LOCAL HAPPENINGS AND MORE IN THE SOUTH ORANGE COUNTY CITY OF SAN CLEMENTE

Category: Health

South Coast Urogynecology

Dr. Red Alinsod

Restoring the
Beauty of Women

One Patient
at a Time

Urinary incontinence and pelvic organ prolapse affect millions of American women each year. Women with these urogynecological conditions experience a wide range of difficulties — from mild discomfort to severe pain. According to the American Medical Association, urinary incontinence, or leakage of urine, affects up to 56% of women over the age of 65 and up to 20% of women below the age of 65. Pelvic organ prolapse occurs when pelvic structures, like the rectum or bladder, protrude into the vaginal wall. This can make walking, standing, sexual intercourse and/or urination problematic. These disorders may stem from a number of factors ­— from damage to the pelvic floor following childbirth to heavy lifting to severe constipation.

Throughout the world, countless women experience shame and embarrassment. they suffer from ailments that may be difficult to discuss with loved ones or even their physician, for many of these women, their quality of life has become profoundly impacted…

Urogynecology is the study and treatment of female pelvic medicine and pelvic floor reconstruction. Mission Hospital Laguna Beach is fortunate to have the expertise of world-renowned physician Red Alinsod, MD, FACOG, FACS, ACGE. Dr. Alinsod, a urogynecologist and aesthetic vaginal surgeon, specializes in the diagnosis and treatment of incontinence and pelvic organ prolapse. This highly sought-after surgeon is the founder of South Coast Urogynecology, Inc. — the first Aesthetic Vaginal Surgery Center and Chronic Pelvic Pain Center in South Orange County.

“We are a full-service clinical care center for women,” says Dr. Alinsod. “We are not merely a gynecology office, or a med spa or laser center. We are all of that and more. We offer impeccable medical care in a luxurious setting.”

In order for Dr. Alinsod to treat urinary incontinence, he first needs to determine the type of incontinence his patients have: Stress Incontinence, where there is abdominal pressure that comes from a laugh or sneeze; Urge Incontinence, where there is a sudden urge to urinate; Overflow Incontinence, when the person is unable to fully empty the bladder; and Functional Incontinence, when physical problems such as arthritis may delay the trip to the bathroom. Dr. Alinsod is an expert at diagnosing the specific forms of incontinence and uses a wide range of treatments, including behavioral techniques, neuromodulation, medications, and surgery.

The cutting edge development that Dr. Alinsod uses for treating incontinence involves the use of a device called a “MiniTape.” This MiniTape, which is made from ultra lightweight mesh, is placed under the mid-urethra to act as a backboard when one sneezes or coughs. This then blocks the urethral opening and either decreases or stops the leakage of urine. This procedure is called “tension-free” because the sling is not sutured into muscle, fascia or bone. Also, the construction of the sling allows for the patients’ healing tissues to grow into it and hold the mesh sling in place. Due to its thinness and very low weight, complications have been exceedingly few with results that are outstanding.

Dr. Alinsod also has a very high success rate with his treatment of pelvic organ prolapse. There are different forms of prolapse: Rectocele, the prolapse of the rectum; Cystocele, the prolapse of the bladder; Uterine Descensus, the prolapse of the uterus; and Enterocele, the prolapse of the small bowel. Dr. Alinsod is able to zero in on the different types of prolapse to treat the specific needs of each patient.

Smartmesh™

Mpathy Medical is a medical device company that develops a range of surgical solutions used to restore pelvic health to women. Dr. Alinsod uses their lightweight mesh, which is among the thinnest mesh in the world. It has revolutionized the field of urogynecology. Studies made by Dr. Alinsod, on the long-term outcomes of the mesh, found that the new erosion rate using Smartmesh is less than 1%. This is a dramatic finding compared to the 6-25% erosion rates that come from the thicker mesh materials.

If this weren’t enough, Dr. Alinsod has done something else that has made him one of the most sought-after physicians in the world: he has created custom designs out of the Smartmesh. These designs are used for vaginal surgeries, bladder and rectum prolapse repair, and the minimally invasive incontinence surgeries he performs. Whereas previously the mesh pieces were cut into square shapes, Dr. Alinsod has designed pre-cut shapes that are then tailor made for each patient. His exclusive use of Smartmesh, coupled with his custom designs, has changed the face of urogynecolgy and it’s why patients come from all over the world to see Dr. Alinsod.

