Plastic Surgery and Self-Esteem

Posted on April 29, 2013 by

Plastic surgery and high self-esteem are directly linked. Dr. Widder discusses a recent study by European researchers from Researchers from Ruhr Universität and the University of Basel that confirms the vast numbers of anecdotal evidence seen in patients across the country following cosmetic surgery procedures.

Q: You have used your talent and skill to sculpt some of the D.C. area’s nicest looking bodies.  What do you think is the relationship between plastic surgery and self-esteem?

In my experience, the effect of plastic surgery on self-esteem is very positive.  I see it all the time with my patients.   I often receive thanks from patients and they tell me how much of a difference the physical changes have made in their lives.  They feel good about themselves and have more confidence.  A recent study has talked about this.  Plastic surgery can definitely improve self-esteem.

Q: Would you talk more about the study? 

Yes. The study showed that a better self-image and overall happiness is a common result of plastic surgery procedures.  It even goes on to explain that when many of the patients experience high self-esteem, their overall enjoyment of life increases as well.  The people in the survey weren’t out to transform their lives, but only to enhance a particular body part, so it is exciting to me that overall life improvement is also a common result.

More specifically, the study looked at people who had opted for surgery as opposed to those who didn’t.  Greater feelings of health and self-esteem were noted in the surgery recipients, as well as fewer feelings of anxiety.  They also felt more attractive, not only with respect to the body part that was enhanced, but overall.  No adverse effects were observed, so that is very good news.

Q: If someone is considering plastic surgery, are there any times in life you feel are best to make those changes?

Anytime it suits the individual is the best time, but it is often a good thing to do when one is at a crossroads in life.  It might be a divorce, a midlife crisis, career change or even after a bout of unemployment.  It is spring now, and that can be great timing.  Spring is a time of energetic rebirth, so it can be perfect occasion for stepping out, being bold, and discovering plastic surgery as a way to enhance life and getting ready for the summer.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond. To find out more about the WidderCosmetic & Plastic SurgeryCenter, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.


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What is Labioplasty and Why Do Women Choose It?

Posted on April 27, 2013 by

labioplastyDr. Widder discusses new trends in plastic surgery and labioplasty is a growing area of interest for many women. A detailed description of the procedure and variations in approach are presented.

Q: Doctors generally go to additional seminars and meetings to learn new techniques and to maintain Board Certification.  What have you studied in recent meetings?

I usually maintain my Continuing Medical Education (CME) by taking a written test.  Recently, however, I went to a week-long meeting in New York because I wanted to learn about labioplasty.

Q: What is the labioplasty procedure?

Labioplasty is becoming a very hot procedure.  Women are asking for it.  I wanted to learn more about it.  Basically, labioplasty changes the appearance of parts of the vulva, mainly the labia minora and/or labia majora.

There are two procedures for labioplasty of the labia minora – the Wedge and the Trim.  You can remove a wedge and suture the two ends together, or you can just trim the excess and close the wound.

Q: What are some of the reasons a woman might choose labioplasty?

For certain women, after having children, the labia minora hangs down and is unattractive.  It might even protrude out from underwear or a bikini.  Most of these cases are post child delivery, but some women, even without delivery, have large labia minora.  It is rare, but there are also children and teenagers who have this problem.  Unusually large labia can occur as a congenital anomaly.  The aging process can also cause the condition.

Q: How do these procedures, the Wedge and the Trim, work?

During the Wedge procedure, a triangular shaped piece of the labia minora is cut away.      The triangle that is cut, goes from the outer edge of each of the labia minora, and the tip of the triangle goes toward the bottom near the mucosa, or the inner layer of the vagina.  So, it is cut like a triangle and then the wound is closed in layers.  The Trim method involves literally just a trimming off of the excess labial tissue.

