Manhattan Beach Doctors

Will my Surgeon Be More Likely to Do a Better Job on my Rhinoplasty if I'm His First Surgery of the Day or the Last?

I know it seems like a silly question but its really not. Take for example my hair stylist. I've found she does a much better job if I'm her very first client of the day. Verses being the last when she;s worked all day and tired. I know a stylist goes through a lot more clients in a day then a surgeon, so their not comparable. But i'm still wondering if it makes a difference? I've researched my surgeon and am confident in him but i'm still looking for the best possible results, as is anyone!!

Every surgeon is different and has different preferences as to the time of day to perform surgery.  My energy level allows me to do surgery all day.  I thrive in the operating room. My focus, attention to detail and my mental stamina are magnified in the operating room atmosphere.

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

Is Coolsculpting Safe for People with Prior History of Elevated Liver Profiles?

Had elevated liver profiles for a couple of years. Although back to normal, still remains on the higher end of scale. Would cool sculpting pose any danger to my liver reason being maybe some of the fat would be metabolized by it?

Hi,

I think the main question is to know why you have a history of elevated liver tests.  If you have a history of Hepatitis C, it is related to a disease cold cold cryoglobulins which can be worsened by Coolsculpting.  If you have a history of elevated liver tests and are cleared by your primary care doctor, you should be able to have Coolsculpting.  The procedure itself does not cause any elevation of liver tests.

Best,

Dr. Liu

Grace Liu, MD

Newport Beach Dermatologic Surgeon

I Was Diagnosed with Raynaud's Phenomenon 20 Years Ago, No Symptoms in Decades, Can I do CoolSculpting?

I am due to get Coolsculpting in 2 weeks on my lower abdomen with the smaller device. The Dr. asked about skin allergies to cold. I didn't remember the Raynaud's until later. I was diagnosed at a walk-in clinic in my 20's when I didn't wear proper shoes for Northeast winters. I never had an issue with my hands and have not had an issue with my feet in years, except for them occasionally turning bluish, when sitting for long periods which is more likely poor circulation. What is the risk?

Hi,

In the formal consents from Zeltqi, one of the contraindications is a history of Raynaud's.  Since Raynaud's is an autoimmune disease that is affected by cold, I would stay on the safe side and get an evaluation and approval from a rheumatologist before having Coolsculpting done.  We have turned down patients before when we do our initial consult and found out they had Raynaud's or Lupus.

Best,

Dr. Liu

Grace Liu, MD

Newport Beach Dermatologic Surgeon