Jacob Haiavy, MD, FACS - Inland Cosmetic Surgery

With bariatric surgery, you can lose a significant amount of weight in a short time. But to truly succeed and improve your health, surgeons and fitness experts will both tell you to initiate lifestyle changes.

Last week in Austin TX, doctors from the American College of Sports Medicine met for 14th annual Health and Fitness Summit, where they discussed the best exercise programs for bariatric surgery patients, those who undergo gastric bypass, lap band or realize band surgery.

Fitness experts Paul Sorace, M.S., and Adam de Jong, M.A gave the following recommendations:

Aerobic exercise

The core of the post-bariatric exercise program
Burns the most calories
Good way to ease into physical activity

Resistance training

should be limited (especially in abdomen), but great to combine with aerobic exercise
increase muscle mass and quickens fat loss in post-bariatric surgery patients

Flexibility exercise

great for improving range of motion, but use caution to prevent injury

What is bariatric surgery?

Bariatric surgery, in its various forms, alters or removes parts of the stomach to induce weight loss. Patients who undergo bariatric surgery typically have a BMI of 35 or greater. Popular procedures include the following:

The Lap Band, an inflatable silicone device that is placed on the upper portion of your stomach, effectively limiting food intake and suppressing hunger.

Gastric Bypass is procedure that divides the stomach to create a small pouch, which gets connected to a loop of the small intestine. By reducing stomach size, the patient is satisfied a smaller amount of food.

We have recently incorporated the Lap Band system into our practice at Inland Cosmetic Surgery. To schedule a private consultation with our bariatric surgeon, call us at 909-987-0899 today!

Dr. Jacob Haiavy offers a wide range of choices in breast augmentation methods based on patient needs, lifestyle, and anatomy.

During your consultation, Dr. Haiavy will discuss your options in regards to size, incision site and type of implant.

Dr. Haiavy uses safe, FDA-approved saline and silicone implants of various textures and shapes for beautiful contour and natural, comfortable results.

SCARLESS SURGERY (Belly Button)

Dr. Haiavy was one of the first surgeons in the United States to perform scarless breast surgery through the belly button. This unique procedure virtually eliminates the biggest concerns any patient or physician has about the breast augmentation procedure:

No visible scars—there is no cut made to the breast, nipple, or underarm

Reduced loss of sensation—nerves are usually less disturbed and no cut is made to the nipple area

Reduced risk of infection

Quicker recovery

Over 3500 scarless breast surgeries have been performed at Inland Cosmetic Surgery.

Click here to view TUBA Before and After Pictures

Visit us in Rancho Cucamonga where you can be sure that you will receive all the experience and caring attention for which our staff has become known. All procedures are performed in our private and fully accredited surgery center with the support of expert nursing and anesthesia staff.

Many of our staff have been Inland Cosmetic team members for several years, and have been patients here themselves. Dr. Haiavy will use his technical expertise and personal experience to help you Look Your Best and Feel your Best.

To schedule your complimentary and personalized consultation with Dr. Haiavy, you can call us at 909-987-08999.

I always thrive to find the best combination of procedures for my patients. When it comes to facial rejuvenation, combining a facelift with laser resurfacing is one of the best combinations.

Facelift is a procedure whereby we lift the sagging structures of the midface, jowl and neck. There are many different lasers available. Most laser treatments diminish surface irregularities, sun damage and wrinkles. Some lasers will result in actual peeling of the skin and regeneration, such as the CO2 laser, which requires additional recovery.

Other non-invasive lasers such as the Syneron Laser will require multiple sessions to diminish sun spots, red spots and blemishes on the skin and require NO down time.

Either of these modalities can be used in combination with a facelift procedure depending on the severity of laxity, aging and sun damage. The ideal candidate for this combination procedure would be those who want to drastically diminish laxity as well as surface irregularities or sun damage from their face. Most of the patients generally recover from this combo in a matter of 10-14 days.

No matter which facial treatment you choose, maintenance of your skin care and sun protection are essential for longevity of results.

Allergan Inc, maker of Botox and Juvederm, just launched the “Switch Up” campaign with Dayna Devon. Each month, Devon will be sharing health and beauty tips from the official Juvederm facebook page.

Do my breast implants need to be replaced?

Breast implants do not have an expiration date and there is no definitive requirement to have them replaced periodically. However, according to the Institute of Medicine, the average life expectancy of a breast implant is 16 years. FDA studies of silicone breast implants suggest that most implants last 7-12 years. However, some breast implants clearly last much longer. So, there really is no absolute answer to the question. Speaking for myself, I am at 25 years and counting. My breast implants have far outlasted my marriage!

