Archive for August, 2009
Training notes: Doctor808 Plastic Surgeon Hawaii

This is one route there are many path
As mentioned I will keep you abreast of my training progress. Today was an excellent day to incorporate into to my training schedule. I do not care for jogging or running so I need cardio work out another way. One is the monster stair master, which I am up to 15 minutes at level 10 now. Yet I like a more enduring type of cardio which is more pleasant. So today I added another exercise to my weekly regiment. I cannot train Muay Thai on Tuesdays and Thursdays because I go to my Japanese class, so I decided to Bicycle to work. This will be between 5 and 8 miles one way depending on what route is taken. The total time is about 45 minutes at a good clip. So riding to work, then to Japanese class and then to home is about 12 or 13 miles and takes a total time of 2 hours. This is because of significant hills.
The hills are fun and one must use their body weight to get up these hills. I am no Lance Armstrong, but I can take a hill fairly well. The cardio from this adds color to your skin and gives one the very healthy appearance as the blood vessels dilate up.
One thing that I note about such a ride is that you notice so much more around you then when driving in a car. Especially here in Hawaii the air is so fresh and evening is so peaceful with tropical breeze blowing. We will add this to our weekly routine.
Doctor808
The Aloha Dysport Lift — the what? Doctor808 Plastic Surgeon Hawaii.

Dysport Package
Dysport Face Lifting is a new procedure I am investigating. This is a non surgical procedure which uses Botox Cosmetic’s Competitor . Dysport is a new approved product by the FDA. They are both botulism A toxins which act in a manner to paralyze muscle so that one does not develop dynamic wrinkles. These are wrinkles which are caused by the movement of the facial muscles as opposed to sagging of the skin. The Dysport, as well as the Botox, both stop the muscle movement and the wrinkles do not form or relax and go away.
This new procedure I will call the Aloha Dysport Lift or ADL for short. What the ADL appears to be is a non surgical chemical face lift. Of course its not a true face lift as compared to surgical face lifting, but from what I have observed is it does produce noticible change rather quickly. We have done the procedure on three patients and everyone in the office was rather amazed. You could see actual changes before your eyes. The face was done so that the full right side was done and then compared to the left and so far with the three patients with in thirty minutes you can see the difference between the two sizes. Simply amazing. I will be showing the photos when we have 5 patients completed so stay tuned.
doctor808
The progress of a fit Doctor808

In the training mode again
As I mentioned earlier in this blog I would keep my readers abreast of my progress after a rest I had taken after my last fight. I would like to update you now. I started back about 10 days ago. The first thing I did was start with cardio training. The easiest and fastest way is to simply get on my eliptical machine that I have back in my lanai (soon to be garden). I did 30 minutes with a setting at 8 which ramped up my heart rate to a steady 133. Seemed pretty easy so I continued for a few days. I went back to Muay Thai and my trainer who I have introduced before, gave me the usual deserved harassment , but very mild. Unfortunately ,at the same time I had the Korean Cosmetic Surgeon visit and he took up my training time which between that and Japanese class i was unfaithful. Yet allow me a moment to point something out about you and about me.
If you want something bad enough and your are really hungry for it —you will find your way.
This is true in physical training, as it is in life. So even though I tell you my Korean Doctor was here and I had Japanese class I was unfaithful to my love, Muay Thai training. I obviously did not want that bad enough. That is the case, now I regret that as I lost a full two weeks of training time. Since I regret I will go starting monday and quit playing excuse game with myself. This is the same advice I will give you my dear readers. If you want it bad enough you will find away.
On the other hand I was not completely lazy. I went surfing quite a few days, continued on my elliptical machine , my pull up bars and even did push ups and sit ups in my house. kicked my dummy every day with 30 – 50 kicks per day. I went to the Honolulu Club (our local overly priced gym) and did a few weights. So I look at the last two weeks as a warm up and now its time to get started.

