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Primary Rhinoplasty
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03/15/2013
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Traveling Professor
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03/09/2013
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Over the last two years, I have had the opportunity to visit many different countries as and invited speaker and to operate in those countries to demonstrate my techniques for rhinoplasty. It has been an honor and a privilege to work so closely with such great surgeons and societies to bring the educational level of my work to new heights. I can honestly say I have received much more than I am sure I have given. The amount of information I take in at these congresses is staggering and it has brought my understanding of rhinoplasty and the results we generate to new levels.
In Canada, I was hosted by Wayne Perron, MD in the great city of Calgary where I had the good fortune to work with Michael Yaremchuk, MD on a difficult primary rhinoplasty. It was my surprise that he was interested in assisting on my case for the CSAPS Congress, but what a great time we had and the patient is very pleased with her result. I was fortunate to be able to return the favor and assist Dr. Y on his mid-face augmentation with tear trough implants. Amazing!
In Bergamo, Italy, we were hosted by Enrico Robotti, MD and had the pleasure of performing a revision rhinoplasty using rib cartilage as a donor site and deep temporalis fascia with diced cartilage. I was assisted by Dr. Anita Patel and Dr. Rollin Daniel along with Dr. Olivier Gerbault moderated the case. It was truly a special opportunity and I am happy to say the patient is thrilled with her result and all involved enjoyed the experience.
In Istanbul, I was hosted by the famous Nazim Cerkes, MD and his incredible colleagues who brought me a very difficult case of an overly elevated bony radix on a very sweet woman desiring rhinoplasty. The cases went well and I was glad to run into an old friend from my days at the University of Pittsburgh, Rushin Kapuchu, MD. Dr. Baris Cakir and Dr. Neuri Celik were also quite helpful with the care of the patient and made sure everything went well for her.
I visited many other countries and spent time lecturing and interacting with the local surgeons and those from far away who travel to such congresses. And with that, I am pleased to have been selected as the ISAPS Traveling Professor for 2013 - 2015. It is a great honor for me and I look forward to my international teaching and learning that I have found so instrumental in elevating my techniques and care of my patients. http://www.isaps.org/member-by-name-jay-calvert-2846.html
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Secondary Rhinoplasty
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09/24/2012
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New Pain-Free Hair Removal and Skin Tightening Now Offered at RoxSpa
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06/01/2011
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RoxSpa is pleased to announce the addition of the new Soprano XL virtually pain-free laser hair removal system to the spa's list of procedures.
The Soprano XL system dramatically improves the way laser hair removal has been performed over larger areas. The revolutionary system makes "in motion" hair removal possible with continuous movement of the wand while accomplishing deep penetration into the dermis. The ability to move the wand continuously over the treatment area virtually eliminates the pain that can be experienced by patients when they are being treated for larger areas of the body, such as the legs, back and arms. This is particularly true for men who require hair removal across the entire back or chest. For these areas, the RoxSpa practitioners can treat patients more efficiently and reduce discomfort and treatment times.
The SopranoXL combines intense power and an intelligent, intuitive interface with the breakthrough IN-MotionTM technology from Alma Lasers to deliver fast, virtually painless procedures with safe, reliable, and superior clinical results every time. Unlike other lasers, the SopranoXLi can treat all skin types, including tanned skin, so physicians can deliver treatments year round.
Additionally, the SopranoXLi's Near Infrared (NIR) module enables Dr. Calvert to provide patients with virtually painless treatments for improving skin laxity. It distributes energy uniformly to produce deep dermal heating that stimulates the formation of new collagen without damaging the epidermis. It can also be used to treat minor muscle pain, joint pain and stiffness, muscle spasms, minor sprains, and strains.
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Surprising Plastic Surgery Trends Around the World
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08/25/2011
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Recently Yahoo!’s ‘The Thread’ published a very interesting article about plastic surgery trends around the world, and I was honored to be the contributing doctor for trends in the United States. Based on feedback from my international colleagues, this article reports that although we are all striving to look more beautiful, geographic location defines what beauty is.
Read the full article below. Surprising plastic surgery trends around the world
 We're all striving to look (and feel) our most beautiful, but what that looks like varies wildly depending on where you live. In some countries, a modest behind is a prize. In beach-centric areas it's an issue to "fix." Certain cultures focus more on the face, others on the body. And certain populations — including America's — find the money to spend on elective surgical procedures even when the economy is dire. There were 13.1 million cosmetic procedures performed in the U.S. in 2010, according to the American Society of Plastic Surgeons — that's an increase of 5% from the previous year. Breast augmentation topped the list here, but what about the rest of the world? We consulted with Dr. Jay Calvert, a plastic surgeon in Los Angeles. Calvert and his global network of colleagues constantly compare and contrast the different demands of their patients. The result is an extremely subjective— but, in our opinion, entirely fascinating — review of what patients are having done in Europe, Asia, South America, and the Pacific.  Trends in the U.S., according to Dr. Jay Calvert Most popular procedure: Breast implants. People are not turning to liposuction as much. They're doing more diet and exercise, and understanding that lipo is really for contouring defects, not weight loss. Latest craze: Stem cell fat-grafting -- harvesting stem-cell-rich fat from one area of the body and injecting it back into another to add volume, refresh the skin, and fill out wrinkles. What's gaining momentum: Rhinoplasty. A specific rhinoplasty procedure, using a patient's own diced cartilage and fascia to shape the nose instead of a silicone implant, is gaining traction. Full disclosure: That procedure was something Dr. Calvert developed along with Dr. Rollin Daniel, a colleague with a practice in Newport Beach. Ideal body type: Medium-sized breasts and "the Kardashian butt." Facelifts have to look healthy and natural.  Trends in Singapore, according to Dr. Chin-Ho Wong Most popular procedure: For ladies it would be periorbital work. Either double eyelid surgery (a procedure to create a crease in the upper eyelid) or eye lifts, then breast augmentation. For men, it's liposuction. Latest craze: Fat grafting as part of conventional periorbital rejuvenation or facelifts. Fat grafting alone is also popular for the breasts. What's gaining momentum? The autologous approach to Asian rhinoplasty where a piece of rib cartilage is used for sculpting. In the past, almost all aesthetic rhinoplasty was done with a silastic (silicone) implant. The autologous approach is quickly gaining in popularity as results get better. Ideal body type: Larger breasts are always in demand here. Large buttocks are culturally not a concern for Asian women.
 Trends in Australia, according to Dr. Chris Moss Most popular procedure: Female patients are looking for breast augmentation and most male patients are looking for nose jobs. Latest craze: Clients are intrigued by fat grafting as well as non-surgical options like fillers to add volume to the face. What's gaining momentum? Upper or lower facelifts with short incision techniques. There are two types of people wanting these: those who have put off surgery for years by having facial fillers or people who like the improvements from fillers in their cheeks but now want more rejuvenation in the jowls and neck. Ideal body type: The desired breast size is slowly increasing. As a general rule, there are larger breasts (350 to 400cc) in the north of the country (Queensland) where there's a strong beach culture, and smaller breasts (around 300cc) in the cooler south of the country (Melbourne). There's no demand for buttocks surgery, but breast augmentation, liposuction, and tummy tucks are all very popular.  Trends in Germany, according to Dr. Milos Kovacevic Most popular procedure: For women, breast surgery. For men, eyelid surgery. Latest craze: Thermage— a skin-tightening treatment using radio frequency— referred to by some as "a facelift without a scalpel." What's gaining momentum? Labia majora surgery to lift or contour the labia. Ideal body type: Nothing too extreme. The natural, un-operated-on look is the goal. As Dr. Kovacevic says, noses "have to be natural looking." The ideal breast size is big but not large, and stomachs have to be flat.  Trends in Brazil, according to Dr. Alan Landecker Most popular procedure: Breast implants for women and rhinoplasty for men. Latest craze: Breast augmentations using more natural-looking implants—ones with a slightly wider base and a more moderate projection. What's gaining momentum? Male plastic surgery from nose jobs to lipo to eye lifts. Ideal body type: It's not all about the behind anymore. According to Dr. Landecker, a round, muscular butt used to be the only focus. Now women are looking to enhance their breasts. Curvy, athletic bodies free of even a trace of cellulite are the goal.  Trends in Greece, according to Dr. Thanasis Athanasiou Most popular procedure: Breast augmentation and liposuction for women and nose jobs and liposuction for men. Latest craze: The newest trend is fat transfer enriched with stem cells (after a special culture in the lab) also the use of large-volume hyaluronic acid for buttock augmentation. What's gaining momentum? Butt augmentation. The desired body type: The so-called "European aesthetic" with natural-sized breasts and behinds where nothing is exaggerated or overly "done."
