique and very fine sutures to minimize tension on wounds – to limit the formation of unsightly scars right at the time of surgery. Next, we implement our unique post-operative program that includes the treatment of surgical incisions with lasers to help speed healing and diminish the appearance of scar. Where indicated, we also include newly developed, revolutionary, FDA approved topical medications to minimize scarring. The system can be used as part of our surgical plan, or as part of a scar revision procedure for people who already have unsightly scars.

With the Rodeo Drive Scar Reduction Program, our mission is to aggressively treat post-surgical incisions in order to minimize scarring and maximize cosmetic appearance. This service is an integral part of our plastic surgery center and a commitment to our patients to provide unsurpassed medical care. This unique program is offered to our patients who undergo surgery at our center in the Beverly Hills and Los Angeles areas of Southern California.

Please send questions by email to info@rdps.com or find more information on www.RodeoDrivePlasticSurgery.com.

Christmas on Rodeo Drive

The holiday season is taken very seriously on Rodeo Drive. The street is decked out with decorations all over. Along the median of the street, their are life-sized toy soldiers and huge gift boxes. Christmas music is played along the street. And the stores cater to visitors from around the world. We may not get snow here, but it is chilly at night and this adds to the classic holiday setting. There are also many special events at the stores on Rodeo Drive, which help bring holiday cheer to the fore.

We have many patients from out of town seeking Southern California plastic surgery during this season. People like to come into town during the holidays and have procedures, with plenty of time for recovery here in Beverly Hills. We do not take vacation over Christmas and New Years, so we are available during this our busiest time of year.

A Few Thoughts on Lasers

Everyone likes lasers. They are on TV shows and movies, from Star Wars onward. I find that patients are fascinated with the devices. And with good reason, these devices, with the light beams and complicated physics really do wonders for the skin. They can freshen the face, remove fine lines, even out color, remove areas where there are age spots, and may other things. They usually have very little recovery. As a surgeon, I can also say that sometimes surgery is not the best option. There are situations where less invasive procedures offer better results than a full blown surgical procedure. Beverly Hills laser treatments sometimes are the way to go for people who want refreshment and improved appearance without the downtime.

New Post

This is a temporary post. It is designed to test the system and it will be replaced with an actual post shortly.

"Keyhole" Procedures

We've been reading more and more lately about plastic surgery procedures being done trough an incision so small, its a called "keyhole". Plastic surgeons use an endoscope to go inside the patient and perform the procedure.

One of the most popular keyhold surgery is breast augmentation throught the belly button. The same surgery that brought fame to Dr. Robert Rey, from Dr 90210. (You can read more about him here: iEnhance.com & Dr. Robert Rey)

Other doctors are starting to really pay attention to this new trend and patients are coming asking for it as well, so here's a new article written about this very interesting new technique!

8 “Keyhole” Plastic & Cosmetic Surgeries


Checking on all systems.

Tummy Tucks and Drains

At Rodeo Drive Plastic Surgery, we do more tummy tucks than any other procedure. We are now doing as many as five per week – on women, men, young people, and seniors. About 30% of our Beverly Hills tummy tuck patients fly in from out of state. One thing that comes up again and again with our tummy tuck patients is the use of drainage tubes (“drains”) following the procedure. People do not like the idea of having drains following the procedure. But there are real benefits to using them, and in fact they are a necessity following the procedure.

The tubes are small. They usually stay in place for about five days. They are an inconvenience, but little more than that. Why are they necessary? Well, during a tummy tuck we create a large raw surface under the skin of the abdomen. This area creates a lot of fluid following the procedure. This is how the body heals itself. If this fluid accumulates under the skin, it is uncomfortable following the plastic surgery procedure. It can become infected in some situations. And, even though it is created by the body, we find that this fluid actually slows the healing following surgery.

So we place the drains. They remove the fluid under the skin. They help to make the start of healing go faster and more comfortably. The drains require very little care and effort. They are an inconvenience, yes, but once people understand that they serve a useful purpose we find that most of our patients do just fine having the drains in place for a few days following their tummy tuck. It is a small price to pay for the dramatic changes in the midsection provided by the procedure.

For more information about plastic surgery recovery, please contact us at 310 550 6300.

We Want Your Input!

