March 15th, 2014 Miguel A. Delgado Jr, MD
San Francisco, California-The American Society of Plastic Surgeons (ASPS) has reported their statistics for cosmetic and reconstructive surgery for 2013. Each year the report comes out around the end of February after the numbers have been tabulated from the Board Certified Members. It is interesting to see which procedures are the most popular and how they compare to previous years.
This is a 35-year-old resident of Sonoma County, California. She is the mother of two children. She presented to the Novato office in Marin County for an evaluation for breast enhancement. She is 5 feet 2 inches tall and weighs 115 pounds. She underwent bilateral breast enlargement using 300 cc, Mentor High Profile, silicone gel breast implants. The procedure was performed at the Marin Cosmetic Surgery Center in Marin County, California. The approach was a peri-areolar incision with sub-muscular placement for the breast implants. She went from a size A cup to a C cup.
ASPS reported that breast augmentation is once again the number one cosmetic plastic surgery procedure; it even increased over 2012. It is interesting to note that there has been a 37% increase for breast augmentation surgery since the year 2000, and the number one procedure since 2006 when it surpassed liposuction. It is not known why there was an increase for 2013, but it is believed that it may be due to new technology and approval by the FDA of form stable breast implants. Form stable implants are teardrop shaped silicone implants, also known as the “gummy bear” implant.
Taking a look at surgery trends over the last seven years (after breast augmentation), the number two procedure has been nose reshaping every year, except 2007 when it was liposuction. The third and fourth positions are fairly equal between liposuction and eyelid surgery. Fifth position had been tummy tuck surgery for six years and then for the last two years facelift surgery surpassed tummy tuck surgery taking the number five spot.
Patients have an increasing desire to look and feel their best, many come to their plastic surgeons complaining how they appear on Skype and Face Time on their phone. It is believed that competition in the work force is also a factor that has lead to an increase in all facial procedures.
In addition to cosmetic surgical procedures, the minimally invasive procedures have seen quite an increase for 2013. Botox remains in the number one position with an increase of 3% over 2012, with an amazing overall increase of 700% since 2000. The soft tissue fillers have seen an increase of 13% over 2012.
ASPS predicts that cosmetic surgical procedures will continue to see steady growth in the coming years, and especially the newer non-invasive body sculpting, (such as CoolSculpting), will see a dramatic increase.
Dr. Delgado is an expert in his field of cosmetic plastic surgery and has been since 1988, serving the greater San Francisco Bay Area, including San Jose and Sacramento.
November 30th, 2013 Miguel A. Delgado Jr, MD
Reception for Dr. Miguel Delgado
Marin County, Novato CA
San Francisco, California-Always forward thinking, Dr. Delgado makes available to his patients the latest and most innovative procedures that he has determined are safe and give the best results. Not all patients desire cosmetic plastic surgery for various reasons such as: corrections are only minor, taking the time out of a busy schedule, fear of surgery and/or anesthesia, or financial limitations.
There are many non-surgical options for patients that can reduce signs of facial aging, sculpt the body, and refresh the skin. Subtle changes can increase self-confidence and one’s perspective on life. With this in mind, Dr. Delgado continues to expand procedures offered to his patients at his “Non-Surgical Center of Excellence”.
Many patients are confused as to what procedures may benefit them when they see so many treatments available that are showcased on television talk shows, the internet, and all forms of media. It is recommend that patients schedule a consultation with Dr. Delgado to discuss problem areas that patients find disturbing and with Dr. Delgado’s expertise, he can recommend the optimal treatment for the best result.
The latest procedure that Dr. Delgado has added to his practice is “CoolSculpting”. CoolSculpting is the exciting non-surgical solution to removal of those stubborn areas of fat that dieting and exercise will not eradicate. For details on this procedure see the previous blog or the section on this website.
CoolSculpting is in good company with other procedures that Dr. Delgado offers, also added this year is “ Ultherapy” a FDA approved procedure. Ultherapy is a non-surgical facelift that tightens the skin by ultrasound which stimulates new collagen growth. One 60 to 90 minute treatment will continue to show improvements for up to 6 months. This is the perfect treatment for patients who are not ready for a facelift but would like a little tightening, or for facelift patients that need a little touch-up.
