February 2014 - Donaldson Plastic Surgery

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By Jeffrey Donaldson, MD |

Dr. Jeffrey Donaldson and Donaldson Plastic Surgery believe in giving back to the local community. The surgeon and his staff focus their support toward organizations that improve the lives of central Ohioans.

In 2011, Dr. Donaldson established the DPS Cares philanthropic program to benefit causes that were directly connected to his patients’ interests.  Since then, the charity has directed fundraising efforts to several organizations based on patient feedback and enthusiasm.

Recent activity includes the annual “Likes for Lives” event, which encourages each Facebook user to “like” Donaldson Plastic Surgery in exchange for the practice’s one-dollar donation to a local breast cancer program. In 2013, the “Likes for Lives” campaign generated $1,048 for the OhioHealth Bing Cancer Center.

Donaldson Plastic Surgery has driven similar campaigns to raise awareness and funding for The Stefanie Spielman Fund, In Christy’s Shoes (Dress for Success) and The Center for Family Safety and Healing. The practice also makes secondary contributions to hospitals, high school athletic programs, and centers for art and discovery, as well as cycling events and walkathons.

Dr. Donaldson continues to expand the reach of DPS Cares as his practice grows. Future planning includes The Women’s Fund, The Childhood League, and more.

 

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By Jeffrey Donaldson, MD |

Dr. Jeffrey Donaldson narrates this instructional video that shows how to apply Arnica gel to post-surgical bruises and swelling.

Video Transcription:

Arnicare is a brand of Arnica gel. We recommend this gel for any postoperative bruising or swelling. A small amount, the size of a pea or amount of toothpaste, should be placed on the finger and rubbed smoothly and gently in an even fashion into any area that is bruised or swollen. It is important to avoid placing the Arnicare directly on the incision itself, but instead on any of the surrounding areas.

 

 

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By Jeffrey Donaldson, MD |

Dr. Jeffrey Donaldson narrates this instructional video that shows how to use a breast strap after breast augmentation surgery to encourage downward implant migration, or to support the inframammary fold.

Video Transcription:

This is a post-operative breast augmentation strap, it is used to apply compression either above or below the breasts after breast augmentation. This is the outside of the strap, as evidenced by the tag, the velcro is on the inside and there are no seams on the inside.

Immediately after breast augmentation, it can often be advantageous to place this strap above the breasts. Snug it under the armpits on both sides and using compression the straps are placed downward force on the breast implants to achieve downward implant migration.

Similarly, the strap may be used under the breasts if the surgeon deems it necessary to support the fold during healing. It should be flat and smooth with no wrinkles or lines.


Jeffrey Donaldson, MD Author Bio 2

About The Author

Jeffrey H. Donaldson, MD is a board-certified breast augmentation surgeon. With more than 20 years of experience in the industry, he is a leader when it comes to post-operation aftercare and advanced surgical techniques. He strives to educate patients everywhere about the best practices when it comes to using the breast implant displacement strap in an effort to preserve their incredible aesthetic results.

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By Stacie Isler, PA-C |
https://www.youtube.com/watch?v=FnJKPV7XOTI

 

Our very own Stacie Isler, PA narrates this instructional video that shows how to massage your breast implants after breast augmentation to prevent capsular contracture and encourage softness.

A few weeks after breast augmentation it is important to use breast displacement exercises and massage in order to achieve soft contours and to minimize capsule formation.

Techniques:

  • The first technique is to grasp the breasts on the outside and to push in with deep, consistent smooth pressure moving the implants together so that the breasts actually touch in the middle. This position is held for approximately ten seconds before it is released. This may be repeated several times.
  • The next technique is to take the hands on the inside of the breasts and to push out. Again this is a deep motion so as to displace the implant and not just the overlying skin and soft tissue. Again this position is held for approximately ten seconds each time.
  • The third technique is to place both hands above the breast – the nipple and soft tissue is gently elevated before pushing down firmly with both hands, to move the implant lower on the chest.
  • Last, the palms are grasped over the nipples and a deep circular motion is used, first clockwise, and then counterclockwise in order to achieve deep motion of the implant itself. Again, this is to prevent capsular contracture and to maintain a soft, natural shape.

