Doctor808 Plastic Surgeon Honolulu Hawaii

Recently,  I hijacked my cosmetic surgery friend’s ( in Tokyo)  –Mixi.jp  account. I did this for various reasons , one being that since I have a web development firm that works in all cultures and languages I wanted to gain an understanding of this. Secondly,  its very hard to get your own mixi.jp account unless you have a Japanese cell phone so I just stole his. Sorry Taka.

Mixi by the way is a Facebook on steroids , for those of you who want some understanding of this. It has a login page which list , your profile , friends and what your friends are saying in their blogs. The blog summary  is a very popular item. If you see something interesting you can click and follow that persons journal. There is one the big differences I noticed between the myspace type things and the facebooks of the world and Mixi. The Japanese take their blogs very seriously and there are millions of them. Many Japanese house wives entire world seem to be blog-o-centric.

One other thing I noted is that “everyone is paranoid” which means that not only are the internal security controls very tight,  but most people unlike Face book or Myspace will not put their own picture up. Its Iconic images or many men for example will have woman’s pictures as theirs probably of some models. Also of course there are  the Japanese Pokeman type images seen,  as well as flowers , fruits vegetables etc. This makes it difficult to tell who you are clicking on. In my case its even more difficult because I do not read Hiragana, Katakana or Kanji,  as of this date. So I spend half my time with translation software trying to guess what they are saying. This can be most difficult. Take for example the case of a place called First Kitchen which is a food store in Japan. The Japanese have a funny habit of abbreviating many things so they shorten the words– like Family Mart becomes Fami-ma. Well according to some sources First Kitchen becomes ” fukkin” when they speak abbreviated format. So as you are reading someone’s blog it is feasible that they say ” My friend and I went fukkin”. Sorry for that,  but it illustrates my point of possible miscommunication very well. So when I translate I do not get the full meaning of the blogs.

最初の台所  or  パイズリ I apologize to those offended,  but I think I have this right.

I am also informing you that unless you know Japanese well you probally will not make any friends. I have two friends, my  Japanese web designer and someone who I have no idea or what they are.

The other interesting thing is you can see who visited your page unlike facebook or myspace. I for example was like an elephant in a china shop clicked around not even know what I was clicking and someone told me their friend asked them why I left my footprint? Perhaps they thought I was a trouble maker?  At any rate I suppose one must be senistive to these issues.

Overall I like this mixi. From a web development point of view I did see some advertisments from some cosmetic surgeons and other things. I dont know if viral type marketing like one can see in Youtube or Myspace is possible. Yet I think is see some value but not like in American Social Media.

I have not discussed with my Japanese associate yet but at some point we will find an answer with regard to using Mixi.jp as a marketing tool for our clients. As far as plastic surgery marketing–well like I said I did see two Japanese cosmetic surgeons advertise. I will keep you updated in any significant issues of Mixi but dont expect much until I can learn more Japanese language.

Doctor 808

On Thursday my staff and I gave a event at Fort Schafter an Army Miltary base.  We invited the public to this lecture and question and answer period about Plastic Surgery in Hawaii. We had it sponsored by Mentor Breast Implant Company and Company which makes Dysport. There were about 50 people who showed up. There were three lectures given. One by me, one by each of the representatives. We also had door prizes and live injections of fillers and Dysport. The best prize was a free pair of breast implants dontated by Mentor Corporation.

The crowd was fun and interested

My staff had put a lot of work into this event and I think it was a success. The most important issue to me was I tried to evaluate something new we call the Aloha Dysport Lift. This is where I inject in the superficial layer of the skin Dysport in a special pattern. For reasons I will not dicuss here the facial skin is lifted to a small degree and lines will dissapear. I will be writing more about this later on a web site we are in the process of building. So for now I will tell you what we did. We did this on three patients from the audience but only on the right side of the face. We then waited 30 minutes. I then under High Density Video we asked the audience to raise their hands if they could see a difference. Amazingly every one raised their hands and all agreed that they could see the changes in each of the three patients. I actually begged them to not to go along with the crowd if they doubted what they saw. Still they all agreed that they could see the changes. This to me was amazing. We will show the pictures on the web site at a later date so stay tuned.

My Staff was available to answer questions

The staff stood by to answer questions. Many good questions came from the audience about Breast Augmentation. Liposuction and all the various fillers such as restylene, juviderm and the like.

