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BHP Blog

A recent article on NextShark discusses a reported dramatic increase in the number of South Korean men obtaining plastic surgery, largely influenced by the growing popularity of “pretty boys” in both K-Pop and television K-Drama. The truth is that standards of male appearance are changing not only in the Asian nation, where plastic surgery has been generally popular for many years, but all over the world. Even here in the United States, where men once favored a more rugged look, many males are now going for a combination of a softer, even somewhat androgynous, face, and a well-toned and muscular body. The good news is that plastic surgery and cosmetic offerings can help many men to achieve their desired appearance.


While there are definitely limits to what can be achieved, within reason procedures can help a great many men get closer to their ideal with numerous procedures. In terms of facial appearance, rhinoplasty (nose jobs) has long been one of the most popular procedures for American men, but now more of them are asking for somewhat more boyish appearance by making the nose less pronounced. Also, men wishing to stave off premature wrinkles and other skin issues often opt for Botox (aka “Brotox”).

The NextShark article discusses the increasing popularity of plastic surgeries that can create a more toned and muscular look. One procedure that is apparently growing in popularity in the South Korean market is breast reduction for men. Some young men in particular may have otherwise attractive physiques that may be somewhat marred by gynecomastia (enlarged male breasts). Other body contouring procedures often sought by men includes liposuction, to remove stubborn pockets of fat that seem immune to vigorous exercise and a healthy diet and abdominoplasty (tummy tuck) that is often chosen by men who have loose skin following a weight loss.

More and more men are learning what many women have long known: plastic surgery and cosmetic procedures are very often an outstanding solution, and there’s no shame in wanting to look your very best. 

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We at Beverly Hills Physicians are delighted to announce the addition of two plastic surgery fellows to our team for the academic year 2017-2018, Christina M. Busuito, M.D. and Lukasz Swistun, M.D. This one year fellowship is designed for candidates who have successfully completed residency in Plastic and Reconstructive Surgery.  The fellows will have the opportunity to work with leading experts in the field of aesthetic plastic surgery, gain hands-on experience, and have access to an unmatched volume of surgical cases, including breast augmentation (primary or revision), breast lift and reduction, liposuction, abdominoplasty, facial procedures, rhinoplasty (primary, revision and ethnic), fat transfer, post bariatric body contouring, and much more.  

Coming to Southern California from the state of Michigan, Dr. Busuito is bringing her friendly and approachable Midwestern bedside manner to the high-flying world of Los Angeles plastic surgery, where she is earning very positive responses from delighted patients. Dr. Busuito was trained in Plastic Surgery at Detroit’s Wayne State University, where she also performed her residency in General Surgery and attended medical school. The doctor is a member of the American College of Surgeons, the American Medical Association, and the Detroit Surgical Association.

Dr. Lukasz Swistun brings a fresh approach, a strong background in aesthetics, and a resume that underscores his ability to handle a wide variety of very challenging situations. Another former resident of the Midwest, Dr. Swistun graduated from the University of Chicago at Illinois, where he also completed his residency in general surgery. Moving further west, Dr. Swistun’s residency in Plastic and Reconstructive surgery was at the University of Utah in Salt Lake City, where he mastered craniofacial, reconstructive, and cosmetic surgery.  A Naval Medical Officer from 2004 to 2009, the doctor was twice deployed with the United States Marines in the Al Anbar province of Iraq. Dr. Swistun’s background also includes a B.A. in Visual Arts. While serving his country, Dr. Swistun took a sideline as a photographer working with the Associated Press and he continues to pursue his interest in the art of photography in his spare time.

Our team at BHP is proud to welcome both Dr. Busuito and Dr. Swistun. We look forward to introducing these two doctors to women and men from throughout Southern California.

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A slideshow we recently posted on Instagram, depicting a very graphic look at a tummy tuck (abdominoplasty) procedure, caused some concern from viewers about the issue of vertical scarring. (You can see the slideshow via this link, but be aware that it contains some extremely graphic images that are not for the squeamish.)

An explanation is in order. First of all, most tummy tuck procedures involve only a horizontal incision. The incision is typically placed on the lower abdominal area, below the bikini or panty line, with the added bonus that scars tend to fade and become less obvious over time.

