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Dr. Grigoryants reviews safety of plastic surgery

Wednesday, August 21st, 2013

This post will describes what steps we take to ensure safety for our patients. When these guidelines are followed, plastic surgery can be performed with a very high degree of safety.

1. Patient selection:   Prior to surgery, patients are screened for any medical conditions and their ability to withstand surgery and anesthesia. For young and healthy patients, surgery is very safe. Older patients and patients with medical problems will need to undergo medical clearance by their primary care doctors or cardiologists. In certain cases, even stress tests will be ordered to evaluate the patients cardiac function. From time to time, we will turn down patients based on their age and/or medical condition.

2. Type of surgery performed: Certain procedures like (rhinoplasty, facelift, breast augmentation etc.) are associated with relatively little bleeding and little stress on the body. On the other hand large volume liposuction (over 5 liters) or tummy tuck with a large volume liposuction is more stressful for the body. When patients undergo combined surgeries or large volume liposuction, we recommend the patients stay in the hospital for at least 1 day for observation and intravenous hydration. During surgery surgery the patients vitals signs and fluid maintenance is very important. Dr. Grigoryants’ training and experience in Critical Care Medicine in addition to plastic surgery, allows him to take extra steps in ensuring intraoperative safety for his patients.

3. Duration of surgery: Most procedures in plastic surgery when performed by an experienced surgeon are relatively short. For example, Dr. Grigoryants’ rhinoplasty takes about 2-2.5 hours, breast augmentation 1.5 hours, and tummy tuck with liposuction 3-3.5 hours. Certain procedures can be combined safely. Although the relationship between the risk of complications and duration of surgery is not very clear, Dr. Grigoryants limits the duration of surgery to less than 6-7 hours when procedures are combined. When more extensive procedures are required, it is best to do them separately at different times.

4. Surgical Enviroment: Surgical procedures with anesthesia have to be performed in the hospital or an accredited surgical center. These facilities will have the necessary equipment and medications to allow for safer surgery. For example, patients vital signs are carefully monitored before, during, and after surgery; warming blanket are used to keep patients warm; and sequential compression devices (SCD’s) are placed on all patients to minimize the risk of deep vein thrombosis.

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Plastic Surgery Los Angeles – Breast and Body Cosmetic Enhancement Procedures

Wednesday, August 31st, 2011
With Plastic Surgery Los Angeles residents have been able to cosmetically enhance physical features of the face, breasts, and body. Many patients receive plastic surgery for a number of reasons, however, they all have one thing in common—the desire to look and feel great about themselves. The area they choose to enhance may be particularly chosen because it represents an area the patient may be uncomfortable with as it may be drawing unwanted attention or even be the cause of embarrassment. During the initial consultation with a Plastic Surgeon Los Angeles residents are evaluated for a cosmetic procedure based on their medical history, current health, and the types of results they can achieve with the procedure. Aspects of a procedure like techniques, pre and post-operative measures, as well as recovery time may vary from procedure to procedure.

Body Contouring

Body contouring has become increasingly popular with a procedure such as Liposuction. With Liposuction Los Angeles residents and out of town patients have been able to treat areas of the body such as the arms, midsection, flanks, and thighs that may make the body seem disproportionate. Liposuction entails the use of a cannula to suction excess fat from the targeted area. Before a Liposuction, there are many determinants of patient candidacy aside from medical history. The area is examined for skin laxity and the amount of fat to be removed. For specific areas like the abdomen, a plastic surgeon may recommend a Tummy Tuck procedure for optimal results. A Tummy Tuck, or Abdominoplasty, uses Liposuction for the removal of excess fat, but a technique is also implemented, tightening the underlying muscles for better results. Some patients may not need an Abdominoplasty as their underlying muscles may be strong enough to receive desired results with Liposuction alone.

Breast Enhancement
There are many breast enhancement procedures all designed to give women breasts that look natural and youthful. There are different procedures such as a breast lift, reduction, and augmentation, each serving a specific breast enhancement purpose. Breast augmentation is the most commonly performed procedure according to the American Society of Plastic Surgery. Many women undergo the procedure because they relate breast size and shape to feeling confident and feminine. Many women also believe that bigger breasts can help them in their daily life and also in their career. With Breast Implants Los Angeles patients enhance the size of their breasts safely and effectively with implants that are designed to provide natural-looking results.