On this blog we try to provide information that is of interest to our patients, and to anyone interested in learning about plastic surgery. Our approach here is to publish original articles written by our Beverly Hills cosmetic surgeon. When we discuss such procedures as our Rodeo Drive Mommy Makeover, we hope that the information is useful for all sorts of people. We want to provide information on all types of procedures, from surgery to noninvasive procedures. And we want to help our readers understand the process from beginning to end.

The best way for us to provide a content rich blog, with interesting information, is to hear from our readers. So send us an email about topics that interest you! You can reach us at info@rdps.com.

Stay tuned for future updates!

The Silent Scar Technique for Breast Augmentation

Breast augmentation is more popular than ever. Last year 264,000 breast augmentations were performed, up 24% from 2000 according to the American Society of Plastic Surgeons. Breast augmentation is now the most common plastic surgery procedure. We are seeing an ever-increasing number people interested in this procedure.

One of the drawbacks to any cosmetic surgery is the scar created in order to do the procedure. That's why at Rodeo Drive Plastic Surgery we do more and more of our breast implant procedures with scars hidden under the breast. Since the breast usually hangs over this portion of the skin, this in many ways is a "silent" scar -- far from prying eyes.

See the photo above and notice that the scars are not visible because they are covered by the lower parts of the breasts.

While there are several places where a breast augmentation incision can be placed, some of them have problems. Using the underarm or belly button requires working on the breasts from a distance -- and makes it difficult to put the implant in just the right location to create a perfect new shape. Using the areola, or brown part of the nipple, does tend to heal well but the scar is right in the middle of the breast and even a well-healed scar might be noticeable.

With the "silent scar" breast augmentation technique, we've found we can create nicely shaped breasts with a very well-hidden scar. We have received extremely positive feedback from our plastic surgery patients about the results of this technique. This approach can be used with either saline or silicone breast implants. But when we do Beverly Hills breast implants with silicone, we find the technique especially beneficial, because silicone implants do require a slightly longer incision.

Lloyd M. Krieger, MD is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills, CA. He welcomes your questions and comments by phone at 310-550-6300 or email at info@RodeoDrivePlasticSurgery.com.

More information can be found at http://www.RodeoDrivePlasticSurgery.com and at http://www.RodeoDriveBreastAugmentation.com.

The Magic of the Thread Lift

The demand for quick, “lunchtime” cosmetic procedures continues unabated; The American Society of Plastic Surgeons reported almost seven million minimally invasive procedures in 2004, a 43 percent rise over 2003!!!

An F.D.A.- approved thread lift is one of the very latest developments; it’s a partial facelift done without incisions, general anesthesia, stitches or a long recovery time. The F.D.A.-approved Contour Thread Lift is currently used by about 285 U.S. surgeons, according to the manufacturer.

It's a very very interesting new procedure and tons of people are going and getting it. It's amazing how little scars are left and the results at the end!

Rodeo Drive Launches Skin Cancer Screening Program

Spring is here and summer is just around the corner. The days are longer and we are all spending more time outside. This time of year it becomes clear that most of us do not protect ourselves from the sun the way we should. Not only does the sun age us, but it also puts us at risk for skin cancer.

At Rodeo Drive Plastic Surgery, we use this time of year to remind our patients of the importance of sun protection. Wear a hat. Wear sunsreen every day with an SPF of at least 15. It's fine to spend some time in the sun, but you should never forget to protect yourself. This applies to a day at the beach or to a routine day driving to work. The sun here in Southern California is quite strong, so sun protection is important every day.

We also screen all of our Los Angeles plastic surgery patients for skin lesions. If there is anything on the skin that looks worrisome, we recommend a biopsy to remove it and send the sample off to a pathologist. This way, a firm diagnosis can be made and we know exactly what we're dealing with. These are short outpatient procedures, with no down time and minimal or no discomfort. In many cases, it is well-worth the effort to have this sort of minor procedure performed. So even if our patients are coming in for an unrelated procedure, such as Beverly Hills liposuction, we still screen for skin cancer as we examine them. We have found skin cancers on patients who never really thought about the issue before.