One of the presenters from South America spoke about one of the challenges with the Wedge procedure.  Some women are unhappy with having a dark color of the labia. This can happen with women of any race.  For this presenter, a common complaint from her patients has been both large labia minora and significant dark pigmentation.  The Wedge procedure leaves pigment on the leftover labia.  So this presenter chooses to use the Trim method.  She just trims the excessive labia minora and gets rid of all the pigmented tissue.  That is the advantage of the trim.  The advantage of the Wedge is that the scar is much shorter.  For certain patients, that’s important.  It was good to learn that you can mix and match the procedure to the priorities of the patient.

Now there is also the clitoral hood which connects to the labia minora.  Whenever you do labioplasty on the labia minora you have to extend the incision up into the clitoral hood.  Redundant skin can also reside there and if you don’t take care of it, the clitoris protrudes.  They recommend taking a lateral wedge also from the clitoral hood and tightening the skin in the area.

Then you have the labia majora which is a whole different procedure.  With aging, sometimes women lose volume in the labia majora and the skin becomes redundant.  For that, usually what is done is a crescent excision to remove excess.  Many patients also have fat injection to plump them up.

Q: Do you currently perform labioplasty?

No, I haven’t yet offered these procedures.  I  have given something of a lift in the course of a tummy tuck.  In some cases, it isn’t enough during a tummy tuck to only pull the abdominal skin down, but you also have to pull the pubic skin up.  That corrects the whole droopy section which involves the vagina.  In more significant cases, you really have to have a separate procedure.

At the meeting in New York, I learned about several other more specialized procedures.  There is the clitoral lift and G-Spot enlargement.  There is also tightening of the vagina, during which an incision is made and the muscle is tightened.  Those presentations were interesting, but I won’t provide those particular procedures.  I specialize in aesthetic, not function.

In the coming months, I plan to travel to study with two doctors – one in Boston and another who practices in both New York and Los Angeles – both of whom are very good doctors and provide labioplasty regularly.  Only when I feel very well-versed in basic labioplasty, will I will begin to offer it as a service to my patients.  I am looking forward to visiting with them and learning more.

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To learn more about labioplasty or other cosmetic procedures contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: http://www.widderplasticsurgery.com/contact.php. Or call: (703) 506-0300

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Multiple Plastic Surgery Experience and Outcomes

Posted on April 26, 2013 by

multiple plastic surgeriesMultiple plastic surgeries is not an uncommon experience for people who are very satisfied with their initial outcomes. Stories and experiences of plastic surgery patients in Northern Virginia, D.C. and Maryland are shared in this most recent interview with Doctor Widder of Widder Cosmetic and Plastic Surgery Center in Vienna, VA.

Q: How common is it in your practice for patients to request multiple plastic surgeries?

 Lots of people do it. Many people lose a lot of weight as a result of gastric bypass surgery.  One of the consequences is a lot of loose skin.  Sometimes after gastric bypass, people are interested in further surgeries for the abdomen and the breasts.  Then they may want me to take care of the arms, the thighs, and sometimes the face and the neck.  I always remember one particular patient who had gastric bypass surgery.  I gave her a tummy tuck after the gastric bypass surgery.  The tummy tuck went well, so she did breast augmentation with a lift after that. She was so happy with that surgery that she sent me a picture – the picture was of her breasts and on it, she wrote “Thank you, Dr. Widder!”  That’s a funny one.

Q: After the tummy tuck, why did she choose breast augmentation?

When women who have gastric bypass and/or a tummy tuck and lose a great deal of weight, the breast size goes down.   The breasts are made of breast tissue and fatty tissue.  The breast tissue doesn’t change after those operations, but the fatty tissue does.  The breast can become deflated – It will appear as loose skin without a significant amount of volume.  You can take care of it with just the lift procedure. I usually use  the keyhole mastopexy.  It will improve the shape of the breast, but then she’ll have about an A cup.  For some women, an A cup is ok.  I had a large breasted patient who wanted to be an A cup, so I gave her a breast reduction. But the majority of women want to be in the C range.  Maybe a small C or full B if they are athletic, or a full C to small D if they aren’t athletic and just want to look good in their clothes and bathing suit.  I had a woman patient who had an A cup size breasts before surgery, so she requested the implant and I combined it with the mastopexy or keyhole lift.  It’s called the keyhole lift because the incisions take the shape of a keyhole: there is a round incision around the areola,  a vertical incision, and  a horizontal incision at the crease area.  With that technique, you remove all the excess skin and achieve a very nice shape. You get a perky, beautiful breast.  To add the volume, I use the implants.  So her situation was a common one; it is very rare that a patient with such small breasts will go for just a lift.  Most of them do also want the implants.