Vaginal Rejuvenation

Over the past couple of decades, cosmetic surgical procedures have become more commonplace. Women throughout the United States are seeking ways to improve themselves with a wide range of procedures, including facelifts, breast augmentation and, with increasing frequency, vaginal rejuvenation. Vaginal rejuvenation, also known as aesthetic vaginal surgery or vaginoplasty, aims to tighten lax muscles and tissues and remove excess vaginal skin. This procedure narrows the diameter of the vagina, resulting in a smaller and tighter opening and vaginal canal. The first step for the decision to undergo aesthetic vaginal surgery is also the one that is the most important: choosing the right physician. Dr. Red Alinsod is that physician.

“My goal is to make each patient feel feminine again,” says Dr. Alinsod. “Women come to me because they want experienced hands they can trust. They want choices and alternatives, and a doctor who will provide the best solutions for them.”

Dr. Alinsod has refined the in-office vaginal rejuvenation surgery so that it does not require an IV and is done under mild sedation and local anesthesia. Dr. Alinsod’s vaginal rejuvenation services are unparalleled. He aims to restore patients throughout the world. “My patients become functional and beautiful,” he says. Dr. Alinsod is the National Instructor in Aesthetic Vaginal Surgery for The American Academy of Cosmetic Gynecologists. He has trained numerous gynecologists, urologists, plastic surgeons, and cosmetic surgeons.

Labial Surgery

Dr. Alinsod has developed precise techniques taught and used worldwide to recontour the labia minora and labia majora into a more aesthetically pleasing and more comfortable condition. His international preceptorship program has drawn surgeons, for training, from Belgium to Australia. He is world renowned for his “Barbie Look” labiaplasty.

About South Coast Urogynecology, Inc.

The staff at South Coast Urogynecology offers compassionate care to patients in a relaxed and professional setting. What makes this medical practice so unique is the multitude of specialties: gynecology, urology and aesthetic gynecology. Dr. Alinsod and his team have mastered the skills of each of these fields and patients benefit from this first-rate expertise.

It’s widely known that Dr. Red Alinsod is an internationally recognized physician. But what some don’t know is that he is also a teacher. Throughout each year, Dr. Alinsod brings his wisdom and expertise to fellow physicians. He has founded the Alinsod Institute for Aesthetic Vaginal Surgery, which is a national surgical training center. The Institute, which is located in his offices on the Mission Hospital Laguna Beach campus, provides training to physicians seeking to learn more about pelvic prolapse reconstruction, incontinence surgeries, and vaginal rejuvenation.

The South Orange County Community

Dr. Alinsod is pleased to be part of the Mission Hospital family. He’s also happy to be a part of the South County community and works hard to bring his patients the best. “I believe we will dramatically improve the success rates with our patients, while at the same time decreasing complication rates,” he says. “It pleases me that I have the chance to make a difference in this Orange County community that I love so much.”

Dr. Alinsod has a following that reaches all over the world. Patients travel from as far away as

Australia, Greece and Nigeria for the chance to be treated by him. Fortunately for the South County community, this internationally-renowned surgeon is nearby. If you are in need of the services of Dr. Red Alinsod and his team at South Coast Urogynecology, Inc., then do what thousands of satisfied patients have done and call their offices today.

About Dr. Red Alinsod

Dr. Red Alinsod graduated from Loma Linda University School of Medicine and completed his OB/GYN residency at Loma Linda University Medical Center. His focus in those early years was pelvic surgery. He was the first Rutledge Fellow at MD Anderson Cancer and Tumor Institute and was also selected as a Galloway Fellow at Memorial Sloan Kettering Medical Center. Dr. Alinsod was accepted to Yale’s Gynecologic Oncology fellowship but was unable to attend due to a military commitment with the US Air Force. He headed the Gynecologic Services at George Air Force Base, CA, and Nellis Air Force Base, NV, as he concentrated on benign gynecology, urogynecology, and pelvic surgery. Dr. Alinsod provides the highest quality of care to his patients in a trustworthy manner.

For more information about Dr. Alinsod and his team at South Coast Urogynecology, Inc., contact their offices today.

31852 Coast Hwy, Suite 203, Laguna Beach, CA 92651
949.499.311 | www.urogyn.org | www.pelvicsurgeon.com

Brandon Orthodontics

Brandon Orthodontics

Local Orthodontist
Dr. Brandon

Is Serious About Creating Smiles

Dr. Brandon not only uses orthodontics to put a broad smile on your face, he also enjoys giving tips on the finer points of fishing as well as lessons in ocean safety.

San Clemente resident and local orthodontist Dr. Alex Brandon takes his job—creating smiles—very seriously. It’s apparent in his practice, Brandon Orthodontics, but it’s just as clear on the faces of his patients and their families when they join him and his wife Patti (and of course their three dogs) on the Brandons’ boat, aptly named the “Dog House.” A licensed boat captain, Dr. Brandon enjoys sharing the joys of being on the water with others, not to mention tips on the finer points of fishing as well as valuable ocean safety and conservation lessons. It’s just one of the many ways Dr. Brandon gives back to the community.

