We’re open! Please view our latest COVID-19 updates here
We are facing an unprecedented event in our history with the arrival and spread of COVID-19. As a result of this virus, access to medical services has been limited by social distancing requirements. In response to these changes, and for a desire to restore some sense of normalcy to our patients, the aesthetic professionals at Donaldson Plastic Surgery have turned to telemedicine as an alternative to traditional in-office consultations. We want you to know it is OK during these tough times to consider aesthetic services, both surgical and non-surgical, and that we are here to answer your questions and keep you feeling your best!
So, you have reached out and scheduled a virtual consultation with Dr. Donaldson or Dr. Sieffert. What else do you have to do to get ready? Firstly, we ask that you fill out our standard medical intake forms as instructed in your welcome email (be as thorough as possible). Secondly, you will submit a series of photographs to help your Donaldson Plastic Surgery provider create an individualized plan just for you!
In order to ensure that your consultation goes smoothly, we ask that you submit your photos through our HIPAA compliant platform, TouchMD. Soon after scheduling, you will receive a welcome email from TouchMD which includes a link to create a profile, and instructions to download the MyTouchMD application. This will enable you to submit the photos used for your appointment. The photo submission button can be found by clicking the menu button on the top right of the MyTouchMD app. We ask that you complete these submissions 48 hours in advance so that we have time to prepare for your consultation.
Plastic surgeon Dr. Michelle Sieffert has created this handy photo guide to assist you in taking quality photographs for your virtual consultation. These photos are best captured using your smart phone or digital camera.
Use these angles if you are discussing any of the following treatments: face lift, neck lift, eyelid surgery, chin surgery, otoplasty, earlobe repair, fat transfer to the face, brow lift, rhinoplasty, laser treatments, Botox, fillers, Kybella, facial reconstruction, or any other treatment related to the face or neck.
Use these angles if you are discussing any of the following treatments: breast augmentation, breast lift, breast reduction, breast reconstruction, inverted nipple surgery, nipple reduction, tummy tuck, mommy makeover, liposuction, body lift, gynecomastia surgery, male breast reduction, CoolSculpting, CoolTone, or any other treatment related to the breast or body.
Use these angles if you are discussing any of the following treatments: arm lift, liposuction, laser treatments, CoolSculpting, or any other treatment related to the arms and upper back.
Use these angles if you are discussing any of the following treatments: thigh lift, liposuction, labiaplasty, spider vein removal, CoolSculpting, CoolTone, laser hair removal, or any other treatment related to the thighs or buttocks.
The photo submission button can be found by clicking the menu button on the top right of the MyTouchMD app. We ask that you complete these submissions 48 hours in advance so that we have time to prepare for your consultation.
We are here for you! The team at Donaldson Plastic Surgery is just one quick phone call or email away. You can call 614-442-7610 or email firstname.lastname@example.org to speak to our dedicated staff about any questions you may have leading up to your virtual consult.
We look forward to helping you become your very best version of you!
The world may have slowed down, but even in these difficult and unconventional times, you still have your own ambitions and vision for yourself. Donaldson Plastic Surgery has long been an advocate for personal growth and comfort, which is why we have expanded our service offerings to include secure, one-on-one virtual consultations.
Stay at Home orders have been issued, but that doesn’t mean your personal journey has to come to a halt. In fact, you can use this down time to consult with a world-class plastic surgeon, ask any questions you may have and further understand all of your options before finalizing an official date for your procedure.
A Donaldson Plastic Surgery virtual consultation is a completely remote method of connecting patients with our providers to discuss surgical and nonsurgical cosmetic procedures. The virtual consultation format contains all of the components of an in-person consultation, including a discussion of your wants, needs and goals, along with a thorough explanation of your treatment options, the viewing before and after photos and a comprehensive walk-through of information related to scheduling and financing.
Virtual consultations are a completely discreet and secure way to discuss any concerns you may have with a trusted and highly-trained plastic surgeon. You will have a fully-clothed, one-on-one conversation with your surgeon, where you will collaborate to design a plan that is just right for you and your vision.