About the Author

Stacie Isler, PA-C, is director and lead provider of the Donaldson Plastic Surgery patient care team. She uses her vast experience and knowledge as a physician assistant to ensure every surgical journey runs smoothly, comfortably, and safely for all patients. Stacie believes that educating the patient is one of the best ways to achieve an efficient recovery, so she ensures all patients feel informed and well-prepared throughout their time at Donaldson Plastic Surgery.

 

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By Jeffrey Donaldson, MD |

Dr. Jeffrey Donaldson narrates this instructional video that shows how to apply medical-grade scar gel to a surgical scar.

Video Transcription:

For postoperative wounds and incisions, we recommend SkinMedica Scar Recovery Gel. This formulation achieves a uniform collagen deposition to improve the appearance of the scar during the healing process.

A small amount of this gel is placed on the fingertip, in the amount equal to the size of a pea, amount of toothpaste you would use. Rub parallel to the incision to achieve a uniform deposition of collagen.


About The Author

Jeffrey Donaldson, MD is a board-certified plastic surgeon in Columbus, Ohio. He has performed a countless number of successful cosmetic surgeries throughout his 20+ years of experience and actively works to educate patients everywhere about aftercare best practices.

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By Stacie Isler, PA-C |

Stacie Isler, our plastic surgery PA, demonstrates how to place an abdominal binder after tummy tuck in this instructional video.

How To Place an Abdominal Binder After Tummy Tuck Surgery:

  • This is a post-abdominoplasty binder. The inside has no seam, while the outside has a seam and has velcro.
  • The objective when applying the abdominal binder is to achieve compression around the surgical site. It should be more snug when possible. The binder should be smooth without any folds.
  • We demonstrate the two-person technique in this video. Sometimes it’s advantageous and more compression can be applied when there is an assistant.
  • The binder should be comfortable and should be over the operated area, it should not be impinging on the lower breasts and it should not be impinging on the hips.

Stacie Isler Author Bio

About the Author

Stacie Isler, P.A.-C is the lead provider of Donaldson Plastic Surgery’s patient care team. As a Physician Assistant, she is well-versed in post-operative care and has collaborated on developing new protocols to streamline our patients’ surgical recovery timelines. Stacie’s 15 years of plastic surgery experience allows her to provide meaningful guidance to patients as they move through their entire surgical journeys.

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By Jeffrey Donaldson, MD |

Dr. Jeffrey Donaldson narrates this instructional video that shows how to clear, or “strip” a clogged Jackson-Pratt drain after tummy tuck surgery.

Video Transcription:

This is a post-operative Jackson-Pratt drain that is used to drain fluid away from under the skin after an abdominoplasty. If the drainage tube becomes clogged at any point there is a simple technique for stripping this drain. We prefer to use a moist alcohol swab, although a damp tissue or a damp washcloth would also suffice just to minimize friction.

  • The first hand is placed tightly and firmly on the tube at its insertion point near the skin.
  • The second hand is used with the lubricated tissue to strip away from the first hand in an even technique.
  • The first hand then comes and pinches at the advanced location while the second hand continues to strip away.

Progress is made down the tube to cleanly advance a column of fluid and any obstruction down to the level of the collecting tube itself. This process can be repeated in order to clear the system.


Jeffrey Donaldson, MD Author Bio

About The Author

Jeffrey Donaldson, MD is an experienced, board-certified Tummy Tuck surgeon and has performed thousands of successful procedures throughout his 20+ year career. He continues to perfect his surgical craft and educate patients everywhere when it comes to proper Tummy Tuck surgery aftercare.

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By Adrienne Yanich, RN |

Adrienne Yanich, plastic surgery RN, narrates this instructional video that shows the best bent-over and “jackknifed” positions after abdominoplasty surgery.

Tips To Standing Up Straight After A Tummy Tuck

During abdominoplasty, the tissues are pulled tight at the waistline. It’s important to maintain a bent over, or jackknifed position when standing and when walking for the first week or so. As the tissues begin to heal, it is safe to achieve a more straight position.

However, this jackknifed position is critical for the first week, even when attempting to sit or lie down. The knees should be lifted, the feet and the head should maintain an elevated position whether it’s with pillows or with a recliner chair. This protects the incision and protects the abdominoplasty results.

How Long Before I Can Stand Straight After A Tummy Tuck? 

Every individual body is different and your recovery depends on a few factors, including the complexity of your procedure and your dedication to aftercare. The average time until a patient can stand straight after their procedure is 1 – 2 weeks, with most being able to after about 7 days. 

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