A Board Certified Plastic Surgeon in Scottsdale
Posts tagged plastic surgery Arizona
Plastic Surgery Blog reaches 400..
01 year ago
by Dr. Aldo
in In the news
Scottsdale – Hello fans of the AB Guerra Plastic Surgery Center‘s Blog. I just wanted to inform all of you that our blog has now reach over 400 individual entries!
We are very excited to see the blog continue to grown. This all started as an simple idea and it has really blossomed into a productive part of our medical practice.
We continue to be committed to bringing our fans and plastic surgery patients interesting articles about a variety of topics in the plastic and cosmetic surgery arena.
We would like to remind you all that you can now easy look up any of the 400 + entries on our blog just by simply typing in your subject of interest into the search bar on the right side of the screen.
Well, let’s see what we wrote about over the past 3 years…
Just under the search bar you will find a list of topics, which is another way to find articles of interest. For instance, there is a section named the Body Plastic Surgery which has, as of today, a total of 118 blog entries. In the sub-category you will find that we wrote about Brazilian Butt Lift 12 times, Lower Bodylift 24 times, Tummy Tuck 35 times, etc., etc….
The two other large sections which I want to call your attention to are the Breast Plastic Surgery (92 articles) and the Facial Plastic Surgery (76 articles). There are also a series of very interesting smaller sections which include topics like plastic surgery history, recipes, medical technology, and many others…
Please take the time to look at our blog and learn more about the procedure that interests you.
A Great Resource for Plastic Surgery Patient Safety.
01 year ago
Scottsdale – Plastic surgery patients and plastic surgeons always want to have the best outcome – especially, when it comes to patient safety. As a Board Certified Plastic Surgeon, I make every effort possible to obtain the best information about plastic surgery safety standards and pass this on to my patients before they undergo a major cosmetic surgery operation.
I have found the best site for this activity is the patient safety pages on the American Society for Aesthetic Plastic Surgery. This website has served as a great resource providing some thoughtful articles about patient safety issues, legislation and tips for patients on a variety of cosmetic surgery and non-surgical procedures.
When you go to the main patient safety page, you can scroll on the left side through the topics from age and gender issues to skin procedure news. There is also a section where you can ask a plastic surgeon questions about cosmetic surgery operations, recovery and other information.
Plastic Surgeons I Recommend.
01 year ago
by Dr. Aldo
in Body Plastic Surgery
Scottsdale – It’s true that we get lots of phone calls asking about other plastic surgeons we recommend. In most cases, these patients want to travel to see us for plastic surgery in Scottsdale, but may find traveling for surgery too much of a challenge.
I do have a list of plastic surgeons I recommend for a variety of plastic surgery operations:
In the east coast, and specifically Baltimore area, I recommend plastic surgeon Nassif Soueid, M.D., of Advanced Plastic Surgery in Towson, MD. He is a well-trained and experienced plastic surgeon that specializes in cosmetic surgery. He is certified by the American Board of Plastic Surgery.
In the south, I recommend board certified plastic surgeon, Stephen E. Metzinger, M.D., of the Aesthetic Surgical Associates. He is a triple-board certified plastic surgeon, including certifications the American Board of Plastic Surgery, American Board of Facial Plastic Surgery, and the American Board of Otolaryngology. He also specializes in cosmetic surgery of the face, breasts, and body.
We recommend if you decide to travel to your plastic surgeon’s town, that you plan carefully. If Scottsdale is just a little too far from where you live, then these two additional reputable plastic surgeons might be reasonable options for your situation.
Plastic Surgery does not help with BDD.
01 year ago
by Dr. Aldo
in Facial Surgery
Scottsdale – I recently reviewed in Plastic Surgery Products, a summary of a new study that has examined the impact that cosmetic surgery on the correcting body dysmorphic disorder. The study has been originally published in the journal Annals of Plastic Surgery and found that only 2% of procedures actually reduced the severity of BDD.
“BDD is a psychiatric disorder characterized by preoccupation with an imagined or slight defect in appearance which causes clinically significant distress or functional impairment,” says Katharine A. Phillips, MD, director of the body image program at Rhode Island Hospital and a co-author of the paper. “A majority of these individuals believe they have an actual deformity that can be corrected by cosmetic treatments to fix these perceived defects rather than seeking psychiatric intervention,” she adds.
