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Posted on March 18th, 2015 by Dr. Albert Carlotti
The Carlotti Center
Facial, Breast & Body Cosmetic Surgery
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Posted on July 17th, 2014 by Dr. Albert Carlotti
Dr. Michelle Carlotti and I often got lots of questions during the “Extreme Makeover” days as we are “in the business.” The tawdry “Dr. 90210,” The Swan” and of course the fictional show on FX, “Nip Tuck,” all generated questions from family, friends and patients about our “opinion” of these shows.
Now comes the show “Botched” on E Entertainment TV.
Previous reality shows often presented patients who were looking for a dream result, they are filmed pre-operatively, in the OR and then of course the infamous unraveling of the gauze to show the “miraculous” result. During the real estate bubble, people in Arizona were inspired by these shows in droves and borrowed against their home equity to undergo all kinds of cosmetic procedures. It would seen that every week an new “reality show” on plastic surgery was on TV and local news media was running a “new technique” in plastic surgery religiously on evening broadcasts.
Then the real estate crash hit along with “The Great Recession.” Boom, the media stopped covering plastic surgery and the reality TV shows all but disappeared on the topic.
Now comes the show “Botched” which is bringing a new angle to the topic of cosmetic plastic surgery by highlighting two California surgeons who are specifically focusing on treating complications caused by other plastic surgeons. This show is entertaining for sure and I believe it is notable to a return in the public’s interest in cosmetic surgery once again as discretionary income seems to be available again.
This all aside, I think the reason why family, friends and patients ask us about a show like “Botched” is because they find both the multiply operated (and often disfigured) patients wanting more surgery shocking as well as the demeanor and comments made by the two surgeons on the show.
Wow, do they say blunt things to their patients! When former supermodel Janice Dickenson takes out her own surgical drain and removed her bandages prematurely, at her first post-op visit Dr. Terry Dubrow is bleeped out saying to her “Are you trying to f**c this up?” “You are you own breast worst enemy!”
Clearly this is meant to entertain, but is the demeanor of this doctor professional behavior? Certainly patients who blatantly disobey their doctors’ orders and recommendations make the doctors upset. The quality of care can be severely damaged by patient non-compliance. We have seen this in our practice countless times. But should a doctor use profanity in such a way to express it to their patient? Perhaps not.
I think the other inherent problem with this show is that it highlights a number of patients who clearly have Body Dysmorphic Disorder which is a real psychiatric diagnosis whereby the patient has a disillusioned sense of self driving them to have countless cosmetic plastic procedures with no chance of themselves being satisfied as a result of their disorder. Personally, I have refused treatment several times to patients with this disorder until such a point that their mental illness is under control. My concern is that it conveys once again that only the extreme personalities want cosmetic surgery and that it instills fear in potential patients that they will end up with some sort of “botched” result.
Millions of cosmetic surgery procedures are performed around the world annually. Only a scant few end up with truly “botched” results. The notion that going to a Board Certified Plastic Surgeon gives a patient “a guarantee of a treatment result” is also dispelled as these multiply operated patients have clearly been in others’ hands and have been “botched.” I am sure that the previous doctors did not intend to cause a bad outcome.
The truth is that not all surgeons are capable of performing procedures to meet patient expectations. When a doctor holds a consultation, it is imperative that they really assess the patients expectations and determine whether they can be met. When a patient, as on Botched, states that he wants to “look just like Justin Bieber” that should be a glaring red flag to deny care. But, sometimes patients won’t tell you their hidden expectations that truly drive their motivation to have surgery.
I had a patient once who really expected that her rhinoplasty was going to help her finally for the first time, at the age of 47, “get a husband.” We have had people really believe that we could make them “look 20 again” which of course is impossible. Red flags are not always apparent and that is the risk the surgeon takes when they decide to operate on someone, especially when treating a previous surgeon’s complication or less than desirable outcome.
Perhaps 40% of my practice in Cosmetic Surgery involves re-treatment of patients who have had less than desirable outcomes in another Plastic Surgeon’s hands. There may be physical scars, but almost certainly there are emotional scars that need to simultaneously be addressed, assessed and managed if the patient is going to be satisfied this time. Frankly, as long as I dealing with an emotionally stable person with a good support system of family and friends, I will tell you that we can often times make major improvements and help heal the patient physically and emotionally. It is a real privilege to do so.