Los Angeles Cosmetic Surgery: Taking a Step in the Right Direction

Saturday, August 13th, 2011
Cosmetic surgery has helped many individuals throughout the United States gain confidence and enhance their lifestyles by improving problem areas of the face, breasts, and body. The truth is- many individuals suffer with body image and strive to remove imperfections in the body. With an experienced and skilled Plastic Surgeon Los Angeles residents and out of town patients can correct the imperfections in the body and gain the confidence they deserve. A plastic surgeon may approach each procedure and patient differently as no two patients are alike and will have different needs or techniques that may be applied during the procedure in order to receive optimal results.

Body contouring is a common struggle for both men and women. Looking and feeling fit and healthy are important to many individuals to living an active life. Typically, by following an exercise and diet regimen, many can reach their body contouring goals, however, this many not as easily to others. With Liposuction Los Angeles residents can remove excess fat from these problem areas once and for all. Problem areas may include a protruding abdomen, flanks, or thighs, but each individual is different. Liposuction cannot be deemed a weight loss option, however, more of a body contouring option for those hard to get rid of areas in the body that are stubborn, and make the body seem disproportionate.

For specific problem areas like the midsection, a Tummy Tuck, or Abdominoplasty, can give a slimmer, tighter midsection. With a Tummy Tuck Los Angeles plastic surgeons utilize Liposuction for the removal of excess fat while implementing a muscle-tightening technique to the underlying muscles.  This procedure is highly recommended for patients who have a protruding midsection with weakened abdominal muscles that may be due to weight gain, loss, or pregnancy and have not responded well to diet and exercise. A Tummy Tuck gives patients a slimmer midsection, making daily life enjoyable to do simple things such as shopping for new clothes.
For many women throughout Southern California, the breasts may be a reason for self-consciousness or low self-esteem. Many women relate their feelings of femininity, sensuality, and confidence from the size and shape of their breasts. For women with small breasts, and breast augmentation procedure can enlarge and enhance the breasts to a size that is better suited to their body. With Breast Implants Los Angeles residents can receive results that look enhanced, yet natural and youthful. Implant size and type are determined with the help and expertise of a plastic surgeon for results that match a patient’s body type in terms of height, weight, and frame.

Top Performed Surgical Cosmetic Procedures in Los Angeles

Saturday, June 25th, 2011
In Los Angeles, Cosmetic Surgery has helped many individuals reach their desired cosmetic goals. Each procedure is tailored to fit each patient’s needs as no two patients are alike and their cosmetic needs will differ. During the consultation with a Board Certified Plastic Surgeon Los Angeles patients can receive information about the procedure, preparation, post-operative care, and also discuss their concerns and goals that they hope to achieve with a plastic surgeon.  When searching for a plastic surgeon it is important to take their education, patient ratings, and before and after photos into careful consideration. The before and after photos give the best visual idea of what types of results they achieve for their patients, and what types of results they can achieve for you.
In 2010, 31,205 Liposuction procedures were performed for patients from age 20 to 29 throughout the United States according to the American Society of Plastic Surgeons (ASPS). As many individuals suffer with stubborn fat deposits on areas of the body that make the body seem disproportionately shaped, at times, diet and exercise may not be enough to receive desired results. Liposuction treats this condition by suctioning excess fat from the targeted area. With Liposuction Los Angeles patients can contour areas of the body that are protruding or have hard to lose areas of fat. Liposuction is in the top 5 surgical cosmetic procedures performed because of the effective results it provides its patients that no other alternative treatment can provide.
Rhinoplasty is also one of the top 5 surgical cosmetic procedures performed with 75,546 completed in patients from ages 20 to 29 in 2010 according to the ASPS. There are many individuals born with a nose that is too dominant for surrounding facial features drawing unwanted attention and becoming a source of insecurity and self-consciousness. With a Nose Reshaping procedure or Rhinoplasty Los Angeles residents can reshape the nose to a more refined contour that harmonizes with other facial features. A Rhinoplasty procedure can also improve the facial profile overall by bringing it more balance and may also eliminate breathing problems.
In 2010, 90,273 Breast Augmentation procedures were performed in 20 to 29 year old patients according to the ASPS, making it the top surgical cosmetic procedure performed for that year.  With Breast Implants Los Angeles women can enhance the size and shape of their breasts, enlarging them to a youthful yet natural look. Breast implant size and type is determined with the help of a plastic surgeon, as they will know which will best suit a patient’s body type according to their height, frame, and body type. Breast Augmentation procedures help patients feel confident, sensual, and feminine.