There are several types of skin cancer to be aware of. The most common and usually least aggressive is called Basal Cell Carcinoma. It is usually treated completely during our biopsy procedure. More aggressive skin cancers include Squamous Cell Carcinoma and Malignant Melanoma. These types of skin cancers can be very aggressive and life threatening. Skin cancers are more frequent on areas exposed to the sun such as the face and arms, but they can also develop on other parts of the body including the legs and back.

We have put a new section up on our web site which describes the types of skin cancer in detail, as well as diagnosis and treatment options. It also includes pictures of various skin lesions. But the only way to deal with a worrisome skin lesion is to be examined by a doctor, and often to have a biopsy to remove it. So if you have anything on your skin that looks like it might be new, or changing, or is worrisome in any way, it is important to have it examined right away.
Yes, it's true, kinda, at least.

Dr. Robert Ersek, from Austin, Texas, performed liposuction on himself a few months ago. I guess a reason behind this move, was his research on stem cells, on storing and studying adult stem cells.

So he went ahead, called up on some of his friends, the media and assistants and performed liposuction on himself, just a few spots here and there, nothing too dramatic, it wasn't done with the purpose of losing weight or getting a slim figure, it was him trying to get his own fat cells for the future.

Here's an interview with the doctor, who happens to be very very entertaining and a very smart and professional plastic surgeon in the country. I'm sure you'll enjoy reading about his experience with this surgery, as well as the many other tv show he's been participating on for the last few years.

Interview with Dr. Robert Ersek - Liposuction on Himself

National Dog Bite Prevention Week

The American Society of Plastic Surgeons (ASPS) and other concerned groups have created National Dog Bite Prevention Week, observed from May 15th to the 21st.

It's unbelievable to see some of the images of those children's faces, but it's even more unvelievable to see how well they recover under the care of a dedicated and experienced plastic surgeon.

We all know to be careful with the family pet when children are around and what not, but it only takes a second for something bad to happen.

Here's a link to a full length article about the issue:

Dogs and Tots: A Bad Mix

Facelift via Needles

Ok, so we found out about this new technique for facelifts, it's via acupuncture. At first I didn't really believe it, how could this ancient treatment help rid faces of wrinkles and horrible frown lines?

But I guess it does work. Hundreds of patients have already done it and the benefits don't just stop at wrinkle removal, I guess it also helps clearing out the skin, increasing blood flow and all kinds of other very healthy things.

Check out this link for more information on this new facial rejuvenation treatment:
Facelift by Pincushin

Beverly Hills Breast Augmentation

What is it that makes every woman out there looking to have breast augmentation, wanting to have it done in Beverly Hills?

What is it about Beverly Hills:
Is it "Dr 90210" on the E! Channel?
Or maybe "Extreme Makeover" on ABC?
Or maybe hearing about all the Hollywood actresses and their breast augs?

I don't have the answer but I'm sure a lot of the doctors in the area do.

They perform the surgery in sooooo many ways: transumbilical, or under the armpit, or around the areola, or under the breast, anyway possible, with the less scarring and the best positioning of the breast implant.

Here are some links that might be helpful to you, in your search for that perfect Beverly Hills breast augmentation:
Dr Robert Rey (from "Dr 90210)
Dr Stuart Linder (from MTV's "I Want a Famous Face")
Spalding Plastic Surgery Center (Dr Paul Nassif & Dr David Amron)
CosmeticSurgery.com Doctors
I know all those posts have old dates, and that's when I originally wrote them but completely forgot to post them until today, May 6th.


Anyways, I promise I'll be good from now on, and try to post something once a week, k?


More Small Procedures

This blog is always a work in progress. We attempt to keep up to date with new information on all plastic surgery procedures big and small. Right now there does seem to be a trend that people come to see a Los Angeles cosmetic surgeon for smaller procedures. There are a few reasons for this. Smaller procedures have less recovery. That means less down time, quicker times back to work and so on. We are doing a lot of skin fillers to the lips and face and of course many Botox procedures.

But smaller does not mean we are not doing a great deal of surgery. For example, liposuction in many ways is a minimally invasive procedure. We are doing more and more lipo procedures with no anesthesia at all. The procedure include infusion of local anesthetic and this can mean there is no need to have any additional medicines. We also are doing surgery with "light" anesthesia so people wake up quickly and have less recovery.

