May 15th, 2013 Miguel A. Delgado Jr, MD
San Francisco, California-
Have you heard the “buzz” about the latest skin rejuvenation procedure? Not a Facelift, but an Uplift! Ultherapy is the only FDA approved non-invasive procedure for skin lifting of the face and neck. In one 60 to 90 minute treatment, Ultherapy uses ultrasound to heat up the subcutaneous and SMAS layers which then stimulate growth of new collagen over a 2 to 3 month period. Some patient’s may see continued improvement of lax skin for up to 6 months. With no downtime, the patient is able to continue with regular activities.
The skin tightening procedure has been televised on many popular shows such as; The View, 20/20, Good Morning America and featured in many magazines such as; W Magazine, Prevention, New You, Elle, Oprah and many more!
If saggy skin on the face and/or neck has been bothering you, call Dr. Delgado’s office for a complimentary consultation at (415) 898-4161, to see if you are a candidate for Ultherapy.
April 30th, 2013 Miguel A. Delgado Jr, MD
San Francisco, California-Dr. Delgado was selected by Haute MD to join their prestigious directory of top physicians. Haute MD is an upscale internet publication with informative stories on the latest health and beauty trends. The online publication offers readers access to premiere cosmetic specialists around the country.
Due to his exceptional reputation and skills, Haute MD has featured Dr. Delgado as their newest member as a specialist in plastic surgery for the body, including such procedures as; breast augmentation, breast revision, tummy tuck, mommy makeover and gynecomastia or male breast reduction.
Besides having a directory for top physicians, Haute MD also gives the readers a detailed profile of the doctor’s with before and after pictures of actual patients, videos the doctors may have produced and patient testimonials.
The exclusive website delivers San Francisco Bay Area men and women intriguing articles like:
• “Auriculotherapy Beads for Celebrity Wellness”
• “Cupping Celebrity Health Fad: Groundbreaking or Totally Useless?”
• “Benefits of Dead Sea Salt”
• “Power Juice and How it Helps You”
“Haute MD connects the most trusted doctors and specialists with the country’s most discerning affluent audience. The network is an exclusive, invite only membership circle with only one representative per market for each of the nine medical specialties.”
April 15th, 2013 Miguel A. Delgado Jr, MD
This is a 45-year-old woman resident of Marin County who is 5 feet 5 inches tall and weighs 135 pounds. She is a mother of two children. She underwent a full tummy tuck and tumescent liposuction of her flanks.
San Francisco, California – One of the most popular cosmetic surgical procedures for San Francisco Bay Area patients is the tummy tuck. For some patients who have lost a lot of weight, men and women alike, a tummy tuck removes excess skin and fat for a smoother and flatter stomach.
For women who are finished having children, the abdominoplasty is a remarkable procedure to help them achieve their pre-pregnancy figure. In addition to the tummy tuck, a waist enhancement procedure can be added to give more definition to the waist. An extremely popular procedure adds breast surgery to the tummy tuck. This is known as the mommy makeover. The breast surgery could be a breast lift with or without implants and in some cases a breast reduction.
A standard tummy tuck usually takes 4 hours and the fee for Dr. Delgado would be about $6800. The fee for Marin Cosmetic Surgery Center would be $2800. The anesthesiologist fee is $1200. The supplies run about $1050, including a pain pump, surgical garments, VitaMedica vitamins and various other supplies. These fees are just to give an estimate of costs involved; at the time of the initial consultation each patient will be given a personalized quote.
For many it seems no matter how much dieting and exercising are done, it is not possible to get a flat, smooth abdomen that the tummy tuck procedure can provide, thereby making it one of the most patient pleasing procedures available.
March 30th, 2013 Miguel A. Delgado Jr, MD
Dr. Delgado has been using the Keller Funnel for his San Francisco Bay Area patients for quite some time now. Always wanting the best possible results for all of his cosmetic surgery patients, he is on top of all new procedures and devices.
The Keller Funnel was brought to market in August 2009. It is a device designed for easier insertion of silicone breast implants for cosmetic plastic surgeons performing breast augmentation surgery. Patients seem to heal faster and adjust to their implants easier.
The funnel is a nylon pouch shaped like an icing bag with an interior coating of a special lubricant, allowing any style or size implant up to 800cc’s to be inserted. The narrow end is placed into the incision, and the surgeon squeezes the implant into the breast. The traditional delivery system for augmentation mammoplasty, the surgeon uses his finger tip to guide the implant through the incision into the pocket.
The Keller funnel is a one use “no touch” disposable device. It allows the surgeon to make a smaller incision with less stress on the implant; in fact an independent study claims the method reduces force applied on an implant by 95%.
Another advantage of a “no touch” technique is that it greatly reduces possible contamination. The breast is not a sterile organ; there is colonized bacteria living in the nipple ducts. Even with proper surgical preparation there is no guarantee of a completely sterile surgical field. Bacterial contamination is believed to be one of the leading causes of capsular contracture.
March 15th, 2013 Miguel A. Delgado Jr, MD
American Society of Plastic Surgeons
2012 Annual Statistics
The latest statistics on cosmetic plastic surgery procedures for 2012 were released by the American Society of Plastic Surgeons (ASPS). Surprisingly breast augmentation is not the fastest growing procedure as it has been in the past. Cosmetic plastic surgery procedures show a 5% increase over 2011. This increase is fueled by the significant uptick in minimally-invasive procedures enjoyed by many San Francisco Bay Area patients such as; Botox, Dysport, Juvederm, Restylane and Radiesse.
Facelifts increased by 6%, and eyelid surgery was up 4%. There are several different theories as to why facial rejuvenation is seeing such an increase. Some believe that facelifts became less popular during the economic downturn, but people seem to be feeling better about the economy and are more optimistic about the future. Also, it is believed as the “baby boomer” generation is growing older many are opting for methods to maintain their youth. They are staying active longer and remaining in a competitive work place much longer than even a decade ago.
