Breast reduction

Breast reduction is one of our favorite procedures for our patients! If you are symptomatic from heavy breasts, including irritation of the skin under your breasts (also known as intertrigo), bra strap grooving from the weight of your breasts on your shoulders, neck and back pain, breast reduction can be the right surgery for you. This is often covered by insurance based on particular characteristics of your weight and height, which Dr. Ng will ask you about at the time of your consultation. It is best to be at your ideal weight before surgery on your breasts. Because your breasts are your own natural tissue, weight changes both before and after breast reduction can affect the appearance of your breasts. Of course, Dr. Ng understands that sometimes, with very large breasts, it can even be hard to exercise!

A breast reduction is generally performed as an outpatient procedure at a hospital or surgery center. Inherently, it includes a breast lift, which is a bonus! The nipple-areolar complex is lifted, and the breast tissue is brought together to enhance the shape and projection of the breasts, while reducing breast size to improve symptoms. Dr. Ng is very experienced in breast reduction, and her patients are uniformly pleased with the dramatic improvement in symptoms of back pain and neck pain, as well as the improved appearance of their breasts!

A breast reduction can help you on your journey towards optimal health. Call 714-988-6330 to book your consultation with Dr. Ng.

The importance of hand therapy

What is hand therapy? Hand therapy is physical/occupational therapy… for your hands. A hand therapist is an occupational therapist or physical therapist who, through advanced study and experience, specializes in treating patients with conditions affecting the hand and upper extremity. Seeing a hand therapist can be the difference between success or failure in rehabilitation relating to recovery after a hand injury or hand surgery.

Many patients may mistakenly believe that surgery is the complete “cure” to their hand conditions. This is not true– hand therapists provide preventative care, post-operational rehabilitation, and non-operative therapy, all with the goal of optimizing hand function and improving symptoms.

For almost all patients who present with hand conditions, I talk to them about treatment options that include hand therapy. Whenever possible, I refer patients to hand therapists who I am familiar with, who provide compassionate care and skill to patients in need. As a surgeon, I maintain close communication with hand therapists to ensure coordinated care for our shared patients. Be assured that hand therapists are an integral part of your health care team.

Oncoplastic breast surgery

What is oncoplastic breast surgery, or oncoplastic breast reduction or oncoplastic breast lift? When a patient is diagnosed with early stage breast cancer, the area of affected breast is typically removed via a lumpectomy (this word literally means “excision of lump”). A lumpectomy is generally performed by a surgical oncologist (a surgeon who specializes in cancer surgery). With traditional lumpectomy surgery, patients can be left with a notable breast deformity, such as a divet or depression, or abnormal positioning of the nipple-areolar complex after removal of the lump of breast tissue.

However, with oncoplastic breast reduction, Dr. Ng works closely with your cancer surgeon to design incisions that are identical to (or that mimic) those same incisions that are used in aesthetic breast lift or breast reduction surgeries. In this way, patients are left with an aesthetically pleasing breast shape after surgery with no tell-tale cancer surgery scars, also while having their cancer surgically dealt with. Another bonus? Patients generally end up with perkier breasts!

Sometimes, there still is a silver lining to being handed a breast cancer diagnosis.

To book your consultation, call is at 714-988-6330.

What is top surgery or FTM top surgery?

Top surgery is reduction and masculinization of the breasts and chest for patients who wish for a more masculine chest, generally for patients undergoing a next step in the process of gender reassignment. Breast tissue is removed and the nipple position is often made appropriately smaller and placed in a more masculine anatomic position. Top surgery allows for a more comfortable chest with improved psychosocial benefits, including better clothing fit and feeling more comfortable with physical activity in social situations.

 

The chest can also be made more masculine with fat grafting to provide a more muscular and sculpted appearance. We follow WPATH guidelines for patients with gender concerns in Orange County. Our office is friendly and welcoming, and we are proud to support our patients in their surgical goals. We have just updated the reconstructive section of our web site to reflect the fact that we are experienced and pleased to offer this surgery for excellent candidates. This procedure can be covered by your insurance. We also offer safe, private consultations, either in person or by televideomedicine!

The CO2 laser…

We have access to a brand new CO2 laser at Rejuvenate Surgery Center, and we spent this morning testing its parameters, treating test patients, and ensuring that all safety and cleaning protocols are in place. 👩‍⚕️
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What can the CO2 laser can be used for?
🌸 Skin resurfacing, improving skin quality and texture
🌸 Evening out pigmentation and reducing sunspots
🌸 Smoothing out lines, including around the mouth and eyes
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How does this laser work?
💮 Fractionated CO2 laser works by focusing tiny beams of light in a grid pattern
💮 Fractionated CO2 targets water, vaporizing tissue where it is focused, which can remove brown/dark spots/age spots/sun damage
💮 The tiny wounds caused by the laser set off a wound healing process that results in collagen synthesis, smoothing and tightening the skin
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Careful patient selection is key; lasers are not for everyone! 👩‍⚕️ We are excited to be able to provide our patients with many options, and a customized treatment plan alongside aesthetic surgical procedures. 👍
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Also, how cool are these pink gloves?! 💕
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Sebaceous cysts

Sebaceous cysts are very common. They are benign, meaning non-cancerous, and they often occur on the head and neck area. They can be caused by trauma, or from irritation of a blocked gland, usually around the base of a hair follicle. When surgical removal is requested, it is very important that the entire sac of the cyst should be removed, to minimize risk of recurrence. Oftentimes, other than the cosmetic appearance of a cyst or a bump under the skin, these cysts are generally not symptomatic and not painful.