 Trends in France, according to Dr. Olivier Gerbault Most popular procedure: For women it's breast augmentation, then liposuction, then rhinoplasty. For men it's liposuction, rhinoplasty, and then facial rejuvenation. Latest craze: Lipo-filling as part of a breast augmentation. Fat is harvested from the abdomen or thighs and then injected into the breasts to add volume. What's gaining momentum? Genitalia surgery.
Ideal body type: Larger breasts with a slim silhouette. Buttocks' shape isn't so essential. "Natural" is key. Whatever the procedure performed, the result mustn't look overdone or obvious. Trends in Belgium, according to Dr. Jo Vanoorbeek Most popular procedure: Upper eyelift for men and breast augmentation for women. Latest craze: Fat grafting. What's gaining momentum? Fillers and Botox.
Ideal body type: Belgian people don't want to look operated on. No big breasts, especially breasts that sit high on the chest. On the face, some wrinkles are allowed. Belgian people don't want to admit they underwent plastic surgery. No big butts in Belgium. http://shine.yahoo.com/the-thread/surprising-plastic-surgery-trends-around-world-202949169.html
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Diced Cartilage and Fascia for the nose
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10/30/2009
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New Technique Allows Plastic Surgeons to Build a Better Bridge and Helps in Complex Reconstructions
Dr. Jay Calvert has developed a nasal-bridge operation that is being called the greatest advance in rhinoplasty surgery in the past 30 years. This technique treats problems with the bridge that have been difficult, if not impossible, to treat until now.
The Diced-Cartilage and Fascia Graft, known as the “DCF Nose Graft,” allows the surgeon to correct deformities, reduce surgical complications and fine-tune the results of their work as the body heals. While initial findings were originally published by Dr. Calvert in a peer-reviewed publication in 2004, he has subsequently refined the procedure allowing for optimum results.
Until this revolutionary grafting technique had been perfected, surgeons were hard-pressed to build out areas lacking substance, and had to wait until the post-operative swelling had subsided to find out if the surgery was a success (or would have to be re-done). The DCF Nose Graft allows the doctor to delicately mold the nose for several weeks after the operation.
Ideal for forming or restoring the bridge of the nose, the procedure could have been used, for example, to repair Michael Jackson’s compromised proboscis. “This technique could’ve been a key part of an operation to repair Michael Jackson's nose,” Dr. Calvert said, “since it allows the bridge to be re-contoured by adding new tissue to it, and the final shape to be controlled by molding it post-operatively.”
Plus, by using the patient’s own cartilage and tissue (from the rib) to form the graft, the chance of complications or rejection is significantly reduced. The new technique can be used in a wide variety of cases but is particularly useful in the correction of opposites - both overly scooped or “saddle” noses, as well as “aquiline” or “Roman” noses.
Previous attempts by others to develop similar procedures have failed, but after more than seven years of clinical research, Dr. Calvert has become an internationally recognized expert in this type of reconstructive nasal surgery.
At the 2008 American Society of Aesthetic Plastic Surgery (ASAPS) meeting in San Diego, the DC Nose Graft technique was recognized as “the most effective way to create a better bridge." This grafting method has not only revolutionized rhinoplasty, it lays the foundation for future advances in reconstruction and has inspired a new generation of rhinoplasty surgeons.
According to the American Society of Plastic Surgeons, nose reshaping is the second most common plastic surgery procedure for women in the U.S. after breast augmentation; and the most popular among men. Dr. Calvert treats approximately 125 patients a year using the DC Nose Graft technique and performs about 200 rhinoplasty operations a year.
A plastic and general surgeon, Dr. Calvert’s research work in tissue engineering and bone regeneration elevated his reputation as an expert in nasal reconstruction and rhinoplasty revisions. Internationally sought after as a lecturer, he regularly shares his findings at surgical conferences, in peer-reviewed articles and by mentoring medical students, residents and surgeons in fellowship training. He is co-founder, along with Drs. Kami Parsa and Dr. Drew Ordon, of the non-profit Surgical Friends Foundation through which the three collaborate on extremely challenging and life-threatening reconstructive cases. He appears frequently on the Tyra Banks Show as a medical-esthetics expert and writes a blog about plastic surgery issues on his website, www.drcalvert.com.
An active staff member at Cedars-Sinai Medical Center in Los Angeles, Hoag Memorial Hospital in Newport Beach and Long Beach Veterans Administration in Long Beach, Dr. Calvert earned his medical degree from Cornell University Medical College in New York City and a Bachelor of Arts’ degree in molecular biology from Vanderbilt University in Nashville, Tenn. He completed the rigorous seven-year combined Plastic Surgery Training Program at the University of Pittsburgh Medical Center, one of the most highly regarded programs of its kind. He is an active member of the American Society for Aesthetic Plastic Surgery, the American Society of Plastic Surgeons and the Rhinoplasty Society, and is a fellow of the American College of Surgeons.
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New technoolgy at the ASLMS
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04/01/2011
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Dr. Jay Calvert of Beverly Hills, CA recently attended the Alma Laser Luminary meeting and was privy to some exciting new technology. The Pixel RF is currently unavailable in the USA but is making its way through the FDA and looks like a winner! This device can resurface, treat acne scarring, and deep wrinkles of the face with radio frequency technology. Stay tuned for more information...
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Dr. Phil and Dr. Calvert talk to Sandra about her Surgery Horror
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04/22/2010
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Recap from The Dr. Phil Show-- April 22, 2010
Surgery Horror Story
“My life was turned upside down because of a horrible medical procedure,” says Sandra. “Twenty years ago, I found a lump in my breast. My family doctor told me these lumps could turn malignant. He recommended that I have both breasts removed. When I had my surgery, it turned into an absolute nightmare. My surgeon had been drinking the day of our surgery. My surgeon had never performed any mastectomy surgeries.”
Sandra says that when her bandages were removed, she was horrified at the results. “They were red, swollen, one side was really riding high. I felt extremely mutilated,” she recounts. “I believe I never had cancer.”
After 19 reconstructive surgeries to repair the problem, Sandra says her self-esteem is ruined. “Even though I won a tiny settlement, it has not changed how angry I am. I’m ruining all of my relationships because I am so bitter,” she says. “I can’t get over what has happened to me. My breasts may never be normal again.”
When the video ends, Dr. Phil turns to Sandra. “I hate that for you,” he says, placing a hand on her arm. “How did you wind up getting a mastectomy from a doctor who had never done one?”
“My lawyer found out he had never performed one of any kind,” she says. “He had done gall bladders, general surgery. He had never done any type of a mastectomy.”
“And you believe he was intoxicated at the time of the surgery?”
“I know he was. He drank at a place where you cannot pay cash, and so it was right on his bill,” Sandra reports.
“What do you say to the women out there who are facing some of these decisions, looking for plastic surgeons to do these things with?” Dr. Phil inquires.
“Go and see about five doctors,” Sandra says. She tells Dr. Phil that she wishes she would have researched the background of her physician prior to surgery.
“Still today, this affects you because you don’t like the way you look. You have someone in your life, but you’re very intimidated about that,” Dr. Phil observes.
“Yes,” Sandra says.
Dr. Phil introduces Dr. Jay Calvert from the Roxbury Clinic and Surgery Center, who works very closely with Dr. Drew Ordon from the show The Doctors. “Dr. Calvert, you’ve looked at the pictures and you’ve seen what’s happened. She has not been brought back to a point that is reasonable to get to, correct?”
“Absolutely. There’s a long way to go before she really gets a result that any of us would say, ‘This is a great result,’” Dr. Calvert responds. “The types of techniques that are needed right now are really very specialized, and there has to be a multiple-operation approach.”
Dr. Phil has a surprise for Sandra. Dr. Calvert has offered to perform the corrective surgery for her.
Dr. Calvert tells Sandra, “Dr. Ordon and I have talked about your case, and we really believe that we have all of the techniques that you need to get there, but it does take a lot of follow up, and it takes you understanding your part in the reconstruction.”
“You’re on your way back, girl!” Dr. Phil encourages Sandra.
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Orange County Facelift Article
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06/18/2009
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http://www.coastmagazine.com/articles/table-882-tbody-time.html
This article on the new Orange County Facelift is quite significant for my practice. I am happy to say that Donna Bunce took it upon herself to make this article happen. I am pleased and excited that such a nice article written by such a lovely person is helping to let patient's know that there is a way to have a facelift without looking like you came through a wind tunnel. Please read the article and let me know if you cannot open the link. I will get it to you via email.