The picture that appeared on Instagram, however, involved what is known as a fleur de lis abdominoplasty. A fleur de lis procedure adds a horizontal incision to the usual vertical incision to allow for the removal of significant loose skin; the resulting shape is somewhat similar to the fleur de lis (flower of the lily) symbol that many of us may associate with the Boy Scouts and Girl Scouts. This type of procedure is typically only performed when the patient has lost a very large amount of weight, usually with the help of a weight loss surgery or aggressive diet. When skin is overstretched beyond certain physiologic limits, it losses laxity and does not shrink back to its original shape. For example, a fleur de lis would likely be performed on a patient who had lost a very large percentage of his or her overall body weight – often as much as 100 pounds or more, and mostly from abdominal area. However, in a case where a patient had gained and lost a small amount of weight, such as the “baby weight” that often follows a pregnancy,  an ordinary abdominoplasty with a low laying horizontal incision would be sufficient.


Nevertheless, the fleur de lis procedure has been proven to provide outstanding results for patients who are left with a great deal of loose skin and other tissue following a major weight loss. To give you an example of what we’re talking about below is an example of a “before” and “after” results for fleur de lis adominoplasty. 

As you can see, the “after” picture above shows a fairly modest horizontal scar right along the bikini line. Keep in mind, the horizontal scar is low enough to be hidden by panties, bikinis, or low cut jeans or a skirt. There is an even harder to spot vertical scar visible in the picture. While most people would be able to spot the vertical scar after it had been pointed out to them, it’s entirely possible that many viewers who didn’t know about the procedure would miss the vertical scaring completely.

In any case, we think it’s pretty clear that the second picture is a dramatic improvement over the first picture. While we’re always working hard to minimize scarring, it’s a necessary part of almost any surgery.

The last point is that fleur de lis surgery is a highly technical and complex surgery and requires years of training and experience. Most plastic surgeons cannot offer this surgery due to technical challenges of the procedure.

We will be happy to address any questions regarding this case. 

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A recent article on Reuters Health News discusses a study which found that most successful weight loss surgery patients who had received a body contouring procedure reported experiencing a better quality of life, compared to other patients. Our doctors at BHP perform both of these procedures, and this report jibes with what we regularly hear from our patients who have received procedures ranging from liposuction to a tummy tuck (abdominoplasty) following a successful weight loss surgery.

The Realities of Defeating Obesity

We put a great deal of effort to making sure that weight loss surgery patients have a clear and realistic view of what to expect following their procedure. While every case is different, a great many patients who experience a truly significant weight loss can expect to eventually find themselves with folds of skin and pockets of fat that may not be vulnerable to standard diet and exercise. Moreover, these folds are not only a cosmetic issue, as many patients also find them to be uncomfortable.

BHP is able to provide complete care for loose skin after a weight loss, including the procedure popularly known as a tummy tuck (abdominoplasty). Our patients typically report that they feel as if the procedures complete the process that began with their initial weight loss procedure. Indeed, even with the very significant assistance of a bariatric surgery, patients must put some genuine effort into changing their eating habits and taking care of their health following a procedure. Many patients tell us that they feel that the results of their tummy tuck and/or liposuction procedures are a very significant reward for their efforts, and that they feel far more confident and at-home with themselves.

It gets better because we at BHP pride ourselves on using the most advanced techniques to perform all of our treatments, including abdominoplasty. An aspect of the procedure that nearly all patients find inconvenient at best are the drains that are routinely put onto patients following the surgical procedure. Fortunately, we are now able to offer many of our patients a drainless tummy tuck using TissuGlu, a surgical adhesive that allows the majority of patients to undergo a recovery without the need for any additional management of liquids during the healing process. 

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It’s entirely understandable that people trying to lose weight are often confused about how much they should focus on exercise, versus cutting the amount of calories they take in. Weight loss journeys can be extremely frustrating in that we feel like we’re eating a lot less and exercising a lot more, but the weight often seems to come off too slowly, or even not at all.

It’s Time to End the Diet vs. Exercise Debate (Do Both!)

In these circumstances, it can be tempting to try and focus more on one side of the equation than the other. Indeed, as a very good July 14 article in U.S. News and World Report points out, some (but not all) experts tend to say that diet is, in fact, the more important side of the equation when it comes to weight loss.

The confusion, however, is that while that may well be true on a strictly technical level, exercise is also absolutely crucial to people dealing with weight issues for at least two important reasons.

1.Muscle mass. Dieting without exercise can result in a dramatic weight loss, at least at first. However, without exercise, some of that weight will be muscle, which we absolutely need. This is important because, “weight loss” is arguably something of a misnomer. The term should really be “fat loss.” We want to get read of most of the fat but we also want to gain muscle…and we definitely want to keep as much of the muscle tissue we already have as possible. Importantly, muscle actually weighs more than fat, so it’s important to realize the battle against being overweight or obese is not just a numbers game.