So is Botched all bad? No. Is it sensational for TV? Yes. Are there controversial moments I disagree with? You bet. The silver lining is that it can be an icebreaker for patients to get answers and get proper treatment here at The Carlotti Cosmetic Surgery Center and I am grateful for that!
Posted on July 10th, 2014 by Dr. Albert Carlotti
Posted on May 28th, 2014 by Dr. Albert Carlotti
As a rule of thumb, weight loss is generally 75 percent diet and 25 percent exercise. An analysis of more than 700 weight loss studies found that people see the biggest short-term results when they eat smart. On average, people who dieted without exercising for 15 weeks lost 23 pounds; the exercisers lost only six over about 21 weeks.
It’s much easier to cut calories than to burn them off. For example, if you eat a fast-food steak quesadilla, which can pack 500-plus calories, you need to run more than four miles to ‘undo’ it!
Yes, you can lose weight with diet alone, but exercise is an important component. Without it, only a portion of your weight loss is from fat — you’re also stripping away muscle and bone density. Since working out stimulates growth of those metabolic tissues, losing weight through exercise means you’re burning mostly fat.
The number on the scale may not sound as impressive, but because muscle takes up less space than fat does, you look smaller and your clothes fit better.
Posted on May 8th, 2014 by Dr. Albert Carlotti
The effects of aging are inevitable, and, often, the brow and forehead area show the first signs. The skin begins to lose its elasticity. Sun, wind, and the pull of gravity all affect the face, resulting in frown lines, wrinkling across the forehead, and an increasing heaviness of the eyebrows. Even people in their thirties may have faces that look older than their years.
Others may mistake your appearance as tired, angry, or sad when this is not how you actually feel. As a result, many people have opted for a procedure known as the forehead lift. Based on variations in how men and women age and on new advances in medical technology, different methods are used to perform this procedure
“I had this heavy feeling in my forehead all the time, and it made me feel so sleepy and tired.
Sometimes I would grab my forehead and pull up, just for a moment’s relief. Then I noticed that I was losing my peripheral vision — my drooping eyebrows actually were in the way. I went to The Carlotti Center, and after a direct browlift and eyelid tuck, it’s like a big weight has been taken off my head. The surgery was not difficult, and now I feel refreshed. It’s a good feeling.”
Understanding the Surgery
The main difference among the various options for forehead lifting consists of the placement of the incision.
The Carlotti approach is endoscopic surgery. Several small incisions are placed just behind the hairline and a scope is used to assist in the surgery. In the right patient this procedure results in less risk of numbness and scarring while having a faster recovery.
Other techniques use longer incisions to lift the brow and is unnecessary. While all the various procedures will raise the brow and smooth the forehead, Dr Albert Carlotti and Dr Michelle Carlotti have consistent and exceptional results with the endoscopic approach.
A endoscopic lift typically takes between one to two hours to perform.
What to Expect After the Surgery
You will experience a certain amount of swelling and bruising in the 10-day period following surgery. In some patients, this condition may include the cheek and eye area as well as the forehead. You will be advised to keep your head elevated in order to reduce swelling. Cold compresses may further reduce swelling. As the incisions heal, you may experience some numbness as well as itching, both of which will diminish with time. It is important to follow the advice of Drs. Carlotti.
For most patients, the recovery time will not exceed two weeks, but patients may still be advised to avoid strenuous activities for longer periods. Any prolonged bruising can be camouflaged with standard make-up techniques.
By changing how you look, cosmetic surgery can help change how you feel about yourself
Posted on April 11th, 2014 by Dr. Albert Carlotti
Do you ever sweat too Much? Do you sometimes wonder why this happens or how to make it go away? Does excessive sweating interfere with your daily activities? Are unpleasant stains exposed every time you raise your arms… even in normal situations? Are your clothes ruined or stained by underarm sweat?
Now you can get the same Botox treatment the Hollywood stars and starlets get with no red carpet perspiration! Nearly 2.8 percent or approximately 3 million Americans have sought treatment – perhaps because they don’t know treatment is available.
A treatment made famous for fighting wrinkles, Dr. Michelle Carlotti firmly believes Botox provides lasting relief from excessive underarm sweat. Call today and schedule your consultation. 480-947-7700
Posted on March 27th, 2014 by Dr. Albert Carlotti
Breast augmentation is one of the most popular procedures done at The Carlotti Center. The Drs. Carlotti sit down with each and every woman to assure they are understanding her goals for her body.