LETS GO !! YOU HAVE TO WANT IT !!
Today I did the following in this order:
1. Stairmaster at a setting of 7 for 15 minutes ( by the way this is the first time I did this torture device)
2. Barbell bench press of 135lbs 5 sets and 10 reps each
3. Push ups 3 sets of 15
4. Chest Flys 5 sets of 30 lbs each hand and 10 reps each
5. Weight assisted dips 10 x 3 sets
6 Smith machine squats 70 lbs X 10 reps X 7 sets
8. 35 sit ups x 2 sets
35 kicks on bag each , push kick and lateral leg kick
I must say I did work up a slight sweat but compared to a year ago this was not even 50% of my normal work out. That means I will be ramping it up greatly in the next few weeks. This will be at a minimum 4 days a week and 3 days – 4 days of Muay Thai and sporadic surfing , bicycle and other activities. Its time to get back to my old self. If you stay tuned I may show you before and after photos. I do not want to show you before as I am frankly embarrassed at this point. So remember you like I said —if you want something bad enough you will find a way to accomplish that. That is todays key sentence.
doctor808
Korean Doctor Visit to Hawaii —- Training by Plastic Surgeon Hawaii
I went to Korea some time ago, perhaps 1 year and met some marvelous Korean Cosmetic Surgeons. I was the invited instructor to teach my technique in Buttock Augmentation. It was a great country and I was of course happy to have my way paid and teach some plastic surgery technique. Well many of the doctors asked me if they could spend some time in my clinic to observe and learn.
This brings me to Dr. Yeom who had our mutual contact who I know as “Maverick” had emailed me about his desire to come here. In fact I knew he was sincere in his quest to learn more from me. The reason was when I was in Korea he could not speak English so he spent the last year learning English so he could communicate here.

Troy Wilson, Dr. Yeum, ME
He arrived about two weeks ago, unfortunately the clinic is slow, but we did have enough cases to keep him occupied. So he learned enough to make his trip worth while. We performed several breast augmentation surgeries and he assisted and learned some technique. He also observed Rhinoplasty some facial surgeries and liposuction.
Dr. Yeum has his own clinic in Korea which he names Dr. Beauty Clinic. The problem is he says no one in Korea knows the english term “beauty”, so he is unsure of how effective it is. Never the less Dr. Yeum likes the term so he will keep it.
I have met a lot of plastic and cosmetic surgeons in my 20 years in the field and I must say he is indeed one of the most pleasant I have met. For me as teacher of techniques it was a nice experience, Additionally Dr. Yeum taught some of his non-surgical techniques to me. During his visit we had a new product come in called Dysport. Dysport is now a FDA approved competitor to Botox cosmetic sold by Allergan. Both products are similar yet we had no experience with Dysport. Well with Dr. Yeums visit we had an experienced Dysport teacher for myself and the staff. It seems that dysport has been used in Korea for about 3 years while we just received approval here this year. So we were able to get the scoop and all the insight on the use. Another potential aspect of Dysport which we learned and actually now have tried on a few patients is something called “dermatox lift” we call it a” dysport lift” until I complete my study of this and then I will give it a catchy name. We noted that by injecting small amounts of Dysport in the dermis ( skin ) it produces a lifting of the skin. This by no means is like a surgical face lift, but indeed all agreed that they could see a slight lift on all the patients we tried. Originally when Dr. Yeum mentioned this we thought it sounded very strange. Yet when he demonstrated the technique we were all amazed. I will be writing more about this technique later once our “mini-study” is completed but initial indications are it looks very good.
One more thing about Dr. Yeum is that he likes karaoke and he can really really sing. In fact we were amazed at his wonderful voice.