In the study, researchers report that in a small retrospective study of 200 individuals with BDD, 31% sought and 21% received surgical or minimally invasive treatment for BDD symptoms. Nearly all of these individuals continued to have BDD symptoms, and some actually developed new appearance preoccupations. They also note that in a survey of 265 cosmetic surgeons, 178 (65%) reported treating patients with BDD, yet only 1% of the cases resulted in BDD symptom improvement.
“These findings, coupled with reports of lawsuits and occasionally violence perpetrated by persons with BDD toward physicians, have led some to believe that BDD is a contraindication for cosmetic treatment,” says Phillips, who is also a professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University. In terms of long-term outcomes from procedures, only 25% of the patients showed an improvement in their appraisal of the treated body part and showed a longer-term decreased preoccupation.
“Only two percent of surgical or minimally invasive procedures led to longer-term improvement in overall BDD symptoms,” according to the authors. The researchers also found that when treatment was sought, 20% of the procedures were not received. Cost was the most common reason for not receiving the requested procedure (30%), followed by physician refusal to perform the procedure (26%).
In summary, BDD is a serious psychiatric disorder and cannot be successfully treated with plastic surgery.
Plastic Surgery after Major Weight Loss: Topics.
11 year ago
Plastic Surgery after Major Weight Loss.
Plastic surgery seminar topics announced.
Scottsdale – Scottsdale Plastic Surgery After Major Weight Loss Seminar is this Wednesday 7/21/2010 at 6:00 PM. The AB Guerra Plastic Surgery Center would like to provide the patients with some information prior to the event. Here are the plastic surgery seminar topics:
Arizona Body Plastic Surgery
- Upper Body Lift
- Lower Body Lift
- Belt Lipectomy
- Extended Tummy Tuck
- Modified Vertical Tummy Tuck
- Panniculectomy
- Buttock Lift
Learn more about body plastic surgery in Arizona.
Arizona Breast Plastic Surgery
- Breast Reduction
- Dermal Suspension Breast Lift
- Breast Lift with Implants
Learn more about breast plastic surgery in Arizona.
Arizona Thigh Plastic Surgery
- Medial Thigh Lift
- Inner Thigh Lift
- Outer Thigh Lift
Learn more about thigh lift plastic surgery in Arizona.
Arizona Arm Plastic Surgery
- Arm Lift or Brachioplasty
Learn more about arm lift plastic surgery in Arizona.
Arizona Facial Plastic Surgery
- Necklift
- Facelift
Learn more about facial plastic surgery in Arizona.
Time and Place for the Plastic Surgery after Major Weight Loss Seminar.
The Seminar is being held in our office located at 8765 E. Bell Road, Suite 104, Scottsdale, Arizona 85260. For reservations and additional information please call (480) 970-2580. The Scottsdale Plastic Surgery after Major Weight Loss Seminar starts at 6:30 PM on Wednesday July 21, 2010.
High Protein in Plastic Surgery.
21 year ago
Scottsdale – A high protein diet can be very helpful for anyone undergoing plastic surgery. Proteins are the basic building blocks for all wounds. When you follow a high protein diet, you will have the best materials available in your system for smooth healing.
Protein in Breast Augmentation
We believe that even a simple procedure like breast augmentation can go a lot smoother when the cosmetic surgery patient is on a high protein, low carbohydrate, and low fat diet several weeks before and after breast surgery. While the incisions are small for the average breast implant patient, adding protein, vitamin C, and drinking plenty of water can make recovery a lot simpler.
Protein in Routine Plastic Surgery Operations
We recommend a month of high protein foods before and after procedures like breast lift, arm lift, tummy tuck and thigh lift. These plastic surgery operations are associated with longer incisions and require more supplementation for smoother healing. Adding vitamin C and B complex vitamins will also assist you in achieving better wound healing.
Protein in Plastic Surgery after Major Weight Loss
Procedures on patients after gastric bypass and major weight loss, like bodylift and belt lipectomy, should also supplement their month of high protein with protein shakes three times per day. Additionally, bariatric surgery patients require supplementation with all the fat soluble vitamins (A,D,E and K), vitamin C and B complex vitamins. We recommend a higher dose than normal of B complex vitamins for all bariatric surgery patients before their scheduled plastic surgery.