The food was great and we really enjoyed this event and learned a lot about the Aloha Dysport Lift.

We hope to have future events such as this and we thank our sponsors.

Doctor 808

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

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

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

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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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

Time to Load up the Hummer for camping !

Well we now have the big plans together and this will be interesting. The entire office staff has agreed to go as a giant family for an overnight camping trip. I am not sure whose idea it was but we all agreed to do this.  This big event will occur the weekend after next and we will go to the North Shore of Hawaii on Friday and stay overnight in the darkness of star studded sky.

Well I think the issue here is the mix of people that will be going some never been camping in their lives. Yet everyone voted today to go. Families and friends are invited , children , grandmothers and fathers whomever wants to come is welcome.

The main event will be food , maybe some volleyball and maybe some exploration of the North Shore. Yet the underlying event is the exploration of each other outside the natural habitat of work. Who will shine and who will be the leaders and the followers or the complainers or what have you. Out of the “natural office habitat” it sure will be revealing and perhaps entertaining.

I have my coleman stove, my coleman lantern and my tents with sleeping bags. I know how to be comfortable outdoors, but I wonder who in my office will not be ? They cannot fight over the air conditioning being too low or too high so what will be the issue in this 36 hours of isolation.  I will be sure to keep you informed.

I hope this plastic surgeon can see this

My main goal is to see a starry night with out city lights. You may know what I am talking about where the pitch blackness is pierced by about a million billion small twinkles of light. The shooting stars and all that you can see. This is peacefully to me. I hope its a clear night.

I have not been camping probably in 4 years way too long. So I am really looking forward to this. We must get all the stuff ready such as

* Sleeping bag, camping chairs, extra blankets and cushions

* Tent, pegs , poles, bungi cord, shovel , hammer , axe

*  Ice cooler, Ice, Food, camping dishes,coleman stove, coleman lanterns, flash light , fuel,

I am sure I will forget something but thats ok. Although we pretend we are roughing it the seven-eleven store is 15 minutes away.

Well in the office lately,  we have been carrying on as usual , liposuction , breast augmentation and today we removed a nasal implant from a Japanese gal who had her surgery in Japan 3 weeks ago from a famous clinic. The implant had come through the skin on the bridge of her nose .  When this occurs the implant ( made of silicone) must come out. Of course being a student traveler she had little money so I am forcing her to pay me,  by writing content for some of Internet Japanese web sites. I could not leave her with an infected nose so I made that deal.  This happens. We are in a resort city and people come from all over the world. My question is why if she had the 3000 or 4000 to pay the surgeon who put it in …..why do I get stuck with the end result. Well to answer I do live in a resort and these things happen all the time. No one could predicted this. So I hope she is good writer. We will see.

Speaking of Japanese our new Japanese Plastic Surgery Web Site is being worked on now ハワイ美容整形.  This site when completed will be a good example of our ability to design web sites in Multiple Languages for plastic surgeons. The graphics are very nice but we also seek to capture the Japanese mind.

Doctor808

I read a lot of blogs about Plastic Surgery for many reasons. First ,  I like to keep in touch with the public opinions, what is hot and what is not in the field of plastic surgery and plastic surgeons. Second, I have a web design company and SEO  firm .In simple terms it is an Internet marketing/advertising company to promote business on the Internet. We handle  from design to promotion at 3d-plasticsurgery.com . So I need to know as much about blogging as is possible. How can I advise my clients if I  don’t know? The third reason is that I enjoy many of these blogs purely as entertainment.

Since I am an nternational plastic surgeon and my internet company is international,  in that we have capability for  multiple languages both in my plastic surgery office,  as well as web company ,  I read blogs in other languages.  Yet as my readers know, I barely can read some Romaji Japanese at this point, so how do I do that?  Well I use translations software.  On my Mac , I have a button on the browser that if for example I am reading  this blog:

「ハワイ美容整形外科」　豊胸・二重・脂肪吸引・フェイスリフト・フォトフェイシャル・レーザー脱毛・スキンケア

Which says something to the effect of Hawaii Cosmetic Surgery I click on my translate button and whoopee— its in english!  It is not accurate in Japanese , but I get the idea what the author is talking about. It works much better for simplified Chinese and European languages these are clearly translated . Unfortunately Nihongo is not so easy.

