Logo Roy Kim, MD
San Francisco Plastic Surgery

call us at 415.362.1846

220 Montgomery Street, suite 348
San Francisco CA - 94104

Where Can You Inject Botox?

3
Nov

Botox is used in many other areas of the face, but most of these uses are off-label. Although a doctor has discretion to use Botox in different areas, these applications or injections may not be FDA approved. The more common areas include the forehead, to reduce forehead wrinkles, and in the sides of the eyelid areas, to reduce crow’s feet.

Read more >>

View Comments

Vote Early, and Vote Often

2
Nov

Assortment of 'vote' badges

Today is Election Day in the US. Please consider voting early, and voting often.

View Comments

Congratulatons to the San Francisco Giants!

2
Nov

San Francisco Giants fans celebrate their 3-1 victory over the Texas Rangers in game 5 of the World Series at Rangers Ballpark in Arlington, Texas on November 1, 2010. The Giants won series 4-1.  UPI/Ian Halperin Photo via Newscom

San Francisco Giants pitcher Brian Wilson (R) reacts to the final out against the Texas Rangers as catcher Buster Posey (L) celebrates after Game 5 of Major League Baseball's World Series in Arlington, Texas, November 1, 2010. REUTERS/Tim Sharp (UNITED STATES - Tags: SPORT BASEBALL)

View Comments

Can You Get Liposuction if You Are Overweight?

30
Oct

Doctor weighing overweight man

The short answer- It depends.

Liposuction is a procedure that removes fat on a permanent basis. The fat is removed through tiny incisions, and generally only in areas that have external fat. You will go over the exact areas with your plastic surgeon, but in general, fat is removed from localized areas of the body that are your problem areas.

If you’re overweight, fat can obviously be removed through liposuction. To be the best candidate for liposuction, you should have only isolated problem areas of fat, and not have fat all of your body.

Sometime being big is not an indication of being overweight. Having a big frame, or being committed to lifting weights, may increase your body size but may not result in having an excessive amount of fat.

A BMI calculation, or body mass index calculation, is a rough estimate for being overweight. Typically at BMI of 30 or higher is an indication of being overweight. However, if you have a larger bony structure, or have a lot of muscle, then you may have a higher BMI yet still have lower body fat and be a good candidate for liposuction. A good BMI calculator can be found here- www.nhlbisupport.com/bmi/bmicalc.htm

If you have problem areas, then usually liposuction is a good alternative. However, if you’re overweight with internal fat in your abdominal cavity, which is visceral fat, then you are probably not a good candidate for liposuction. If you think that you need to lose more than 20-30 pounds, then you may be asked by your plastic surgeon to lose weight before undergoing a liposuction procedure. Finally, if you’re under the age of 21, then diet and exercise may be strongly recommended before liposuction, since young men and women are usually very successful in losing weight safely and quickly due to excellent body metabolism.

 

Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

Did you find this article interesting?  Please share via Twitter, Facebook or Google Plus below.

View Comments

How Long Does Botox Last?

29
Oct

Botox is a FDA approved injectable that reduces the muscles that cause wrinkles. Although it’s only FDA approved for certain facial muscles, it’s often injected in areas that may cause aesthetic concern, such as the forehead muscles, the muscles between the eyebrows, and the crows’ feet areas of the face.

Botox lasts about 3 months, as per FDA labeling. However, it can last longer, depending on the location of the facial muscles, how big the muscles are, and how often it’s given. All of these reasons are anecdotal, or not based on science or evidence. Rather, it’s simply my opinion and some common sense observations.

Botox works by weakening and temporarily paralyzing muscle. If it’s injected into a thick muscle, the muscles will still function but not as well. This effect is temporary, and your muscle will recover to normal strength and function in about 3 months.

Depending on the location of your muscles, Botox may last longer in certain areas than others. Botox will tend to work for a shorter period of time in very strong, thick muscles. Botox will last longer, or appear to last longer, if the muscle is thinner. For example, the muscles around the crows’ feet area is not as thick as the muscles in the between the eyebrows, so Botox may appear to last longer in the thinner muscle area.

If given on a consistent basis, Botox may weaken your muscle, resulting in future injections lasting longer than your first injection. Although anecdotal, it may appear that repeated Botox injections may result in a need to get them less often.

 

Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

Did you find this article interesting?  Please share via Twitter, Facebook or Google Plus below.

View Comments

What is the Recovery Time for a Mommy Makeover?

28
Oct

Two women feeling pregnant woman's bump over 'I love Mommy' babygro

A Mommy Makeover is a term for a lot of body rejuvenation and surgery! Typically this includes something to the breasts, and to the tummy area. You can choose to have a breast augmentation or breast lift or both, and some type of tummy enhancing procedures, such as a tummy tuck or liposuction or both.

The more surgery you undergo, the longer the recovery, but you will probably need 2 weeks off of work or taking care of the kids, or both, to recovery from your Mommy Makeover. The use of pain pumps, having help at home, and overall post-surgery recovery helps your body to heal after your procedures. Additional help at home helps, such as your spouse, family, or friends, because you may have difficulty with doing normal things around the house and moving freely right after your operation.

Knowing what to expect after your Mommy Makeover also helps with your recovery after surgery. Not knowing what to expect, or being unable to communicate with your plastic surgeon after your procedure, may increase your anxiety. I feel that the more you know before your procedure, along with excellent access after surgery with your plastic surgeon, will prevent any surprises.

I usually perform a Mommy Makeover in San Francisco on an out-patient or in-patient basis, depending on how much surgery is required and your overall medical health. An in-patient, or hospital setting, may be needed for longer procedures or if you have medical illnesses that require monitoring after your operation, such as significant high blood pressure. The proper amount of rest, healthy food, and some walking around after surgery will accelerate your recovery.

