Logo Roy Kim, MD
San Francisco Plastic Surgery

call us at 415.362.1846

220 Montgomery Street, suite 348
San Francisco CA - 94104

What is the Best Anti-Bruising Cream After a Facelift?

6
Dec

Bruised pear with band-aid on red background

After your facelift, you will probably want to minimize swelling and bruising after your procedure. To heal faster and reduce bruising as much as possible, there are several  creams which may help reduce bruising.

The best herbal cream to reduce bruising, in my opinion, is some type of Arnica cream. Arnica is a type of sunflower that has been used to reduce bruising, sprains, and muscle inflammation. In cream or lotion form, it may help with to reduce bruising and swelling.

Another herbal medicine based on Echinacea may also help in reducing bruises. This herb is derived from a type of daisy, and has been used because it is thought to induce white blood cells towards the area of injury and help prevent infection. This may also reduce bruising, since white blood cells will help to mobilize fluid and help with healing.

A big medicine or cream NOT to take after your facelift is anything in the aspirin family. Aspirin is a wonderful anti-inflammatory, but unfortunately works by thinning your blood slightly. This is a potential problem after surgery, because you want your body to heal and not have excessive bleeding after your procedure. Aspirin, ibuprofen, and any other medicine is generally not recommended before or after a facelift- talk to your plastic surgeon about his or her preferences.

 

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.

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What We're Listening To- All Day by Girl Talk

5
Dec

Occasionally everyone in the operating room starts busting a move in-between cases. We've all been shaking to the latest oeuvre by Girl Talk, the album All Day. It's an epic mash-up. Plus, he's from my home town, the birthplace of Iron City Beer- Pittsburgh, PA!

Warning- not suitable for young children.

Download the album for free here-

http://illegal-art.net/allday/

Tour Dates here-

http://illegal-art.net/shop/#news49

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Are Limited Surgical Liposuction Alternatives Effective?

2
Dec

Fitness detail

There are several limited incision and minimally invasive liposuction alternatives on the market. Some of my patients have asked me if they are effective or not. The alternatives to surgical liposuction do work to remove fat, but in generally, they may not be for everyone, and will not result in as much fat loss as traditional liposuction.

Some alternatives to traditional liposuction include use of a laser. Generally, an incision still needs to be made, and a plastic catheter is placed underneath the skin and into the area of fat. The laser is then activated, which melts the fat. The fat still needs to be removed with traditional liposuction.

There is a different technique that uses cold to “freeze” the fat externally, and your body absorbs the fat and excretes it. This method relies on clamping the fat, and then applying the cryo-device. The problem with this technique is that the clamp can’t actually clamp all areas, the skin and fat under the clamps may have a dimple after the device is applied, and not much fat can actually be removed.

Liposuction requires a small incision to access the skin, and then either suction or ultrasound or both are needed to melt and/ or remove the fat. This can remove the most amount of fat and give you the best contour possible, but it may require general anesthesia, more swelling, and a longer recovery time. However, traditional liposuction still remains the gold standard of body contouring and fat loss.

There are other technologies on the horizon. The one I closely follow is use of an external ultrasound device that melts fat, and your body excretes the dissolved fat. This technology has the advantage of no incisions, true fat loss, even contour, and no down time. The problem with this technology is that it will still not remove as much fat as traditional liposuction. This device exists in Europe and Asia, but is not in the US, and is still awaiting FDA approval.

 

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.

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Happy Thanksgiving!

25
Nov

Food-laden table for traditional holiday meal

Fun Facts About Thanksgiving

- Benjamin Franklin wanted the turkey to be the national bird of the USA, not the Bald Eagle

- The first celebration of Thanksgiving was 1621

- more info can be found here- http://en.wikipedia.org/wiki/Thanksgiving_%28United_States%29

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How Important Is It To Wear a Compression Garment After Liposuction?

17
Nov

10th May 1950:  A model shows off an Aurore tulle brassiere and girdle at a fashion display of corsetry, underwear and nightwear at the Park Lane Hotel in London.  (Photo by Topical Press Agency/Getty Images)

After liposuction, your skin is technically a little loose, and will require some time to tighten up and fuse to the underlying soft tissue underneath. This is why you will probably wake up with a compression garment after your liposuction procedure.