Ultherapy Now Offered in Marin County is
Featured in” New You”
Fat injections continue to gain popularity as an excellent filler for the face where some fat loss has occurred. Using one’s own fat loaded with stem cells has proved to be the longest lasting correction. In addition to the face, fat injections or fat grafting can correct such defects as “crater deformity” in the male chest from over resection during a gynecomastia or male breast reduction procedure. Many cosmetic surgery patients are choosing to take advantage of a service that Dr. Delgado provides through “AdiCyte”, which is a company that stores a patient’s fat for future use, known as fat banking.
According to the American Society for Aesthetic Plastic Surgery (ASAPS), non-surgical procedures have increased 356% over the last 15 years, with Botox the number one injectable every year. In 2012, Botox increased another 24%! Botox works by blocking the nerve muscles. The wrinkles will then soften and relax when the muscles can’t contract. The most popular areas treated are the glabella, (the area between the eyebrows), crow’s feet (the corners of the eyes), and the forehead.
As an expert injector, in addition to Botox, Dr. Delgado offers Dysport (similar to Botox), Restylane, Juvederm, Radiesse, Sculptra and Artefill. Each has different advantages, so it is recommended that you discuss your options in consultation with Dr. Delgado.
To complete the offerings of the “Non-Surgical Center of Excellence”, are Diolite, Photo-facial, and laser hair removal.
Diolite is a laser that treats age spots, skin tags and red vessels of the face. Photo-facial will treat brown spots, shrink pores and even out skin tone. One of the top cosmetic procedures in the United States is laser hair removal, requested by both men and women.
You can be assured that as new procedures become available, Dr. Delgado will be offering them once he is convinced that they are safe and may be of benefit to his patients and not just another marketing hype.
Consultations are offered at both the Union Square San Francisco office, and Marin County’s Novato office. Call (415) 898-4161 for a complimentary consultation for your non-surgical desires or email.
October 26th, 2013 Miguel A. Delgado Jr, MD
Dr. Miguel Delgado
San Francisco, CA
San Francisco, CA-According to the statistics of the American Society for Aesthetic Plastic Surgery, the two most popular cosmetic surgical procedures, are breast augmentation and liposuction. Liposuction is very popular with men looking to get rid of love handles and reduce the abdomen. Women love it for reduction of their: “saddle bags”, abdomen, thighs and more. Liposuction has been available in the United States since the early 1980’s and the popularity continues to grow.
Fat reduction is big business, which is very evident by the multiple choices of the many types of fat reducing devices available. Competition is intense for market share between manufacturers, but competition is always good in a free market society encouraging manufacturers to continue to produce more effective and higher quality devices. There have been many liposuction machines introduced, but most are just variations with small differences.
Liposuction is surgery requiring: pre-operative lab tests, surgical and operating room fees, prescription medications, compression garments and downtime for recovery. To find a way of fat reduction that does not involve surgery, has been a dream of many, for years. That dream is now a reality! Doctors from Massachusetts General Hospital in Boston noted that children who consumed many popsicles were developing dimples in their cheeks due to fat loss. Through testing, the doctors discovered that intense coldness killed fat cells, and the fat cells were then eliminated naturally by the body. Even though it is a somewhat slow process, it is permanent. This discovery led to the development of CoolSculpting. With CoolSculpting, there are not any needles, scalpels, scars or downtime.
CoolSculpting has hit the market with great reviews; the demand for the procedure shows how many patients embrace the idea of a non-surgical fat reduction option. CoolSculpting will not replace liposuction as it is not as aggressive. CoolSculpting is not meant for large areas of reduction; it is more for those difficult localized pockets of fat that diet and exercise will not remove such as: the abdomen, love handles and for some men with pseudo-gynecomastia it will reduce the fat on their chest.
You are born with a certain amount of fat cells, if you consume more calories than your body can use, the extra calories will be stored as fat, and the cells will grow larger. If you lose weight the cells will shrink, but they will not go away unless they are removed by liposuction or CoolSculpting. CoolSculpting only removes subcutaneous fat, fat that is attached to the skin. It does not affect visceral fat, which is deeper and surrounds the organs.
