Doctor808 Plastic Surgeon Honolulu 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

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

Swine Flu  is a serious disease and authorities are worried about its spread in the United States. The reason is that as of this writing there have been already reported 150 deaths in Mexico. Here in Hawaii there has not been a reported case yet.  However there has been at least one reported death in the USA.

A flu epidemic is caused by a virus which is spread typically by person to person contact. Sneezing, coughing and spread by air , are the usual methods.  It also can be picked up on door knobs if touched right after someone contagious has spread the droplets there for example. In the case of swine flu the virus has made the jump from pigs to humans and the DNA has become mixed up. There was not thought to be a spread of the virus beyond 3 successive people but now that has been dismissed. 

For a more detailed description of the swine flu check this out CDC SWINE FLU report from CDC.

As a Plastic Surgeon in Hawaii,  I do get reports from the local health department and there have not been any reported cases here,  but caution is advised. Hawaii has a lot of incoming visitors as it is a vacation paradise. At my clinic we come in contact with a lot of people and we take extreme precautions not to contribute to the spread of virus or any germs. I have not decided yet but I am considering carefully,  to mandate wearing of mask by staff when in contact with public. Its a balance of saftey and giving the appearance of friendliness that I try to maintain from my staff.

Any of my plastic surgery staff who is sneezing, coughing or shows signs of illness will either be sent home or at a minimum wear a surgical mask. We are tight knit group and everyone is concerned about saftey for our patients and ourselves. 

What can you do to prevent swine flu or any other cold or flu? Well common sense is the first order of business. That  is stay away from where there are reported cases if possible. Next when traveling especially by air or any other cramped condition wear a surgical mass. It may look funny or feel odd,  but better than being ill. Vitamin C of course is always a good overall immune system booster, I take 1 gram a day but that is not advice to you as that can cause diarrhea unless you build up to it slowly. Any medical suggestions here are not my advice to you as a doctor,as that would require a lot more knowledge of you , but you can ask your doctor his opinion. Wash your hands frequently , you may want to aquire a hand sanitation agent.

There are surgical mask commonly seen being worn by people in travel through airports and very common is Asia due to avian flu. I think now is the time to consider such precautions although it is not known how effective. Personally I think its a good step to take.

You can obtain surgical mask here:

Japanese Study

                     A quite morning of study  for Doctor808 ???

This morning I was up at the crack of dawn determined to get in my Japanese study time. I left the house early after  I spoke with my significant other and did the morning dog routine. I jumped  into  my hummer, drove to Starbucks and then sit down for an hour of study before work.  It was going very well, I had two pages of lesson completed both spoken and written. THEN THEY CAME……

A Gang Of Cantonese!!!

I have nothing against Chinese people , in fact my significant other is Chinese. Yet here I am trying to study,  enjoy in a  nice tropical breeze, the peaceful quite with my favorite coffee. This is all  very  conducive to study. All of sudden an Asian man walks up and starts pulling outside tables together near me.  He not only pulled one but then two and then a total of five tables and 15 chairs.   He lined them up all in nice neat row , next to me.  A t first I thought he was crazy as sometimes homeless people come around there and do strange meaningless things such as that. Then I realized —OH MY GOD –NO NO NO, it was evident he was preparing for a crowd and getting chairs and tables together for THEM. 

 I am not against Chinese per se,  but when you are trying to study a gang of Chinese having  social event next to you  is not a great idea. To make matters worse they were not just any Chinese,  but CANTONESE speakers. The difference is huge when compared to the  main land Chinese who speak Mandarin. Cantonese speakers when in a group sound like a major fight is going on as they talk. Its not that they are fighting , but it is the nature of the dialect. This is much different than Chinese Mandarin dialect which actually  is very calm , sweet and like a song. Chinese are much like Italians, my ancestry, they are very loud when being social.

I had to end my study as the loud sound of Cantonese chatter was overwhelming. First one person yakking then another  then all talking at the same time. It appears as if there is strong competition for talking!! I found  myself thinking back when I worked in China Town in New York City and the words I had learned in Catonese  from those days were entering my head without permission.

No longer could I think to myself “Genki Desu KA? ” but now I was thinking ” Ne Ho Ma ?“  My thoughts were taking a beating , my blocks to the environmental distraction were failing and had failed. As the cloud of asian languages were confusing, overwhelming and non stop swirling about in my brain—I was having second thoughts about learning Japanese , maybe I should learn french.

drmap

Well the recent troubles with Ushers wife going to Brazil and having a cardiac arrest make this a very topical topic. Many people travel to places other than their home towns to have  procedures. Here in Hawaii I have spoken to many patients who come to my office after travel for cosmetic procdures. Some go to Korea, Thailand and other parts of Asia. Recently a woman told me she was going to Mexico to have the procedure we discussed at half the cost. 

Basically there are good plastic surgeons all over the world which is not the problem. You can find good surgeons in Mexico or in any of the other countries I mention no doubt. The problem is when there is some difficulty. Not only are you miles away from family or any support, but the money you would have saved now is lost  and most likely has become so much more than the original cost quoted locally.