2.Counteracting the effects of excess weight and obesity. Doctors sometimes note that, if the effects of exercise could be packaged as a drug, just about everyone would be taking it. Indeed, the beauty of exercise is that you’ll live longer and, just as important, be a lot happier, even if you don’t lose a single ounce. Exercise has proven effects on such key health matters as blood pressure and blood sugar – and it therefore helps to prevent innumerable serious medical problems associated with being overweight that can be devastating to the length and, more importantly, to the quality of our lives. From strokes and heart attacks, to joint pain/arthritis and depression, exercise is the closest thing there is to a miracle cure. Also, it just plain feels good.

So, the answer is pretty clear. Reduce your calorie intake to lose weight and exercise to reduce fat, gain/preserve muscle, and make sure you’re a healthy and happy as possible.  Even so, particularly for those of us with really persistent weight issues, there are many steps that can be taken with the help of our BHP medical team, including bariatric surgery for severely obese individuals (those with body mass indexes of 40 and over, or 35 and over with accompanying health problems). To find out more, contact us today!

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We at BHP are happy to announce that we are now offering eligible patients a tummy tuck (abdominoplasty) procedure without the need for drains during the post-operative recovery period, thanks to an outstanding new medical product. TissuGlu Surgical Adhesive binds tissues more closely together than a standard suture. The result is that, in a majority of cases, fluids do not collect excessively near the incision site and may exit the body without drains via the body’s natural processes.

TissuGlu Surgical

Tummy tucks, which remove the excess skin and fatty tissue that may appear around the midsection due to a weight loss or following a pregnancy, are one of our most popular plastic surgeries. Indeed, BHP patients regularly tell us that they are delighted with their tummy tuck results, but they also say that they are much less happy about the need to use small, plastic drains during a period following the surgery that may last as long as three weeks. Patients sometimes complain about the need to regularly measure and empty the drains, that they are hard to conceal underneath clothing, that they are somewhat uncomfortable, and that they can even make sleeping difficult.

Fortunately, patients who qualify for TissuGlu not only benefit in terms of avoiding inconvenience and discomfort, studies have also shown that drainless tummy tuck patients are able to resume their regular daily activities more quickly, including showering, driving, and working. While a minority of patients may need some assistance with fluid management following a procedure, roughly 75 percent of patients who receive the TissuGlu surgical adhesive need no additional help regarding fluids.

The good news is that the majority of patients who qualify for a tummy tuck are also candidates for TissuGlu. However, exceptions may include people with allergies to urethane-based products and those containing isocyanate, patients with body mass indexes over 28 or who are getting a tummy tuck following an extremely large weight loss, and patients who have used TissuGlu previously. (The product has not yet been tested for repeated usage.) If you are interested in a drainless tummy tuck with TissuGlu, the best way to find out whether or it’s appropriate in your case is to schedule a consultation with a BHP plastic surgeon. Contact us by phone or e-mail for a consultation.

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Stanley Paul Frileck M.D., F.A.C.S. of Beverly Hills Physicians has been closely following some of the media coverage of this issue in such publications as The New York Times. His thoughts on the matter are below.

I’m a rather experienced plastic surgeon and one of the operations I do is breast augmentation with silicone implants. Like many of my patients, I have read about BIA-ACLC non-Hodgkin’s lymphoma that seems to be associated with textured breast implants in some rare cases. Only a few of my patients have called to ask, but most folks understand we are talking about an extremely low likelihood. 

An FDA Executive Summary notes: “….Based on available information, it is not possible to confirm with statistical certainty that breast implants cause ALCL.”  It also says “….most women with ALCL have made a full recovery after surgery.” The associated implants were bacteria contaminated.

While it would be foolish to dismiss this finding out of hand, my guess is that not too many plastic surgeons will stop using silicone breast implants. Some people thinking about breast augmentation may decide not to go ahead, but if the need, want, desire, was there, I would not advise against the operation with textured silicone gel implants.

Doctors live with those kinds of decisions all the time. We look at the numbers like everyone else. The difference is in the responsibility for the recommendation. Most physicians practice at only one level, presumably the highest. 

As one of those doctors, my recommendations are the same for everyone: mother, lover, sister, stranger. Nor is this about selling breast surgery, which should not happen. It’s rather about informed consent.  The only reason I would mention the risk of ACLC cancer to a new patient, is because it is in the news. No material implanted anywhere in the human body is perfectly safe. Dental implants, for example, can foment squamous cell cancer; joint implants can cause hemopoietic cancer; all are rare.

