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: Stuff I love


Male journalist takes on Redbook’s Web Site. IMO male journalist wins.

October 7th, 2013 — 1:42pm

Seattle Plastic Surgeon shares Wall Street Journal Article from Saturday, Oct. 5, 1013:

Words Assured to Tick Off Any Man by Joe Queenan

Redbook’s website has just published a list of things you should never say to a man. Why not? Because they will make him go ballistic. The list includes such incendiary remarks as: “Your tummy is so cute,” “Do whatever you want,” “Do you think I actually believe you?” “You’re just like your dad” and the real, Katy-bar-the-door, no quarter-asked-and-none-given haymaker in this epic inter-gender brouhaha, “I really don’t respect you.”

[image] Illustraction by Nishant Choksi

Redbook, for whatever reason, is feeding impressionable young women totally false information about the male psyche. No man I know would go ballistic just because a woman said, “Your tummy is so cute.” Nor would he lose it if she said, “Well, you are a bit on the chubby side.” Or even “My, aren’t you the chunky little butterball!”

Men don’t care about their “tummies.” Never have. Never will. If they did, alcohol would have gone out of style a long time ago. Weenies might care about their tummies. Or hipsters. But not actual men. Besides, men do not refer to their flabby stomachs as “tummies.” They call them “beer guts.” At least Redbook could try to get the lingo right.

A deeper question is where this dubious material comes from. Who says “Your tummy is so cute” to a boyfriend, a partner, a spouse? Not any woman I’ve ever heard of. Did anyone actually poll men about this stuff? Or women?

The rest of the list is no better. Men don’t care if their partners do not believe them. They kind of expect it. Men also don’t care if you tell them to go ahead and do whatever they want. This is what men do anyway. It is also what women do. It is what everyone on the planet does.

Similarly, few men would object to being likened to their fathers. To most men, that’s actually the highest praise imaginable, unless your dad is named Joseph Stalin or Timur the Tartar. No, with the obvious exception of the confrontational “I really don’t respect you,” none of these remarks is even vaguely discombobulating.

And even if a man took exception to being told that he was not “respected,” he would not automatically go ballistic. He would write it off as an ill-advised comment uttered in the heat of battle. He would figure that it was par for the interpersonal course.

The list contained in Redbook is inane, misleading and stupid. It’s like those lists: “174 Things That Drive Women Wild in Bed,” or “Seven Things You Should Never Say to a Bisexual Pyromaniac.” The lists are compiled by amateur sociologists, office cut-ups, puckish ne’er-do-wells and editorial interns who are trying to get their assignments wrapped up before they go back to high school.

This is not to deny that there are phrases that will make men go ballistic. Oh no, there are lots of those. Here are just a few things you should never say to a man with whom you are having any kind of serious relationship.

“I spent all the money. All of it. On Josh Groban tickets.” “I was thinking of gaining 130 pounds. I’m feeling gaunt.” “No, you cannot invite Macho Man and Bennie the Blade over to our 35th anniversary party.” “You know the $5,000 from your Christmas bonus that you thought I was investing in safe, short-term bonds? I took a flier on a penny stock issued by a boiler room in Boca Raton. The company makes pocket-size defibrillators.” “Your mother could give Medusa a run for her money.” “You know the kid you thought was your firstborn son? Wrong!”

And finally: “I told the four guys from the Bronx that you are no longer interested in paying the vig. I did OK, right?”

 

Thanks for reading!  And if you don’t subscribe to the Wall Street Journal, you should.  It has some of the best journalism out there and it’s not just about money and business.  Dr. Lisa Lynn Sowder

For Men Only, Highly Recommended Reading, Male Plastic Surgery, Stuff I love

No fez for me.

April 30th, 2013 — 10:37am

Seattle Plastic Surgeon is soooooo disappointed to learn about Turkey’s ban on the fez.

Plastic surgery Seattle

That fez will get you in trouble with the Turkish authorities.

Just today I had a friend return from a trip to Turkey.  I had asked her to buy an authentic fez for me just for fun.  Well, there was no fez for me in her bag of gifts.  She learned, while she was there, that the fez was banned in the 1920″s as part of Turkey’s push towards secularization and modernization.

Now I am all for separation of church and state and for modernization but at such a price?   I think the fez is just one of the coolest head adornments out there – and they add a good six inches to one’s height. So my pal goes to Turkey and all I get is a lousy belly dancing scarf.

Thanks for reading!  Dr. Lisa Lynn Sowder

Stuff I love, Wardrobe Observations

The Keller Funnel – I love it, I use it, I wish I had invented it.

January 11th, 2013 — 12:37pm

Seattle Plastic Surgeon blogs about a surgical device that she really, really, really loves. 

The Keller Funnel makes inserting silicone gel implants faster, gentler and cleaner. It may also decrease the chance of developing capsular contracture.

I was first introduced to the Keller Funnel in 2009 and have been using it with my silicone gel breast augmentations ever since.  It is a device that is elegantly simple, very easy to use and even, well, fun. 

 It looks and works like a pastry bag.  It has a coating on the inside that become lubricious  (isn’t that just a great word?) when wet.  The implant is placed directly from its package into the funnel without any touching, the tip of the funnel is inserted into the breast incision and firm but gentle pressure on the funnel propels the implant into position into the implant pocket.  Inserting gel implants through small incisions without the funnel involves a lot of pushing and squishing and squeezing and is frankly, sort of traumatic and a little messy.  And it’s hard on the surgeon’s hands.   The implant gets rubbed on the skin around the incision and this contact makes contamination of the implant possible.   And all of that squishing and squeezing could weaken the implant.   This, by the way, is not an issue with saline filled implants.  Those implants can be rolled up like a cigar and easily inserted through a small incision without skin contact or trauma to the implant or the surgeon’s hands.  

About a year ago, an article  was published reporting a study done at Emory University comparing the degree of skin contact and contamination of implants inserted with and without the Keller Funnel.  This study showed a much lower incidence of both skin contact and contamination in the implants that were inserted using the funnel.  This confirms what certainly makes sense.   

Why is this important?   Hardening of the scar tissue around breast implants, so called capsular contracture, is likely caused by a low grade infection around the breast implant.  Even when the skin has been carefully washed with a disinfectant, bacteria that cause this low grade infection can hide in pores and escape the disinfectant.  So it makes sense that less implant contact with the skin would lower the chance of a low grade infection and would lower the chance of capsular contracture.  That particular study has not yet been completed but I think the argument is so compelling that I use a Keller Funnel on all my gel implants.  

Thanks for reading!  Dr. Lisa Lynn Sowder

Breast Contouring, Breast Implants, Plastic Surgery, Stuff I love, Uncategorized

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