Los Angeles Breast and Body Enhancing Treatments

Tuesday, February 22nd, 2011
For many, the struggle to look and feel healthy and fit is a top priority and is achieved with a healthy diet and exercise routine. What about certain areas of the body diet and exercise cannot change? Weight loss or genetics may result in excess and loose skin and fat in areas of the body such as the midsection and thighs. With a Board Certified Plastic Surgeon Los Angeles and Beverly Hills patients may receive treatment to these areas of the body that have not been susceptible to diet and exercise.
Excess fat in the body, or problem areas, may make the body appear disproportionate. For patients who have tried diet and exercise to target these specific areas but have been unsuccessful, a body contouring procedure such as liposuction can provide desired results. With Liposuction Los Angeles and Beverly Hills patients can contour areas of the body that may make the body appear asymmetrical. This treatment can be performed in almost any area of the body making it highly recommended. During a Liposuction procedure, a cannula (hollow, thin tube) is strategically inserted into the body to target a specific problem area. Excess fat is then suctioned through the cannula resulting in an area that is slimmed, contoured, and tightened. When targeting the midsection, a separate type of body contouring procedure may be recommended. With a Tummy Tuck Los Angeles and Beverly Hills patients receive a procedure that focuses specifically on the body’s midsection. A Tummy Tuck procedure entails the implementation of liposuction for the removal of excess fat from the area. The plastic surgeon then implements a muscle-tightening technique for a flatter, tighter midsection. A Tummy Tuck reveals a midsection that looks natural and creates a more proportionate and attractive body contour.
For a woman, the size, shape, and volume of her breasts can be directly associated with her sense of sensuality and femininity. They may also be related to feeling confident and secure. For women who have small breasts, feeling feminine and confident may be an emotional issue they come across often. With Breast Implants Los Angeles and Beverly Hills patients can increase and enhance the size of their breasts to look youthful and natural, yet still enhance the overall shape of their figure. The breast implant size and type are determined with the help of a plastic surgeon as they will know which size and type will work well and look natural with the body.

Body and Breast Enhancement with Cosmetic Procedures

Friday, January 28th, 2011
Across the United States men and women have struggled to stay and look healthy and fit with diet, exercise, and cosmetic treatments. However, at times diet, exercise, and cosmetic treatments may not be enough to provide the results we all want and strive for. With Plastic Surgery Los Angeles residents can make physical improvements and enhancements that diet, exercise, and traditional cosmetic treatments cannot provide. Cosmetic plastic surgery has been a long-lasting, if not permanent means of physically enhancing features in the body with procedures and treatments that are safe, effective, and affordable as most plastic surgeon practices offer financing. 

In the United States, breast augmentation procedures have been a consistently the highest performed procedure among women to date. With Breast Implants Los Angeles patients can increase and enhance the size, shape, and volume of their breasts if they are uncomfortable and unhappy with the current size of their breasts.  Women with small breasts opt for this procedure to receive an overall feminine figure. Increasing the size of the breasts enhance a patient’s lifestyle by giving them more confidence and helping them look and feel better about themselves. With a Board Certified Plastic Surgeon Los Angeles patients can receive an initial consultation for the procedure and decide the implant size and type which will be based on the patient’s size, weight, and daily activities to ensure the implant selected will work well with the patient’s anatomy. The plastic surgeon also decides whether or not a patient is a good candidate for the procedure by looking at factors such as medical history and current health among other variables to be evaluated.

For patients who have struggled with diet and exercise to achieve desired body contouring results, the midsection is the hardest area to sculpt and reshape. The abdominal muscles take some time to show results but require a lot of work and at times, men and women cannot receive the results they are trying to achieve. With a Tummy Tuck Los Angeles men and women can finally get the results they deserve with a body contouring procedure that targets the abdominal area. A Tummy Tuck procedure uses Liposuction to remove the excess fat between the abdominal muscles and skin while a muscle-tightening technique is implemented. The results are a midsection that is reshaped, flattened, and contoured  with results that could have not been achieved with diet and exercise alone.

