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La Jolla Cosmetic Surgery Centre, CA, M.D.
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Breast Augmentation La Jolla California Before and After Photos

La Jolla Cosmetic Surgery Centre, CA

Country: United States
State: California
City: La Jolla
Contact between:
9:00 and 17:00 hours
Training / Credentials

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For your safety, comfort, and peace of mind

We understand that choosing cosmetic surgery is a very personal decision. That’s why we make every effort to create a welcoming, comfortable environment that ensures privacy and confidentiality. In a beautiful fusion of art and technology, our 6,500 square foot Centre provides a peaceful ambiance. The large waiting area is a comfortable place for you and your friends or family members to relax, while our state-of-the art surgical suite is certified with the highest level of accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).



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Because your well-being is of utmost importance to us, our Centre is equipped to hospital standards, our anesthesiologists are board-certified, and registered nurses assigned to your operating suite are certified in advanced cardiac life support. After surgery, a nurse will be with you throughout your stay in the recovery room. You can rest assured that our qualified, caring staff will make every effort to keep you safe and comfortable during every stage of the cosmetic process.


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Plastic Surgeons

The entire team at LJCSC is committed to making each patient's surgical experience a positive event in their lives.



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Our plastic surgeons are board certified by the American Board of Plastic Surgery, the only board recognized by the ABMS to certify plastic surgeons. When you schedule a consultation with one of our surgeons, you are welcome to meet all of the doctors if you choose. We believe that forming a personal bond with your plastic surgeon is an integral part of your experience.



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 Lori H. Saltz, M.D

Lori H. Saltz, M.D., joined the surgical staff of the La Jolla Cosmetic Surgery Centre having completed ten years of medical and surgical training. She earned her Bachelor of Science degree from Stanford University in 1976, and her Doctor of Medicine degree from the University of Oregon in 1980. She then trained for three years in general surgery at Mt. Sinai Medical Center in Miami Beach, and completed a three-year residency in plastic surgery - a year more than the two years required in this specialty - at Loyola University Medical Center in the Chicago suburb of Maywood, Illinois, in 1986.



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Dr. Saltz is board certified in cosmetic, plastic and reconstructive surgery by the American Board of Plastic Surgery. She is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.


Besides the extensive training and competency that Dr. Saltz brings to La Jolla Cosmetic Surgery Centre, she also brings the unique perspective of a female plastic surgeon. Skilled in many areas of plastic surgery, her particular interest is in body contouring, particularly after massive weight loss.



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H. Michael Roark, M.D

H. Michael Roark, M.D. is La Jolla Cosmetic Surgery Centre's Medical Director and has many years experience as a Board Certified Plastic Surgeon. He is the immediate past founding Medical Director of The Alvarado Institute of Plastic and Reconstructive Surgery.


Dr. Roark obtained his Doctor of Medicine degree from the University of Calgary after graduating from the Oregon State University. Dr. Roark completed his General Surgery and Plastic Surgery residencies at the University of Toronto's famed Gallie postgraduate surgical program.


Board certified in general and plastic surgery, Dr. Roark is a member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS).


Dr. Roark has had extensive experience in performing all cosmetic procedures of the face and body. He has a particular interest in the middle face lift and finds that a mid-face lift procedure combined with a classic face lift procedure creates dramatic, enhanced results.


Dr. Roark is well known for his skill in body contouring surgery including large combination procedures for patients after massive weight loss. He performs lifts on breasts, abdomens, arms and thighs.


A life-long student, Dr. Roark participates in continuing medical education to incorporate the latest knowledge and techniques for optimal surgical care. Additionally, Dr. Roark has studied extensively the new science of natural hormone replacement therapy as an advance in medicine to restore energy, youthfulness and vitality.


 Dr. Johan E. Brahme

Dr. Johan E. Brahme brings twenty-four years of surgical experience and expertise to La Jolla Cosmetic Surgery Centre, the last fifteen devoted exclusively to plastic surgery. Dr. Brahme was born and raised in Malmo, Sweden, and has a long tradition of medicine in his family, his father and grandfather both being physicians. Dr. Brahme immigrated to the USA in 1970 and settled in La Jolla. He received his undergraduate education at Revelle College, UCSD, and was awarded his medical degree from the School of Medicine at UCSD as well.