The top 5 procedures were:
• Breast augmentation (286,000 procedures, down 7 percent)
• Nose reshaping (243,000 procedures, no change)
• Liposuction (202,000 procedures, down 1 percent)
• Eyelid surgery (204,000 procedures, up 4 percent)
• Facelift (126,000 procedures, up 6 percent)
Note that while breast augmentation remains the #1 procedure, it was down 7% from 2011. Interestingly for men, male breast reduction surgery increased by 5%, this is believed to be attributed to increased awareness and acceptance of the procedure.
February 28th, 2013 Miguel A. Delgado Jr, MD
Before and After Tummy Tuck
The February issue of Plastic and Reconstructive Surgery, which is the official medical journal of the American Society of Plastic Surgeons (ASPS), states that a pilot study shows that patients who have had an abdominoplasty (tummy tuck)may have significant lasting weight loss. This is particularly true of those Marin County patients who were overweight or obese prior to surgery.
This may be due to increased satiety, feeling full after eating. The researchers also discuss possible changes in the “neuroendocrine system” by removing fat cells from the abdomen; it may reduce the levels of hormones affecting the appetite which are secreted by fatty tissues. More studies will be needed to confirm this hypothesis.
February 15th, 2013 Miguel A. Delgado Jr, MD
San Francisco Bay area patients often ask “how does one go about finding a good qualified plastic surgeon?” The internet is a good source of information, but most surgeons sound good if you look at their website. What exactly is one to look for that determines the qualifications of a surgeon? Whether you are looking to have a facelift, mommy makeover or breast reduction you want to make sure your surgeon is Board Certified in Plastic Surgery. You may ask, “What does Board Certified mean?”
According to the American Society for Aesthetic Plastic Surgery (ASAPS) one of the most prestigious plastic surgery societies in the United States, a Board Certified Plastic Surgeon is one who is certified by the American Board of Plastic Surgery (ABPS), the only board recognized by the American Board of Medical Specialties (ABMS). To be certified by the ABPS, a physician must have at least 5 years of approved surgical training, including a residency in plastic surgery.
ASAPS states further that physicians who call themselves “cosmetic surgeons” could be trained in any specialty, including a non-surgical specialty, because anyone who has a medical license can legally call him or herself a surgeon even if they have no formal surgical training. ASAPS warns: state laws permit any licensed physician to call him or herself a “plastic” or “cosmetic” surgeon – even if he or she has not been trained as a plastic surgeon or has had no surgical training at all – prospective patients must select their doctor carefully.
Marin County patients should not be hesitant to ask their surgeon during consultation if he or she is Board Certified in Plastic Surgery, the only doctor that might be offended would be one that is not.
Ask friends who are happy with their plastic surgery results for a referral. Be sure to see many before and after pictures of the surgeon’s patients.
January 30th, 2013 Miguel A. Delgado Jr, MD
Excess skin at the lateral brow is a common complaint of patients that have had upper eyelid surgery. Having a lateral Browpexy at the same time as upper eyelid surgery addresses this issue. This combination of procedures rejuvenates not only the upper eyelid but the outer aspect of the brow. The lateral Browpexy does not lift the entire brow, only the outer third. For those Marin County patients that would be a candidate for the Browpexy, it is a great procedure as it is less invasive than traditional brow lifts with a faster healing time.
San Francisco Bay Area women love this procedure; they like to combine it with “corrugator muscle excision”, this is the muscle that allows the eyebrows to squeeze together forming frown lines between the eyes. With excision of this muscle, the effect is similar to Botox treatments, except the results are permanent.
January 15th, 2013 Miguel A. Delgado Jr, MD
Before and After Neck Lift
The neck seems to be one of the first places that show signs of aging. It is definitely an area that disturbs most San Francisco Bay Area people, with descriptive terms such as turkey neck or turkey waddle. In order to tighten this area, a neck lift is performed. This is where the cosmetic plastic surgeon makes incisions under the chin or behind the ears or both, in order to access the neck muscle called the platysma.
The platysma is a broad based flat thin muscular sheet, covered with fat that originates from the fascia of the pectoralis major and deltoid muscles. It reaches from the neck to the inferior border of the mandible (lower jawbone). As we age, the neck forms platysmal bands, this is when the platysma tends to separate in the mid-line and lose elasticity, and it thickens forming prominent folds of skin in front of the neck.
Platysmal plication is where the surgeon sutures the ends of the platysma muscle back together; this is usually done in combination with a lower facelift.
December 27th, 2012 Miguel A. Delgado Jr, MD
Before and After Breast Revision Surgery
Any foreign material implanted in the body will develop a tissue capsule around it. This includes breast implants, artificial joints and pacemakers. This is a normal part of the healing process and usually does not cause a problem. For 15% to 20% of women who have breast augmentation, the capsule can thicken which will constrict the implant and make it feel hard requiring breast implant revision.
San Francisco Bay Area women ask what can be done if a capsular contracture should form causing discomfort and distortion of one or both breasts. There are two different techniques used to release the capsule.
The Capsulotomy is the least aggressive procedure. The surgeon makes several incisions usually at the base of the breast capsule. The capsule is not removed, just cut in several places allowing the capsule to expand.
The Capsulectomy is a more involved procedure, where the surgeon removes the entire capsule; the Capsulectomy generally has a higher success rate.
The cause of capsular contracture is still being studied. According to an abstract in the Aesthetic Surgery Journal, (published by the American Society for Aesthetic Plastic Surgeons), states: “A growing body of evidence implicates subclinical (biofilm) infection around breast implants as an important cause of capsular contracture”.