This garment is usually quite snug, and helps to reduce swelling and allow your skin to tighten quickly the next several weeks after your procedure. The compression garment is crucial after your liposuction procedure, and comes in different shapes and sizes to compress your abdomen, arms, thighs, neck, or any area where you had liposuction.

You will also notice that wearing a compression garment right after your procedure will help support your body when moving. This is more noticeable with the abdomen area, but you will still notice it in the arm and thigh areas.

Most plastic surgeons recommend wearing some type of compression garment for 1-4 weeks after surgery, and some advocate wearing a 2nd, slightly less snug garment, after the initial healing phase. The length of time depends on your body areas of liposuction, how much fat will need to be removed, and your overall healing time.

 

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.

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Have you ever had liposuction? Or do you have any suggestions on wearing your compression garment after surgery? Please feel free to leave a comment or question below.

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7 Ways To Get Rid of Crow's Feet

16
Nov

Close-up of a senior woman in thought

Crow’s Feet occurs when you have fine wrinkles around the corners of your eyes. When you smile or close your eyes tightly, you may be able to see wrinkles form, which are also known as crow’s feet. There are several ways to avoid them and postpone their appearance, and several ways to actually eliminate them.

Sun exposure increases your chances of developing crow’s feet, so avoid the sun or use sunscreen or both. Helpful hints regarding sunscreen include using fresh, non-expired sunscreen, applying it frequently, and applying enough of it to your face.

A healthy lifestyle is key to avoiding skin laxity and wrinkles in general. Avoiding excessive drinking, eat healthy foods that can support collagen and skin health, and hydrate frequently to help keep your wrinkles at bay.

Don’t smoke- smoking causes more wrinkles, period. The blood vessels to your skin become smaller, and your skin’s ability to repair itself may become impaired with time.

Excellent skin care, especially prescription skin care, will help with regeneration of your collagen and enhance your skin’s ability to have fewer wrinkles. Exfoliating agents, such as Retin-A or chemical peel, will also help to reduce crow’s feet.

Botox is one of the best procedures for elimination of crow’s feet. Botox is an injectable that temporarily paralyzes muscle. If Botox is injected into the muscles that cause the wrinkles around your eyes, then your crow’s feet should disappear.

Skin resurfacing, such as with a laser resurfacing procedure, will be stronger and more effective than just daily skin care. You will probably have to take some time off of work, but a facial resurfacing will help tremendously with your overall facial skin tone and reducing the fine wrinkles you may see.

Surgery is a last resort, but a facelift modification is possible to reduce the crow’s feet. Using either a facelift approach or an eyebrow lift approach, the skin can be separated from the underlying muscles that cause crow’s feet.

 

 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.

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If you have any comments or questions, please feel free to leave them below.

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Why is My Surgery so Early in the Morning?

15
Nov

Alarm Clock Waking Teen Girl

As you probably suspect, one of the biggest reasons why I went into Plastic Surgery is to become a sadist. Not only can I inflict pain with surgery, but I can also make my patients wake up at a painfully early hour to completely disrupt circadian rhythms and generate even more torment.

On a more serious note, the reason why surgery is scheduled so early in the morning is because we’re actually quite compassionate. Generally speaking, you will need to have an empty stomach for about 6-8 hours before your procedure. This ensures that your stomach is empty of any contents for general anesthesia. This way, if you get nauseated after surgery, you can try to throw up, but nothing will come out. With no stomach contents, you won’t accidentally swallow stuff into your windpipe, or lungs.

Aspiration pneumonia is a serious complication for any surgical procedure requiring sedation or general anesthesia. If you have dry heaves, as opposed to actual stuff or vomit in your stomach, then the changes of you having anything going into your lungs is much lower. As surgeons, we take this risk so seriously that we ask patients not to eat or drink 6-8 hours before any surgery requiring some sleep or sedation medicine.

If you have your operation at 730 AM, that means that you probably have had nothing to eat or drink- you’ve been sleeping at night. If we operated at 300 PM, then you would not be allowed to eat or drink after 700 – 900 AM, and you’d be wide awake during your entire fast. You would probably be grumpy and hypoglycemic, and you would not have the advantage of being asleep during this non-eating and drinking period.