Q: Since you specialize in buttock augmentation, would you say there is an additional operation that tends to go with that?

Well the butt augmentation can go very naturally with liposuction to enhance it’s shape.  Liposuction is more common with the fat injection procedure. Unfortunately the fat injection to the butt does not last beyond 6-12 months.  With the butt implants, the change stays intact, so those patients look very good permanently.  As a result, I don’t do as many liposuctions associated with the butt implants.

I do sometimes see patients that have me redo a procedure they already had done by someone else previously.  One woman came in for a redo tummy tuck and breast augmentation with a lift.  You can imagine how unhappy she must have been if I had to redo the surgery, because the tummy tuck surgery in particular isn’t a walk in the garden .   Yet, she was motivated to go through it again.  She was very, very happy with those procedures, so next we moved on to liposuction of the thighs.  She was so pleased with the liposuction that the week after next we were doing the butt implants. The whole sequence has been at a very fast pace, all done  in only six or eight months.  After the butt implants, she wants to do  liposuction of the hips and waists.  She seems ecstatic with the changes – you can hear it in her voice.

Q: Do you have any other memorable stories about two or more surgeries?

 Yes. There is a woman who works in my office – she’s on my staff.  She has had multiple surgeries and looks phenomenal.  She’s a 65 year old African-American woman, and she’s beautiful.  She looks like she’s 40.  I’ve done her tummy tuck, breast lift, eyelids, chin augmentation, liposuction in multiple areas, and calf implants.

Q: Which one started her journey with plastic surgery?

She started with the tummy tuck.  She just came in as a patient.  She had a very nice result and we at the practice thought she had a nice personality, so we offered her a position in the office.  Once she joined the team, we continued with the process of improvement.  After the tummy tuck, I gave her the calf implants.  Her breasts were a nice size naturally though droopy,  she  chose to go for a breast lift next.  These were followed by eyelids surgery,  chin implants, then liposuction of the abdomen, hips and waist, and finally liposuction of the thighs.  I think we did 8 or 9 surgeries in all.  She looks fantastic.

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Widder Cosmetic & Plastic Surgery Center provides multiple plastic surgery options as well as single procedures for those looking to improve their appearance in one area. Stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com. Office Phone: 703.506.0300.

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What is Botox and How Does Botox Work?

Posted on April 13, 2013 by

Botox VirginiaBotox is a very popular cosmetic procedure and is often mentioned in the media as a quick way to remove the signs of aging. Everyday people as well as celebrities have benefited from Botox.  In this interview, Doctor Widder describes what Botox is and how Botox works. Botox safety and its effects are also described in easy to understand terms.

Q: What is Botox?

Botox is the commercial name for the Botulinum toxin. It is a medication that basically paralyzes muscle.  We use it in very small amounts and it doesn’t have any systemic side effects.  The most common area of use for Botox are the glabella area, between the eyes (the frown lines), along the lateral canthal area (crow’s feet), and the forehead.  Some people use it to raise the corner of the mouth to improve the smile.  I don’t do this because it’s a little risky.  Around the mouth, it is possible to get asymmetries, so I like to play it safe and use it only around the eyes, the forehead, and sometimes the platysma band of the neck.