Body Contouring and Breast Enhancement for Los Angeles Patients

Tuesday, December 28th, 2010
With a Board Certified Plastic Surgeon Los Angeles residents and out of town patients have access to the latest plastic surgery techniques and advancements in breast enhancement, facial rejuvenation, and body contouring procedures. A plastic surgeon will individualize each procedure and treatment to fit a patients needs as each need and treatment will require different technique implementation. Finding a plastic surgeon that also specializes in the type of plastic surgery procedure a patient is looking to receive, can result in procedure outcomes that exceed patient results.
For those seeking Breast Enhancement, with Breast Implants Los Angeles patients are able to increase and enhance the shape, volume, and size of their breasts. The goal of the procedure is for patients to receive enlarged breasts that are youthful and look natural to give the patient a figure that is feminine in shape. There are different implant types and size, and Breast Augmentation procedure techniques that are all discussed between the patient and plastic surgeon during the initial consultation. There are silicone and saline types of implants, both FDA-approved and safe, and which one to be used is typically determined by the plastic surgeon for the type that will best suit the patient’s body. The size is also decided based upon the patient’s body type, height, and overall frame to that the procedures results do not look “done” or manipulated in any way.
For those that have struggled with body image and have not been successful in achieving their body image goals with diet and exercise, body contouring procedures are available. With a procedure such as Liposuction Los Angeles patients are accessible to a body contouring procedure that removes excess skin and fat targeting localized fat deposits or “problem areas”. Liposuction may be performed on different areas of the body such as the face and neck, back, chest, abdomen, flank, arms, thighs, and buttocks, making it a popular and recommended procedure. For those looking to receive body contouring focused on the abdominal area an Abdominoplasty procedure provides desired results. Many Abdominoplasty, or Tummy Tuck Los Angeles patients have received outstanding results as the procedure includes liposuction and a muscle-tightening technique implemented by the plastic surgeon during the procedure, to leave the midsection tightened, slimmed, and contoured.

Los Angeles Breast Enhancement and Body Contouring Procedures

Saturday, November 6th, 2010
With Cosmetic Surgery Los Angeles has become a popular area for men and women looking to receive cosmetic rejuvenation treatments as procedures are safe, effective, and affordable. Some women may feel insecure about the size and shape of their breasts as their breasts may be naturally small in size or breasts may have lost their youthful shape over time or after a pregnancy.  With Breast Implants Los Angeles women can gain confidence with achieving youthful, more femininely-shaped breasts. This also improves the shape of the body over all, making it more feminine as the size is increased depending on the patients shape and frame. Depending on implant size and type decided during consultation, women are able to enhance a physical feature that they would not be able to enhance otherwise. Breast Implant procedures are safe and effective with patients returning back to work in 1-2 weeks.  To discuss patient candidacy, it is best to set up a consultation with a plastic surgeon that specializes in Breast Augmentation procedures. Size and type (saline or silicone) of implants will be discussed based on which type and size of implant goes well with the patient’s height, weight, and frame. Patient education is a priority, so preparing questions to ask a plastic surgeon during consultation is always helpful and informative for patients.
Body contouring procedures are popular among men and women and were ranked to be in the top performed plastic surgery procedures. Among men, Liposuction was ranked the top cosmetic surgery procedure. With Liposuction Los Angeles patients are able to receive a body contouring procedure that may be performed on virtually any area of the body. Liposuction is used in most body contouring procedures like Tummy Tucks and the treatment of Gynecomastia (male enlarged breasts) among other procedures. With a Los Angeles Tummy Tuck, or Abdominoplasty procedure, men and women are able to receive a body contouring procedure that implements Liposuction resulting in a slimmer, tightened abdominal area. Tummy Tuck procedures are recommended for men and women who have excess skin and fat, a protruding abdomen, and have weakened abdominal muscles. During the procedure, excess skin and fat is removed and the abdominal muscles are tightened leaving the mid-section slimmer and contoured. The procedure is also recommended for patients who have lost a significant amount of weight and cannot receive desired results by diet and exercise alone. Because of significant weight loss the abdominal area is usually left with excess skin, stretch marks, and fat that is removed during a Tummy Tuck procedure. If you are a patient considering plastic surgery, you may find more information and set up a consultation with an award-winning Board Certified Plastic Surgeon by visiting

Frequency of Plastic Surgery in 2009

Thursday, July 22nd, 2010

Los Angeles Plastic SurgeonThe American Society for Aesthetic Plastic Surgery has recently reported almost 10 million cosmetic plastic surgery procedures in 2009. Like most other industries, the plastic surgery industry has suffered from the effects of the recession. The number of overall cosmetic surgery procedures dropped by 2.4% from 2008-2009. This is a relatively small dip in cosmetic surgery numbers. Since 1997, the number of annual plastic surgery procedures has increased by 146.7%. Therefore, many industry professionals believe that the drop is directly related to the recession and will certainly increase in the coming years.