Dr. Brahme completed a six year General Surgery residency at the UC San Diego School of Medicine in 1987. Upon graduation he was awarded the Chairman's Prize for Outstanding Achievement. He remained on the University's faculty for two years as a teacher and cancer surgeon, specializing in breast cancer treatment. Dr. Brahme was also selected as a Joseph H. Boyes fellow in hand surgery in Los Angeles, a prestigious program with emphasis on children's hand surgery.


Dr. Brahme is board certified by both the American Board of Surgery and the American Board of Plastic Surgery, and is an active member of the American Society of Plastic Surgeons. He currently limits his practice to plastic surgery.


As President of the San Diego Plastic Surgery Society, Dr. Brahme has earned respect and recognition for his standing in the plastic surgery community and continues to champion patient education and safety. As Associate Clinical Professor of Surgery at the University of California at San Diego, a voluntary position, he remains active in teaching of plastic surgeons in training. He also helped host a prominent Chinese plastic surgeon from Beijing, who was visiting La Jolla on a one year fellowship.


Dr. Brahme volunteers his talents as a Plastic surgeon in Mexico for the benefit of disadvantaged children, repairing Cleft lips and palates as well as hand deformities through the Interface program at UCSD. He also continues to lecture locally and internationally on topics in plastic surgery.


Dr. Brahme is accomplished in all areas of plastic surgery, and brings a unique sensitivity and special aesthetic knowledge to his patients. Specializing in both face and brow lifts, as well as breast and body contouring, he is often asked to combine multiple procedures to achieve optimal results. Many of his patients develop a lifelong relationship with him, bringing friends and relatives from near and far to see him.


 Dr. Joseph L. Grzeskiewicz

Dr. Grzeskiewicz (pronounced Gres`/ke/witz) is a graduate of the prestigious University of Virginia School of Medicine in Charlottesville, Virginia. He was awarded a U.S. Navy Health Professions Scholarship, and upon his graduation in 1987 he entered surgical internship at U.S. Naval Hospital San Diego. He then was selected into the U.S. Naval Aerospace Medicine Institute in Pensacola, Florida where he completed training to become a Navy Flight Surgeon. He served for another three and one half years as a Flight Surgeon with the U.S. Marines at Camp Pendleton, California including overseas assignments. He was selected for Lieutenant Commander and was serving as Medical Department Head of Marine Aircraft Group 39 when he left the Navy to pursue his dream of becoming a plastic surgeon.


Dr. Grzeskiewicz was accepted into residency at The University of Missouri Hospitals and Clinics in Columbia, Missouri, where he trained in general surgery, plastic and reconstructive surgery, and microsurgery under the guidance of Dr. C. Lin Puckett, Past Chairman of The American Board of Plastic Surgery and Past President of The American Society of Plastic Surgeons. Dr. Grzeskiewicz then completed a preceptorship in aesthetic surgery under the guidance of internationally renowned facial rejuvenation experts, Drs. Thomas Baker and James Stuzin in Miami, Florida. Dr. Grzeskiewicz distinguished himself during his training by achieving successive scores in the 99th percentile on the annual national in-service examination during each year of his plastic surgery residency.


Upon completion of his residency in 1998, Dr. Grzeskiewicz returned to his alma mater, The University of Virginia, for his eighth year of postgraduate surgical training under the tutelage of a nationally recognized expert, Dr. Raymond Morgan. After graduating from his fellowship in 1999, Dr. Grzeskiewicz entered private practice in La Jolla.


Dr. Grzeskiewicz specializes in aesthetic plastic surgery including breast surgery, body contouring, facial rejuvenation and laser resurfacing. He is certified by The American Board of Plastic Surgery and an Active Member of The American Society of Plastic Surgeons, a Fellow of the American College of Surgeons, and a member of The California Medical Association, The San Diego Plastic Surgery Society, and The San Diego County Medical Society. He is on staff at Scripps Memorial Hospital La Jolla.