Everything begins when you submit a request to schedule your virtual consultation – you can also reach us directly by phone at 614-442-7610. Our team will, then, reach out within one business day to answer any questions you might have and to schedule your virtual consultation. You will receive a welcome email that includes an invite for your virtual consultation using GoToMeeting, a secure, HIPAA-compliant video conferencing platform. You will then receive a separate email prompting you to fill out and submit virtual paperwork prior to your consultation, as well as any pictures you wish to include.
On the day of your consultation, you will receive a video conference call inviting you to connect with your provider – and the virtual consult will begin! Make sure you are in a secluded space where you can discuss information freely with your provider. Like an in-person visit, we encourage you to bring any and all questions for your provider to discuss during the virtual consultation.
After your video chat, you will receive a call from our Patient Experience Director Carrie, who will provide an exact quote for the procedure(s) you discuss, as well as financing options and payment plans. She will also talk to you about the process of scheduling your surgery and answer any other questions you might have. Depending on your consultation, we may set up a time for you to come into the office for a second consultation prior to your procedure to complete your surgical plan.
Our patients include mothers and fathers, daughters and sons, all with loved ones they care about protecting and keeping safe from COVID-19. It’s our duty as healthcare providers to adapt to a new way of conducting operations and provide the best possible patient care with the tools available to us.
Our virtual consultations allow us to connect with patients in a sophisticated way, and provide a treatment plan as if the consultation was in-person. Above all else, we want our patients to know they have a safe place to turn when it comes to discussing their aesthetic options.
Performing virtual consultations allows us to be more accessible resources to our community. Especially in times of turmoil, it is important for patients to make educated and sound decisions about their bodies. Even in the midst of COVID-19, the needs of our patients do not dissipate.
We are offering virtual consultations because we want to be able to help educate our patients about their bodies and the changes they are going through, and to remind them that they are not alone. It is our privilege to walk this path together with you.
During the COVID-19 stay home order, I am offering complimentary virtual skin care consultations and analyses for any patient at home wanting to maintain or improve their skin.
At-home skin care is incredibly important during this stressful time, so it is my mission that patients know how to take the best care of themselves. I can show you which products to use, how to use them, and give in-depth explanations of the science of your skin issues to tackle them at the root. My patients are important to me, which is why I would like to offer my expertise to those at home.
Ready to discuss your personal goals with Columbus, Ohio’s top plastic surgeons and leading medical aesthetician? We’re here to make your vision a virtual reality – and it all starts when you send us the first message.
Happy 2018! There’s nothing like a new year to get you excited about all the new opportunities that will come your way!
As you start planning for the new year (and maybe make a resolution or two), you might ask yourself, “Is this the year I’m finally going to pursue plastic surgery?” Chances are you’ve been thinking about it for a while but never felt like the timing was right. So how do you know if now is the right time?
Here are a few signs that can help you identify if you’re ready to move forward with surgery.
Anytime you are making a decision about how you look, it is so important that it comes from an inner desire to boost your confidence and feel good about yourself. Maybe you’ve never liked the shape of your nose, or perhaps your face is starting to age and you want to restore some of your youthful glow.
Just remember — no one should ever make you feel like you have to change something about your appearance. If you can truly say that you are doing this for you and no one else, that’s when you know that you are ready to go on this journey.
The decision to have plastic surgery is a big one. Before you ever make an appointment, spend some time doing a little research. A good place to start is learning the basics of the procedure you’re interested in — Who is a good candidate for this particular surgery? What does the procedure entail? How long will it take to recover?
Once you have an idea of what to expect, the next thing on your list is researching local surgeons. Find out who performs plastic surgery in your area and in what procedures they specialize in. And don’t forget to vet their credentials — Are they board certified? How long have they been in practice? Do they have good reviews from former patients?
Lastly, you should be well informed about the potential risks and complications associated with the surgery. All surgeries, even small procedures, have risks. Being aware of these risks will help you know what you can do to reduce them and better prepare for the procedure.
