Doctor808 Plastic Surgeon Honolulu 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

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

Military Plastic Surgery and Plastic Surgery In Hawaii

Many of you may not known I was in the military for many years. I spent most of time  in the reserves. In fact, I spent a lot of that time with the 20th special forces group which at the time was a reserve unit (NG) and we were based out of Maryland. During my time I met some of the greatest people anyone could meet, dedicated, smart. most spoke at least two languages.

As a plastic surgeon in Hawaii I meet many military members and their families from the marines , the army and navy as well as special operations. I always share with them war stories and understand their military life. It was some of the best experiences I have had. As a Hawaii plastic surgeon we also have patients from Guam, Japan and Korea who are in the American Military. Interesting to note we have many patients who fly back in have their plastic surgery in Hawaii and fly back to their Pacific bases.

I think one of the most interesting time,  was when we received 6 emails from Afghanistan from 6 female soldiers who some how had heard about us. They all flew back at the same time when their tour of duty ended and we performed 6 breast augmentations,  Wow —talk about beautifying the country. In a more serious light my hat goes off to these dedicated individuals who sacrifice for our freedom in some of the most harshest conditions on earth. I think 4th of July coming up is an excellent time to salute them. They are in hearts and minds as they serve heroically.

Our web development company has even devoted a web site specifically to these service members about plastic surgery and we offer a discount. This can be found at www.militaryplasticsurgery.com . This web site about military and plastic surgery will offer discounts and address some of  the issues we have seen. So Please take a look.

doctor808

I usually work most Saturdays for one half a day.  Saturdays in Hawaii are good days. Mostly family day,  where the locals go to da beach and hang out eating lau lau or eating something else I do not like. After over 20 years here I am still such a Haole Boy.

So typically on Saturday,  as far as plastic surgery goes I see a few patients who are post procedure, and maybe a few new consults. Mainly Saturday is my catch up day from the busy week. I will look over patient charts, troubleshoot management issues. I will spend special time with staff to go over issues or train them the way I want. They learn from others many times in the practice and sometimes that means the wrong way. So Saturday is a good day to directly interact with my staff as their is less business to take care of and I have time.

A plastic surgeons office in Hawaii is a very interesting thing in that such a wide range of cultures and ethinic issues arise. We have Japanese from Japan, local Japanese, military from Texas , Vietnamese, Korean, British , Russian and on and on. Hawaii is like that and we as plastic surgeons we learn all the nuances of a multiplicity of cultures. This Saturday my receptionist was from main land china, other days my tech is from Japan, my other tech is Filipino and my other receptionist is Korean. This is required to deal with all the languages and cultural issues.

Today I spent teaching my newest receptionist who is from mainland china, she is smart so its easy. Saturday is generally a no surgery day so its easy., I saw all the patients myself and corrected some documentation. It was really a boring day…..but thats ok. I need that by Saturday in my plastic surgery office—now off to the gym.