It is really a miracle drug because without surgery you get very nice rejuvenation.  The use of Botox involves interactions between muscles.  When you use it around the eyes, for example, you can literally raise the eyebrow.  There are muscles that are depressors that pull down, and there are muscles that are elevators and lift the face up.  So if you want to get a lift, you disable the depressor and the elevator lifts up.  The brows can go up 2 or 3 millimeters, which is significant.

Those are the cosmetic uses but there are others as well.  Some doctors use it to reduce sweat production in the armpit.  Neurologists are using it to relax the muscles for people who have spasms.  It’s being used for some people who have lost their voices – by injecting Botox with a very specialized skill, doctors can reduce the muscle tension that caused the loss of voice and people are able to talk again.

Q: How was Botox discovered?

 For quite a few years before it was used for cosmetic purposes, Botox was used for ophthalmological conditions like lazy eye.  Then there was a married couple from Canada – one was a dermatologist and one was an ophthalmologist.  They discussed the issue and the dermatologist decided to try Botox for facial expression.  They used it around the eye for frown lines.  That was probably some 20 years ago; I don’t remember the exact date.  The success rate was so impressive that they kept finding more uses for it.  Now Botox is probably the most popular nonsurgical procedure used for cosmetic purposes.

Q: How long does Botox last?   

 It really varies between people.  Everyone’s body reacts differently to different drugs.  On average it lasts 3-4 months, but I’ve had patients for whom it lasted 8 months.  It depends on the metabolism.  Some people break down the Botox faster, and some slower.  Ideally, one should consider doing it continuously every 3 months so that the muscle doesn’t recover.  If it’s being done in that way for about 2 years, then the muscle will become so weak that the need to inject the Botox goes down to once every 10 months or even once a year.

Q: What causes the “too much Botox” look? 

The smart usage of Botox creates a beneficial interplay between the muscles.  If you use too much, you get an exaggerated result.  When a doctor injects the forehead to eliminate wrinkles and goes too low, all the forehead muscles can become paralyzed and droopiness of the brow is the result. That is what they call the overdone look.  What happens is that gravity can take the Botox down.  When you do the injection, there is a little trauma and a bit of fluid is released from the injury site.  The weight of the fluid with the Botox will carry it down  because of gravity.  I don’t want to mention a famous politician, but it happened during one of the debates – his brows were very low.  But it also happens in everyday life.

It happened to me at the beginning of my practice.  I knew I had to stay above a certain level, but didn’t really know by how much.  I started with one inch and it wasn’t quite enough. Now I usually leave about 1 ¼ – 1 ½ inches of muscle and inject the Botox only above that level.  Even if it is pulled down a little, that still leaves enough muscle to elevate the brows so they don’t get that tired look or interfere with vision.  There is another possible complication where the Botox paralyzes the levator of the eyelid, so that you get droopiness of the eyelid.  That usually goes away in 2 -3 weeks because the amount of Botox that goes into that area is not significant.  Most of it stays outside the orbit, so the effect is short-lived.

Q: Who can get Botox?

Those with the symptoms like wrinkles, hyperactive muscles, droopy brow, or crow’s feet are clear candidates for Botox.  You can also use it as a preventative treatment.  This is because as the facial muscles contract, it is like bending an iron wire – after a while, it breaks.  It’s the same with the collagen fiber in our skin.  It is hard to imagine how many times we use our facial expressions each day, but after 20-30 years, it is probably in the millions.  Those contractions will eventually break the collagen fibers and you’ll get wrinkles.  So if you use Botox at a young age, you’ll prevent the contractions and you’ll prevent wrinkles.  That’s one of the things I talk to my patients about.  Whatever they have now are conditions they’ll continue to have, but if they use Botox continuously, they’ll prevent it from deteriorating.  That is a use , not much talked about, but there is room for this use in young people.

People who want to make good first impressions may consider eliminating frown lines.  Frown lines reflect unpleasantness like anger and stress, so if one wants to avoid that, Botox can help. It is of social benefit to present a pleasant facial expression rather than an unpleasant one.