If you’ve done your homework and feel confident that this is something you want to do, that’s a great sign you’re ready for the procedure.
The required downtime varies from procedure to procedure, and everyone heals a little bit differently. But generally speaking, you’ll need at least a week off from your daily routine to rest. That means taking time off from work, skipping your morning workout and dialing back on social outings. The only thing on your schedule should be spending some quality time with your bed, resting. Sometimes that’s easier said than done. When you have a full-time job with a busy schedule, taking a week off might not always be possible.
Part of planning for plastic surgery is planning for the recovery. Do you have some flexibility with your schedule or have vacation days saved up that you can use? If your answer to that question is “yes,” you can check that off your list!
This goes along with your recovery. After the surgery, you’re going to need a little help taking care of yourself. Having a strong support system of friends and family in place is absolutely essential to ensuring a smooth recovery. You will need someone to drive you home from the surgery center the day of the procedure, as well as someone to stay with you that night and make sure you have everything you need. And that’s just the first day!
As you continue to rest, you might need someone to run little errands for you, help out around the house and get the kids to and from school. Not to mention, you could use a little companionship while you’re stuck at home. If you have family and friends around you who support your decision to have surgery and are happy to help during the recovery period, that’s further proof that you are ready to do this.
Now that you’ve decided that you are ready for plastic surgery, it’s time to schedule a consultation! Dr. Donaldson would be happy to meet with you to discuss your needs, answer any questions you have and map out a treatment plan that will get you the results you’re looking for. Make 2018 the year that you To schedule a consultation with Dr. Donaldson, call us at 614-442-7610 or email email@example.com with the subject line “Consultation Request.” We look forward to seeing you!
On Thursday, February 8th, 2019, the Food and Drug Administration (FDA) issued a report about Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) to health care providers inside and outside of the field of plastic surgery to raise general awareness, promote accurate diagnosis, and hopefully ensure more timely treatments. Dr. Donaldson and the staff at Donaldson Plastic Surgery support and advocate the FDA’s efforts to gather and disseminate accurate information. BIA-ALCL is a rare form of cancer that has been studied extensively by the plastic surgery community for the past several years. As a practice, we strive to be a trusted resource for all of our past, current, and future patients. Dr. Donaldson has attended national presentations, stayed up-to-date with clinical reports, followed best-practice recommendations, and communicated closely with his colleagues, staff, and patients regarding this topic. Fortunately, out of nearly ten million patients worldwide who have had breast augmentation surgery, only 457 have had a confirmed diagnosis of BIA-ALCL. All of these cases have been associated with the use of textured breast implants. Dr. Donaldson has NEVER used this type of implant. We have compiled the following information to present what is currently known about BIA-ALCL, including the risks, frequency, diagnosis, and treatment of this condition.
First, we will provide a description of our typical breast augmentation surgical technique. After a small skin incision, Dr. Donaldson separates tissue to create a pocket for the breast implant. Before implantation, the pocket is irrigated with an antibacterial solution to ensure a clean environment. The implant is then opened from its sterile packaging and, using a separate pair of sterile surgical gloves, Dr. Donaldson is the only person who directly handles the implant. It is rinsed with the antibacterial solution and compressed through the incision into the surgically-created pocket. The correct positioning is confirmed, and the pocket is closed with a series of dissolvable sutures. The operation typically takes less than an hour. The healing process begins almost immediately as the body’s immune system triggers a normal “foreign body” reaction that causes scar tissue to develop around the implant. Over time, the tissue completely encloses the implant, creating a capsule that separates the implant from the breast tissue.
One of the primary goals throughout the surgery is to ensure that the skin, pocket, and implant are kept completely sterile to minimize exposure to bacteria or other contaminants. Dr. Donaldson and the entire operating room staff go to great lengths to maintain sterility through the use of “minimal-touch” and “no-touch” techniques; antibacterial solutions; nipple guards; IV antibiotics; and, in some cases, implant delivery devices that reduce implant-skin contact. It is nearly impossible to prevent every bacterium from the skin and/or bloodstream from adhering to the implant. This normal process creates a biofilm between the implant and the newly-forming capsule. The body’s immune system can comfortably handle this minimal bacterial load unless a critical point is reached where the bacterial levels are high enough to trigger a chronic inflammatory response.