Here is an excerpt:
The New Facelift: A More Natural Look
Having beenentrenched in the world of beauty and style for many years, Coast’sfashion editor, Donna Bunce had seen all kinds of facelifts. Those sotight and overworked, they looked like a Hollywood cliché. And those sowell-executed, the patients looked like they just came back from aluxury spa vacation.
So when she decided it was time to havehers done, Bunce, 66, knew what she wanted – a look that wouldn’t makeher face seem “pulled back.” For this, she turned to Dr. Jay Calvert, acosmetic and plastic surgeon who practices in Newport Beach and BeverlyHills (drcalvert.com, 949-644-2858). Bunce had seen his work up close and liked how the results looked naturally changed – not radically altered.
Calvertis among the coterie of cosmetic surgeons who advocate a new look thatrestores some youthful fullness to the aging face instead of what thedoctor calls the “windswept” facelift of previous decades.
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FAQ's on the IDEAL Breast Implants from www.idealimplants.com
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06/29/2009
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Q. What is the IDEAL IMPLANT?
The IDEAL IMPLANT is a patent-protected, investigational, saline-filled breast implant that uses no new materials, fillers or manufacturing processes. It is made from only standard saline implant shells, valves and patches, with only saline as the filler. Its unique design has a series of implant shells of increasing size nested together to give it internal structure and to control movement of the saline. It is designed to contour to the chest wall and feel similar to a silicone gel implant.
Q: How is this implant different from current breast implants?
Recognizing women’s desire for the safety of saline and for an implant that feels natural, the IDEAL IMPLANT offers a new concept in breast implant technology to answer this unmet need.
The IDEAL IMPLANT has an internal structure that is engineered and designed to alter the movement of the saline filler. This is what makes it behave like it is filled with a thicker and more viscous material. Since only standard saline and silicone gel implants are currently available to plastic surgeons, the IDEAL IMPLANT may in the future provide women a desirable alternative.
Q: If the IDEAL IMPLANT uses no new materials, how is this really any different from saline implants currently available on the market?
The unique internal structure provides support to the upper pole and edges of the outer shell, so when held upright, the edges do not wrinkle and the upper pole does not collapse. It seems that this reduction in wrinkles and folds may result in a lower deflation rate than for current saline implants.
Unlike current saline implants, the IDEAL IMPLANT shell geometry is designed so the implant conforms to a convex surface such as the chest wall, with its edges low and close to the surface.
Q: Is the surgical procedure for the IDEAL IMPLANT similar to the procedure for current saline and gel implants?
The IDEAL IMPLANT is designed to require a relatively small incision since it is inserted empty and then filled with saline through self-sealing valves. It is designed to allow for sub-muscular or sub-glandular position with standard surgical techniques.
Q: What if the implant ruptures?
The IDEAL IMPLANT is designed for obvious detection of a deflation on physical examination. As the implant deflates, the body absorbs the saline.
Q: Will the IDEAL IMPLANT come in a variety of sizes?
The IDEAL IMPLANT is available in the fourteen most popular sizes from 184 cc to 600 cc.
Q: What are Ideal Implant Incorporated’s plans for manufacturing the IDEAL IMPLANT?
The Company is working with recognized U.S. leaders in silicone medical device manufacturing to provide superior materials, workmanship and inspection so the finished implant meets the highest standards. The Company has chosen manufacturing facilities with ISO-13485 certified quality systems so women and their surgeons can have confidence in the IDEAL IMPLANT.
Q: When will the IDEAL IMPLANT begin its clinical trial?
With FDA approval of the investigational device exemption (IDE), Ideal Implant Incorporated will conduct a clinical study of the IDEAL IMPLANT in women who are undergoing primary breast augmentation or replacement of existing augmentation implants.
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Micronized Collagen to Improve Fine Lines and Wrinkles
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05/07/2010
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Skin LiftingPURIGENEX MICRONIZED COLLAGEN MASKS AND SERUM
Click here for the Purigenex Demonstration video
We have introduced this product over the past several months and have been thrilled with the results we have seen for patients.
The mask series is made up of six, 40 minute in-office treatment that require NO DOWNTIME.
The serum is used twice a day at home in between the mask treatments to maintain and amplify results.
Therapeutic Benefits of ICS and ICM Collagen- Skin recovers elasticity after using PURIGENEX collagen.
- ICM Ionized Collagen Mask penetrates cells and increases the strength and tone of loose or aged skin tissue. This mask also potentizes the skin for deeper penetration of ICS Intensive Collagen Serum.
- ICS Intensive Collagen Serum nourishes and fortifies the skin and activates the body’s own collagen generation.
Skin LiftingCell aging is delayed by collagen and hyaluronic acid. These ingredients smooth and fill fine wrinkles in the epidermis, and promote cell regeneration in the basal layer of the skin. Wrinkling of the neck and around the eyes will appear to be reduced as the improvement to the epidermis lifts and conceals deeper creases in the dermal layer.
PURIGENEX’s flagship products are collagen-based intensive skin therapies: ICS Intensive Collagen Serum and ICM Ionized Collagen Mask. These formulas are medically engineered with the world’s most highly purified atelocollagen — a truly non-immunogenic, bio-compatible element in the most active animal-source form.
Collagen of this quality has never before been offered in topical cosmetic preparations. ICS and ICM are FDA-registered, preservative-free formulas that are highly tolerated by even the most sensitive individuals. These products are indicated for all who are seeking to prevent and repair their skin from aging, sun damage, discolorations, and acne scarring. Regular, directed use will boost the skin’s own collagen integrity, to make it appear plumper, smoother, more supple, and more youthful. Additionally, skin nourished with PURIGENEX collagen is able to function more effectively as part of a healthy body’s natural defense system.
- Skin recovers elasticity after using PURIGENEX collagen.
- ICM Ionized Collagen Mask penetrates cells and increases the strength and tone of loose or aged skin tissue. This mask also potentizes the skin for deeper penetration of ICS Intensive Collagen Serum.
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Kids' Summer Injuries
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06/26/2009
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I know firsthand how quickly injuries can happen. I was recently stitching up my 14 month old son after he fell and split his forehead open causing a significant laceration (with 3 adults in the immediate vicinity). As I was at my office closing the skin on his forehead, it occurred to me that my patients and their families might be dealing with very similar summer-related injuries with their children: cuts, burns, lacerations, or broken facial bones. Even for a plastic surgeon like myself, it’s unsettling to say the least when you see your own child with a significant injury. However, unlike my situation, you probably can’t just run your child over to your plastic surgery procedure room, call your associate to assist, and expertly close a facial wound.
With July 4th coming up this weekend, I want to let you know that either I or one of my partners can be available this summer or anytime to help you in case you need a plastic surgeon in an emergency situation. If you are in the ER at Hoag or Cedars, please feel free to call our office for help. If you are at home wondering whether you should go to the ER for an injury or wait to see us in the office the next day, we should be able to answer this for you over the phone. Some of these injuries, like broken noses, are better helped within the first 24 hours and others can wait. The only way to know what to do is to call us.
If you find you need the expert advice of me or my partners for an emergency injury, please call the office anytime and someone can be reached to help you.
310-777-8800
If you are at the ER, , you can always call our office. You can always request the opportunity to speak with a physician of your choice even though you are in the ER. To guarantee the best possible result for your plastic-surgery-related injury, call us so we can make an assessment for you. Some of the more common plastic surgery emergency injuries include:Broken noses or facial bones Burns Deep cuts or large scrapes anywhere on the skin, including the skull Lacerations or trauma that rips or tears the skin Dog Bite wounds
Have a happy 4th of July and please be safe!
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Pixel Laser Skin Resurfacing
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02/02/2008
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Frequently Asked Questions
What is a Pixel™ treatment?
The Pixel by Alma laser is a relatively new FDA approved laser device that is designed to improve the skin quality and texture while stimulating collagen regeneration. Laser skin resurfacing is a procedure commonly used to restore a youthful appearance to wrinkled, prematurely aged, or sun-damaged skin.
What are the benefits of the Pixel™?
The Pixel™ Fractional Resurfacing FDA approved procedure offer results comparable to traditional laser resurfacing without the discomfort or need for lengthy recovery. It is the next generation of laser skin resurfacing that helps improve skin texture, tone and firmness, smoothes wrinkles, and reduces pore suze and scars (including acne scars) without the downtime or discomfort associated with other resurfacing lasers. BEFORE AFTER  How does the Pixel work?