Please contact us to learn more about our latest techniqes for all treatments big and small!

Surgeon's Gifts

I really want to share this article with everybody. It was a bit depressing but it was very heart-felt as well.

We started talking with some doctors about how they gave back to their communities and stuff like that, I guess their soft side. A lot of them talked about an organization called Face to Face that is helping battered women around the world gain back their self-steem, move away from their abusive partners and start a whole new live.

Some of the stories I read were just too painful, I couldn't believe somebody could actually do that, but it does happen, and it keeps happening right in our backyards.

It's as shocking and emotional as it could be, to know that cosmetic surgeons around the country are donating their time and effort ot help this women get their lives back its amazing, it makes want to go and thank them, huh?

Anyways, here's the link to the full article:
Surgeons' Gifts: Plastic Surgery

And here's the link to Face to Face as well:
Face to Face International

If you have any questions or comments, please don't hesitate to post them or send me an e-mail!

- D

Plastic Surgery for Men

Male Liposuction -- Before and After

Men Flock to Plastic Surgery But Need Different Procedures and Techniques
By Lloyd M. Krieger, MD

When I first started training in plastic surgery 12 years ago, I met only a few men who wanted to go under the knife. Plastic surgery was the domain of young women working on their bodies, and women over 35 refreshing their faces. Men picked up their wives and girlfriends after the procedures -- but stayed away from the operating room themselves.

Not anymore. Last year more than 800,000 men had plastic surgery procedures, according the American Society for Aesthetic Plastic surgery, and the number is growing. I see more and more men every month. Sports Illustrated now sits with Vogue in our magazine rack.

Men are turning to plastic surgery to feel better, look younger, and even help with their careers. But just as men are from Mars and women are from Venus in relationships, so too are they different when it comes to plastic surgery. With the wrong procedures, or the right procedures done incorrectly, men can wind up looking less like they did when they were in college -- and more like their college-aged daughters.

Why are men turning to plastic surgery?
The boom bust cycle we are living through helped draw men to plastic surgery.

With the greater wealth of the 90s, men, like women, wanted it all -- good times and good looks. Just as they purchased nice cars and stereo systems with their stock market winnings, they began to buy things to make them look better. Sometimes this meant fine suits or health club memberships. Increasingly, it meant plastic surgery.

Meanwhile our culture has become ever more obsessed with youth. Britney Spears is becoming passé as she nears her mid-twenties. Basketball players retire before 30. Youth represents health and success and men are embracing more aggressive ways of trying to maintain it.

With the lean times lately, many men tell me they feel professional competition from younger colleagues. Our youth culture does not reward aging gracefully, they explain, so one solution is to try to age more slowly. Plastic surgery offers some options for staving off the effects of time, and making men feel competitive in our more cutthroat workplaces.

Less Lifting, More Shaping
Where women tend to undergo lifts, men steer more toward reshaping and recontouring. Nationally, the top three surgical procedures for men are liposuction, rhinoplasty (nose work), and blepharoplasty (eyelid surgery). Increasingly, men are going for Botox and skin treatments as well.

Even in-shape guys have love handles that tend to scream "flab." These can be easily addressed with liposuction. Likewise, many men I see complain of fullness in the chest (and I am not talking pecs here) that diminishes their masculine look. Liposuction provides excellent results here as well. This surgery can help bring back the abs men had in college.

Liposuction often provides desired outcomes that often cannot be achieved at the gym. Localized fat deposits that are hard to exercise away become inviting targets for liposuction. I had one patient nickname my liposuction machine his "mechanical personal trainer." Results like this are improved still more as men head back to the gym after their procedures.

Like rings in a tree trunk, lines reveal our age. In men, they tend to develop around the eyes and forehead. When treated early, Botox smooths fine lines on the face. By weakening tiny facial muscles, it stops the constant pulling that leads to lines on the overlying skin. Though the results only last between three and six months, the changes are impressive.

When fine lines around the eyes graduate to true wrinkles, eyelid surgery turns back the clock. By removing excess skin and fat of either the upper or lower eyelid, men look refreshed without changing their overall appearance.

As men age, their faces reveal the harsh effects of the sun. Fine lines, uneven skin tone and blotchiness are the after-effects of time spent outdoors playing sports. Chemical peels, often done without anesthesia, ease these signs of aging and provide a fresher, more youthful skin tone.