If the immune system develops a chronic inflammatory response, it is usually delayed a year or more after surgery and is affected by individual genetics and immune status. A chronic inflammatory response to the implant and biofilm has been linked to capsular contracture, additional scar tissue that can be seen and felt through swelling, tightening, or firming of the breast and a change in breast shape or position. Capsular contracture is graded on a scale of I-IV, and Dr. Donaldson prefers to treat the more severe grades III and IV through re-operation with capsule release and/or implant removal and/or replacement. The risk of capsular contracture occurring is less than 5 percent.
The biofilm that develops after an implant is inserted into the breast is commonly suspected as the cause for BIA-ALCL. When a chronic inflammatory response is not severe enough or fast enough to create a capsular contracture, it may lie dormant as a mild, long-term, low-grade infection inside of the capsule. Over a 7-10 year period, this underlying condition is believed to cause an immune T-cell abnormality that then progresses to BIA-ALCL. The first symptom is usually a late-onset seroma, or fluid collection, which causes swelling of the breast, asymmetry, and/or pain. In these early stages, the lymphoma resides inside of the protective capsule and is not connected to the breast tissue.
Biofilm seems to be more problematic with textured implants. In the late 1960s, textured-surface implants were designed in an attempt to reduce the rate of capsular contracture. Early results showed promise, but ten-year follow-up studies demonstrated that the texture of the implant does not affect the rate of capsular contracture. Since then, smooth, round implants have been preferred by most plastic surgeons in the United States, while textured implants have been more popular in Europe and South America. The recent introduction of shaped, highly-cohesive anatomical implants has increased the use of textured-surfaces because these implants cannot be permitted to flip or spin.
In contrast to a round implant that can flip or spin in the breast pocket with no visible difference, movement of an anatomically-shaped implant creates an unattractive breast shape that may cause the breast to appear sideways or upside-down. The texturized surface of an anatomically-shaped implant causes the capsule to grip the implant and prevent movement within the pocket. Dr. Donaldson does not use textured implants, and he does not use anatomical implants. He exclusively uses smooth, round implants.
Of the FDA-confirmed 457 cases of BIA-ALCL, no cases with purely smooth breast implants have been reported in any series, registry, or case with a detailed history. The texture on the outside shell of an implant may hinder the elimination of biofilm-creating bacteria due to the irregularity of the surface, multiple crevices, and increased surface area. Studies show significantly more bacterial adherence to textured versus smooth implant surfaces, as well as an increased number of lymphocytes–the cells that can become abnormal in cases of lymphoma.
If symptoms arise, it is imperative to consult with a board-certified plastic surgeon. If a patient’s history and exam seem suspicious, the surgeon will order tests that look for fluid around the implant. If a seroma or mass is detected, the fluid will be sampled and/or the tissue will be biopsied. Tests will then reveal whether known markers of BIA-ALCL are present. If confirmed, the surgeon will collaborate with an oncological team to create a plan for treatment. In early-stage disease, the implant and capsule are completely removed with no need for chemotherapy or radiation. Current three-year follow-ups show that 93 percent of patients are disease-free when following this protocol. If reports of symptoms, diagnosis, or treatment are delayed, then the lymphoma may spread and become systemic. The FDA has reported 9 known deaths in the US from BIA-ALCL. None of these patients received complete surgical excision or the targeted therapy that is now recommended.
Although our understanding of BIA-ALCL has improved dramatically over the past decade, further studies are underway, which should provide additional information. The FDA’s recent announcement was intended to increase awareness and encourage more health care providers to take part in the identification of BIA-ALCL. As a practice, Donaldson Plastic Surgery records all implant information in case future evaluation becomes necessary. To date, we have diagnosed ZERO patients with BIA-ALCL. Nonetheless, Dr. Donaldson is prepared to follow the most current diagnostic and treatment protocols, including radiographic imaging, fluid sampling, and immediate removal of the implant and capsule.