In 2009, nearly all plastic surgery procedures decreased in frequency. The only plastic surgery procedures which increased were buttock augmentation and buttock lifts. The biggest procedure drops were seen in forehead lifts, facelifts, surgical lip augmentation, and chin augmentation. On the other hand, non-surgical procedures have experienced a boost in the last few years. The most popular procedures are anti-aging injectables and laser treatments such as Botox, Restylane, Juvederm, and laser hair removal. It makes sense that non-surgical procedures increased in frequency because of their ease and cost. Most procedures cost less per treatment and usually require less recovery time. This is often the way to go for patients who want to save money where they can.

When visiting their plastic surgeon Los Angeles residents will often ask for breast implants. For the second year in a row, 2009 statistics have reported that breast augmentation is the most frequently performed cosmetic surgery in the United States. Some professionals are reporting that when it comes to breast implants Los Angeles women are eager to visit their plastic surgeon for more realistic silicone gel implants. There was a 20 year moratorium on silicone gel implants that have recently been lifted. Breast augmentation surgery is the most popular surgery for patients 19-34 years old; while liposuction is the most popular cosmetic surgery procedure for patients age 35-50.

When thinking of rhinoplasty Los Angeles residents often guess that southern California is the biggest hot spot for the popular surgery. In reality, the region of the United States reporting the most rhinoplasty procedures is the New England and Middle Atlantic states. The number of overall rhinoplasty surgeries in the United States decreased by about 8% between 2008 and 2009. The number of rhinoplasty procedures is, like breast augmentation surgery, expected to increase as the economy improves.

Whether getting breast implants or rhinoplasty Beverly Hills residents are encouraged to visit a Board Certified plastic surgeon in their area and ask questions about the procedure in which they are interested. In addition, if you are considering getting plastic surgery and cost is an issue, there are many companies and plastic surgeons that offer plastic surgery financing.

Stay Safe with United States Plastic Surgery

Tuesday, July 13th, 2010

Los Angeles Plastic SurgeonThere are many things one can do overseas that are more cost effective. More and more companies are outsourcing work to other countries these days. However, one thing that should not be done in other countries is plastic surgery! Plastic surgeons in the United States are held to higher training standards than those in other countries. If you are going to a Board Certified Los Angeles plastic surgeon in the United States, you can be assured that you are not gambling with your health. Sometimes these procedures can be significantly more affordable, but it is not worth it to get a procedure done that could turn out to have serious consequences. When opting to get a breast augmentation Beverly Hills residents are much better off staying in the United States!

Any surgical procedure can lead to risks and side effects. Pain, dizziness and nausea are very common, but there are more serious side effects which a foreign facility may not be able to treat. Significant bleeding, infection at the site of an incision, accumulation of fluid beneath the wound and others can occur during the procedure. If these aren’t treated properly, the problem can get much more serious and another surgery might be needed. In the United States, these problems can still occur, but an accredited facility is much better equipped to handle these situations. Mexico and Thailand are two of the most popular places to get plastic surgery abroad. Although these two countries will often have better facilities than some other countries – especially those in South America – they are still not going to be as safe as those in the United States.

Many of the activities associated with postoperative traveling also increase the risk for complications. When you are traveling in a car, airplane, or train, it is inevitable that you will have to do somewhat strenuous activities. For example, bag lifting and standing for long periods of time can increase recovery time and risk of complications. According to the American Society of Plastic Surgeons, infection is the leading complication among traveling patients. In addition, traveling is also associated with higher swelling, blood clots, and pulmonary embolism rates. When traveling abroad for a breast augmentation Los Angeles patients often find themselves visiting American facilities to get secondary treatment.

In the United States, there are accrediting agencies that are usually not found in other countries. In addition, doctors must obtain hospital privileges to perform procedures. In addition, the training of doctors in other countries can be different from those in the United States. For procedures outside of the United States, it can be difficult to evaluate the medical facility, the skill of the doctor and staff, the procedure, and the devices used during the procedures. When getting breast implants Los Angeles residents are advised to stay in the United States where they can be assured of a certain level of medical care!


Dr. Grigoryants Los Angeles cosmetic surgeon provides plastic surgery services throughout Southern California including Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley.

Our Plastic Surgery center in Glendale, Los Angeles, California specializes primarily in Cosmetic Plastic Surgery inclding breast enlargement, breast augmentation, breast implants, liposuction, tummy tuck, abdominoplasty, cosmetic facelifts, rhinoplasty (nose surgery, nose job), Forehead Lift, Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Plastic and Cosmetic Surgeon. As a board certified Los Angeles plastic surgeon, Dr. Grigoryants is dedicated to providing high quality yet affordable cosmetic plastic surgery options to Los Angeles patients and being the best plastic surgeon in Los Angeles, Glendale, Pasadena, Beverly Hills.

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