Dr Yeum as lounge singer !!
Well all I can say is that this was impressive even though he sang a Korean Song which I could not understand. I think he is a baratone. Everyone at our table and entire strangers were simply amazed. The one musician with our group stated that Dr. Yeum missed his calling and should have been a singer instead of a doctor.
I agree though he seemed to be a good doctor as well.
His visit ended with our presentation of certificate stating that he completed a two week preceptorship in cosmetic surgery at our clinic.
We will be having other surgeons visit our clinic in the furture as we have in the past for learning and exchanging the latest techniques. This is always enjoyable and educational.
Doctor808
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Muay Thai —train train again for Plastic Surgeon Hawaii
Well its been several months since my last Muay Thai fight. I was pretty banged up because of the unorthodox fight it turned out to be and probably my age is catching up to me. It takes much longer to heal and recover when your older. That I have noticed. I have only been doing some basic cardio since the fight. So I have been very very LAZY. I went to Prague CZ and Amsterdam as well as Geneve as I previously wrote. I became very ill for 5 days there with a dental abscess, this virtually wiped me out. In fact, I was so ill that I turned pale white, dropped my blood pressure and pulse rate of 144 at one point. Finally in I found a dentist after a root canal that failed earlier in Praque and dentist who extracted the tooth. My training’s schedule was thrown off and well, the old laziness set in. So for the last few weeks I have been trying to gather up the energy to get going again and now I am ready.

Here I go again
I will share with my kind readers my training this time. I will show you details on how I transform myself. Although I am a plastic surgeon and have been accused of creating artificial beauty through unnatural means -plastic surgery. I do know one thing. The best transformation is through physical training and proper diet. If I document this maybe a few of my dear readers will see an interesting transformation and be inspired.
Well I feel rather anxious about exposing myself on the Internet so I better pull this off. If not you will see what a failure I can be or not. Then I suppose my dear readers you will not be inspired.
One can accomplish so much with exercise and diet in improving ones appearance that it amazes me. Yet of course exercise does not always work. for example a woman has had a baby and her skin stretches and will not retract, a tummy tuck may be in order. Yet combined with exercise its always better. The results of a person exercise plus plastic surgery is very good.
Yet with pure exercise you can accomplish a lot. Take for example the two photos below which are of the same person:

The above picture illustrates well what can be changed with exercise in about 12 weeks without plastic surgery. There is no magic only discipline. This was accomplished with 3 – 4 nights a week of kickboxing training. No weight training was done with this transformation. Yet diet played a huge role as well. The one on the left has hair and the one on the right does not but the difference can be still seen.
Not only does the body benefit but the facial features do as well. Lets look at the many faces of the same person as seen below. Hairstyles, weight changes and of course lightening can enter in the picture all can change appearance a lot as well.

Different People or Different levels of exercise ???
These pictures of yours truly were not taken like ten years apart although some were a two years or so ago. Yet the surprising thing is that the younger looking pictures were taken after some of the older pictures. To really illustrate this look at the facial picture below:

Latest Picture less than 3 months ago
I was training for a muay thai fight in the above picture so my physical condition and shape were at the top in the scale. As you can see the face is more youthful. The point of this is that good exercise and diet can make for great changes that plastic surgery cannot.
Well to give my readers an idea of my training to undertake I will begin tomorrow with 1 hour of surf & swimming and then to work. After work I will go to my Muay Thai training as noted in this blog elsewhere. The training will be about two – three hours of jump rope, bag drills and other normal activities like 100 sit ups. That will be enough for first day back. I will add weight training and other activities as I go along for the next few months.
Most important is diet. This has to be individualized for each person. What works for me may not work for you. So for example I am very carbohydrate sensitive so to lose weight I have to approach an extremely low carbohydrate intake. So I switched to complex carbs like oat meal in the morning. Resistance training is very important to lose weight as you have to shift to having a higher percentage of muscle. To build muscle you must use resistance training like weight lifting. The reason why this is so important to weight loss is something called Basal Metabolic Rate. That is the rate you burn calories when not doing anything. So since fat burns no calories in this basal state and muscle does burn calories when doing nothing. You want to keep your muscle up and your fat down.
Well we will let you know dear reader how this goes. I will make updates over the next 12 weeks or so. My weight now is 192 lbs and body fat is about 15%. I need to get down to around 9-11% and 180Lbs.
Plastic Surgery can do a tremendous amount as well. Liposuction makes the job of looking better easier. If men for example have that spare tire around the waist. They can loose that with proper exercise and diet. The problem is in some people when they do lose that their face is so thin or other parts of their body become so thin it does not look right. They look like a skeleton except around the waist. These people are the perfect candidates for liposuction in that specific area.
Well as stated I will keep you informed and hope I can inspire some of my readers to get up and exercise.
doctor808