The ideal patient is within 20 to 30 pounds of ideal body weight, if you can pinch more than 2” you may want to lose weight first or consider liposuction.
For treatment, the patient arrives in comfortable clothing and lies or sits on the treatment table. Most patients read, use their laptop or take a nap. The targeted area is placed between 2 cooling plates that are held into position by a vacuum. The fat is then subjected to intense coldness, which will kill the fat cells but does not affect the blood vessels, nerves or skin. The treatment lasts for about an hour per area. Most patients claim the procedure is not painful, but they feel the initial coldness and some pressure. The side effects are minimal, and if any would include: some redness, numbness, swelling and minor bruising.
Results will not be evident right away, the destroyed fat cells can take up to 2 to 4 months to be shed by the body. Many patients state that they first start seeing results after 2 to 3 weeks when they noticed the difference in how their clothes fit. In general, one treatment will reduce an area by 20%, if a patient desires to have more removed additional treatments can be done.
Success for permanent results will be based on lifestyle changes of a healthy diet and exercise program.
To find out if CoolSculpting is for you, schedule a consultation with Dr. Delgado in either his Marin County office in Novato or his Union Square office in San Francisco. Ask about other procedures available through the “Non-Surgical Center of Excellence”such as: Ultherapy for skin tightening, Botox, fat injections, and facial fillers.
July 31st, 2013 Miguel A. Delgado Jr, MD
San Francisco, CA-Cosmetic plastic surgery procedures for men have increased 106% since 1997, and increased 20% from 2011 to 2012 according to “The American Society for Aesthetic Plastic Surgery” known as (ASAPS). ASAPS was established in 1967 and is one of the two prestigious societies for Board Certified Plastic Surgeons.
ASAPS mailed out 23,000 questionnaires to Board Certified Physicians to come up with the percentages. Men had almost one million procedures done in 2012 which accounts for one tenth of all cosmetic procedures performed. More men of all ages are seeking cosmetic surgery each year as heightened awareness and acceptability of surgical solutions increases.
According to ASAPS, the top five procedures for men for 2012 are:
2. Rhinoplasty (nose reshaping)
3. Blepharoplasty (eyelid surgery)
4. Gynecomastia (male breast reduction)
5. Otoplasty (ear surgery)
Liposuction for men has become increasingly popular as men learn of the benefits of body sculpting on many TV shows and news articles. The three most popular areas are; the neck, the abdomen and the flanks (love handles).
Many surgeons feel it is the treatment of choice for male breast reduction, however, without the inclusion of surgical excision the results are very disappointing for men with true gynecomastia.
Liposuction is an excellent treatment for fat deposits that do not respond well to diet and exercise, but for a man the surgeon has to take great care not to give a feminized look for the man keeping a more square appearance to the back and waistline. Men prefer etching of the abdomen to accentuate the abdominal muscles. Men also want their scars hidden, as do women, and they are usually in the belly button and the underwear line.
Rhinoplasty can be any time after the nose stops growing, usually between 15 and 18 years of age for males.
This is a 30-year-old, San Francisco, CA resident who presented to the San Francisco office at Union Square for evaluation for an external rhinoplasty.
A man’s nose should fit his face, which may mean a stronger dorsum and/or a more projected nasal tip. Women may seek a narrower nose while men may seek a wider nose.
Computer imaging is a great tool for the surgeon to show to the patient what the final result may be.
Blepharoplasty is surgery for the eyes; the eyes are one of the first places to show age and can make a person look tired, angry or old. Eye surgery is different for men than women, with different goals. Men have thicker skin and heavier facial muscles. Heavy upper eyelids can make a man look older. A low brow is attractive for the man, but if it is elevated during surgery, it must be done conservatively to avoid feminization of the male face.
Fat can accumulate in the upper and lower lids with the result of the upper lids looking puffy and hooding the eye and the lower lids can be puffy and saggy with dark circles. Some men may have enough drooping upper eyelid skin that it will interfere with vision and in some cases to such a degree that upper eyelid surgery may be covered with health insurance.