Different Procedures for Different Folks: Why Men Are Unlike Women in Plastic Surgery
Men have different goals from women in seeking plastic surgery. And their distinct anatomy means that simply offering the same procedure to men as women will leave men dissatisfied with the results.

Women tend to do well with fairly long recovery periods. Many go to special centers where they receive loving care and embrace the process as a sort of medical vacation. Men want to recover quickly and get back to work and play immediately.

Women tend to want more shape. Larger breasts, rounder bottoms. Men want a better defined, more angular shape on both their bodies and faces. Where women often crave dramatic results, many men seek subtle changes. So while a gall bladder surgery is the same for men and women, (with the exception of a little more whining from the guys) plastic surgery requires different approaches to the sexes.

In the face, for example, a standard facelift will often soften the features. While this is flattering for a woman, it can sometimes leave a man looking somewhat feminized. This means fewer facelifts for men, wider use of alternatives, and a rather different procedure for those men who are good facelift candidates.

Men tend to have fewer problems with "jowls" or loose skin on the lower parts of the face. They have more issues around the chin, neck and forehead. So where women of a certain age do well with facelifts, many men do better with such alternatives as chin liposuction, neck lifts, and forehead lifts. These three smaller procedures can often be combined, and provide a better result than the larger facelift operation. And the recovery is shorter, so the impatience my male patients display is not overly tested.

When men do go for facelifts, their thicker skin means they need a unique procedure. Less pulling of the skin itself, which tends to become overly thin when pulled, and more work tightening the deeper tissues of the face. Since men have beards, care must be taken not to move the hair-baring areas too close to the ears, or men will have to shave right up to their ear lobes.

Noses also need to be carefully sculpted in men. The pert little nose with a slightly uplifted tip is flattering for women – and a disaster for men. Conservative is the watchword for male nose surgery. The nose should not be made too small, and some of the hump in the middle should be left in place. This will give men the results they desire, without making them look like their wives and girlfriends.

And while both men and women both have great results from liposuction, they have fat deposits in different places. I rarely do lipo on men’s thighs, but I do a lot on their abdomens, love handles, and chests. Men often have more resilient skin than women, so it tends to shrink better following the procedure. This allows for more fat removal in some men.

Plastic surgery is no longer for women only. Men have great results, just like women. But their bodies, goals, and temperaments are different. So the correct procedures, done in the right way, need to be selected to give men the outcomes they're looking for.

Lloyd M. Krieger, M.D. is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills, CA. He welcomes your questions and comments by phone at 310-550-6300 or email at info@RodeoDrivePlasticSurgery.com.

More information is also available at http://www.RodeoDrivePlasticSurgery.com.

Ten Things Men Should Know About Plastic Surgery

Plastic surgery is increasing popular among men. As you consider Los Angeles plastic surgery, it is best to understand the how procedures and outcomes are specialized for men.

1. Liposuction does not replace working out, but it definitely can remove fat from areas that exercise tends to miss (like the chest and love handles).

2. Your results from lipo will be best if you continue regular work at the gym after the procedure.

3. Calf implants and pec implants tend to migrate with time and have other problems. Better to use liposuction to sculpt the surrounding areas, and make the pecs and calfs appear more distinct.

4. Lipo cannot make your abs look like Schwarzenegger’s, but it can bring you close to where you were in college.

5. You will probably have better results from reshaping rather than lifting. This will give you a more chiseled and angular masculine look.

6. Even if you have wrinkles and sagging on your face, you probably do not need a facelift. In some cases, facelifts make men look feminized. Better to have a neck lift, brow lift, and work on the eyes.

7. A chemical peel, which can be done without general anesthetic, is not a “facial” and can get rid of fine lines, uneven tone, and blotchiness.

8. Botox is not only administered at parties. And it can erase wrinkles as well in men as in women.

9. You will probably be happiest with subtle changes, that make you look more refreshed and youthful, rather than dramatically altering your appearance.

10. You will have to set aside some time to recover from your procedure. Impatience leads to complications.

Lloyd M. Krieger, MD is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills. He specializes in plastic surgery in California for men and welcomes your questions and comments by phone at 310-550-6300 or email at info@RodeoDrivePlasticSurgery.com.