High Protein Foods in Plastic Surgery:
Beef
- Hamburger, 4 oz – 28 grams protein
- Steak, 6 oz – 42 grams protein
- Most cuts of beef – 7 grams of protein per ounce
Chicken
- Chicken breast, 3.5 oz – 30 grams protein
- Chicken thigh – 10 grams protein
- Drumstick – 11 grams protein
- Chicken meat, 4 oz – 35 grams
Fish
- Most fish fillets – 6 grams protein per ounce
- Tuna, 6 oz can – 40 grams of protein
Pork
- Pork chop – 22 grams protein
- Pork loin, 4 oz – 29 grams protein
- Ham, 3 oz – 19 grams protein
- Ground pork, 3 oz cooked – 22 grams protein
Eggs and Dairy
- Egg, large – 6 grams protein
- Milk, 1 cup – 8 grams
- Soft cheeses (Mozzarella, Brie) – 6 grams protein per oz
- Medium cheeses (Cheddar, Swiss) – 7 grams protein per oz
- Hard cheeses (Parmesan) – 10 grams protein per oz
Beans
- Tofu, ½ cup – 20 grams protein
- Soy milk, 1 cup – 6 to 10 grams protein
- Most beans (black, pinto) – 7 to 10 grams protein per ½ cup
- Soy beans, ½ cup cooked – 14 grams protein
- Split peas, ½ cup cooked – 8 grams protein
Nuts and Seeds
- Peanut butter, 2 Tablespoons – 8 grams protein
- Almonds, ¼ cup – 8 grams protein
- Peanuts, ¼ cup – 9 grams protein
- Cashews, ¼ cup – 5 grams protein
- Sunflower seeds, ¼ cup – 6 grams
- Flax seeds, ¼ cup – 8 grams
Another benefit derived from many of these foods is a high iron and fiber content (Source: About.com). If you are allergic to any of the foods above, please avoid these in the future. For more information about protein in your diet click here. Make sure that you look at the sodium content of all your food supplements. Canned foods, especially may have quite a lot of sodium, which might increase and prolong swelling after cosmetic surgery.
Antibiotic Use in Plastic Surgery.
11 year ago
Use of Antibiotics in Plastic Surgery
Scottsdale – Evidence-based medical practices for the appropriate use of intravenous antibiotic prophylaxis in plastic surgery are important to reduce the risk of infection. The information below is based on multiple resources including the standards developed via the Centers for Disease Control and Prevention, the Medicare National Surgical Infection Prevention Project, and various professional medical societies. These recommendations are used to reduce the risks of infection at the surgical site while reducing the risks of developing pathogens with drug resistance. In our practice, some patients may be transitioned to oral antibiotics.
Recommendation for the Use of Antibiotics at Phoenix Plastic Surgery:
Antibiotics used for prophylaxis should be carefully selected, consistent with current recommendations in the literature, and taking into account the issues of antibiotics resistance and cosmetic surgery patient allergies. Cefazolin is the most commonly recommended antimicrobial agent for plastic surgery operations. Clindamycin or vancomycin may be used for patients with a confirmed ß-lactam allergy. Vancomycin may be used in patients with known colonization with methicillin resistant Staphylococcus aureus (MRSA) or in facilities with recent MRSA outbreaks. Exposure to vancomycin is a risk factor in the development of vancomycin-resistant enterococcus (VRE) colonization and infection. Therefore, vancomycin should be reserved for the treatment of serious infection with ß-lactam-resistant organisms or for treatment of infection in patients with life-threatening allergy to ß-lactam (i.e. Penicillin) antimicrobials.
Recommendation on the Timing of Antibiotics during Arizona Plastic Surgery:
Timing and dosage of antibiotic administration should optimize the efficacy of the therapy. Prophylactic antibiotics should be administered within one hour prior to skin incision. Due to an extended infusion time, vancomycin should be started within two hours prior to incision. Dose amount should be proportional to plastic surgery patient’s weight. In patients with weight greater than 80 kg the doses of Cefazolin should be doubled.
Additional intraoperative doses (during cosmetic surgery) of antibiotic are advised when:
- The duration of the procedure exceeds one to two times the half-life of the antibiotic used.
- There is significant blood loss during the procedure.