According to an article by the FDA, “breast implants do not last forever. If you decide to get breast implants, you will likely need additional surgeries on your breasts over your lifetime due to rupture, other complications or unacceptable cosmetic outcomes. According to The National Research Center for Women & Families, “the likelihood of rupture increases every year.”

But as long as the breast implant is intact and you are not experiencing any complications, there is no real need to have a breast implant revision.

After 25 years, I am not experiencing any major complications or significant positioning problems, even after two pregnancies and breastfeeding, however I am considering breast implant replacement. I want to be proactive and avoid any complications, but I also want to benefit from new technology and use this opportunity to achieve a new look.
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Allergan Inc announced FDA approval of Juvederm XC last week, the latest filler in the U.S. to contain the anesthetic lidocaine, for increased comfort during injection.

During the FDA approval process, a clinical trial was cited where 93 percent of the 72 participants reported a more comfortable procedure with Juvederm XC. “Before the introduction of Juvederm XC, it often took up to 30 minutes for an anesthetic block to take effect.” said Charles Boyd, MD, Boyd Cosmetic Surgical Institute and clinical investigator in a company news release.

The new filler follows in the footsteps of Prevelle Silk, another wrinkle filler containing lidocaine. In 2008 however, when Prevelle Silk was introduced the response from surgeons was lukewarm. “The issue with a hyaluronic acid filler with lidocaine is that it doesn’t work until you actually start injecting patients, and these injections are so quick, by the time the lidocaine takes effect, you’re almost finished” said Dr. Joe Niamtu to Cosmetic Surgery Times.

Traditional pain control methods (numbing cream and dental blocks) are quite effective, so it may take some time for Juvederm XC to gain popularity, even if it does offer a significant improvement in pain control.

The results cited by Allergan sound great and the safety profile is very similar, so it could really take off. We’ll know more as Juvederm XC finds its way to cosmetic surgery practices here in southern California.

According to a complaint filed in California Superior Court, Los Angeles County, Obagi Medical Products is being sued by its founder and former owner Dr. Zein Obagi, alleging that Obagi Medical interfered with the distribution of a new line of anti-aging products developed by Dr. Obagi for his current company, ZO Skin Health.

Apparently, the lawsuit at least in part stems from an alleged non-compete agreement between the parties.

Competition is definitely increasing between makers of high quality skincare products, perhaps because the demand for anti-aging skin care products has increased among baby boomers over the last decade. Between 2006 and 2008, U.S. sales alone rose 13% to 1.6 billion dollars, and the trend shows no sign of weakening.

Skin health is affected by a number of variables, including the environment (sun, wind, pollution), lifestyle (diet and exercise) and genetics. As a person ages, the process of skin-cell-rejuvenation is also slowed. Topical aesthetic and therapeutic skin health products on the market today are specifically designed to address these effects.

The tummy tuck is one of the top requested 5 cosmetic surgery procedures in the U.S. It’s chosen by women and men alike to resculpt and tighten the abdominal muscles and to eliminate loose, wrinkled skin, excess fat tissue and even stretch marks.

Today, I want to talk about the mini abdominoplasty (often referred to as the “scarless tummy tuck” or the mini tummy tuck).

Mini abdominoplasty

The mini abdominoplasty is a variation on the traditional abdominoplasty, suitable for those who have excess fat and/or loose skin only below the navel. Mini abdominoplasty calls for a smaller horizontal incision than the traditional full abdominoplasty, and it’s made near the top of the pubic hair line, enabling you to wear two piece bathing suits and other types of clothing that reveal the mid-body. Excess skin and fat are removed and slightly loosened muscles tightened. Then the skin is pulled downward and sculpted into place. Sometimes the procedure is combined with liposuction to remove excess fatty tissue.

7 possible indicators for a mini-tummy tuck

1. You are within 10% of the ideal weight for your age and height and have good skin elasticity and tone.

2. You have only a small amount of excess fat and loose skin and it’s localized below the navel line (lower abdomen).

3. You are not planning to get pregnant again.

4. You don’t have significant stretch marks that extend over your entire belly & abdomen. Stretch marks are not addressed by a mini-abdominoplasty. However, a full tummy tuck may be able to hide stretch marks.

5. You have a firm upper abdomen with no separation of the muscles, but have some weakness or protrusion between your navel and the top of the pubic mound.

6. Subcutaneous fat (fat that is situated just under the skin) is limited above and below the belly.

7. You have a disciplined diet and exercise regimen. You’ll want to avoid future weight gain to maintain your new shape.

Read more about the mini-tummy tuck at Inland Cosmetic Surgery