This article is for informational purposes only.
Dr. Malcolm Lesavoy is a board certified plastic surgeon. He has worked as a professor at UCLA Medical Center for over 25 years and Chief of Plastic Surgery at Harbor UCLA Medical Center. He started the whole plastic surgery division at City of Hope for reconstructive plastic surgery. Dr. Lesavoy is an author of three books and has published over 100 peer-reviewed papers. You may recognize him from the hit t.v. series Extreme Makeover. Read on in our exclusive interview….
Q.How does the public know whether a doctor is a real plastic surgeon or not?
A. The training of a plastic surgeon is the longest training of any specialty in all of medicine. They graduate high school of course, four years of undergraduate school then 4 years of medical school which they will earn an MD, they go on to 7 or 8 more years of residency specialty training first in general surgery then plastic surgery to then become a plastic surgeon. Yet, they’re still not board certified. They then take an oral examination one year after they finish their residency in plastic surgery and if they pass which 40% of doctors do. They go on to then wait another year for an oral exam which only 25% pass. They then become a board certified plastic surgeon. Most surgeons don’t really start their own private practice until about 34 or 35 years of age. The only way to tell if a doctor is board certified is for an individual to contact the American Society of Plastic Surgeons.
#Fact If you look in the yellow pages under plastic surgery 60% of them are not plastic surgeons.
Q. Dr. Lesavoy explained to us your experience on Extreme Makeover.
A. I did the first five extreme makeover transformations. I only did them for one reason or one purpose. To explain to the public what a real plastic surgeon does. So the producers on the show assured me that they would have the number at the bottom of the screen so the public can find out if the surgeon is board certified through the American Society of Plastic Surgeons. I stop doing the show and referred it to other Plastic Surgeons.
“Plastic Surgery is an art, a science.” Dr. Lesavoy Quote
Q. What is breast augmentation?
A. Breast Augmentation is for women who have small breast and want to have larger breast. Now in my opinion if you want natural looking breasts you’ve come to the right place. In my hands the surgery itself takes 45 minutes to an hour under general anesthesia. They’re three incisions that are commonly used, one of them is in the crease underneath the breast, the other is an incision around the nipple in the areola area, third is done in the armpit. About 60% of surgeons use the crease underneath the breast, 20-30% do it around the areola and about 5% or so of us which is the method I prefer to use the armpit for the incision because there’s no scar. It’s in the upper crease where you shave. It works out real well. There are two different kinds of implants saline and silicone. Both of which have a silicone shell. One feels like a balloon filled with water which is the saline. While the other feels like a balloon filled with gel which is silicone. 90% of surgeons now use silicone implants. I prefer the silicone implants because there is a down side. There’s a downside to both, but with saline implants they have a tendency to ripple. So if you have thin breasted skin sometimes you can see or feel those ripples, the silicone implants you can’t. There’s no disease aspect for either one because they’re both silicone shell. One is filled with water the other is filled with gel. The main problem with breast augmentation is that scar tissue forms around the implant which basically starts to contract and gets tighter around the implant. For example if you have a balloon that is filled with water and you’re squeezing that balloon with your two hands the part that comes out between your fingers feels firmer. That’s what we call encapsulate contraction. We don’t know what causes it, we don’t know how to prevent it. When it occurs the issue can be fixed it only happens as of lately 2-3% of the time. Now twenty years ago that number was 15% that it would occur. I tell my patients what you’re paying for is my judgement. You can’t estimate a size because it comes in centimeters. I tell my patients you can’t fit a size 5 in a 4 shoe. So we put different sizes in and out until we find the largest size that look natural at the time of surgery.
Q. What is the recovery time for breast augmentation?
A. Normally patients are in the recovery room for 45 minutes to an hour then they go home. The following day they will feel sore like they’ve been doing a ton of push-ups. You can drive in two to three days, and are totally back to normal in 2-3 weeks.
Q. Tell us more about the Lesavoy Luxury Lift.
A. Some surgeons are doing face-lifts under local anesthesia. Its a tremendous boom, its less cost. You don’t have to use a major operating room. It includes face, neck, upper and lower eyelids. What I do in my office, we have a minor operating room here. The only thing a patient feels is a couple of shots. The patient is then rapped up and we see them 24 hours later and the recovery would be 2 weeks.
Q. Do you have any favorite charities?
A. I use surgery for charity. I go overseas to Thailand and Vietnam. Smile train is one that I donate my time to. I go on these trips in order to teach other surgeons how to do surgery.
For more information on breast augmentation click here
To schedule a consultation give his office a call.
Dr. Malcolm Lesavoy, MD FACS
16311 Ventura Blvd. #555
Encino, California 91436
A special thank you to Dr. Lesavoy and his office staff for their hospitality. #beachiebeautyapproved