The blog to the left is about various aspects of Plastic Surgery in Hawaii, notably my practice. The  interesting issues about these Japanese Blogs is the bloggers. The culture it seems takes a more ” diary “approach to their blogs. They are heavily scattered with a lot of insight into the bloggers mind. I wonder if this is due to the nature of Japanese culture,  where there is the public face and then the face which is hidden. That means that there has been pressure on Japanese society to all stay within some very confined limits. The nail that sticks out,  gets hammered down so to speak. So the blog especially if anonymous or a written in psuedo-name. allows for greater freedom of expression.

On the other hand the American Blogs are more expressive of individualism it seems and its about the author and what he or she thinks should be said and DIRECTLY. As example , I will tell you I am the best plastic surgeon in Hawaii and perhaps the world (said with tonque in cheek) but the Japanese are more subtle and have a certain humble aspect so they would not say that.

If this is good or not,  you have to judge for your self , but I believe this is what I see when comparing the blogs by Japanese writers and American Writers about Plastic Surgery or other topics such as Hawaii vacations and the like.

Another aspect I note about American Blogs is they are usually very commercial, as many blogs are becoming. In my case of www.doctor808.com which is a mixed plate of Web stuff , Plastic Surgery, Travel and Muay Thai I tend to simply bring the reader into various aspects of my life so they can perhaps figure some of these things out how they help. I also enjoy entertaining and as my readership continues to grow I get more comments to my email.

Yet there is a commercial aspect to this blog as well. It is one I have discovered indirectly which does help with my internet company. That is the value of blogs to help gain ranking in google. This is pure advertising but it works great. Some SEO blogs really give the reader nothing in return meaning that their purpose is to gain rank or clicks and earn accordingly. It is well documented that this adds to how well a web site will rank in google. As mentioned in an earlier post about ethics of some these internet companies I strongly disagree with the making your blog for pure commercial benifits as does google. So I think of it more as two way street. I try ot bring good information, written by me as well as entertainment to my readers. In return my blog becomes valuble and the commercial aspect comes with that. That is difference between my blog and the blogs my company promotes and the borderline fraud of some blogs out there who write nothing but keywords and seek to try and obtain rank only. They are rather ruthless with no redeeming value.

At any rate, I suppose my point is lets keep the internet clean to some degree and in doing so we can have our own interest in mind as well. You have to give to get I suppose and I dont think there is anything wrong with that. Yet taking all the time is another story I will save for another blog. Seems many Americans are turning into takers more than givers these days. It gets back to the golden rule of treat others as you would be treated.

doctor808

One of the more interesting things living in Hawaii is the soldiers , sailors , marines and their dependents. I was in the military as many of my readers know, in fact I was in some high speed units as infantry , as well as doctor. I really miss the military and now basically live through the tales and the sharing of these stories by  those who just got back from Afghanistan or Iraq.

Can you guess who this is?

One problem I noticed was the concern to pass the military tape test. This is some diabolical method by which the military member is judged if they are too fat or not ,for the promotion or retention board. It never ceases to amaze me the super fit GI who would come in my office  having  failed his tape test because his neck -waist line ratio was off.  Yet he looked like godzilla and or Mr. America muscle bound. Yet that is the way it goes some time, the tape test has been determined to be fair and the best way. There are also those who just have an abnormal area of too many fat cells which throw the tape off.

Well for those types I am always happy as most times I can change that, really change the results on the next tape test. They get their promotion or pass the standard and everyone is happy! Plastic Surgeon is happy, Military member is happy, Commander is happy and life is good and I am the hero plastic surgeon.  The reason why it works so well,  is that it simply is taking inches off the problem area,  typically its the waist on men, hips on woman and the liposuction does the job. Get rid of those inches. The 25 th infantry here in Honolulu Hawaii I see often enough and some of the Primary Care Docs have sent me their soldiers.  However,  I will not pick on the Army,  the Navy is more often the ones who come in. I guess navy ships food is very good.

Yet I shall not forget the marines, these tough guys are the ones who are most often the most nervous about the procedure. It seems the bigger they are the more nervous they are. Liposuction may make them nervous but the tape test is anxiety can be worse !

Well back to the quiz of who the guy who is loading mortar shells in the picture. Its the same guy who is the picture below on the far left. Yes thats me. I am on the far left of your screen actually the only American as a “military advisor”. I could tell you where but then I would have to ……..you

Doctor808 19 years ago----can you guess where?

doctor808