There is enough to consider when thinking about a breast augmentation: capsule formation, infection, hematoma, and more. These all come at a greater risk than a silicone-related cancer, and even those risks are extremely low. The risk of ACLC is much lower again. (I am purposely tap dancing around the statistics, because while I know the danger of an ACLC is really tiny, I don’t want to get caught up in the numbers.)

Remember, two things occurring in relation to each other, is not the same as one thing causing the other. Women with implants should be aware of the possibility and check with the FDA sites below for further information.



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A May 20 article on CNBC discusses how more men are dealing with what they see as threats to their careers posed by ageism through obtaining facial procedures, most commonly injectable-based procedures such as Botox and Juvederm. The report corresponds with the increasing number of men we at BHP are seeing in our offices who are seeking out solutions that they believe will help them to stay relevant in their professional and their business lives. While such factors as the tendency to delay retirement as healthcare advances and patients’ financial needs are definitely an issue, the declining stigma associated with cosmetic procedures of all types has also been a factor in our increased business.


The CNBC article gives the example of 54 year-old David, a New York investment professional, who felt that his customers preferred someone who appeared to be younger and more in-step with the latest trends, as opposed to a “wise old man” figure. Particularly in a highly youth-obsessed culture, and especially for both men and women in appearance conscious-Los Angeles, being perceived as somewhat younger really can make a positive difference in a great many fields.  However, while many still assume that people who obtain cosmetic procedures are primarily performers of one sort or another, that’s hardly the case. While some of our customers do, in fact, work in the entertainment business, both behind and in front of the camera, they also come from fields as diverse as the law, government, medicine, finance, and pretty much any other area most people can think of.

Indeed, it’s not just ongoing the desire for procedures that many patients are feeling that explains the increase. The rise in male procedures, from injectables to facelifts and rhinoplasty  in recent years, as the article states, is also largely driven by the increasing social acceptance of plastic surgeries for people of all ages and genders. While these procedures for men might have once seemed to be violating some kind of masculine taboo, this is simply no longer the case. Men of all ages increasingly simply view cosmetic procedures and plastic surgery as one more weapon in their professional and personal arsenal. 

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An article we recently spotted over at Allure talks about the reality that more and more young people are receiving plastic surgeries and cosmetic treatments as graduation gifts. While this might seem like an unusual step away from the usual gifts of money, a watch, or jewelry (and maybe a scrap book), it’s one that might make sense for an awful lot of us.


After all, perhaps the single most important asset a young person can have as they set out to place themselves on the job market and the search for lifelong companionship is self-confidence. If altering a feature that a patient is less than fully pleased with through a procedure such as a rhinoplasty (nose job) or an eyelid lift (blepharoplasty) will make them feel more comfortable when it’s time for that big job interview or important social event, then that’s almost the very definition of the proverbial “gift that keeps on giving.”

The same may apple to such procedures as breast augmentations and breast reductions for young women. Women who feel their breasts are too small often report a greater degree of overall self-confidence after a breast augmentation procedure. Similarly, women who feel that they are over-endowed might prefer a little bit less unwanted attention as well as enjoying some very physical benefits from smaller breasts. (Very large breasts can be associated with such issues as back pain and may also limit the ability to participate in certain sports and activities.)

Here at BHP, we’ve performed the full range of beauty and health treatments for women and men of all ages and, we can tell you, there are few gifts as powerful as the gift of a little extra confidence.

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An April article from the Newport Beach Indy reports on a new documentary, “Take My Nose…Please,” covering the reactions of female comics to the subject of plastic surgery. Remarkably, the film’s first-time director is 89 year-old Joan Kron, a former editor of Allure magazine.  The film’s reportedly lighthearted and nonjudgmental approach to plastic surgery underlines a growing acceptance and normalization of plastic surgery in the public mind. Indeed, here at BHP, we’re finding that more and more people equate plastic surgery and other procedures with other beauty treatments.  Our patients typically cite a number of reasons for obtaining procedures such as rhinoplasty (nose job) or breast augmentation. These include:

Staying Relevant in the Workplace. It’s not just performers who feel they can benefit from an improved or rejuvenated appearance. Many of our patients – from fields as diverse as the law, real estate, and education – feel that appearing older can be a subtle handicap to career advancement. Many of them have reported a noticeable improvement in their fortunes after getting procedures that make them look younger or more attractive; they say that coworkers appear to take them more seriously and somehow their views on current changes in the marketplace are more likely to be considered, perhaps because they are perceived as somehow being more in touch with contemporary trends.