General guidelines for frequency of intraoperative antibiotics are as follows:
| Antibiotic | Frequency of Administration |
| Cefazolin | Every 2-5 hours |
| Clindamycin | Every 3-6 hours |
| Vancomycin | Every 6-12 hours |
Recommendations on Stopping antibiotics after surgery:
Duration of prophylactic antibiotic administration should not exceed the 24-hour post-operative period. Prophylactic antibiotics should be discontinued within 24 hours of the end of surgery. The medical literature does not support the continuation of antibiotics until all drains or catheters are removed and provides no evidence of benefit when they are continued past 24 hours.
ASPS Member Plastic Surgeon: What is the difference?
11 year ago
Plastic Surgeons
Scottsdale – Members of the American Society of Plastic Surgeons (ASPS) are certified by the American Board of Plastic Surgery (ABPS) or the Royal College of Physicians and Surgeons of Canada. The American Board of Plastic Surgery is the ONLY board approved by the American Board of Medical Specialties to certify physicians in plastic surgery of the face and all areas of the body.
Many health care providers are now performing plastic surgery procedures. This does not mean they are all trained and qualified to perform plastic surgery. ASPS Member Surgeons are trained in cosmetic surgery and reconstructive plastic surgery procedures of all types.
When you choose an ASPS Member Surgeon you know your plastic surgeon:
- Has at least 6 years of training and experience in surgery, with 3 years specifically in plastic surgery
- Is certified by the American Board of Plastic Surgery
- Operates only in accredited medical facilities
- Adheres to a strict code of ethics
- Fulfills continuing education requirements, including patient safety techniques
- Will be your partner, working to achieve your goals
For more information go to www.plasticsurgery.org
Latest Plastic Surgery Patient Testimonial Video
01 year ago
Plastic Surgery After Major Weight Loss Patient Testimonial.
Actual patient, plastic surgery after major weight loss testimonial video.
Plastic surgery after major weight loss includes a variety of procedures performed after a patient has lost a significant amount of weight. These cosmetic procedures include body lift, thigh lift, arm lift, extended tummy tuck, breast lift, facelift, lipo or liposuction and more. Learn more about plastic surgery after major weight loss in Scottsdale and Phoenix, Arizona.
Plastic surgery after major weight loss in Scottsdale, Arizona.
Considering plastic surgery after major weight loss in the Scottsdale and Phoenix, Arizona area? Please call (480) 970-2580 or use our contact form today to schedule a complimentary consultation.
Wash before surgery and reduce infections.
02 years ago
by Dr. Aldo
in Body Plastic Surgery
A better approach against Staph
Scottsdale – A report in Medscape.com and originally published int he New England of Journal of Medicine, focuses attention on patients that are nasal carriers of Staphylococcus aureus and who are at increased risk for health care related infections.
“Nasal carriers of Staphylococcus aureus are at increased risk for health care–associated infections with this organism,” write Lonneke G.M. Bode, MD, from Erasmus University Medical Center in Rotterdam, the Netherlands, and colleagues. “Decolonization of nasal and extranasal sites on hospital admission may reduce this risk.”
The research was performed as a randomized, double-blind, placebo-controlled, multicenter trial and theorizes decolonization of nasal and extra-nasal sites on hospital admission may reduce the risk of post-operative infection. A total of 6771 patients were screened on admission. The research found, 1270 nasal swabs from 1251 patients were positive for Staph. They enrolled 917 of these patients in the intention-to-treat analysis and 808 (88.1%) underwent a surgical procedures.
The patients were divided into a treatment group, receiving mupirocin and chlorhexidine before surgery, and a placebo group, which received sham treatment.
The results of the study demonstrated a rate of Staph infection of 3.4% (17 of 504 patients) in the mupirocin and chlorhexidine group, as compared with 7.7% (32 of 413 patients) in the placebo group. The effect of mupirocin–chlorhexidine treatment was significant and most pronounced for deep surgical-site infections. The research concluded the number of surgical-site Staph infections acquired in the hospital can be reduced by rapid screening and decolonizing of nasal carriers of Staph on admission.
This is interesting research and I wonder if it can be applied to outpatient plastic surgery? I already recommend Hibiclens for preoperative showers for major body contouring surgery and I find that it helps to reduce the risks of infection. I believe that in the future, a study looking specifically at these medications in Arizona plastic surgery would be extremely useful.
