Blog — Notes of a Plastic Surgeon

Welcome to my blog. I am a plastic surgeon in Seattle and have been in private practice since 1991. I've seen more than a few interesting faces and cases through my years spent in the exam room, the operating room and the emergency room. And I have an opinion on just about everything relating to plastic surgery (and a lot of unrelated stuff). If you like my blog, let me know. Thanks for reading! Lisa

Category: It’s all about me.


Oh my aching back.

October 5th, 2012 — 2:50pm

Seattle Plastic Surgeon on the perils of sewing day and night for several weeks.

I’ve had a several busy in surgery which means I’ve been hunching over the operating table and putting in stitch after stitch after stitch.  Then I’ve been going home and hunching over my sewing machine hour after hour after hour.  And my back is killing me.

I’ve been working like a maniac on my daughter’s Irish Step Dancing Solo Dress.  It’s her very first Solo Dress and in state of temporary insanity, I decided to design and make it myself. 

I’ve been sewing since grade school and there was a time when I made most of my clothing.  But this dress is the most challenging project I have ever taken on.  Solo Dresses are designed to make a dancer stand out on stage.  They need to be fitted to flatter the dancer but also move a certain way with the various jumps and leaps and twirls that make up Irish Step Dancing.     And they need to sparkle and shine. 

My daughter’s dress has a midnight teal velvet bodice and a drop waist with a three layer ruffled white satin skirt with a matching cape.  Did I mention about a billion metalic seed beads and rhinestones.  Oh, and there is the lining and the underlining.  And I think I need counseling after struggling with horrors of the “invisible”  zipper. 

Mu daughter and I are traveling to Portland, Oregon tomorrow for her first competition in her new Solo Dress.  I know exactly where I will be until the wee hours tonight.  I’ll be hunched over this dress, putting on the final touches of this magnificent garment which I expect my daughter to outgrow within 3 or 4 months.   Then……I get to start making the next one!

Thanks for reading and wish my daughter (and her dress) lots of luck.  Dr. Lisa Lynn Sowder

Irish Step Dancing, It's all about me.

July 1st is a important day for young doctors.

June 29th, 2012 — 1:33pm

Seattle Plastic Surgery explains the importance of July 1st.

If you end up in the hospital this upcoming Sunday, you may notice that some of the doctors look young, really young.  That’s because this Sunday is July 1st and that is the first day of internship for all the doctors who finished medical school in June. 

I’ll never forget my first day of internship.  I was 27 years old but looked about 15.  I was assigned to the “Blue Team” at the University Hospital in Salt Lake City.  My chief resident (that’s a resident in their last year of training) was Dr. Karen Cartwright (now a pediatric surgeon in Arizona)  and the second year resident was Dr. Richard Barton (now a surgical critical care specialist in Utah).  We also had a couple of third year medical students on the team.  We were supervised by 4 attending surgeons. 

Despite all the great training in medical school at the University of Washington with a lot of “hands on” experience, I was terrified that first day of really being a doctor.  I remember introducing myself the “Blue Team” patients and having many of them tell me that I could not possibly be old enough to be a doctor (or at least their doctor).  I remember Karen Cartwright being so kind and helpful and Dr. Richard Barton showing me ropes of “scut work”  which includes things like drawing blood, starting IVs, changing dressings, taking out stitches, etc.   And I remember that first night on call when I  ordered some Mylanta for a patient with an upset stomach.  I was so afraid that the patient would have a violent adverse reaction to this over-the-counter medication. Both the patient and I survived my first night of call.

So - if you are in the hospital on July 1st and a child in a white coat and stethascope introduces him or herself as your doctor, be assured that they have been training for years for this day and please don’t tell them how young they look.  It will just make them nervous.

Thanks for reading!  Dr. Lisa Lynn Sowder

General Health, It's all about me.

Contact Dermatitis – oh, my aching finger!

January 3rd, 2012 — 8:03pm

Seattle Plastic Surgeon suffers from self inflicted post-surgical complication.

Seattle plastic surgeon has contact dermatitis from a BandaidCan a Bandaid cause such misery? If you are allergic to the adhesive, yes it can.

I know all you readers are anxious to know how my surgery (surgery on me as opposed to by me) went on December 23rd.  Well, the surgery went great as expected with the expert care of Seattle Hand Surgery’s Dr. Keck.  It was a little foible on my part that has caused about 95% of my pain and suffering.

Being me, I just couldn’t not mess with my finger dressings after surgery so, of course, one of them fell off.   In my post-anesthetic haze, I had a little lapse of judgement.  I put a  nice Band Aid on one of my fingers completely forgetting that I am allergic to certain types of Band Aids, like the one I just had put on my freshly operated finger.    