Our patients can confirm that their safety and wellbeing is our top priority. We believe that all of the risks associated with plastic surgery should be discussed and properly understood. There are approximately 300,000 breast augmentations in the United States every year. Given the extremely low overall incidence of BIA-ALCL, its exclusive association with textured implants, and its excellent prognosis with timely diagnosis and treatment, we continue to believe in the safety of smooth, round breast implants and the positive impact that breast augmentation has had on our patients’ lives.
For additional resources please visit the links below:
More men are seeking plastic surgery. In Columbus, Ohio, male breast reduction, Botox, fillers and liposuction are common. Last week, the Philadelphia Inquirer reported on this trend among men: (plastic surgery for men article).
At Donaldson Plastic Surgery, Dr. Jeffrey Donaldson offers men a variety of cosmetic procedures that enhance more masculine features: a stronger chin, a flatter abdomen, a contoured chest, a straighter nose. He also injects Botox and fillers, performs facelifts and eyelid lifts to help men look younger, more refreshed and less tired.
These treatments are discreet and effective, often with very little downtime. There is no longer a negative stereotype for male plastic surgery — Columbus, Ohio has many “real men” who want to look their best!
As plastic surgeons, we constantly strive for more efficient and safer techniques that yield better results. But, we also urge potential patients to educate themselves about procedures they are interested in which means it is up to us, as surgeons, to provide them with access to this information. In a recent press release, New Jersey plastic surgeon, Dr. Paul M. Parker, and the Parker Center were highlighted as examples of the push for improving patient education through informational Websites.
In the release, Dr. Parker says, “When [patients] come in armed with their own research and a list of questions, it ensures that we address everything they are concerned about.” So, like Dr. Parker, we make sure that our Website offers the most accurate information so our patients are well informed before coming for a consultation.
We use many of the same tools that Dr. Parker uses on his New Jersey plastic surgery Website for The Parker Center. This include video and written testimonials, procedural information and staff background and credentials. All of these tools are instrumental in not only educating potential patients, but also in choosing the right facility and surgeon.
As noted in the press release, there are thousands of pages on plastic surgery so it is imperative that ours offers accurate information and is also welcoming. Patient education is beneficial to everyone and because most potential patients search the Internet first, the Website is where they get their first impression. This is why, like Dr. Parker recently updated his New Jersey breast augmentation pages, we are always reviewing the information on our site and updating when necessary.
Parker Center for Plastic Surgery, New Jersey
122 East Ridgewood Avenue
Paramus, New Jersey 07652
Phone: (201) 967-1212
At Donaldson Plastic Surgery we are getting ready for Spring! To help you prepare for warmer weather, we have 3 Special Offers:
1. $25 OFF a SkinMedica Vitalize or Rejuvenize Peel
2. Purchase an Obagi Travel Kit and receive either an Obagi or SkinMedica Sunscreen FREE! A $45 Value!
3. Refer a Friend who books either a Facial, Microdermabrasion, or Peel: Get 25% off any Skincare Service
For more information or to schedule an appointment for your complimentary Skin Care evaluation, call our Medical Aesthetician, Sommer, at 614-442-7610.
*Offer expires May 31, 2013.
Graduate High School
Congrats! I hope you were the valedictorian, because you’re going to need a great GPA and stellar SAT / ACT score to get into a good university pre-med program. Don’t forget those extracurriculars because deans love well rounded kids!
Off to College
Taking the pre-med route or majoring in a hard science is a great idea, but isn’t necessary as long as you complete your med school pre-reqs. And remember, grades are more important than parties! The average GPA of those accepted to med school in 2012 was 3.68. Extracurriculars show your dedication, so try to volunteer or work in a hospital for at least a year.
Before you can apply to medical school, you have to take the MCAT. The average MCAT score of those accepted to med school in 2012 was 31.2. Get recommendation letters from former professors and your superiors at any relevant jobs. In 2012, 43.11% of med school applicants were accepted.