Q: How safe are these procedures?

The lethal amount of Botox is 5000 units.  The average cosmetic procedure uses no more than 100 units.  So, the safety margin is very, very high.  People shouldn’t worry at all about that.

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If have any questions about Botox procedures or costs contact Widder Cosmetic and Plastic Surgery located in the Vienna, VA area for a free consultation: http://www.widderplasticsurgery.com/contact.php. Or call: (703) 506-0300

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Diet, Exercise and Weight Loss | Plastic Surgery Consultations

Posted on April 2, 2013 by

Healthy Eating and SurgeryPlastic surgery consultations extend beyond the cosmetic to overall health and wellness of patients. Plastic surgery is often seen as a shortcut to achieving a better body, but embarking on the path to a new look begins with a new approach to diet, exercise and weight loss. In this interview, Doctor Widder discusses his approach to overall health and wellness as well as the book “Sugar Busters” by H. Leighton Steward, Morrison Bethea, Sam Andrews and Luis A. Balart.

Q: When people come in for liposuction or tummy tuck, do you also talk with them directly about diet, exercise, weight loss, or overall health issues?

 Sugar BustersYes, I do talk about health in general.  If someone smokes, I try to convince them to stop that bad habit.  If they are overweight, I usually recommend a book for them called Sugar Busters that talks about choosing low glycemic index foods.  I don’t believe in diets.  Diets are temporary. Most people can’t really maintain a certain diet over a long period of time, because it’s difficult.  But if you make lifestyle changes, it’s easier to maintain it over the long haul.

When I give patients the book Sugar Busters, it helps explain to them the physiology of how the body makes fat.  For example, it is ok to eat pasta, but whole wheat pasta.  If they eat white pasta – refined flour pasta – that’s no good. That is a high glycemic food, which causes insulin surges and winds up damaging the body. You can eat rice, but brown rice. If you eat white rice, again, it is a food that is causes the release of insulin and too much insulin is the enemy. You want to reduce the release of insulin as much as you can.  All of this is discussed in the book quite extensively.  Sugar Busters, for me, is the food lifestyle Bible.  I always have copies of this book in my office and I give them to my patients free of charge to educate them on how to eat correctly.

When I do a tummy tuck, I always discuss the two mechanisms by which the body controls appetite.  One is chemical – through blood sugar levels. Whenever sugar goes down, you feel hungry and you eat. The other is mechanical.  When the pressure in the stomach increases, it sends the message, “Stop eating.”  The brain can’t tell the difference between internal pressure from having had a satisfying meal or external pressure from tightening the muscle with a tummy tuck.  I remember two of my male patients who lost 30 pounds in one month after having the tummy tuck because they also followed the recommendations of the book.  It was dramatic and amazing to see the changes in those people.

Q: Do you find that most people who come to you are interested mainly in appearance or are they also interested in improving health?

Well, the majority of patients are probably interested in improving their looks and they’re looking for the easy way – a shortcut.  That’s reality because we’re humans.  To do it in the other way is very difficult.  People are busy and have so little time. They don’t have the energy required for intense exercise.  If you want to lose weight by exercise, you really have to do it in a very dramatic way, for hours.  There was an article in the Washington Post two years ago that talked about how many hours you have to exercise according to your age. In your 20’s, you can exercise only half an hour a day and still maintain your healthy Body Mass Index (BMI). When you get to your 30’s, you’ll need an hour for the same result.  In your 40’s, it’s an hour and a half.  By the time you’re in your 50’s, who can do two hours of exercise a day?  It’s very difficult.  So instead, people are coming to my office to make those changes through liposuction or tummy tuck.  Other patients are working very hard in the gym and just can’t develop calf muscles, pec muscles, or buttock muscles.  So they come into the office to get implants that give them the look they want.

Some people will consider a change in lifestyle.  I give them the book and a few of them make those changes, but the majority want to make life easy. When people improve their looks, their confidence goes up and the attention from the people around them or the people they’re interested improves.  They find immediate gratification from the procedures I provide.