Dr. Keck had injected my fingers with a long acting local anesthetic so I had no feeling in my operated fingers and thumb for about 12 hours.  After the anesthetic wore off, one finger and my thumb were aching a little bit but the Band Aid finger was on fire and that is when I discovered my stupid error.  The finger was all red and blistered and looked (and felt) like I had submerged it in a pot of boiling water.

So 11 days post-operatively, all is well (finally).  The Band Aid finger’s blisters all peeled and I have nice new and very, very sensitive skin  but am back to gardening, skiing, guitar and, later this week, operating.

The moral of this story is to tell your surgeon if you have any sensitivities to Band Aids, tape, soap, iodine, Latex or really anything your skin does not like.  An allergy reaction to the dressing can be the worst part of the surgery.  It was for me.

Thanks for reading!  It’s great to be back at work!  Dr. Lisa Lynn Sowder

General Health, Hand surgery, It's all about me., patient beware, Patient Safety, Plastic surgery, Postoperative care, Seattle plastic surgery, Uncategorized

My New Year’s Resolution

January 1st, 2012 — 9:37pm

Seattle Plastic Surgeon acknowledges that there is a bit of room for improvement.

This year I am going to keep it simple.  Not easy, but simple.

Our family does a fair amount of camping.   Those of you who also enjoy and/or endure the chaos of camping are familiar with the camping ethos of : LEAVE THE CAMPSITE BETTER THAN YOU FOUND IT.

So there it is:  I, Lisa, will leave the campsite, car interior, desk top (what a mess that always is), kitchen sink, closet, dog’s food and water bowls,  junk drawer, bread box,  garden shed, and whatever innanimate objects are subject to the forces of entropy, atrophy, apathy, inertia, and so forth, in a better condition than in which I found them.

Wish me luck, HAPPY NEW YEAR and thanks for reading.   Dr. Lisa Lynn Sowder

It's all about me., Uncategorized

My nose knows and loves it’s Neti pot.

October 21st, 2011 — 9:50pm

Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder loves her Neti Pot.

I will try really hard not to over share but …….. these dark, moist days of Seattle’s autumn bring out the worst in my nose and sinuses.   I’m allergic to just about everything a person can be allergic to (even my beloved cat, Angelo) but sometimes I think it is fall and winter I am allergic to the very most.  Prior to discovering the glorious Neti Pot and ridding our home of all carpet and the 20 bajillion dust mites it contained, I was one sneezing, coughing, pathetic and miserable sinus infection from October until May.   Just ask my husband and kids and Angelo.

Nowadays, I worship my hardwood floors, my fake down bedding and make sure to commune with my Neti Pot every morning.  And if you think having a sinus infection is miserable in itself, think how miserable it is if you have to wear a surgeon’s mask for many hours at a time!  Oh, woe was me.

If you are a fellow sufferer, don’t be a victim of your sinuses.  Get (and use) a Neti Pot.

Thanks for reading and happy breathing!  Dr. Lisa Lynn Sowder

General Health, It's all about me., Plastic surgery

What do plastic surgeons do for rest and relaxation?

October 18th, 2011 — 4:41pm

Seattle plastic surgeon reveals her relaxation secret:  embroidery!

I can’t really speak for all plastic surgeons, but I find taking up a needle and thread to be very, very relaxing.  And lately, I’ve been relaxing a lot.

My daughter is an Irish step dancer (think Riverdance) and her school has hand embroidered dresses for their performances and competitions.  Three years ago, I did her first dress and made sure that I made the side seams really wide so I could “let it out” as she grew.  To my surprise, she has stayed her 8- year-old width but now the dress barely covers her dance shorts so it’s time for another dress.

I was thinking that the timing was really bad with her likely headed into a major growth spurt but then again, each time I make a dress, it’s just more relaxation for me.  Last night I got to listen to Sister Sweetly, my favorite Big Head Todd and the Monsters C.D. all the way through – twice – while I power chain stitched.   Now that made for a great evening.

Thanks for reading!  Dr. Lisa Lynn Sowder

It's all about me.

Happy sesquincentennial to the University of Washington!

October 13th, 2011 — 6:16pm

Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder wishes her Alma Mater a happy 150th birthday (sesquincentennial).

The University of Washington is celebrating its 150 birthday this year.   I drive or bike by the campus frequently and always feel a pang of nostalgia for the more simple times of my college and medical school years, all spent at the UW.

During my undergraduate years, I spent my time on “upper campus” shown in this photo.  The UW has one of the most beautiful campuses in the universe, thanks to some lovely old buildings, great landscape design and our mild, maritime climate that leaves most of the campus green even in the dark days of our northern winter.  Traipsing from German class to chemistry lab was just felt like a lovely 1/2 mile walk in the garden most days.