Welcome to Medical School!
Congratulations, you made it this far! Good grades are vital to getting into a respectable residency program. Internships and residency have extremely limited allotments, so it’s important to excel in your studies.
Ace the USMLE
You must pass the United States Medical Licensing Examination in order to practice in the U.S., so study hard! Steps 1, 2 CK and 2 CS are taken during medical school. You’ll take Step 3 after you’ve earned your MD. Step 1 is widely considered the hardest part of the exam, and while 94% of first time takers pass, those who have to retake Step 1 only have a 64% pass rate.
Become a Resident
After med school, you should apply to a residency program. You can choose the independent pathway, which includes completing a surgical residency before moving onto a plastic surgery residency or fellowship, or the integrated pathway, which combines general surgery and plastic surgery in a six-year program. There are very few plastic surgery programs, so it’s one of the most competitive residencies.
Do a Fellowship
Many residents choose to further their education with fellowships after completing their residencies. A future plastic surgeon may choose to sub-specialize in cosmetic surgery, hand surgery, craniofacial surgery, microsurgery, burn reconstruction or breast reconstruction. These highly competitive fellowships typically take one year to complete.
Join the Workforce
You can now practice as a cosmetic surgeon! Medical school loans can reach upwards of $250,000 and repayment begins after residency, so many new surgeons choose to join the workforce directly after completing their residencies.
You’ll need to pass the American Board of Plastic Surgery Certification Test to earn the title of Plastic Surgeon. There are two parts to the exam. In 2012, the pass rate for the written exam was 86.6%, while the pass rate for the oral exam was 77.8%.
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If you are suffering from excessive fat under your chin, you understand frustration: no skin program, diet or exercise can improve this contour. Fortunately, there is a minimally-invasive surgical technique that often provides relief.
Liposuction is a safe and effective way to get rid of a sagging, or “double” chin. The treatment is relatively comfortable and can be completed as a short, outpatient procedure. The affected area is small and only local anesthetic is necessary, which leads to a brief recovery and a relatively low risk of complications.
The procedure typically takes less than an hour, with the surgeon making a small incision under the jawline. Unwanted fat tissue is removed from the chin area, and the incision is closed with one stitch. There may be a small amount of bruising and swelling, and a light prescription will minimize pain. Most patients can return to work after a day or two, and a chin strap is recommended to maintain contour.
If you are ready to sharpen your jawline and improve your profile, speak to Dr. Donaldson about chin liposuction today!
Liposuction involves the removal of fat from specific regions of the body through tiny incisions. After surgery, patients are told exactly how much fat the surgeon removed, and they can see which parts of the body are most improved. Patients who do not simultaneously consider their diet and activity levels however, might find it hard to keep from regaining pounds after this operation. Because it’s common for the returning weight to appear more diffusely throughout the body, patients must play an active role in their own recovery.
Fat cells do not multiply in adults—they simply get bigger or smaller according to weight gain and loss. After fat cells are removed via liposuction, these areas are permanently flatter because there are fewer cells to expand and contract. In a typical procedure, many of the fat cells that were once in the abdomen, hips, or thighs are gone. If a patient gains some weight after liposuction, this new weight will accumulate more uniformly across the whole body so that the liposuction areas are more proportionately affected.
Patients may notice weight gain most in new areas such as the face, arms, back, or chest since the post-surgical sites are better-contoured. In contrast, if the same person gained weight before surgery, the fat would have disproportionately accumulated in the problem areas. While some patients may not object to more fullness in the face, buttocks or breasts, most do not want to regain the fat. Ultimately, liposuction is intended to be a targeted contouring strategy, and it is up to patients to control their weight.
Ideal candidates for liposuction have responsible eating habits, exercise regularly, and have specific anatomic areas that are full of fat. Once the fat is removed, these patients find long-lasting improvement in their shape and contour regardless of whether they add a few pounds in the future.
*Earned by Dr. Donaldson