Gynecomastia surgery is up 5% over 2011 according to ASAPS. It appears that not only is the amount of surgery going up, but also
This 29-year-old San Francisco man suffers from adolescent gynecomastia. He underwent glandular excision and suction-assisted lipectomy of the chest, from which I excised 23 grams of glandular tissue from the right and 21 grams from the left side.
the incidence of gynecomastia cases being reported. It is believed that the increase in gynecomastia cases may be due to the use of many prescription drugs and well as many over the counter medications. Supplements and steroids are also linked to the development of male breasts, and as more hormones are introduced to the environment the increase in cases will continue.
Otoplasty, as noted in the previous blog can be done on boys as young as five years old, and is preferable so that teasing and psychological trauma can be avoided. However, as long as a patient is in good health, there is no age limit to having this surgery.
This procedure is popular for men due to the fact that their ears are more noticeable than women’s because they generally wear their hair short.
The American Society of Plastic Surgeons (ASPS) is the other prestigious society for Board Certified Plastic Surgeons. ASPS also reports statistics based on surveys taken from their members. The results are similar to ASAPS, but with a few variations.
ASPS reports that the top 5 procedures of 2012 for men are:
Gathering the statistics is not a perfect science, but the results do give us a trend and in both studies show the acceptance of men seeking a natural but improved appearance in the face and body.
April 16th, 2011 Miguel A. Delgado Jr, MD
The statistical report from the American Society for Aesthetic Plastic Surgery (ASAPS) has just been released and shows an increase of almost 9% for 2010. This encouraging news has been reported in different news media such as CNN Money, and Web MD and reflects a hopeful trend for job seekers in a recovering economy. According to Dr. Felmont Eaves III, the ASAPS president, “Patients who put off surgery because of uncertainty in the economy and the job market are coming back for tried and true procedures. Growth in demand will likely continue as the recession eases and baby boomers and their offspring begin to explore surgical and nonsurgical options.”
Many San Francisco, Bay area patients are opting for some type of facial rejuvenation as they head back into the job market. Image is definitely a factor and competition remains fierce. For those who have time for the recovery period, a full face lift or brow lift may be in order.
But many cannot afford much down time and expense is major consideration. These patients may choose to have an office procedure such as upper eyelid surgery that can be done in about an hour under a local anesthetic and the results do a lot for refreshing the face. Injectables such as Botox which can erase worry lines between the eyes are very popular as well as the various injectables that fill in the frown lines around the mouth that make one appear older and or angry.
Patients are surprised to learn they have many options that can fit into their time frame and budget. A consultation with Dr. Delgado is the best way to find out what options are available for you.
February 6th, 2011 Miguel A. Delgado Jr, MD
Several articles have been recently published on the possibility of a link between a rare cancer called anaplastic large-cell lymphoma (ALCL)and breast implants. Articles have appeared in Cosmetic Surgery Times, Modern Medicine and Medscape, to name a few.
ALCL is a non-Hodgkin’s lymphoma, a rare cancer of the immune system that can occur anywhere in the body. 1 out of 500,000 women per year are diagnosed with ALCL in the United States. Even more rare is ALCL of the breast, 3 out of 100 million annually for women without breast implants.The FDA says that the risk is so small that they continue to support a “reasonable assurance” that FDA approved implants are safe.
According to the American Society for Aesthetic Plastic Surgery, Inc. (ASAPS), the condition is incredibly rare with only 34 cases worldwide in the past 25 years among an estimated 10 million implanted devices. It is believed that the vast majority of plastic surgeons will never see a single case in a lifetime of practice. To put the odds into perspective, according to the National Weather Service, the chances of being struck by lightning in any given year are 1 in 700,000.
In most cases the cancer was discovered when women were seeking treatment for implant related symptoms such as; pain, swelling, lumps or asymmetry, after healing from breast augmentation. For women with implants the cancer is usually inside the scar tissue of the capsule and is not considered breast cancer.
Hopefully this information will put San Francisco and Bay Area women’s mind at ease, however anyone with questions or concerns should have a discussion with their plastic surgeon.