Plastic Surgery is Just Another Aspect of Contemporary Life

Staying in the Game Socially. As men and women alike are living longer and enjoying better physical health, more and more are finding themselves unexpectedly returning to the dating pool after a divorce or the death of a spouse. This means that more and more people in their middle years and beyond are seeking out new ways to keep themselves competitive in the always contentious game of love.  Patients in the older age brackets are seeking out a fully array of procedures that range from injection-based facial rejuvenation procedures, such as Botox, to tummy tucks and breast augmentations for a more youthful bodily appearance.

More people of all ages are showing up at our offices in growing numbers, and they agree that, while certain aspects of plastic surgery can be as humorous, taking advantage of the latest beauty procedures is no joke. 

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The American Society of Plastic Surgery (ASPS) is telling us that, between plastic surgeries and other more minimally invasive cosmetic procedures, Americans spent some $16 billion in 2016. That’s a new record. We’ve discussed before which procedures are most popular – breast augmentations, injection-based facial rejuvenation techniques and liposuction all got mentioned in this report – but the big deal here is the blossoming of plastic surgery into something that’s become more and more a part of the daily life of regular people.

You’re Spending More on Plastic Surgery

Indeed, while it was never true that only the wealthy and famous got plastic surgery and cosmetic procedures, the market for plastic surgery has grown ever more diverse in terms of economic strata. It gets better because, due to advances in how the procedures are being performed, the cost of some types of plastic surgery actually went down last year. We can’t think of another field, outside of high-tech gadgets and home entertainment, where costs ever seem to decline over time, so that’s worth mentioning.

All in all, though, the experts seem to agree that what’s really happening is that we’re all getting used to the idea of plastic surgery. Just as the use of make-up was once controversial in many societies but is now almost universal, and going to the gym regularly was once the sole province of athletes and allegedly eccentric “physical culture” enthusiasts, men and women alike from all socio-economic groups now see medical procedures as simply one more arrow in their appearance quiver. 

We’ve seen plastic surgery and cosmetic procedures improve the lives of countless BHP patients so, of course, it’s hard for us to see this as anything other than a really great thing.

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As noted in the March issue of Heathline News, late last year the American Society of Plastic Surgeons put out a report pointing to a major increase in two types of procedures: facial rejuvenation and procedures that utilize fat injections. That certainly seems to be what we’re seeing here at BHP’s offices.

Latest Cosmetic Trends: Fat Transfer and Facial Rejuvenations

Regarding fat transfer-based procedures, by far the biggest change we’ve noticed comes in the area of buttock augmentation. The procedure commonly referred to as the Brazilian butt lift differs from older surgeries, which relied on silicone implants similar to those we use in breast augmentation. It might seem very obvious, but breasts and buttocks are really not the same! We’ve found that using fat grafts provides dramatically better results for buttock surgeries in most cases. Specifically, using unwanted fat obtained from elsewhere in the body via liposuction give us the freedom to sculpt the rear-end so that it looks and feels more natural, while also being as attractive as possible.  Brazilian butt lifts are also less likely to result in complications, so it’s a win-win all-around

And, yes, facial rejuvenation techniques have been gaining in popularity largely because the number of options continues to rise. While such tried and true surgeries as facelifts, neck lifts, and eyelid lifts remain the gold standard for long-term improvements that create a younger, more rested look, the number of alternatives continue to increase. Most people have heard of Botox, an injection-based treatment that has a number of benefits in terms of fighting wrinkling in the face. Now, other options are coming to the forefront, including facial fillers like Juvederm, and Kybella, an injectable that removes double chins without the need for surgery.

If you’re looking into facial rejuvenation, a fat-transfer based buttock augmentation, or any other procedure, we’d love to hear from you. Please feel free to give us a call at the phone number above or request a consultation

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The Aspen Ultrasound Treatment Is Now Available For Help With Post-Operative Issues From Dr. Richard Hodnett

Beverly Hills Physicians (BHP) and Richard Hodnett, M.D., F.A.C.S. are now offering the Aspen Ultrasound Treatment. The system is a proprietary therapy for dealing with capsular contracture and a number of other issues that may follow breast augmentations and other procedures. The treatment offered by Dr. Hodnett utilizes the power of special types of sound waves, undetectable by the human ear, which tend to increase blood circulation.