 

Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

Did you find this article interesting?  Please share via Twitter, Facebook or Google Plus below.

View Comments

What Are the Risks Associated with a Facelift?

27
Oct

Luxembourg

A facelift is a surgical procedure to rejuvenate the facial structures and the skin, so that you still look like yourself, but more rejuvenated. Just like any other surgical procedure, there are risks involved with a facelift, and they include bleeding, scar formation, infection, a result that is too tight or too loose, injury to facial structures, and reactions to anesthesia.

Blood flow to the face is excellent, due to many blood vessels. However, if excessive bleeding occurs, you can potentially develop a bruise or a hematoma, an abnormally large collection of clotted blood. This is a surgical urgency or emergency, and many times this clot can simply be removed with a needle and syringe, provided that the plastic surgeon knows about it. If the clot is too big, then you may require a small procedure to remove it. To avoid this complication, make sure to tell your doctor about any blood thinning medications you’re on, such as aspirin, Coumadin, or other medicines.

Scars are hidden behind the hairline, in front of the ear, and behind the ear. Care of your surgical incisions immediately after surgery will ensure the best result possible for your facelift. It’s important to care for your scars well after your surgery as well, since scars may change appearance over a long period of time. If your scars turn thicker, wider, or more red after your facelift, you may need sun protection, anti-scar creams, anti-scar bandages, or every cortisone injections to get the best results possible.

The amount of facial skin and structure tightness after a facelift is very subjective, and may also be a result of your overall health and your skin’s characteristics. You don’t want a result that is too tight, because this will look unnatural. Also, a result that is too loose may not give you the rejuvenation that you wish for long term. It’s important to talk to your plastic surgeon before surgery and show him or her what result you would like to achieve. You may or may not have realistic expectations of what is possible or not with a facelift, and your plastic surgeon should be able to show you how tight your facelift can really be.

Injury to underlying facial structures is a very rare but possible complication. The SMAS, or the tissue around the facials structures, is what is tightened to give a long-lasting result that lasts longer than just tightening facial skin. Sometimes excessive swelling or bleeding may put too much pressure on the branches of the facial nerve. This usually goes away with time, but it may take several months for the swelling to no longer put pressure on your nerves.

Reaction to anesthesia is not really a risk with a facelift, but rather, a risk that is associated with your overall medical health and age.  Most patients who undergo a facelift are older, and may have medical illnesses such as diabetes or high blood pressure that need to addressed by the anesthesiologist and your family doctor before your procedure.  A reaction to anesthesia is rare, but it usually associated with your overall health and not necessarily with your facelift procedure. 

 

 Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

Did you find this article interesting?  Please share via Twitter, Facebook or Google Plus below.

If you’d like to comment on this article, please feel free to leave a comment below.

View Comments

How Are the Tummy Muscles Tightened After Tummy Tuck Surgery?

25
Oct

LOS ANGELES, CA - AUGUST 05: Actress Stephanie Pratt attends the Los Angeles premiere of 'Middle Men' held at ArcLight Cinemas on August 5, 2010 in Hollywood, California. (Photo by Jason Merritt/Getty Images)

A tummy tuck is a surgical procedure that tightens loose skin around the abdomen, and can remove loose skin, fat, and soft tissue from the love handle areas as well. The muscles under and around the belly button can also be tightened as needed. These are the muscles that can only be tightened with surgery.

The rectus abdominis muscles are muscles that go up and down, next to the belly button. They are also the “six pack” muscles that you may see on very thin and fit men and women. When you’re born, these muscles are next to each other, and meet in the middle of your tummy.

If you gain and then lose a lot of weight, or if you become pregnant and have the muscles slightly separate, you may notice that your tummy bulges out slightly in the middle despite diet and exercise. This slight separation is called a diastasis. If you are relatively fit and thin, and you still have loose tummy skin and loose abdominal muscles in that area, then you may need your rectus abdominis muscles tightened during your tummy tuck procedure to prevent any laxity at that area.

During your tummy tuck operation, the right and left rectus abdominis muscles are sutured together, resulting in putting the muscles back into their original positions. Not all patients need this maneuver, and each case is individual and different. Some patients have very little separation despite many children, and some individuals have wide separation of their muscles despite having only 1 child and no weight gain and loss in their lifetime.

The suture used during this muscle tightening is typically permanent and strong material. There are usually at least 2 sutures to close this diastasis, to ensure that even if 1 suture fails, another one is ready to hold it together.

 

Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

Did you find this article interesting?  Please share via Twitter, Facebook or Google Plus below.

View Comments

Sunday Lounge- Ode to California

24
Oct

Here's an ode to the Golden State, California. Some of these videos are definitely offensive and not suitable for small children.

 
View Comments

Saturday Shout Out- MIXT GREENS

23
Oct

This place is close to my office, and has great salads and tons of ingredients. Salads and sandwiches are custom made, so it also has all the cool phrases you would expect from a San Francisco restaurant- organic, free range, sustainable, locally grown, etc.

Here's the 411 on location, as well as Facebook and Twitter feeds. Mixt Greens started in San Francisco, and are now in LA and DC. It's worth a visit!

http://mixtgreens.com/restaurants.html

www.facebook.com/pages/San-Francisco-CA/Mixt-Greens/32387039442

www.twitter.com/mixtgreens

View Comments
  • American Board of Plastic Surgery
  • American Aesthetic Society of Plastic Surgery
  • American Society of Plastic Surgeons
  • Real Self