Pixel skin resurfacing is based upon the principle of microthermal treatment zones. The laser pulses create tiny holes in the skin, removing the epidermis and upper dermis. The treatment then triggers the body’s natural healing process, stimulating the growth of new, healthy skin tissue. The Pixel treats small zones of the skin, leaving surrounding tissue untouched and intact. These large unaffected areas act as a reservoir for more effective and rapid tissue healing and collagen production. The end result is new, healthier, smoother tissue in place of skin imperfections.
What areas can be treated?
Any area of the skin can be treated that has surface irregularities, including: acne scars, wrinkles, and stretchmarks. Common areas treated include: - face
- neck
- chest
- thighs
- hands
- arms
- feet
BEFORE AFTER  How many treatments are necessary?
In general, regardless of the area of skin being treated, optimal treatment involves 3 to 6 sessions and 3 to 6 week intervals. In our office, Pixel is often bundled with other therapies to achieve optimal results, such as Skin Tightening Laser, Photofacials and Botox® Cosmetic.
Does the Pixel treatment hurt?
There is little or no discomfort during the treatment. Most commonly, clients feel some slight warmth with the pulse of the laser. Clients experience a sunburn-like, tingling sensation for a few hours afterward. Any discomfort is typically neutralized with a gentle moisturizer or emollient, such as Aquaphor™.
Is there any downtime with the procedure?
Typically, patients experience one to three days of “social downtime”. However, mineral makeup can be applied immediately or very shortly after the treatment to camouflage the treated area, if desired. Usually the skin remains red, but generally intact over the first 24 hours. Flaking usually starts to occur after that with the skin almost completely flaking off around 48-60 hours post-procedure, depending upon the size of the area treated. Full recovery happens in about 5 days where patients can begin to return to their normal skin regimes from 5-10 days post-treatment. Your skin will look better within days following the treatment and results will steadily improve over the next few months, particularly if more treatments are completed within 3-6 week intervals.
Who performs the treatment?
At the Roxbury Clinic and Surgery Center, we have plastic surgery trained RN’s and PA’s who perform these procedures in addition to the physicians. These practitioners have extensive experience working with lasers and are particularly familiar with the capabilities of the Pixel laser. This in-depth knowledge of the Pixel laser among our medical professionals allows patients the opportunity to achieve the best possible results of this technology in the safest possible manner.
How much does it cost?
Prices vary based upon the area treated. In our office, prices typically range from about $800 to $1500 per treatment per treated area. Special package pricing is available when purchasing 3 or more treatments at a time.
How do I make an appointment?
To reach our RoxSpa staff, call 310-777-0946. They will speak with you about your desires and can then arrange an in-person consultation along with a convenient appointment time for you.
--Jay Calvert, MD, FACS Medical Director of RoxSpa Aesthetics
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Surgical Friends and Dr. Kami Parsa Article
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09/18/2010
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Surgical Friends’ Dr. Kami Parsa
By Sue Facter on September 16th, 2010
Dr Kami Pars of Surgical Friends Foundation.
He may work in an upscale office on Roxbury Drive, but he gives his heart and soul to those who are in need, while he gets his well-manicured hands dirty from the trenches.
Surgical Friends was created in late 2009 by Dr. Kami Parsa, Dr. Jay Calvert and Dr. Andrew Ordon. After volunteering for 10 years on missions with other organizations, Parsa, an oculoplastic and orbital reconstructive surgeon with Roxbury Surgical Associates, thought the time had come. With two international trips under their belt — Cambodia in January; Haiti in July, his group plans to return to Haiti in February.
“If I could do this for a living I would drop everything and do it,” Parsa said. “I don’t think there is any monetary compensation that can replace the feeling that you get when somebody says thank you, that you never expected.
“There’s a huge need. There are lots of places that we can go, but since we have a good relationship with Hope Hospital in Port-au-Prince, we will return.”
The first time out, they saw about 40 patients and operated on six.
“We did not have the facility to do it all. Our next mission, we’re going to take all the instruments we need,” Parsa said. “The hospital wasn’t really built; it was under construction. We worked in a procedure room.”
He keeps up with his long-distance patients with hospital reports.
“[Americans] are so spoiled,“ he said. “Here, when you enter an operating room, you have everything you need for surgery. In Haiti, one of the anesthesia machines wasn’t working. We were limited with types of anesthesia, instruments and medications. But we took as much as we could from home because of donations for supplies.”
Parsa recognizes that the rest of the world has “forgotten” about Haiti, assuming “everything is fine.”
“It’s not; it’s a mess,” he said. “People are still living in tents; the level of poverty is unimaginable. We stayed at a hotel that was partially open, as part of it was damaged. “
Orden, a host on the Emmy Award-winning television show The Doctors, accompanied him. Part of their visit will air on the show.
“The people are all very grateful. This is the part of my field that I love” Parsa said.
Surgical Friends visited Cambodia for ten days, where they operated on 25 children.
“It was beautiful. In Cambodia, we taught two doctors how to do the Ptosis procedure (droopy eyelid),” Parsa said. “If it’s not treated, patients go blind. Since then, doctors have operated on an additional 50 kids. That’s how to pay this forward – to teach the local doctors.”
Parsa also does pro-bono work locally.
“We’re operating on a woman, born in Orange County, with congenital facial paralysis,” he said. “She lost her health insurance three years ago when she lost her job.”
For more information, visit www.surgicalfriends.org.
Sue Facter writes about all things A-list. Her work has appeared in USA Today, People, Los Angeles Times and TV Guide.
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Rhinoplasty Lectures in Greece
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05/27/2009
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I found it quite interesting that I was placed on a panel to discuss the benefits of open rhinoplasty versus closed rhinoplasty. After all, when selecting the type of approach to a rhinoplasty operation, it really depends on what needs to be done that rules the choice of approach. Rather than letting the rhinoplasty operatitve approach determine how things get done, I think it is best to make the plan of what needs to be achieved and then look at the best approach to that operation. In my Beverly Hills office, we perform about 80% open rhinoplasty and about 20% close rhinoplasty. This is due to the higher number of revision rhinoplasty operationst that I do there. In Newport Beach, my rhinoplasty practice is more like 60% open and 40% closed rhinoplasty.
In any event, I would not let the technique dominate my operative choices. I am much more interested in what surgical maneuvers need to be done to achieve the top result.
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Surgical Friends Foundation
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04/26/2009
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Dr. Calvert happy to assist Dr. Parsa in the creation of Surgical Friends Foundation
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American Society for Aesthetic Plastic Surgery Statistics
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04/15/2009
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As an active member of the American Society for Aesthetic Plastic Surgery, I am always proud of the efforts my Society makes toward understanding the trends and patient needs and desires. The 2008 Plastic Surgery Statistics just arrived in my mailbox and I was interested to see some of the sumbers around what I do the most. Nationally, the average ASAPS (American Society for Aesthetic Plastic Surgery) member performs 10.9 rhinoplasty operations a year. That really surprised me! This is down from 5 years ago where the number was 12. With all of the teaching efforts in plastic surgery, even in Los Angeles and Orange County where we hold courses and symposia on a fairly regular basis, the average plastic surgeon is doing less rhinoplasty. My practice is an exception. I interpret this to mean that most plastic surgeons are becoming more specialized adn those doing rhinoplasty are doing more rhinoplasty and those doing other procedures are doing those more frequently.
I then begin to think, "Am I going to be relegated to operating just onthe nose? What about my facelifts and breast work that I enjoy so much?" My statistics are that 70% of my practice is rhinoplasty, 10% is facelifts and facial implants, 10% is breat surgery, and 10% is liposuction and bodycontouring (ususally in massive weight loss patients). I always want to do the best for my patients and therefore, I am continuing to educate myself on the latest techniques in the areas that I enjoy the most and prodcue the best results for my patients. I continue to teach rhinoplasty and facelifts at major meetings around the world and in the United States.
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Capsulectomies, Breast Reductions, and Breast Reconstruction
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02/29/2008
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Dr. Calvert is well known for his excellence in primary rhinoplasty, secondary rhinoplasty, and other nasal reconstruction procedures. However, he also maintains a strong interest and top notch technical skills in reconstructive breast surgery including breast reduction surgery, capsulectomy surgery, and breast reconstruction for breast cancer. He performs these plastic surgery operations in his Beverly Hills plastic surgery office and in Orange County. Capsulectomies are performed when breast implants become hard due to scar tissue. The scar tissue needs to be removed and new breast implants need to be placed. Often times, insurance will pay for the capsulectomy portion of the procedure, but the patient is financially responsible for the palcement of new breast implants. Please call the Beverly Hills Plastic Surgery office or the Newport Beach Plastic Surgery office for more information.