The Aspen Ultrasound Treatment has proven to have especially good results in the treatment and prevention of capsular contracture, one of the most common complications associated with breast augmentation procedures. In capsular contracture, the implant typically feels more firm than the patient is used to and, in some cases, discomfort and malformation of the implant may also present themselves. By stimulating blood flow, the Aspen Ultrasound Treatment causes tissue surrounding breast implants to become less tight, resulting in a softer and more normal feeling breast. In cases where patients are beginning to notice that a breast is not feeling normal following surgery, the treatment should be started as soon as possible in order to ensure the maximum positive effect. At the same time, undertaking the treatment following a surgery may also actually prevent the problem from manifesting in the first place.

The Aspen Ultrasound Treatment is also effective for a number of other matters. Specifically, the therapy can promote healing after a procedure, reduce the risk of an infection, and prevent bruising and post-operative discomfort, as well as being useful for dealing with scarring. In addition, many patients who are obtaining a breast augmentation or another procedure are also taking a serious look at taking advantage of the Aspen Ultrasound Treatment with Dr. Hodnett in order to head off potential issues and to help ensure the best possible long-term results.

Readers who would like to learn more about Aspen Ultrasound Treatment as well as the wide array of health and beauty treatments available from BHP and Dr. Hodnett are invited to call the number on this page or to request a consultation today.  

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A recent review of the available data on gastric balloons for weight loss reported in Healio found that the treatments have led to significant improvements in weight loss and other health outcomes resulting from the efforts of obese patients, when compared to unassisted efforts. It also noted very few problematic results relating to the treatment. This study provides further proof of what BHP’s physicians have seen while using the Orbera Gastric Balloon: it is a safe treatment that dramatically increases the effectiveness of weight loss efforts.

Gastric balloon treatments are non-surgical procedures that fill an important gap for people who are dealing with medically significant weight problems. This is because, while weight loss surgeries have been highly beneficial to numerous individuals, they are not available to people who do not meet the medical definition of severe obesity. The Orbera weight loss system is primarily intended for individuals with weight problems who nevertheless do not qualify for weight loss surgeries such as sleeve gastrectomies. Typically, people who receive gastric galloons have BMIs (body mass index) of between 30 and 40. In most cases patients lose approximately 10 percent of their body weight on average, roughly three times more than individuals who attempt to lose weight without a procedure.


The procedure is performed in under an hour and involves the balloon being inserted endoscopically while the patient is under anesthesia. Once inserted, the balloon is inflated so there is significantly less room in the stomach for a period of six months. As with other weight loss procedures, the reduction of available room in the stomach makes overeating uncomfortable and reduces the patient’s appetite, making weight loss significantly less difficult. As with all weight loss procedures, the balloon should not be regarded an “easy way out” and, to be successful, patients must learn to properly manage their food intake and make permanent changes to their eating and exercise habits.

Orbera Gastric Balloon, still relatively new in the United States, has been popular in Europe for a number of years, where it has produced consistently positive results. Individuals, who would like to learn more about the various weight loss options available from BHP, as well as a range of health and beauty treatments for both women and men, are welcome to contact us.

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If you’re wondering how people in different nations relate to plastic surgery and cosmetic procedures, you’ll be interested in some new statistics that have been featured on Medical Daily. It seems that a more open-minded view of procedures has led to the already huge worldwide market expanding by 8.3 percent in 2016. The amount of money being spent worldwide is projected as growing to $12.8 billion by 2020.

Now, if you’re wondering which countries see the most plastic surgery, the U.S. still reigns supreme, followed by Brazil and South Korea. The most popular procedures  differ by region. Here in the Americas, breast augmentation and liposuction were the most frequent patient choices, while our Asian friends leaned towards facial procedures such as eye lifts and rhinoplasties (nose jobs). Meanwhile, non-surgical procedures such as injectables like Botox are blowing up big time. Men around the world are also starting to catch up with women and are getting more and more procedures.

Technology has made the world a smaller place, so it’s no surprise that the same kind of cultural changes that have made plastic surgery a popular choice in the United States have been spreading to places like Asia and Latin America for decades. People around the world are realizing that, if you’d like to improve some aspect of your appearance, there’s every reason to look seriously at the rapidly increasing number of options that are now available.

Of course, BHP offers the full range of procedures right here in Southern California, so whether you’re interested in a breast or buttock augmentation, an eyelift, an injectable, or anything else, we’re here for you. If you’d like to learn more about the wide world of cosmetic procedures, just give us a call at the number on this page or ask for a consultation online.