What comes to mind was doctor and her husband who went to Brazil to have the LASIk procedure done to correct some vision problem. She and her husband both had the procedure at a substantially reduced cost,  than they would have in the States. Yet she had a problem after surgery which she had to travel to London eventually to correct. As london indeed had the only expert in her problem. Although she saved money with the initial surgery it cost her over 8 times more and she is still receiving treatment.

This story has been repeated many times in my practice a girl who traveled to Thailand who had some rubber unknown sack used as a breast implant which I took out for example. She wasted her money. Even when people have quality plastic surgery done away from home if they have a problem they have to fly back to the place which cost additional money.  It can work but dont think you will save in long run , the numbers do not work out.

I have patients fly in to see me as well. Yet we require them to stay till everything is ok. Even then we tell them that if they are from Japan for example  we may have a doctor they can see there,  but it may require a plane trip back to Hawaii. Its not that I condemn the practice,  but I want to make sure they are appraised of the risk and know that in long run saving money will not be one of the benefits.

Well these are some of my thoughts Summary: You can fly far away to have plastic surgery and it may be good idea if you find the right surgeon. Yet do not think you will save money and you best be able to be prepared if something goes wrong to pay extra. The only reason I can see to take this risk is that you are traveling for special expertise. You pay for that, so going for cheap is not a good reason.

Doctor808

This is a rather personal writing not too much exciting but gives the reader a little insight.

What is Monday ?

Monday Hair

What is Monday? It is the start of the week after Sunday, family day. As a plastic surgeon who also CEO of a web development firm and one who trains in a the sport of Muay Thai almost everyday my time is limited. Thus, I usually divide my day up in sections, of what to get accomplished. Each day of the week I have also designated for particular things to get done. Monday is revision surgery and small cases with staff a meeting, tuesday is big case day , Sunday is family day and so on……. Let me dissect Mondays for you to see if you find it interesting. Monday I am up at 5 or 6 am as most days and I go to computer, check emails. look at schedule and fool around with my three dogs. Samantha is my oldest dog who is 12 years old and needs the most attention. I try to do stretching every morning although when I am training hard I go to the gym. So after taking care of Dogs , computer work , planning some things I go to pick up one of my employees on the way to work before 8 am. We discuss our web business , google news, SEO stuff , our clients etc. I get to office and my nurse will have the first patient ready along with my operating assistant. I check the patient and do what ever was required. Today for example we did a scar revision, a liposuction touch up and lower lid blepharoplasty ( lower eye lid surgery). Everything went smoothly this morning as usual. After 20 years of doing this stuff, it better go smoothly one would think and it does. Then the fun starts–the mandatory staff meeting at lunch. This occurs every monday and even though its mandatory I spend an inordinate amount of time being irritated because certain people dont feel the same way I do about it. Yet with legitamate excuses what can I say. Every monday we go through the same thing….where is so and so. “Dont you recall Doctor she has school or her child is sick or bla bla bla”. Anyway that is always an irritation. So Monday is irritation time at least for few minutes, regular, steadfast and like clockwork every monday i get irritated at the start of the staff meeting.

The dreaded staff meeting.

Some Staff

Next we have our staff meeting, we review new patient statistics, we talk about supplies which are needed and not in yet, we discuss any issues at hand and finally we review how to make things better for our patients, staff and all concerned. The staff meeting usually ends around 1 pm and the rest of the day is spent seeing a few patients and taking care of the important things that cant wait. I try usually unsuccessfully to take Monday afternoon off. Today for example I left at 3:30 pm which is early for me. If I am lucky as I was today I can make it to Muay Thai training on time 5pm or so. I train for minamum two hours and by then its usually 8pm. I travel home , say hello to my other half who inevitably makes a nasty comment about how I am getting too old and will hurt myself about full contact Muay thai. Its hard to argue with the truth, but I pretend to even though she is probally right I don want to admit that I am getting older and few people my age do such a sport. I take a shower and then head to the computer again getting my web work done. Oh I usually don’t eat much after training, but a small meal and plenty of fluids. After this I checked some search terms on google analystics tonight, answered some emails and then worked on my latest web site. Monday is never that exciting and I am glad really. I work on the internet to about midnight and then off to sleep. When I look at this I think I am rather simple guy. Not exactly 9-5 but kinda, as my internet work is play as much as it is work. I enjoy it that much designing , content writing and even thinking how I can take over the internet world of plastic surgery web site design and marketing……

Oh I forgot to tell you I always try to listen to my Japanese language disk to and from work and Muay Thai. I have listened to them so many times that I am sure I speak like a japanese female as opposed to a male since the voice is female on the disk.

Future Monday?

Future of Monday

I think in a few years I will change my Monday’s I look forward to that. Yet after many years of these Monday routines I may become confused or something. How is your Monday dear reader ?

Well as a bit of a geek or as the Japanese say, an otaku I own an Iphone. This I suppose is a mark of a geek, much like having a gmail address early. I am trying out this blog program and will publish from my Iphone. I did want to say, that as our web company grows to stay ahead of the game no time can be wasted. So since I am waiting for my ride to lunch the Iphone helps me save time, as I blog from the phone. As to advise to my clients, if your going to blog check  the Iphone to help with no waste time blogging.