More Hispanics are Opting for Plastic Surgery

In 2006, Hispanics led minority racial and ethnic groups undergoing cosmetic procedures (9% of all procedures performed, up from 6% in 2000), according to the American Society for Aesthetic Plastic Surgery. More Hispanic women are seeking plastic surgery nationwide, and at Rodeo Drive Plastic Surgery we've found that over 30% of our patients are Hispanic men and women.

The majority of our patients who ask for the "The Rodeo Drive Mommy Makeover" here in Los Angeles are Hispanic women in their 20's and 30's. The "Mommy Makeover" consists of a tummy tuck, breast lift and frequently a small breast implant.

Breast augmentation Beverly Hills is in high demand among young Hispanic women, either as a single procedure or as part of the "Mommy Makeover."

Hispanic women and men who opt for rhinoplasty are concerned with keeping their ethnic identity, so our procedures procedure enhance the face but do not erase ethnic origins.
Hispanic skin is generally thicker and less prone to wrinkling; signs of aging tend to be sagging rather than the crinkled look found in Northern Europeans.

Generally darker than Caucasian skin, Hispanic skin is more prone to scarring and uneven skin tone. Special approaches are necessary in procedures for Hispanic patients to avoid unsightly scarring and to preserve the skin tone.

Liposuction is in high demand by both Hispanic men and women. Our male patients ask for liposuction to eliminate love handles and achieve the look of a flat chest and washboard stomach.
More information can be found at http://www.rodeodriveplasticsurgeon.com .

Although word has it TV’s Nip/Tuck is headed for Rodeo Drive, in the real world, Rodeo Drive Plastic Surgery is the first and only plastic surgery center on Beverly Hills’ ultimate address. Lloyd Krieger, M.D., founder and Medical Director of the center, who has been featured in such media as Fortune, The New York Times, the Wall Street Journal, Access Hollywood and other media, is known both as an artist and an innovator in the world of Beverly Hills plastic surgery, including such procedures as tummy tuck and Beverly Hills breast reduction.

The Rodeo Drive Chin Rejuvenation™:

Perhaps best known for his Rodeo Drive Mommy Makeover™, created for women who want their stomachs and breasts to look the way they did before their pregnancy, Dr. Krieger now introduces the Rodeo Drive Chin Rejuvenation™, a transformational minimally-invasive plastic surgery procedure, ideal for patients who (no matter how much they exercise or how much weight they lose) are tired of seeing that double chin staring back at them in the mirror.

The Rodeo Drive Chin Rejuvenation™ is a unique form of facial rejuvenation, a chin and neck liposuction procedure that does not take a long time in the operating room or have a prolonged recovery period. Despite its minimally invasive nature, this cosmetic surgery can make a dramatic change in a person’s appearance. In the past, patients would need a facelift or necklift to correct the problem of excess fat under the chin and in the neck. But, for appropriate candidates, this procedure is effective, has little downtime and successfully addresses the problem of the annoying "double chin" or overly full-looking neck. The Rodeo Drive Chin Rejuvenation™, which is ideal for both men and women, can dramatically improve a person’s appearance with minimal downtime and less risk of scarring. Compared with the routine facelift or necklift, Dr. Krieger’s procedure is less expensive, easier to recover from, affords minimal recovery time and can have remarkable benefits for the ideal candidate.

Rodeo Drive Plastic Surgery is Beverly Hills’ most elegant of medical facilities, featuring state-of-the-art exam rooms, marble counter tops, bamboo floors, and leather chairs. To accentuate the aesthetics of the center, there are original Andy Warhol paintings hanging on the walls.

Dr. Krieger completed his education at Stanford University and the University of Chicago. He completed his residency at UCLA and maintains plastic surgery operating privileges at UCLA and Cedars-Sinai medical centers.

What to Look for in an Ambulatory Surgery Center

Times have changed in surgery. About fifteen years ago, just about all surgery – no matter how routine or small the procedure – was done in the hospital. Now, the majority of all surgical procedures are performed in outpatient surgery centers. These facilities are usually freestanding and are not attached to the hospital.