Q: Is there anything else you’d like to share about using Sugar Busters to help your patients?

The original book came out in the 1980’s.  Since then there have been a few editions with updates.  But the principle has always been the same – becoming aware of low glycemic index foods and insulin levels.  That’s what they base the whole theory on and it works. I personally followed the book and lost 28 pounds in six weeks.  Sugar Busters is an easy read and you can also apply it very easily.  It just takes a little bit of will.  It takes will because you do have to give up on a few things that are very tasty.  Overall, it’s important to help people find a realistic approach so that it is something they’ll stick with.  Most people aren’t going to give up their staple foods, but substitutions can help.  Instead of white potatoes, try sweet potatoes, or brown rice instead of white rice. I tell my patients: Even if you don’t apply all of the principles, if you can do only 80%, you will see significant, positive changes.

Do you have any questions about healthy eating, exercise or diet following plastic surgery? Contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: http://www.widderplasticsurgery.com/contact.php. Or call: (703) 506-0300

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Plastic Surgery Implications for Weight Loss | Tummy Tuck and Liposuction

Posted on April 2, 2013 by

Weight Loss and Plastic SurgeryA welcome side effect of plastic surgery is that many people who have a tummy tuck or lipsuction experience additional weight loss.  Dr. Shlomo Widder discusses this natural phenomena and why it is important to maintain health eating habits post surgery.

Q: How does the tummy tuck procedure result in weight loss?

The reason you lose weight after a tummy tuck is that the procedure is not only a tightening of the abdominal skin, but also tightening of the abdominal muscles. When you tighten the muscles, you increase the pressure on the stomach, and that in turn sends a message to the brain that says, “Stop filling me up.  Stop eating.”  That’s how patients lose the weight.

I always tell my patients about that; it is part of my initial talk.  I tell them that hunger is managed in two ways.  One is chemical, which involves sugar.  When the blood sugar goes down, you feel hungry and you eat.  The other is mechanical.  When the stomach is empty, it starts contracting and you might hear all those gurgling noises.  It is saying to the brain, “I’m empty – Fill me up.”  The stomach has special cells that measure pressure, but the brain is not so sophisticated as to tell the difference between pressure from food in the stomach or pressure from the outside.  So we can fool the brain by adding pressure from the outside by tightening the muscles.

I just did a tummy tuck for a military guy.  He told me that he was constantly hungry.  He was in good shape – trim and muscular – but he hadn’t reached what he physically wanted to achieve.  His stomach muscles were loose from lifting heavy weights.  Sometimes men, due to heavy lifting, rip the attachments of the abdominal muscles and it causes this problem.  For some women, a similar thing can happen when they have children.  The pregnancy stretches the abdominals and laxity of the muscles result.  If the muscles are loose, they just extend outward when you eat.  You don’t feel satisfied, so it is easy to keep on eating.  After his tummy tuck surgery, this man I mentioned, felt full and much less hungry.  He’s already lost 10 to 15 pounds and he’s achieved his weight goal.

Q: What will occur if you get liposuction or another procedure that encourages weight loss, and then continue a habit of overeating?

It depends on the surgical technique used.  When my patients have liposuction, I tell them that  they have to lose, at least, the same amount of weight that I remove from them.  If they don’t lose that amount of weight, any new fat gained can go into those sections where I did not do the liposuction.

In order to do effective liposuction, you really have to enter with the suctioning cannula from many different directions in order to remove as many fat cells as possible.  For this reason, I take a very aggressive approach and go from multiple directions.  If a surgeon goes from only one or two entries, fat cells will be left between the tracks of the cannula, the tube that is used to aspirate the fat.  Each fat cell is able to store more fat by increasing its size by 50%.  So if you leave a lot of fat cells, two to three months after the procedure, it may look as if nothing was done.  But if you go from multiple directions and are very aggressive with the fat cells removal, the number of fat cells that remain will be reduced dramatically.  Then, no fat or very little,  can go in those areas in the future.  However, it can go elsewhere. If a patient keeps overeating in the same fashion as before, since the fat can’t go into the liposuction area, it might go to the shoulders, face, butt, breasts, and so on. So the secret really is for me to do a very thorough removal of the fat cells and for the patient to lose the same amount of weight that was removed by the liposuction.