Breast reduction is also an operation that is generally covered by insurance. As a plastic surgeon in Beverly Hills, breast reduction surgery is a common operation performed in out certified surgery center. The insurance coverage for breast reduction depends on how many grams of tissue need to be removed from the breast to achieve the desired result. The range of 350 to 500 grams of breast tissue generally suffices for insurance coverage for this plastic surgery operation. Dr. Calvert, who is a Board Certified Plastic Surgeon in Beverly Hills performs many breast reductions each year. Please call the Beverly Hills office or the Newport Beach office for details.
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Dr. Calvert YouTube Channel
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04/08/2009
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Dr. Calvert YouTube Channel launched on www.drcalvert.com
One of the most exciting changes to our site is an ever-expanding video gallery. The video gallery on my website is now linked to my newly created YouTube Channel. View the video below following a facelift patient to get a sample of the information available through the video gallery.
We have been working diligently to create the Dr. Calvert Plastic Surgery TV Channel on YouTube.com. You can now go to the YouTube site and subscribe to the Dr. Calvert channel to view excerpts from Tyra Banks show appearances, highlighted surgeries, new therapies shown on THE DOCTORS (with my practice partner Dr. Drew Ordon), as well as get an insider view of The Surgical Friends Foundation, which provides necessary surgical care to patients from around the world.
Click here to view Dr. Calvert's facelifts, breast surgery, and rhinoplasty from Beverly Hills and Orange County on the completely new Video Gallery on www.drcalvert.com
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American Brazilian Aesthetic Meeting
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02/23/2009
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February 23, 2009
This weekend I had the great pleasure of participating in the American-Brazilian Aesthetic Meeting in Park City, Utah. This meeting brought together plastic surgery experts from around the world to discuss the most important topics in Facial Rejuvenation and Body Contouring Surgery.
As many of you know, I continue to pursue the highest level of excellence across the surgeries I perform. I am constantly striving for perfection with my own techniques and sharing my views with other surgeons. Much of this is done through attending plastic surgery meetings like this one.
This meeting was especially important for me since I served as a panelist on a rhinoplasty panel with other rhinoplasty experts. If you are a patient in my practice, you know I do a fair amount of rhinoplasty. What you might not know is that I work very diligently outside of my office to make sure my techniques are cutting edge so I can deliver consistently excellent results for my patients.
For several years, I have been working together with noted rhinoplasty expert, Dr. Rollin Daniel, to uncover the benefits of diced cartilage and diced cartilage with fascia grafts for rhinoplasty. This cartilage can come from the septum, the ear, or the ribs. Since so much of my work is with the more complex rhinoplasty cases and often these patients do not have any cartilage left in their septums or or even their ears, I have become skilled at rib harvests for these complex rhinoplasty cases. I enjoy opportunities such as this international meeting to discuss techniques such as diced cartilage among my plastic surgery peers and fellow experts.
Stay tuned for more of my commentary about my presentations at upcoming annual local and international meetings, including the American Society for Aesthetic Plastic Surgery in Las Vegas in March and the International Meeting on Aesthetic and Reconstructive Facial Surgery in Mykonos, Greece this May.
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The ACCENT--Shrink Fat and Erase Cellulite
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11/04/2008
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SHRINK THE FAT and ERASE CELLULITE with the latest in NON-INVASIVE treatments
CLICK HERE to see THE ACCENT on THE DOCTORS television show
We are so thrilled to announce our newest treatment, the ACCENT YOUR BODY™ RF treatments for treating:
- cellulite
- saggy skin around the face and neck
- post-pregnancy belly
- love handles
- excess volume and skin on the lower back, hips, thighs, and buttocks
Cellulite Treatment
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“What has happened for me with the ACCENT™ is absolutely amazing! I can’t believe what a HUGE difference I saw in my cellulite even after only one treatment. I have been embarrassed about this since junior high and now I can finally feel good about the way my behind and legs look.”
—C.E., Accent patient
What is an ACCENT YOUR BODY™ treatment?
The ACCENT™ is an FDA-approved, non-invasive, non-ablative machine using the most advanced radiofrequency technology to treat cellulite (skin wrinkles). This FDA-approved medical technology is the ONLY system on the market that provides both unipolar and bipolar radiofrequency technology. This is important because it allows the practitioner to treat cellulite at two different tissue depth levels. One radiofrequency targets deep dermal heating that causes those deep bundles of fat to lose their ties to the connective tissue to bring about skin remodeling and new collagen formation. The other radiofrequency improves blood circulation to the areas to help drain fatty deposits and toxins. The dual-frequencies work in concert to ultimately shrink fat cells leaving a much-improved overall contour of the skin surface.
Does it really work?
YES! At the RoxSpa we continue to see incredible results on cellulite treated with the ACCENT™. In addition to cellulite, patients have been so thrilled about the ability of this treatment to focus on fat reduction and volume loss on all areas of the body.
We have successfully treated patients' love handles, abdomen, post-pregnancy bellies, necks and chins, hips, thighs and buttocks. Men and women have been equally impressed with their results. The results speak for themselves.
Does it hurt? Is there downtime?
Most patients report this treatment is virtually painless and feels like a nice, warm massage. There is no downtime and Accent™ RF treatments don’t require any topical anesthetics. The ACCENT™ employs continuous contact cooling which provides patient comfort and protection to the skin.
They can produce some mild redness at the treated site which goes away within an hour or two. There is no bruising and as long as the patient drinks adequate amounts of water to help clear the loose toxins, there is no pain following the treatments.
What is cellulite?
You know it if you have it, right? Cellulite is that lumpy bumpy “cottage cheese” look that is often found on the thighs and buttocks or the belly. It is found more often on women than men causing some researchers to believe there is a hormonal link to its cause and others to suggest it shows because women have thinner skin than men. Either way, most women really hate their cellulite.
Cellulite is really just a collection of fat that gets “caught” in connective tissue beneath a person’s skin. When this happens it causes the outside surface of the skin to take on that lumpy look. In case you wonder if you have cellulite, you can just pinch a bit of skin on your thigh. If that pinched skin looks lumpy, you most likely have cellulite.
What can I do about it?
Until recently, much of the advice given to women to reduce cellulite was to lose excess body fat, exercise with strength training, use some anti-cellulite creams, or indulge in often expensive salon treatments that produce mild, temporary reductions in the appearance of cellulite.
Now, there is something different. Now, you can try a medically approved technology to treat your cellulite in the safe environment of the RoxSpa—The safe and very effective ACCENT YOUR BODY treatment.
In addition to cellulite treatment, we have seen great succes with the ACCENT to help contour and shape problem areas, such as:
- Belly
- Post-pregnancy "pooch"
- Buttocks
- Hips
- Thighs
- Arms
- Face
- Neck
Rejuvenator
The Rejuvenator was created specifically by our experienced plastic surgery trained PA and RN practitioners to offer you optimal skin rejuvenation at package discount prices on some of our most popular MediSpa treatments. By combining sequence individualized treatments of our Enzyme Peel, Pixel Treatment, ACCENT Skin Tightening procedure and Photo Facial the Rejuvenation reveals a youthful, tighter and more radiant complexion.
Please call to schedule an appointment with one of our PA or RN practitioners to discuss your interests, desires and which treatments will be suit your skin care needs at Dr. Calvert's MediSpa in Beverly Hills.
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Rib Cartilage Grafts for Secondary Rhinoplasty
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04/05/2008
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In creating noses out of rib cartilage, it is necessary to counsel the patient on the post-operative care of the rib where the cartilage is taken and on the cartilage that is placed in their nose. Rib cartilage is versatile material, but there is a fair amount of skill involved in using it to create new airways and new noses. Dr. Calvert performs about 100 secondary rhinoplasty operations each year with approximately forty secondary rhinoplasty operations requiring rib cartilage grafts. It is a rare primary rhinoplasty that may require a rib cartilage graft, but it is needed, Dr. Calvert is skilled and capable of performing this powerful technique.
The rare risks associated with obtaining rib cartilage grafts are bleeding, infection at the harvest site, injury to the neurovascular bundle that runs underneath the rib, pneumothorax (air in the chest that causes a dropped lung), pain at the site, deformity at the site, and need for revisional surgery for any of these problems.
Along the same lines, Dr. Calvert has also developed an expertise in revising rib grafts used in secondary and primary rhinoplasty. These complex operations are performed in order to make the results of previous nasal surgery better despite the fact that the rib cartilage grafts were used previously.
