WHAT'S NEW

Holiday Party Fun - yes, the woman pointing her tongue is Mrs. Wigod

I continue to answer  Plastic Surgery questions every Tuesday morning on KTVB.  I have tried to shape each segment into a mini consultation to educate viewers about deceptively complex cosmetic and reconstructive issues.  The station has allowed the videos to be placed on my web site under the new page “Video and Media.” Unless there is something particularly timely and important, I will use the Web Log to summarize the segments presented in the previous month.

The first topic was Breast Reduction, one of Plastic Surgery’s highest patient satisfaction operations.

The second topic was Doctor Consultation Questionnaire.  There are some important questions to ask before, during, and after your plastic surgery consultation.

The third topic was Fat Grafting, its applications, and how it is different from stem cell grafting.

The fourth topic was an approach to Early Facial Aging and how surgery may be a better option than fillers, Botox, and lasers in certain patients less than 50.

See the segments on our Video and Media page:  http://www.wigod.com/video-media.html

Wigod Plastic Surgery - Plastic Surgery for Boise, Meridian, and the greater Southeastern Idaho Region

The patient is a slender woman with minimal redundant chest skin and poor skeletal and inframammary fold support for a breast implant.  She requests a high profile silicone gel implant for maximal size on her narrow diameter chest.  A textured implant is chosen to minimize device movement and the inframammary fold is reinforced at surgery with deeply placed, long lasting absorbable sutures.  Post operatively, she has appropriate stretch of the nipple to fold distance and maintains a well defined inframammary fold for an aesthetic result.

Pre op anterior view

Post op anterior view

Pre op oblique view

Post op oblique view

After listening to news radio on the daily commute, the world can seem like a pretty depressing place.  I only have to think for a moment, however, to remember how much I have to be thankful for.  Below is my partial list. Many I know have had a tough year, but I hope all of you have something to be thankful for as well.

I am thankful for my wife who manages both home and office allows me to practice surgery without guilt.

I am thankful for children so that my errors may be their wisdom.

I am thankful for my parents who gave me every opportunity.

I am thankful for my patients who have given me their confidence and understanding.

I am thankful for my fellow Boise Plastic Surgeons who are collegial professionals.

I am thankful for my referring physicians who have trusted me to care for their patients.

I am thankful for the best office staff that I have ever had.

I am thankful for hospital administration and staff who have facilitated my practice.

I am thankful to practice in a field where patients actually want to go to the doctor.

I am thankful that I get to do arts and crafts everyday and call it work.

I am thankful for my patients’ reminder that we cannot take our health for granted and should appreciate every day.

Best wishes for a happy and healthy New Year.

The patient is a woman with a mastectomy on the left and ptotic (droopy) breast on the right who presents for a Trans Rectus Abdominus Muscle Flap and Mastopexy (breast lift).  The ultimate goal is symmetry in the setting of a native breast on one side and mastectomy flaps on the other.  The TRAM, while a large operation, supplies natural feeling fat from the abdomen to the breast location and gives a permanent result without the potential downsides of an implant.  Not all patients are candidates, nor do all want the additional risks associated with a TRAM.