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We at Beverly Hills Physicians (BHP) are pleased to announce that we are now offering platelet rich plasma (PRP) treatments for skin rejuvenation and hair restoration. Our own Dr. Kevin Hayavi and Dr. David S. Rosenberg will provide the treatments, which employ the patient’s own blood plasma that has been enriched through the use of a centrifuge.  They will be performing the treatments for two specific purposes, skin rejuvenation on the facial and upper and lower neck areas and restoring thinning hair or a receding hairline.  

PRP skin rejuvenation treatments are most commonly performed on cheeks, the mid-facial area, below the eyes, the neck and the lower neck area (décolletage) to deal with skin that appears wrinkled and/or thin. They can also be used for reducing the visibility of scars. Treatments typically involve drawing the patient’s blood, using a centrifuge to separate the elements of the blood and create plasma that is higher in platelets, and then injecting it into specific areas of the skin. At that point, the platelets attract stem cells and encourage the body to produce a number of healing proteins and enzymes. The overall result is significant improvement in the texture and thickness of the skin. While patients are typically delighted with their results, PRP treatments should not be thought of as substitute substitutes for facelifts or other facial rejuvenation techniques. However, the treatment does offer solid results with minimal downtime and side effects.


Hair restoration, similar to the skin rejuvenation treatments, is performed through a series of enriched plasma injections into the scalp, which stimulates new growth for female and male patients with thinning hair or receding hairlines. New hair growth is usually seen within two to six months with the treatment. The results of the treatment look natural precisely because they are natural, and are an attractive alternative to highly involved hair transplants, frequently ineffective over-the-counter treatments, and often unconvincing hair weaves. The large majority of patients report highly satisfying results and few notable side effects.

Readers who are interested in learning more about either hair restoration or facial/skin rejuvenation or other health and beauty treatments, including plastic surgery and injectables, are welcomed to contact us at 800-788-1416 or reach out to us via e-mail to set up an online consultation

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A recent article on Women’s Health offers individuals contemplating a plastic surgery a number of important questions to answer before they obtain a procedure, including queries regarding exactly what they want to change about their appearance and why. That’s a good thing because medical experts agree that it is vitally important for patients to fully understand their procedures and for doctors to communicate clearly and honestly prior to a plastic surgery.  There are a number of reasons why this is important, including:

1.Ensuring a positive outcome. Before a procedure can go forward, it’s vital for doctors to have a clear idea of the patient’s medical history.  Yes, plastic surgeries such as breast augmentation, facelifts, and rhinoplasty have never been more safe and effective. At the same time, however, they are still complex procedures that require a great deal of medical knowledge as well as the ability to sculpt features that are as flattering as possible to a patient’s overall appearance. This means that the patient’s choice of the right medical provider is crucial; it also means that it’s extremely important that the doctor have all the important information in hand. 

      2. Making sure patients are happy with their results.  Another reason it’s vital for plastic surgeons and their patients to communicate clearly and openly is to ensure patients fully understand just what kind of results they can expect once their procedure is completed. It’s entirely understandable that patients might have high hopes for the outcome of a procedure, but there are some limitations on what even the finest plastic surgeon can achieve. That’s why it’s important for patients and doctors to have a detailed discussion regarding what to expect once they have fully recovered from a procedure. Thanks to the emphasis of BHP doctors on communication and their outstanding performance during procedures, our patients are consistently very satisfied with their outcomes.

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All of us at BHP are pleased to announce that weight loss specialist Dr. Monali Misra has received a 2016 Los Angeles Doctors’ Choice Award in bariatric surgery. The Doctors’ Choice Award organization notes its awards were created to provide recognition to outstanding doctors “based on impeccable practice credentials, outstanding leadership within the profession, and the quality and quantity of endorsements from their peers.”

We at BHP are extremely proud of Dr. Misra and her many achievements against the serious medical issue of obesity. Dr. Misra regularly performs a range of weight loss procedures for men and women struggling with obesity, and she has helped countless BHP patients defeat obesity with such procedures as sleeve gastrectomy and the Lap Band. Both procedures have provided consistently outstanding results in terms of allowing severely obese patients to defeat their weight issues and move on to healthier, happier lives.


In addition, Dr. Misra has recently begun offering the Orbera gastric balloon. This procedure differs from others in that it is a non-surgical procedure in which a balloon filled with a saline solution is endoscopically placed in the stomach for a period of roughly six months. As with other procedures, the smaller amount of available area in the stomach makes overeating more uncomfortable and tends to reduce the appetite, so that patients consistently lose more weight than they would have, had they simply tried to lose weight on their own. The procedure is intended for obese but otherwise healthy patients with a body mass index (BMI) between 30 and 40. (Bariatric surgery is typically intended for patients with severe obesity, which means they have BMIs greater than 40, or greater than 35 with related health problems.)