For further information on Dr. Calvert's rhinoplasty operations with rib cartilage, please contact our office at (310) 777-8800.
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A Testimonial Regarding Secondary Rhinoplasty
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03/11/2008
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“A True Master Surgeon and a Really Nice Guy!” By D.E.
When I walked into Dr. Calvert’s office last March, I was prepared to be told that there was nothing he could do to correct the damage I’d suffered to my nose after two previous surgeries to correct a lifelong breathing problem. I’d just been turned away by a prominent plastic surgeon whose office informed me that their doctor didn’t do secondary rhinoplasties. When I hung up the phone, I was feeling quite despondent. Was there no one who could help me? Would I have to “live with it” for the rest of my life?
Fortunately, the surgeon’s staff gave me the phone number of Rollin K. Daniel, MD., whose office was kind and gracious when they referred me to Dr. Calvert, saying “he’s a master with men’s noses.”
I called Dr. Calvert’s office and set up a consultation and arrived for the appointment with a fair degree of fear and skepticism. The staff was caring and professional and helped me feel at east right from the beginning. I met with Dr. Calvert and his assistant Orla Stewart, and immediately had the sense that they genuinely cared about me as a person and were listening closely to what I was sharing with them about the lifelong challenges I’d been having. They took a fair amount of time gathering the necessary information and performing the examination. I initially found this somewhat disconcerting, as I’d never had this experience with a surgeon before. I was half expecting to be rushed through and sent on my way with a statement along the lines of “you’ve really got a hard nose. I’d just leave it at this point. You’ll just have to live with it. We’ll prescribe a nose spray.”
At the end of the appointment, Dr. Calvert told me that he could indeed help me, that he relished the opportunity to repair the damage and craft a nose that would look great and function efficiently. I felt huge relief as I wasn’t expecting this! I also found that I immediately liked his manner with me as a patient and instinctively felt that I could trust him to help me.
All of the preparations for surgery went smoothly and Raquel Porter did a lovely job with my orientation, scheduling and handling insurance billing. The night prior to my surgery I received a call from Dr. Calvert checking in to see how I was. This surprised and pleased me, as with my previous surgeries I’d never had the surgeon himself call me, only the nursing staff. I felt I was indeed in good hands!
I arrived early the next morning for the surgery quite nervous and was put at ease right away by the anesthesiologist, the nurses, and Dr. Calvert, whose confident, kind manner really helped me to relax. I experienced the process of surgery as quite smooth and was well taken care of afterwards. Additionally, I’d chosen to spend the first night post-op in a recovery retreat and received loving, attentive care from the staff there.
I followed my post-surgery protocol to the letter and found that I healed quickly, so much so, that I actually attended an important fundraiser at my business twelve days after the surgery! With a little make-up I was able to escape scrutiny and avoid being found out.
With every follow-up appointment, Dr. Calvert took the time to ask me how I was doing, and answered any (and all) questions that I had. I never had the sense that I was being a bother to him or any of his staff. And my nose looks fabulous! It works beautifully and the work on the tip is excellent. At six months post-surgery, the swelling is nearly gone, and I’m loving my nose – for the first time in my life, it looks good and works wonderfully. I can actually breathe without snorting or coughing.
Dr. Jay Calvert is indeed a master surgeon. The work I had done is so good that no one knew I’d had anything done until I told them. And along with his obvious skill and expertise, I truly appreciated his kindness, patience, humor, and easy manner with me. I always felt like a priority no matter how busy he was. This level of customer service is alarmingly absent these days, even in establishments that should know better, and I can’t say enough about the prevalence of it with Dr. Calvert and every one of his staff. Being made a priority really helped me trust my decision to have surgery, and the whole experience was graceful and easy.
I know, now, that having the courage to persist in my quest for a great-looking and functioning nose paid off handsomely. I would go back to Dr. Calvert any time for additional work, and enthusiastically recommend him to anyone who is interested in learning about his work.
He is tops in my book! Thank you, Dr. Calvert, for helping to improve the quality of my life. I truly appreciate you!
December 16, 2007
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Look Refreshed and Healthy This Summer!
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06/18/2008
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Whether you are considering a facial rejuvenation surgery, MediSpa laser procedure, or a simple Botox or filler treatment, summer is a great time to focus on your refreshed look.
This Saturday marks the first day of summer. With pool parties and beach days, this is a time when many of us start to notice the creeping signs of aging on our faces. As we slather on sun block and throw on a bathing suit, sometimes it's difficult not to notice the skin that sags just a little bit more this year than last.
The face, with its constant exposure to the elements, is the area that takes the brunt of the aging effects and probably what we notice the most. Everything from wrinkling of the skin, sagging of the jowls, shrinking and sagging cheeks, and uneven tone can cause us to look tired, worn, and older than we feel. There is nothing like an expert facelift or a facial rejuvenation treatment to restore your fresh look so that your face reflects the energy and youth that you feel.
In this brief article, I will briefly discuss what a facelift is, at what age someone might seek a facial rejuvenation procedure, and what patients can expect from their surgery. It is important to note that facial rejuvenation is a three pronged approach: 1) Medical injectables such as Botox, Restylane, and Juvederm; 2) Strong skin care and resurfacing such as the Pixel Laser Resurfacing and skin products and; 3) Surgery. Being aware of how to best maximize your results comes from a consultation with me or one of the plastic surgery trained RoxSpa MediSpa specialists.
What is a facelift, really?
A facelift has many meanings, but in the most literal sense of the term, it is the rejuvenation procedure related to eliminating the jowls of the lower face. However, I mostly use it as a term to describe the entire facial rejuvenation procedure with elevation of the jowls, midface, necklift, browlift and eyelid surgery as well, if it is needed. Thus, it is important to define the necessary procedures. Depending on your age, genetics, and the areas that are the most troubling, almost any combination of procedures may be the right thing do at any given age.
What causes the ‘windblown’ or ‘pulled’ facelift look?
Traditional facelifts are done by pulling back on the skin of the face without undermining muscles or significantly addressing facial animation. I find that look to be unattractive and dated. I use newer techniques and equipment that allow me to produce a much more natural, refreshed look for my patients.
The sub-periosteal face lift is one such technique I use to create a youthful look since the direction of lift is vertical (toward the upper face) instead of back toward the ears. No more windblown-looking facelifts! The sub-periosteal elevation of the upper face is a technique that is quite valuable in lifting not only the cheek, but also the jowl. By using the endoscope, I am also able to minimize incisions to the face, adding to the natural look.
When is it time for me to consider a facelift?
Women and men from their early 30's on up often ask me, “When is it time for me to consider a facelift or any facial rejuvenation procedure, such as fat augmentation to the face?” The answer, as in most things plastic surgery, is that it depends on where your look is now and where you want it to go over time.
Some patients even as young as 25 or 30 may greatly benefit from a facelift or other facial rejuvenation procedures. These patients are typically dealing with both genetic qualities, such as saggy skin or puffy eyes, in addition to environmental exposure, such as sun damage. For all patients, the best approach is a staged approach, just like the approach to keeping a youthful look. This makes developing a relationship with a surgeon you trust critical to keeping your best surgical and non-surgical options open.
I cannot stress enough how important it is to see your relationship with your plastic surgeon as one that grows over time. There are no quick fixes to undo the aging that has occurred over decades. However, some fixes are more aggressive than others and that is why timing and preparation for the facelift procedure is so important.
Who can benefit from a facelift or facial rejuvenation surgery?
In general, I like to think of the best candidates for facial rejuvenation surgery as people who feel that their face has aged or changed in a way that their look no longer reflects the way they feel. These are the people who are staring not to like the way they look in current photographs, for example. They are also the people who are seeing a reflection in the mirror that they don’t believe resembles how they feel. Maybe they even express feeling a little more tired, which is often a by-product of their outward presentation.
It is important to note that facial rejuvenation is a three pronged approach: 1) Medical injectables such as Botox, Restylane, and Juvederm; 2) Strong skin care and resurfacing such as the Pixel Laser Resurfacing and skin products and; 3) Surgery. Being aware of how to best maximize your results comes from a consultation with me or one of the plastic surgery trained RoxSpa MediSpa specialists.
Typically, the youngest patients seeking facial aesthetic services in my office are in their late 20’s and are most likely receiving fillers, such as Restylane or Juvederm to plump certain areas of the face and Botox to smooth wrinkles. In their 30’s, some patients do start to seek surgical intervention through browlifts and eyelid surgery. Some have formal facelifts toward their late 30’s, but that is reserved for patients who probably always felt that some party of their face was aging prematurely.