In this video, we demonstrate removal of a sebaceous cyst in its entirety from a patient’s neck; the fluid-like yellowish oily material inside the cyst can also be seen when the cyst is ruptured!

For more educational YouTube videos, please be sure to subscribe to Dr. Ng’s YouTube channel!

https://www.youtube.com/channel/UC_FVyjrRT9c2mW6ixG9Wzkg

Incorporate sunscreen into your skin care routine

Even when you are at home– which might be most of the time, given the current worldwide COVID-19 pandemic– there is still some value in wearing sunscreen. When you are at home more, you may notice that you are getting more screen time. More reading of the news online, more time on your smart phone, and perhaps more time streaming TV shows or movies or Netflix.

While you may not be outside as much, there are still harmful rays that can contribute to skin aging. In particular, high energy violet (HEV) light is emitted from your computer, television and phone. These damaging rays contribute to fine lines and wrinkles over time. There are sunscreens that can protect your face from this, including by brands ZO Skin Health and Skin Better Science.

We have created a brief video to remind you about the importance of regular sunscreen use on our YouTube channel. Please enjoy!

Virtual Visits Now Available

During the COVID-19 world pandemic, with the state of California in lockdown, we are excited to offer virtual follow up visits and consultations. Please visit https://doxy.me/patients to understand more about the service that we use. To schedule your virtual visit, please call us at 714-988-6330 to book your appointment! All you need is a computer with a webcam or microphone, or even your cell phone can work well.

I look forward to helping to care for you while we respect recommended social distancing to avoiding physical contact, in order to reduce the spread of COVID-19!

But don’t worry– while elective and cosmetic surgeries are on hold, which means that even after your virtual consultation, we will still need to wait until the pandemic is under control in order to safely plan your actual elective or cosmetic surgery date and time– I still provide emergency and urgent plastic surgery services at hospitals in southern California, including treating cancer patients, in order continue to best serve our community. Be safe!

Skin care tips

As a board certified plastic surgeon, I am often asked about tips for sun protection and optimizing skin health. Skin Care Hero is an online publication that provides the public with an introduction to these topics, and it is always a pleasure to provide them with general advice. Visit the News page on our web site to find links to these helpful articles!

Reconstructive hand surgery

Educating patients about different hand conditions is important in making patients a true partner in their care. I’ve updated a lot of the frequently asked questions on my website regarding hand surgery, including adding simple, easy-to-understand introductions to what cubital tunnel syndrome is, different types of hand arthritis, and Dupuytren’s contracture. Here are a few highlights:

What is Dupuytren’s contracture in Orange County?

Dupuytren’s contracture is a benign, progressive condition in which there is thickening of the fascia of the palm and fingers, creating cords and nodules. These draw the fingers and thumb toward the hand. It usually runs in families, and has often been reported in patients of Northern European descent. Dr. Ng offers many different treatment options, ranging from nonsurgical collagenase injection to surgical excision and release of the cords and nodules of the hand.

What is hand arthritis in Orange County?

Osteoarthritis of the hand occurs with time when wear and tear occurs in the small joints of the hand, or less commonly after remote trauma to the hand. With repeated use of a joint, the cartilage wears down, leading to bone rubbing on bone in the joint, which is painful. The most common joint for this to occur in is the base of the thumb. While there is no cure of osteoarthritis, there are many different nonsurgical and surgical treatments available to help with symptoms or to slow progression of arthritis.

Rheumatoid arthritis is an autoimmune inflammatory condition that involves the hands. With time, this can lead to nodules and subluxation of joints. It is best for this condition to be treated primarily by a rheumatologist. Dr. Ng provides surgical treatment of rheumatoid hand conditions. Surgeries are aimed at improving the function and appearance of the hand, and may excision of rheumatoid nodules, removal of inflamed synovial tissue, joint replacements, tendon transfers, and joint fusions.

What is a nerve transfer in Orange County?

After a traumatic injury to a nerve, the function that the nerve originally provided is lost. If your injury happened within the past year, the muscle that the nerve supplied will not yet have atrophied. In such cases, Dr. Ng may consider a surgical procedure in which she moves a nerve that provides a less critical function or an otherwise expendable nerve and reconnects it to the injured nerve. This may help with healing or restore hand function.

What is cubital tunnel syndrome in Orange County?

Cubital tunnel syndrome is compression of the ulnar nerve at the elbow, or near the “funny bone”. Irritation of this nerve can cause weakness of the hand, difficulty with pinch, and numbness and tingling of the hand, especially of the ring and small fingers. This often happens when you lean on your elbows a lot. Dr. Ng can discuss treatment options with you, which range from nonsurgical conservative management such as splinting or surgery.

How long does it take a nerve to heal?

Dr. Ng often tells her patients that nerves “grow back” at about 1 millimeter per day, or 1 inch per month. Dr. Ng can evaluate your nerve regeneration through follow up visits and by tapping on your hand or forearm to see where nerve healing has progressed to. Often, hand therapy is an important part of healthy nerve healing and desensitization.

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