We frequently are told that other doctors take the stance that the doctor knows best. Dr. Michelle Cabret-Carlotti enjoys educating patients as to the advantages or disadvantages of various different implants and those relative to the woman’s specific body.
Dr. Albert Carlotti is a firm believer that form follows function and beauty is in the eye of the beholder. Both Drs. Carlotti believe a well educated patient can make better informed decisions for their body. This approximately 30 year old woman opted for Allergan Natrelle smooth silicone 475cc gel breast implants that were placed sub muscularly using an inframammary incision.
The arms up view allows you to appreciate that the incisions healed nicely. Both Drs. Carlotti encourage strict sun protection while any incision is healing. It is easy to appreciate that this woman had a very nice figure to start but has achieved better body balance after undergoing a primary breast augmentation at The Carlotti Center.
Posted on March 25th, 2014 by Dr. Albert Carlotti
On April 9, 2014
Dr Albert Carlotti and Dr Michelle Cabret-Carlotti at The Carlotti Center will be donating a VIP- Volume in Proportions Facelift for the “Fallen Petals -Restoration to Beauty Foundation”.
As we mature, our skin loses elasticity that can result in sagging especially around the chin, jaw line, and mouth areas. A VIP facelift is designed to dramatically improve your appearance without the downtime of surgery.
Dr Albert and Dr Michelle will add Volume in Proportions to highlight your personal features by making it possible to gently lift and contour your face that may currently look tired, gaunt or haggard. While we can’t stop the aging process through a non surgical facelift, we can offer significant restoration or a smoother, more youthful appearance.
The VIP facelift offers
1- Gentle lift of overall facial features
2- Reduced winkles, creases, lines or folds
3- Restoration of natural, curved facial contours
4- A more rested, energetic look
5- A soft and feminine smile
This natural VIP facelift uses non invasive procedures with no downtime to provide you with a youthful and natural look, personally designed by Dr Albert Carlotti and Dr Michelle Cabret-Carlotti to ensure exceptional results.
On April 9, 2014, a luck winner will receive their donated VIP-Volume in Proportions Facelift ( a $3500 value) by Dr Albert Carlotti and Dr Michelle Cabret-Carlotti. To qualify the participant must be an active donor to the “Fallen Petals-Restoration to Beauty Foundation” and submit a current photo via email on or before April 4. The winner will be announced during our silent auction. All photos can be submitted via email to firstname.lastname@example.org
Posted on March 20th, 2014 by Dr. Albert Carlotti
When considering primary breast augmentation, patients should be counseled as to the various types of implants, including saline vs silicone and various gradations of profile and surface topography, and the approach with the most common being inframammary(below the breast, in the crease), transaxillary (armpits…which has limitations with silicone), periareolar, and transumbilical.
The above patient had a slight asymmetry and was treated by Dr. Michelle Cabret-Carlotti and Dr. Albert Carlotti at The Carlotti Center with a transaxillary high profile 400cc smooth saline Mentor breast implants.
Posted on March 18th, 2014 by Dr. Albert Carlotti
Join us Wednesday, April 9, 2014 from 2pm-6pm at The Carlotti Center as Dr Albert and Dr Michelle Carlotti begin “Fallen Petals-Restoration to Beauty” foundation. Help us reach our goal to generate funds for fallen women who are truly in need of restoration.
The seeds of doubt, planted emotionally deep, continue to grow and flourish like a weed, and eventually choke out anything beautiful or prosperous that tries to grow. We must be the gardeners of our resources, and restore beauty back to the“Fallen Petals” among us.
Anyone who has lived with abuse for any period of time can understand how it can pollute thoughts, infect positive thinking, and render happiness as an elusive dream. There are different types of abuse., which for the most part, are within the realm of legal ways to mistreat and control people. Whether you think you can or can’t, you’re right. It is the self-defeating thoughts and devalued self, that lead the fallen away from restoration.
The social aspect of restoring the fallen in humanity is dying, and must be saved; rejuvenated and admirable once again.
Goodness is infectious, and this is the path of The Carlotti Center. Dr Albert Carlotti and Dr Michelle Carlotti desire harmony of the hearts and souls in Scottsdale, AZ, leading with knowledge and expertise in cosmetic restoration of “Fallen Petals”.