So, be thankful for your early morning surgery start time!

 

 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.

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Saturday Shout Out- THE ART OF MANLINESS

13
Nov

Let's face it-  it's hard being ultra manly with no guidance.  This website will help you tremendously in attaining the proper masculine ideal.  This website, the Art of Manliness, should help anyone attempting to reach manly nirvana.

http://artofmanliness.com

http://www.facebook.com/artofmanliness

http://twitter.com/artofmanliness

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When Can You Have Sex After Plastic Surgery?

11
Nov

Let’s face it- many people want to have plastic surgery to not only boost confidence, look more rejuvenated, appear more youthful- they want to feel more sexy. There, I said it, and I hope I didn’t offend anyone.

So, when can you “get it on” again after your procedure? My favorite answer- it depends- still works here, but some common sense applies as well.

Basically, you want to feel recovered, in little to no pain, and have your surgical incisions closed before you get back to your significant other. This assumes that you are an active participant in the, er, festivities.

Mentally and psychologically, it’s important to have plastic surgery for you, and not necessarily for others. If you’re secure and confident before surgery, then after you heal and aren’t in much pain, you should feel confident to have fun with your partner in crime as soon as possible after plastic surgery.

Plastic Surgery involves surgery, so you probably will not feel comfortable with physical intimacy until some of the swelling, bruising, and pain has gone away. Of course, this depends on the location of your surgery, number of locations, and how quickly you heal, but it’s generally safe to have sex when your body tells you that it’s not in significant pain.

If you have surgical incisions, in general you will want them to be healed and closed up before pursuing rigorous activity. You don’t want to have plastic surgery, and then have a slight separation of your scars due to over-exuberance with your partner. Allowing your incisions to heal is a good indicator of when you’ll be ready for a return to fun.

It’s always best to ask your plastic surgeon about the right time to return sex, and only he or she knows, after talking to you and examining, when the best time is for you and your body.

If you have any questions or comments on this topic, please feel free to leave a comment below.

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What is the Recovery Like After a Mommy Makeover?

10
Nov

38524, VENICE, ITALY - Friday March 12 2010. Angelina Jolie and Brad Pitt board a canal boat in Venice with their twins Knox and Vivienne. The Jolie-Pitt family are in Venice while Angelina films a movie called The Tourist . Photograph: PacificCoastNews.com

A Mommy Makeover is a large operation involving the abdomen and upper body. The abdomen usually undergoes a tummy tuck and some bilateral flank liposuction to reduce and eliminate the loose skin that may be associated after childbirth. The breasts often undergo a breast augmentation, breast lift or a combination breast augmentation and lift to give a more youthful and aesthetically appealing appearance to the breasts. Both operations can usually be done at the same time. In many women, a Mommy Makeover is a powerful, confidence building operation.

Recovery after a Mommy Makeover is variable, but typically takes about 10-14 days. The more procedures you have, the longer recovery time may be required. For example, if you need just a tummy tuck, your recovery will be faster than if you have a tummy tuck and liposuction. Another example would be if you had just a breast augmentation, you should have a slightly faster recovery compared to a breast augmentation with a breast lift.

A Mommy Makeover is typically done in a surgery center or hospital setting. Depending on your overall health and the amount of surgery you need, you may have to stay overnight in a hospital. After you go home, you will still need someone to help take care of you for 1-5 days afterwards.

After your procedure, drinking plenty of fluid and walking around a little will help mobilize your fluids and help with recovery. Hopefully your surgeon uses a pain pump, which dispenses numbing medicine automatically to the areas of surgery. This will reduce your pain levels and increase mobility as well.

If you have children, you should make sure that you have extra help taking care of them right after your Mommy Makeover. You should be able to walk around gently several days after your procedure, but everyone is different, and having extra help at home will psychologically give you a little less stress.

Returning to work will take 10-14 days, and you should be able to return to an office job sooner than if you have a more active job. Driving should also be possible within 2 weeks, but you should be off of pain pills before you drive.

 

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.

Do you have any questions about Mommy Makeovers? Have any comments? Please feel free to leave some below.

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