We are delighted but far from surprised that Dr. Misra has been awarded recognition for her outstanding work as a weight loss specialist in the Los Angeles area. Aside from her superb reviews from other doctors, numerous patients have lavished praise on her, pointing to outstanding results and truly compassionate care from her entire medical weight loss team. 

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A December article on Allure describes the increasing popularity of plastic surgery and cosmetic medicine during the holiday period, noting an increase by some 25 percent in procedures during the time between Thanksgiving and New Year’s Day. This is according to the American Society for Aesthetic Plastic Surgery (ASAPS), which notes that the combination of holiday breaks and gift giving has helped to drive the trend. While the holiday period is now behind us, it’s still worth noting that the popularity of procedures designed to improve the appearance will continue to increase for the foreseeable future. The reasons for the ongoing increase are many, including:

It’s Not Just for Women Anymore. While many people still hold onto the idea that plastic surgery and cosmetic treatments are primarily a feminine concern, the reality is that more and more men are obtaining many of the same procedures often associated with female patients. From traditional facelifts and injectable-based facial rejuvenation such as “Brotox,” to liposuction for dealing with pockets of fat that refuse to be dislodged by diet and exercise alone, men and women alike are increasingly realizing that improving their appearance can have a very positive impact on their lives.

Fighting Ageism. Our population is getting older, and women and men alike are, unfortunately, often judged by their apparent age, both at work and socially as well.  Fortunately, however, a host of traditional and newer procedures is making it possible for people from all walks of life to look more relaxed, healthier and more vital. Like it or not, our perceived age can often make a dramatic difference in how we are perceived. But procedures ranging from eyelid lifts to defeat baggy eyes, to surgical neck-lifts or the new injectable, Kybella, for defeating double-chins, women and men alike increasingly have the power to change their appearance and be perceived as the energetic and vital people they actually are.

Greater Confidence for Everyone. Most of us agree that self-confidence is one key to a happy life, but it’s easier to be confident if you’re pleased with the way you appear. The medical group adds that, whether patients are interested in buttock or breast augmentation to enhance their figure or a rhinoplasty (nose job) or neck lift to perfect their facial appearance, their skilled plastic surgeons will work with them to ensure that they feel and look their very best.

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A recent article on Empowher lists the top five cosmetic surgeries for men, according to the Cosmetic Surgery National Bank, also reporting that some 1.2 million male procedures were performed in 2015. In fact,  the number of male patients we at BHP have been seeing in our offices has been continuing to increase, and men are actually receiving many of the same procedures that are most popular among women patients, from eyelid lifts and breast reduction to facial rejuvenation. While every male patient has his own individual story, their motivations for obtaining a procedure break down into roughly three groups.



  1. To Be a Stand Out. Just as more and more women are seeking breast and buttock augmentation procedures to craft attention-getting figures, more and more men are seeking to perfect their eye-catching physiques with body contouring procedures, such as liposuction to get rid of stubborn fat deposits that seem immune to exercise and diet, or pectoral implants to better emphasize a muscular chest. Men seeking to improve already handsome faces often explore such options as a rhinoplasty (nose surgery) or chin implants.
  2. To Fit In. Everyone wants to feel more self-confident, but a lack of self-assurance in men caused by a perceived problem with their appearance can be more devastating than many women might assume. In particular, male breast reduction to deal with gynecomastia, a common medical issue resulting in oversized male breasts, has become an extremely popular solution for both younger and older males who may previously have been uncomfortable at beach or poolside activities, or even just wearing a snug t-shirt or sweater. Rhinoplasty, long among the most popular of male procedures, is also another common surgery for men who may feel uncomfortable with an unusually prominent nose.
  3. To Stay in the Game. Ageism is not only a problem for women. As they age, many men find that they are taken less seriously at the workplace and on the social scene. For these men, facelifts and a number of newer non-surgical facial rejuvenation options are an increasingly popular option. From facial fillers to “Bro-Tox,” a growing number of men from a broad age range are shaving years off their age to improve their self-confidence and remain active in their career and personal lives. 
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Disclaimer: Results vary, patients may achieve different cosmetic and weight loss results depending on body type, medical history, selected procedure and a variety of other factors. One patient’s success as shown by before and after pictures in no way guarantees similar results for other prospective patients.