  R. Merrel Olesen, M.D, Retired

R. Merrel Olesen, M.D., is the Founder and President, Medical Director Emeritus of La Jolla Cosmetic Surgery Centre, in beautiful La Jolla, California. 



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Breast Enlargement La Jolla San Diego: Women who desire larger breasts may wish to have a breast enlargement (augmentation) procedure. Breast enlargement surgery may also be indicated for women who have one breast that is noticeably smaller than the other. Breast enlargement is intended to give the patient larger and more shapely breasts. A more positive self image may also be a result of breast enlargement.

Breast enlargement is done on an outpatient basis under general anesthesia. Breast augmentation incisions may be in the breast crease, around the nipple, or in the armpit. A saline implant is inserted under the breast tissue, or under the breast tissue and the underlying muscle.


Breast Lift La Jolla San Diego: You may be a candidate for a breast lift procedure (mastopexy) if you have sagging breasts due to past pregnancies, genetics, or aging. You may also desire a breast lift if breast sagging is too great to be treated with an implant alone. The procedure may also be helpful if your nipple-areolar complexes (pigmented areas around nipples) are enlarged. The breast lift procedure is intended to give the patient an elevated, more youthful breast contour, as well as nipple-areolar complexes of the desired size at the correct height.

The breast lift procedure is done on an outpatient basis under sedation and local or general anesthesia. The design of the incisions can vary but usually include incisions around the nipple-areolar complex and in the crease under the breast. The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position. The insertion of an implant as well, may or may not be advisable.


Breast Reduction La Jolla San Diego: You may be a candidate for a breast reduction if you have large, heavy breasts, which may cause of breathing difficulties, back, shoulder and neck pain, poor posture, bra-strap indentations and chafing under the breasts. This procedure may also help if you have excessive breast size, which can sometimes lead to a lack of self-confidence. If large breasts interfere with normal daily activities or with exercise, a breast reduction may be the answer for you. The intended result of a breast reduction is a more attractive contour, a smaller breast size and improved self-image. Freedom from heath problems associated with excessively large breasts will be accomplished through this procedure.

This procedure is done under general anesthesia on an outpatient basis or in the hospital. The incisions are usually made around the pigmented area (the nipple-areolar complex) and extend vertically below the nipple and along the fold under the breast. The nipple-areolar complex is moved upward to the desired location and excess breast tissue, fat, and skin are removed.


Other Breast Procedures:

·          Male Breast Reduction

·          Removal or Replacement of Breast Implants

·          Revision of Breast Enlargement


More Procedures:

Facial Rejuvenation Procedures:

·          Eyelid Lift

·          Facelift & Necklift

·          Forehead Lift (Browlift)

·          Mid Facelift

·          Mini Facelift

·          Neck Liposculpture


Facial Contouring Procedures:

·          Chin Enlargement

·          Cheek Implants

·          Lip Enhancement

·          Neck Liposculpture

·          Nose Reshaping (Rhinoplasty)

·          Permanent Lip Enlargement

·          Septoplasty


Facial Fillers and Injectables:

·          Botox® Cosmetic Injections

·          Captique® Injections

·          Collagen Injections

·          Restylane® Injections

·          Radiance® Injections

·          Sculptra® Injections


Body Contouring Procedures:

·          Body Lift

·          Body Lift After Massive Weight Loss

·          Buttock Lift

·          Liposuction (Liposculpture)

·          Thigh/Buttock Lift

·          Tummy Tuck

·          Upper Arm Lift


Skin Procedures:

·          Fraxel Laser Skin Resurfacing

·          Glycolic Peels

·          TCA Peels

·          Crotin Oil Peels

·          Jesner Peels

·          Dermabrasion

·          Laser Skin Resurfacing

·          Scar Repair/Revision


Ear Procedures:

·          Ear Pinning

·          Earlobe Reduction

·          Earlobe Repair


Other Procedures:

·          Fat Transfer

·          Scar Repair/Revision


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Languages: English - Spanish

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