Once in their 40’s, most patients notice that their jowls are becoming more prominent and that their brow is descending, and quite simply, they notice they are starting to look like their parents. More and more patients are coming in at this point and the results achieved are excellent.
Even in the most skilled hands, the operations work better on people who are just starting to see the signs of aging. However, it is the men and women in their 50’s that have the most surgery done to restore youth. This section of the population sees the effects of aging most prominently and also stands to benefit the most. Once a patient reaches their 60’s or 70’s, they tend to do well with these operations, but they require a more aggressive approach to see a refreshed look. The results can be dramatic, but it is important to note that good pre-operative workups for other medical conditions are essential.
What can I expect from my surgery?
Isaac Mizrahi said, “There is nothing that will age a person more than a bad facelift.” I find this to be true and the reason I do my facelifts the way that I do. When you agree to have me operate to restore youth, I can assure you that my operations are designed to generate a look that will be a younger version of yourself. You will not look like these pulled, stretched, windblown, odd looking facelift patients that are so obvious in public. Instead, your friends and family will think that you ‘lost weight’ or that you have been ‘working out.’ Or, they will think and possibly say, ‘you just look great.’ That is the goal. And you will see this, also. In truth, I do not really even know how to make those bizarre facelift looks. It was not part of my training. I was trained to do minimally invasive approaches to facial rejuvenation and I have developed techniques that allow patients to get results they and will tell others.
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Postbariatric Facelifts
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06/16/2008
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You’ve Lost the Weight! Now What…
Do not forget your face! Your postbariatric face is an important part of your overall transformation, yet the face and neck are often neglected after massive weight loss, since the surgical focus is on the excess skin of the abdomen, arms and legs. Your face and neck are what everyone sees before and after bariatric surgery. Weight loss occurs in these areas as much as anywhere else on the body. The face is frequently left with excess skin, extra folds and wrinkles, and an overall drawn and hollowed out look. This is not the look of health, nor is it the look of youth.
You have worked so hard to lose the weight and take a stand for your health, it seems a shame to forget the most visible part of your body that also shows your success. But because the dollars spent on post-bariatric plastic surgery are precious and mostly scarce, the face does not seem to get its fair share.
I believe the face needs to be addressed in the overall plan for post-bariatric reconstruction, using techniques that offer the best results. The face and neck have many layers. Starting from the outside and working in toward the bones, there is the skin, the fat, the thick suspension layer of the face called the SMAS, the facial muscles, and the lining over the bones called the periosteum. These layers work in harmony to perform the functions of the face and neck, but each layer is affected in a different manner by massive weight loss. The skin thins and often becomes a bit dehydrated.
The layer of fat beneath the skin is usually the layer most affected by massive weight loss with extreme thinning and loss of the extracellular matrix, the protein and collagen around the cells, that keeps the skin looking plump and youthful. This really hits the neck hard as the fat around the muscles of the neck decrease in volume and cause the skin to hang. This causes platysmal bands. The muscles of the face even become a bit lax since they too have lost volume due to the operation. This results in sad-looking eyes, a down turned mouth and droopy cheeks. Finally, the tight tissue over the bones, the periosteum, is more or less unaffected.
The best approach to the problem of face and neck volume loss after bariatric surgery is multifactorial. The most crucial part of the process is repositioning of the facial structures to create the look of youth. The first thing to consider is whether or not a full face and neck lift are warranted. The way I choose the right operation for the patients in my practice is through a thorough physical examination. With the patient looking in a mirror, I use my hands to position the structures of the face where I know the operations will place them. I am able to simulate the operations for the patient and they can see if they like what it will look like after a facelift. I do this with the brow, the eyes, the cheek, the jowls, and the neck. Then, they can tell me how they like what they see. If they like what I do with their face and neck, we are off to the operating room! And what I do there reflects the specific needs of the patient who has lost massive quantities of weight.
First off, I tell them that they may need the neck operated on twice. Usually, there is so much skin on the neck that it just cannot all be taken out in one operation. I show them why this is, and how elastic their skin is, and they accept that the operation is limited and that they may be back in one year.
Second, I find the sub-periosteal techniques quite valuable in lifting not only the cheek, but also the jowl. Traditional facelifts are done by pulling back on the skin of the face, but I find that look to be unattractive and dated. The sub-periosteal face lift is one that creates a youthful look since the direction of lift is vertical (toward the upper face) instead of back toward the ears. No more windblown-looking facelifts! This is especially key in the post-bariatric population, because the skin can be quite elastic, accentuating that windblown look.
Third, I try to make sure to lift the brow, operate on the upper and lower eyelids and perform the midfacelift, lower facelift, and neck lift all at the same time. This preserves facial harmony. I find that the face looks unbalanced when the upper face is lifted but the neck and jowls have not been touched. Facial harmony is the key to getting a great result, and rejuvenating all parts of the face at the same time is the way to make this happen.
Whatever choice you make for facial rejuvenation, it is important to be certain that your surgeon is board certified and that they specialize in performing procedures for the postbariatric population. The medical and surgical problems associated with post-bariatric existence need to be understood in order to create beautiful outcomes.
For more information about facial rejuvenation, visit Dr. Calvert’s Procedure page on this website.
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Dr. Calvert on Tyra Banks Show Thursday, May 29th (www.tyratv.com)
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05/16/2008
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Dr. Calvert’s Tips to Researching A Plastic Surgeon 
If you’re sure you need plastic surgery. You must look further than the yellow pages. Dr. Calvert urges you to keep these tips in mind when researching a plastic surgeon. Ask For Referrals: Talk to your primary care doctor, family and friends, or patients you know who have had good plastic surgery experiences. The best referrals come from trusted sources. Check Board Certification: Check the doctor’s status of board certification in the field of plastic surgery at the American Board of Medical Specialties (ABMS), www.abms.org Use Internet Resources: The American Society of Plastic Surgeons is a great resource for finding a board-certified plastic surgeon in your area, www.plasticsurgery.org Check for Society Memberships: Find out if your surgeon is a member of The American Society of Plastic Surgeons (ASPS); a plastic surgeon cannot be a member of this society unless he or she is board-certified. Check for State Licensing: Check with the state board of medicine to see if your physician is licensed in the state where you are planning your operation. Check for Hospital Privileges: Find out if your surgeon has privileges to perform your operation at the local hospital. If they do, it means that the medical staffing board of the hospital believes the surgeon is properly trained and credentialed to perform the operation you are having. Look out for Malpractice History: Malpractice suits can be checked through a number of avenues, but may require that you make a trip to the county courthouse to check your doctor. Internet resources are robust in most states. Check for Training: Verify credentials and training. Find a Doctor Who Specializes: Choose a surgeon known for the procedure you wish to have. Most plastic surgeons have several operations that are their favorite and that they are known for, consistently generating excellent results. Make Sure Doctor Has Malpractice Coverage: Verify malpractice insurance coverage. It is important to know if your surgeon has made a commitment to his patients by carrying some type of malpractice insurance. Ask about Continuing Medical Education: It is useful to know if your surgeon attends local and national meetings to keep up on the latest technology. A commitment to on-going education is a sign that your surgeon has not kicked back into relaxation mode. Don’t concentrate on Advertising: Advertising has become quite common for plastic surgeons, dermatologists, facial plastic surgeons, and anti-aging physicians of all types. The market is competitive and advertising is a way to spread the word. However, a large amount of advertising does not necessarily mean anything. You must still look at all of the items listed above and make your own judgment. |
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ASAPS Meeting and Rhinoplasty Society
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02/27/2008
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It was a successful meeting in San Diego with the American Society for Aesthetic Plastic Surgery and the Rhinoplasty Society holding our annual meetings at the Convention Center. Dr. Calvert spoke on middle vault airway reconstruction as it relates to primary rhinoplasty and secondary rhinoplasty. He demonstrated how managing the structure of the middle vault can have profound effects on the overall outcome of the nasal reconstruction. He was pleased to also present a 30 minute video at the combined Rhinoplasty Course that was created by the Rhinoplasy Society in conjunction with ASAPS. The video demonstrated his technique for using deep temporal fascia with diced cartialge as described by Dr. Rollin Daniel and Dr. Calvert. He also presented his results with 147 consecutive diced cartilage with fascia grafts at an abstract presentation on Sunday morning. Dr. Calvert's presentations on rhinoplasty were a great success!