 Q: If a person has a tummy tuck or liposuction, how long before he or she can take on an exercise regimen?  Are there exercises you recommend in addition to a shift in dietary lifestyle? 

 For liposuction, I limit their exercise for two weeks, and then for the following two weeks they can increase exercise in a gradual fashion. On the first week back, they can exercise at a 25% capacity of what they did before.  The following week, I advise they go to 50% of their former activity level.  Then one month after the surgery, they are free of any limitation.  For tummy tuck, they have to wait six weeks before any physical activity or lifting.  Then as with the liposuction, they can gradually return to normal activity over a two week period.  After two months, they are back to full speed.

The main type of exercise I recommend is cardiovascular, or aerobic.  Any type of cardio can get you in good shape.  It could be a stationary bike, it could be a treadmill –all of those machines at the gym are good.  The key is to put forth at least 20 minutes of constant effort during which the heart rate is raised to two thirds of maximal capacity.  Do this, and you’ll be burning fat and lose  weight.

For a free consultation and 5% off any surgical procedure, schedule an appointment on our website! http://www.widderplasticsurgery.com/contact.php

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2013 Trends in Plastic Surgery

Posted on April 2, 2013 by

2013 Plastic Surgery TrendsTrends in plastic surgery for 2013 can be gleaned from the American Society for Aesthetic Plastic Surgery statistical report for 2012. Dr. Widder discusses the findings in the annual report and confirms the trend of increased buttock augmentation in his own practice.

Q: As the “D.C. Butt Doctor,” what are your thoughts on the new report from the American Society for Aesthetic Plastic Surgery (ASAPS)?

The American Society for Aesthetic Plastic Surgery just released its 16th annual multi-specialty procedural statistics.  The report came out in March and basically points to the fact that cosmetic procedures are very much on the rise. Something in the vicinity of ten million cosmetic procedures, surgical and nonsurgical, were conducted in 2012.

I’ve been a cosmetic surgeon for over 25 years and I specialize in buttock augmentation. I have witnessed a definite rise in requests for this procedure over the last decade.  I am happy to say that my particular buttock implant technique is very effective and that has led it to being sought after, even by some you might call the Washington elite.  ASAPS lists butt augmentation as one of last year’s top 20 procedures. That makes sense to me.  Their findings, and my personal experience over the last 10 years are in agreement that butt implants are done more often than ever. That indicates the overall increasing demand for this enhancement.

Q: Do you think your practice is going with the other trends ASAPS reported?

 Yes, it seems like I am on the same trend.  I’ve been doing a lot of breast augmentations, liposuction, and tummy tucks (abdominoplasty).  ASAPS also found these to be among the most frequent cosmetic procedures as of 2012.  I have a very safe, private facility where I perform these procedures regularly.

Q: Now that more and more people are seeking cosmetic surgery, do you have any advice for those who are ready to choose a doctor?

 It is really  important to check your doctor’s credentials.  With the growing demand, there are a lot of untrained “doctors” out there who prey on unsuspecting patients.  I am certified by the American board of plastic surgery since 1989. I am member of the American Society of Aesthetic Plastic Surgery (ASAPS), the American Society of Plastic Surgeons (ASPS), and the American Association for the Accreditation of Ambulatory  Surgery Facilities (AAAASF).

After credentials, attitude is also key.  My main goal is to stay attuned to patient’s needs. That is one of the reasons I became the only plastic surgeon in Northern Virginia who offers buttock implants.  So many men and women are seeking the perfect posterior.  It is my goal to give the people what they want.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

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