The medical school is located on “south campus” which is a collection of modern buildings that look like they were designed by Stalin or Mao Zedong.  I always felt I should be wearing a Chairman Mao hat and calling my med school buddies “comrade”.  The saving grace of the “south campus” is the fact that it is right on the shores of Lake Union.  There’s nothing like sitting by the lake to get a little mental clarity after 2 hours in the neuroanatomy lab trying to find then memorize the location the 12 cranial nerves.

So happy birthday University of Washington.  The times were great, the tuition cheap (really, it was) and the education was outstanding!

Thanks for reading!  Dr. Lisa Lynn Sowder

Gardening, It's all about me.

It’s time for the cowgirlfriends roundup.

September 17th, 2011 — 12:10am

Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder blogs about her annual cowgirlfriends round up at Montana’s Chico Hot Springs.

This weekend, I get to fly to Montana to spend a few days with my girlfriends from high school.  We call it the Cowgirl Roundup.   I am the only one of us that does not ride horses (never have, never will) but I have the coolest cowboy boots.  We spend our days hiking and soaking in the gigantic pool and our evenings marveling at the Montana night sky and catching up with each others’ crazy,  busy lives.

All five of us have gone into the health care field (we all liked chemistry!).   Patty’s a veterinarian, Stacey is an R.N., Ginny is a nutritionist and Janice runs an ultrasound department.  Crazy, huh?    It’s really fun to compare notes about our careers (and all the other stuff) but what’s really fun is to remember all those fun times we together before we became responsible health care professionals.  I am so grateful to have these great pals to unwind with once a year.  I hope all of you are so lucky.

Thanks for reading.  Dr. Lisa Lynn Sowder

It's all about me., Uncategorized

Meet my alter ego

July 30th, 2011 — 12:24am

This is TAFKAM (the artist formerly known as Mama)

Why Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder, will not be blogging for a couple of weeks.

I’m taking a little break from work for two weeks. Trust me, I need a vacation and will come back a better doctor (and guitar player).

I’ll spend my first week at the Puget Sound Guitar Workshop (PSGW) which is held at the very rustic Pilgrim Firs Church Camp on Kitsap Pennisula.  Camp is only a 1 hour ferry ride and a 45 minute drive from Seattle but it might as well be on another planet.  It’s the closest thing to music heaven this side of, well, heaven.

After camp, I am spending a week in Northern Idaho at my mom’s  lake cabin.  Between dips in the cool, clear water of Lake Coeur d’Alene and endless repair projects on this 120+ year old cabin, I’ll be sitting on the front porch practicing all the licks, riffs and tricks I learned at PSGW.   I might even do a little sing along of  ”Blister in the Sun” by the Violent Femmes.

I’ll be back at my day job August 15th and back to blogging.

Thanks for reading, Dr. Lisa Lynn Sowder

P.S.  I’ll be sure to wear my sunscreen!

It's all about me.

Seattle Plastic Surgeon Falls Hard for a Tree

July 26th, 2011 — 6:23pm

Seattle Plastic Surgery, Dr. Lisa Lynn Sowder blogs about her newest obsession and Seattle’s lousy summer.

Last weekend my daughter and I went to Swanson’s, which is a lovely nursery in north Seattle.  We had a light lunch at the cafe and then went browsing.  (Now that I am most definitely a woman of a certain age, I would rather cruise a nursery than a boutique).

Marie and I saw it as the same instant, just sitting there like a beautiful young orphan, so tiny and out of place with the much taller quotidian deciduous ornamental trees.  And we fell hard for this Japanese Umbrella Pine.  I put it on our cart and found a staff member to ask about it.  He could have said you need to water it with sterile thrice deionized water 4 times a day and apply platypus feces as a side dressing in the spring and fall and I would have still purchased this beauty.  Actually all he said was that it will grow to 20 feet over 20 years and I can’t let it dry out.

And drying out won’t likely be a problem, at least this summer.  While the rest of the nation is sweltering and frying, Seattle is experiencing the coldest and wettest summer in any one’s memory.  But this is good for my sweet, beautiful Japanese Umbrella Pine.  It is native to the rain forests of Japan and I’m sure I can keep it happy in the rain forest of Seattle.

So what does this have to do with plastic surgery?  Okay, how’s this?

  • Just because it’s cloudy, you still need sunscreen!
  • And the real reason I do plastic surgery is to support my gardening habit.

Thanks for reading!  Seattle Plastic Surgeon and Plant Freak, Dr. Lisa Lynn Sowder

Gardening, I love Seattle!, It's all about me., Now that's cool, Plastic surgery, Seattle plastic surgery, skin care, sun damage

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