Now, even relatively complex and lengthy procedures are performed in outpatient surgery centers. These facilities are sometimes also called ambulatory surgery centers. More than 90% of all plastic surgery procedures such as breast augmentation as well as liposuction California rhinoplasty are performed in outpatient facilities. This is especially the case with plastic surgery in Los Angeles.

This shift puts the burden on the patient or consumer to choose wisely. Surgery of all kinds has never been safer or more effective. But it is still a serious undertaking and the facility where it is performed is a key component of overall safety.

There are several things to look for when evaluating whether you should use a particular outpatient surgery center. The most important issue is safety. You should check on the certification of the outpatient surgery center. Some states offer licensure of these facilities, while others do not. There are certifying organizations that inspect facilities. Some of these include AAAHC and Medicare. When a facility has these sorts of certifications, they have been thoroughly inspected for their physical layout, staff training, safety equipment, and emergency protocols to assure they have the highest level of professionalism and safety.

You should ask your surgeon why he chooses to use the given surgery center. Has he found the surgery center to be safe and convenient for patients? You should ask if the surgery center has a transfer agreement with a local hospital. In case of a problem, this confirms that you can get quick access to emergency care in the hospital setting. You should ask about the safety equipment on hand at the facility. Following your procedure in an outpatient surgery center, you likely will go home. You should ask your surgeon what provisions are made for contacting him and her with questions and concerns during off hours. You should also ask who will be performing your anesthesia. Is the anesthesiologist or nurse anesthetist experienced in outpatient surgery? You might also ask to receive any prescriptions for post-procedure medications prior to your surgery day, so you need not go to the pharmacy following your surgery.

Outpatient surgery is now routine and safe. But it is important to check on the outpatient surgery center prior to deciding where to have your procedure performed.

I was reading through some of the feedback e-mail from our website, and notice a lot of e-mails from women, showing concern about the lack of women plastic surgeons in their area, so I thought I would blog about that today.

More and more women are flocking to plastic surgeons' offices to have some kind of work done. But it's hard to feel comfortable in the hands of men, wondering about a breast augmentation with them, or a breast reduction and just thinking how would they know how it feels, they don't have to deal with that, right?

Well, for that group of women, (and men, I guess...) I suggested to one of our writers to gather some of those surgeons and write an article about them, what they think makes a difference and how they approach this world of surgeons, ruled by men, pretty much.

It's quiet interesting, he intereviewed Dr Mariam Awada in Michigan, and Dr Kimberly Henry in Northern California.

Women Plastic Surgeons


Rodeo Drive Plastic Surgery's Patient Privacy Program

Plastic surgery is a private undertaking and a very personal decision. At Rodeo Drive Plastic Surgery, the first and only plastic surgery center on world-famous Rodeo Drive, we have developed a unique patient privacy program to assure the utmost discretion for our clients. Because of our unique location and relationships, our plastic surgery center caters to members of the entertainment industry. But when it comes to privacy, we adhere to the same standards for celebrity plastic surgery as for all of our patients.

The program starts with the physical layout of our offices and on-site surgery center. We built a hidden back entrance -- far from prying eyes of celebrity photographers -- that leads to a discreet service elevator. This elevator opens deep in the building's parking structure and also on the alley behind Rodeo Drive. Our back entrance is unusual among medical offices and assures discretion. This novel feature of our design and layout has been featured in Elle magazine, Denmark’s Q magazine and on France’s Télévision Française 1, France’s most popular TV network.

Our plastic surgery staff, in our offices and our operating rooms, is thoroughly trained in patient privacy issues. Our organization has a designated privacy officer to oversee the routine work of the staff and confirm that our strict confidentiality policies are enforced. No member of our staff will discuss any aspect of patient care (or even that someone is receiving care) with anyone at any time, unless that person have given us permission to do so.

Each employee signs an agreement to maintain patient privacy at all times -- again, this applies to celebrity plastic surgery and for all patients who go our plastic surgery center. Patients also are asked to designate how they would like to be contracted (such as cell phone only), so communication is always done in the manner that makes the patient most comfortable and allows for the most discretion.

These steps offer reassurance to all patients that their confidentiality will be maintained. And since we treat every patient like a celebrity, we take firm steps to maintain discretion and safeguard confidentiality for all our patients.