Many Patients with diabetes can have plastic surgery. All patient’s health and safety are first carefully evaluated. This is true of all persons considering plastic surgery. Patients with diabetes vary substantially so in each we do a very personal; examination. Patients who are orally maintained and well controlled are the easiest and safest. A well controlled person who has excellent blood sugars and no urinary symptoms and has weight in the correct range should do fine with a well selected procedure. In general I am more likely to stage these folks into two or even three procedures to keep stress low, safety maximum, and recovery easy and certain. The more adverse conditions present the more thought and concern is exercised prior to surgery. If weight is up more than 20% above ideal I become concerned. If blood pressure, or cholesterol, or triglycerides are elevated I am more concerned. In brief, every individual is just that and a very special evaluation is indicated. If insulin is required for management there is more concern and patients often are best advised to have a shorter procedure and possibly spend an overnight in a care facility. Type 2 diabetics are generally easier to manage in surgical procedures but we do not deny anyone the opportunity for a procedure they desire. Every patient is given a careful review. We request each and every patient to visit and get a check up from their internist or endocrinologist. All need to get an EKG. If all checks out , safe surgery is possible and we plan according to the patients desires and tempered with a keen eye to a happy and safe procedure. – Palo Alto Plastic Surgeon – Dr Commons
Plastic Surgery and Diabetes
March 24th, 2010 by tjacksonGeorge W. Commons MD
August 5th, 2009 by tjacksonDr. Commons of Palo Alto California and Dr. Di Giuseppi of Italy combine their vast 10 year experience with Vaser liposculpture of the face and neck in a discussion filled with simple routes to a beautiful face and neck in younger woman (60 and under) who respond fantastic to a 60 minute procedure instead of a more involved face lift. This is particularly appropriate for patients with excess fat about the face and neck and loose skin that is in moderate range. Dr. Commons has developed techniques that allow the Vaser liposculpture to be incorporated into the traditional face lift for more elegant and natural results. Photo documentation of Dr. Commons results can be seen on his website, www.pacfpc.com. Many women and men have received beautiful enhancements in 60 minute procedures of Vaser liposculpture by Palo Alto plastic surgeon Dr. Commons and have been able to avoid more extensive and costly traditional face lifts. Recovery time in Vaser liposculpture procedures is also a great benefit in that patients are able to return to work in 4 or 5 days. The Vaser ultrasonic liposculpture system is based on a delicate liposelection system that allows unwanted fat to be removed, skin to be reduced, and at the same time saves all the vital structures that will remain. Dr. Commons states that what we take in liposculpture is important but what we leave behind is the really critical issue. Vaser gently leaves the vital structures intact, the skin beautiful, and the patient with an easy, nearly pain free recovery. Dr. Commons at present employs the Vaser in all facelift surgery because it always enhances the results. The Vaser system of Liposelection is the system of liposculpture that Dr. Commons teaches to Stanford University Plastic Surgery residents. His center in Palo Alto, the Palo Alto Center for Plastic Surgery, is a center for resident teaching for Stanford University Plastic Surgery. Dr. Commons will soon announce a new chapter in a book yet to be published also on the same subject.
The question here is, “What is a safe, simple, cost effective, alternative to a traditional face lift?” The answer is Facial and Neck Vaser Liposculpture – Liposelection. Beautiful results, simple procedure, quick recovery, little pain, cost efficient and extremely productive alternative for the proper male or female candidate.
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George Commons, M. D.
George W Commons
May 18th, 2009 by tjacksonGreat Results – Happy Patients –
I have been practicing plastic surgery in Palo Alto for over 25 years. My medical school was the University of Pennsylvania School of Medicine, the first established medical school in the U.S. I graduated Alpha Omega Alpha (top 10% of class) and then came to Stanford University for my general surgery, plastic surgery, and plastic surgery fellowship. I served as a Major in the United States Air Force (Chief of Plastic Surgery, USAF Clark-Philippines Islands) for 2 years of active duty and 14 years in the reserves. I am a member of the Clinical Faculty at Stanford University and enjoy teaching residents.
I have done all types of plastic surgery and over the past 20 years I have focused on aesthetic cosmetic plastic surgery. I plan to continue my practice in Palo Alto and teaching at Stanford for at least another 15 years. In general, plastic surgeons like what they do and rarely retire early.
Because plastic surgery is usually elective, you can take time to choose your surgeon carefully. I hope to earn your trust.
At the Plastic Surgery Center we have a full-time 6th year Stanford resident in plastic surgery. I do 100% of the surgery on my own patients and help the residents do surgery on their own cases.
I love the practice of plastic surgery, I love the patients, I love everyday. It is not in any way work. My practice is a joy, totally a pleasure; very serious but always joyful.
The serious part is that I daily take on the task of improving a person’s life. It is their life. It is their only life. They are trusting me to do the best possible for them. That is the goal of a facelift, or breast surgery, or nasal surgery, or liposuction-to enhance the quality of a person’s life. This is a very major and grave responsibility. I am honored by each patient that selects me as their surgeon. This is an honor of the highest order. A person is entrusting me with their surgery, entrusting me to enhance the quality of their life, to keep them safe, to care for them after surgery and to care about them 100%.
This is joyful surgery that the patient has elected. The surgery is not imposed on them by a cruel twist of injury or illness. The patient has chosen this and the responsibility placed on the plastic surgeon is one of the very highest order.
Some call it recreational surgery. Yes it is fun surgery but with a very very serious mission. The plastic surgeon must rise to this mission. Every evening I study and mentally prepare for the surgery of the coming day. I want to know everything before entering the operating room. All plans must be formulated in my mind.
While preparing for surgery at the scrub sink (10 minutes of hand washing) I like to think that I am about to pilot a Boeing 747 on a mission. The flight will go well or not at my hand. I never deny adverse events could happen. Yes, even to me I say. My mission and my responsibility are grave. I am operating on a person. This is their life. Every decision must be correct. In all my actions I am guided by one thought: I must do the right thing 100% and 100% of the time.
Although it is a joy to be in surgery, every second is taken with great serious intent. I constantly remind myself of the honor the patient has bestowed upon me. I am always so appreciative to be in surgery. It is indeed a great privilege and honor.