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How to Know If You're In A Quality Medispa
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06/29/2008
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Avoid a Beauty Disaster A Medi-Spa, also known as a Medical Spa or Medspa, is a medical practice focused on minimally invasive cosmetic procedures, such as Botox injections, laser treatments, and injectable fillers. The people performing procedures in a Medi-Spa typically operate under the supervision of a licensed practitioner, such as a medical doctor. In general, a Medi-Spa differs from a "spa" by its affiliation with a medical director who has the overall responsibility for the care and safety of the patients. In our practice, the RoxSpa Aesthetics MediSpa operates under stringent safety and quality standards. If you are unable to visit our Beverly Hills facility for your procedures, I recommend you consider the following things when choosing a Medi-Spa: MEDICAL DIRECTOR: Ask if the facility is operating under the license of a medical director. Once you know a medical director is involved, make sure he or she has the appropriate credentials, such as a 4-year medical degree. Remember, the medical director is ultimately the person responsible for the safety and wellbeing of the patients under care in the Medi-Spa facility. STATE LICENSING: Physicians operating as medical directors will be licensed by the state they are practicing in. Check with the state board of medicine to see if the medical director is licensed in the state where you are planning your procedure. TRAINING: Verify the credentials and ongoing training of the person performing your procedure. A licensed practitioner should be able to show continued commitment to learning the proper and most up-to-date techniques through training certificates or coursework. ASK FOR REFERRALS: Talk to your primary care doctor, plastic surgeon, family and friends, or patients you know who have had good Medi-Spa experiences. The best referrals come from trusted sources. CHECK BUSINESS QUALITY: Find out how long the Medi-Spa has been in business and how long the practitioners have been practicing the procedures in that facility. Facilities that have been in business for some time will likely be around for your continued care and treatment. CHECK EQUIPMENT QUALITY: If there is medical equipment involved in your procedure, check to ensure it has been inspected and is maintained properly. Make sure you are comfortable with the state of the machine being used to treat you. This is especially true for some older laser technology. INTERNET RESOURCES: The Internet can be a good source to discover information about the procedures you are considering. Once you have the information you need about the procedure, ask your primary care doctor or plastic surgeon to see if they can refer you to a qualified Medi-Spa center in your area.
TREATMENT CHOICES: The trained practitioners at a quality Medi-Spa will be able to evaluate you and make proper recommendations through a consultation. Ask about consultations when booking your appointment to make sure your Medi Spa can evaluate your condition to make sure you are receiving the proper procedure. MALPRACTICE COVERAGE: Verify malpractice insurance coverage. It is important to know if the Medi-Spa has made a commitment to patients by carrying some type of malpractice insurance. MALPRACTICE HISTORY: Malpractice suits can be checked through a number of avenues, but may require that you make a trip to the county courthouse. You can check the malpractice status of any medical doctor serving as the medical director. In most states, this information is available through the Internet. PRACTITIONER EXPERIENCE: Choose a practitioner who has experience performing the procedure you wish to have. Some practitioners may have more experience using lasers or injectables than others. Knowing the experience level will help you to get the result you desire. CONTINUING MEDICAL EDUCATION: It is useful to know if the people performing the procedures attend local and national meetings to keep up on the latest technology and techniques. A commitment to on-going education is a sign that the Medi-Spa has qualified, well-informed practitioners to perform the procedures. ADVERTISING: Advertising has become quite common for Medi-Spas. The market is competitive and advertising is a way to spread the word. However, a large amount of advertising does not necessarily mean anything. The information given through advertising is often limited and can usually not be relied upon to make a solid choice about a Medi-Spa. You must still look at all of the items listed above and make your own judgment. If you or someone you know has suffered from a disastrous beauty procedure, share your story below to prevent someone else from having the same experience. For more information, visit www.roxspa90210.com or the Beverly Hills MediSpa link on Dr. Calvert’s website. |
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The Blog is catching on
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04/14/2009
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The ZERONA "Fat-Zapping" LipoLaser!
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01/15/2010
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We are pleased to announce the arrival of the all-over body "fat-zapping" ZERONA lipolaser at our RoxSpa MediSpa in the Beverly Hills office. Just in the nick of time for your New Year's Resolutions! An excellent jump start to an overall weight loss and exercise plan. See Dr. Ordon demonstrating the ZERONA on an episode of The Doctors.
 What you can expect from the Zerona lipolaser: - Lose inches and remove stubborn fat from your tummy, hips, thighs, love handles, back, chin, neck and arms
- Lower your dress or pant size
- Reduce cellulite
- Results in as little as 2 weeks
- No downtime
This incredible advancement in fat reduction as well as the latest offerings in skin care, laser resurfacing, body fat contouring, and fillers techniques will be demonstrated and offered at the upcoming RoxSpa Open House on February 11th.
In the meantime, we do have the Zerona available if you'd like to receive a consultation or treatment. Call Kelcie or Kelley at the office to make an appointment or for more information 310-777-0496.
Don't forget to ask about our other body-contouring and laser therapies, such as the Accent for volume reduction, Pixel for skin smoothing, Photofacial for pigment reduction and Virtually Pain-Free laser hair removal for permanent hair removal anywhere on the face or body.
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The Tyra Banks Show Patient with her nose bitten off
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07/20/2008
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On Tyra Banks Show #3164 entitiled “How I Changed My Life,” Dr. Calvert’s patient, Jennifer, underwent a quite an extensive nasal reconstruction to fix the tip of her nose. Dr. Calvert performed this unusual version of a rhinoplasty (nose job) by combining it with a more extensive nasal reconstruction. Because she was missing so much tissue, Dr. Calvert first reduced the size of her nose size by performing a standard reduction rhinoplasty. This created an excess of skin. This skin was then transferred to the tip of her nose along with cartilage grafts from her ears that were put in place to help create the inner part of her nostrils. She was very fortunate that all parts of the operation healed well. She can now anticipate a few more operations in the future to smooth things out and create a more natural looking nose to last a lifetime.
For more information about Nasal reconstruction, rhinoplasty and Dr. Calvert, please visit Dr. Calvert’s website at www.drcalvert.com. Or visit his photo gallery at Dr. Calvert's Rhinoplasty Before and After Photos.
A word about Rhinoplasty from Dr. Jay Calvert
Rhinoplasty is one of the most difficult procedures plastic surgeons perform. It is an operation that has great impact on a person’s overall look and when performed correctly, it is a great choice for many patients. Dr. Calvert is one of the nation’s leading rhinoplasty surgeons and is a frequent speaker at national meetings and has published in peer reviewed journals on the subject of rhinoplasty. He performs about 200 rhinoplasty operations per year and considers this to be a major focus area of his practice.
The nose can be considered the dominant feature of one's face and there are many individuals looking to make changes to their nose to affect their overall look.
Even the slightest change to the nose can greatly affect one's overall facial appearance, improving their look and boosting self-confidence. The analysis of the patient's nose and surrounding facial features, their goals, and expert surgical technique are of the highest importance. That is why it is important to find a qualified plastic surgeon who has extensive experience performing rhinoplasty and achieving consistent results.
Every nose is as different as the patient requesting a change. Because of this, many different techniques must be employed to generate a custom plan to produce the best possible individualized results. To optimize these results, Dr. Calvert will utilize the closed approach on some patients, while many require an open approach technique. Since the scarring is minimal with both techniques, Dr. Calvert will choose the best operation to create your best result.
Rhinoplasty is a major part of Dr. Calvert's practice. This procedure requires significant training and experience coupled with a keen aesthetic eye. Balance, structural support, and long lasting beauty are the keys to getting proper results. Dr. Calvert has published numerous peer reviewed articles about rhinoplasty and frequently presents his techniques and results at national and international meetings. He has taken time to cultivate his rhinoplasty expertise and has made this operation a major focus of his practice. Dr. Calvert strives to achieve the ultimate rhinoplasty result for each patient.
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Beverly Hills Office Expanded
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02/29/2008
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Over the last ten months, Dr. Jay Calvert, Board Certified Plastic Surgeon specializing in secondary rhinoplasty, has been busy creating a beautiful new office to serve his patients. Since his practice is focused on rhinoplasty, specifically primary rhinoplasty and secondary rhinoplasty, the office has a Center for Medicare Services approved ambulatory surgery center integrated into the space. Decorated by Faye Resnick and Erin LaScala, the office is a wonderful space for Dr. Calvert and his staff to take care of patients from Beverly Hills, Los Angeles, and all over the country. With patients flying in from Chicago, New York, Canada, San Francisco, Hong Kong, and other parts of the world, a well appointed office is a necessity. Please feel free to stop by and see the office where a great number of patients undergo primary rhinopalsty and secondary rhinoplasty operations.
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