To Dr. Brandon, San Clemente is not just a place to set up practice—it’s also his home, his community. Local schools and sports teams benefit greatly from his frequent and generous support. For instance, he provided every child at five elementary schools with flashlights and safety tips last Halloween. He also donated reusable water bottles for the entire Triton Pop-Warner Football League, the San Clemente Little League and for the spring jog-a-thons at Las Palmas, Truman Benedict and Marblehead Elementary schools. Additionally, Brandon Orthodontics was the head sponsor of Vista del Mar’s Mako Foundation fall auction fundraiser.

Due to popular demand, he donated two fishing trips, raising nearly $2,000 for the Mako Foundation. Most recently, he purchased several skateboards signed by local professional skateboarder Ryan Sheckler and donated them to area schools for their fundraisers…

Dr. Brandon originally worked for his father, fellow orthodontist Dr. Jack Brandon, while he was still in high school. Today, he provides the same opportunity by hiring and mentoring student interns with an interest in the field from local high schools. All of these efforts to support local schools and youth programs are symbolic of his genuine care for the families with which he shares this great community. Dr. Brandon brings that same care and passion to his practice, where he meets the orthodontic needs of San Clemente with an approach based on early intervention, state-of-the-art technology and family-focused care.

Early Assessment Avoids Future Problems

If your child’s teeth grow-in evenly spaced, with plenty of room to fit, consider yourself lucky. For the rest of us, there is orthodontia. While it may be difficult for the average person to judge whether a young child would benefit from orthodontics, an orthodontist can make an accurate assessment. The sooner that assessment occurs, the better, according to Dr. Brandon. When a child is between the ages of 6 and 8, the roof of the mouth is not yet fully developed and the bone is still soft. If an orthodontist anticipates that more space will be needed to accommodate permanent teeth, this is the age range in which to begin expansion, not later when the bone structure is set. Early assessment and, if needed, early intervention, is the best way to avoid more serious issues later in life. “I’d rather get things going in the right direction, and then let Mother Nature follow along,” he says. “But it absolutely makes sense to get started sooner rather than later.”

Parents should look for signs that their child may need an orthodontic evaluation as early as age 7, including crowding of the teeth; an open bite (teeth that don’t come together when biting); a deep bite (when upper teeth come down too far); a cross bite (when upper teeth come inside lower teeth); or the presence of habits such as thumb sucking or mouth breathing. Most children won’t need early treatments, but if a parent is unsure, children should have their first consultation no later than age 7.

Patients are Part of the Family

Brandon Orthodontics offers a full range of the latest treatment options, including clear braces, Invisalign and a variety of other fixed and removable appliances for both children and adults. But the latest techniques and state-of-the-art technology at Brandon Orthodontics are rivaled by the exceptional quality of care and generous heart behind this practice.

Your initial phone call will likely be answered by office manager Suzie Weber, and you’ll immediately get a feel for the warmth of the office and its staff. The goal of the staff at Brandon Orthodontics is to treat each patient as a part of the family. Dr. Brandon is careful not to overload his schedule, and makes ample time for each appointment to ensure he can focus completely on each patient’s needs.

While Dr. Brandon pays close attention to detail, he is also personable and low-key, sporting a Hawaiian shirt on most days–a perfect complement to the tropical fish tank greeting patients in the reception area. Whether at sea or in his practice, Dr. Brandon’s interest, care and passion for his patients and their families is evident. His goal is to help every patient achieve a healthy smile while having some fun in the process. And remember, the sooner that process begins, the better.

Call Suzie to set up a complimentary consultation for yourself or your child. Brandon Orthodontics accepts most insurance plans, and offers customized long-term (interest-free) payment plans through their office to fit your family’s budget. Ongoing discounts are available for military families as well.

949.388.8006
1001 Avenida Pico, Suite I
San Clemente, CA 92673

At La Pata in The Courtyards at Talega

Dental First Steps

Donna Bautista, DDS

Dental First Steps

Several years ago, my niece at age two, fell off her red wagon and landed facedown. She suffered a bruised, cut lip and loose front baby teeth…not to mention countless tears. We feared a toothless grin for her childhood future. Luckily, her baby teeth survived the ordeal and her toothy smile was saved.

Baby teeth, also known as primary or “milk” teeth, are usually present from approximately six months to 12 years. Parents often ask why these teeth are important and still need our care considering they eventually will fall out. Basically, baby teeth provide chewing ability for proper digestion and nutrition, especially during the child’s growth years. They also are important in maintaining the needed space for adult teeth. Early loss of these teeth can lead to improper alignment and may adversely affect the normal development of the jawbone and surrounding muscles. These teeth also help your child learn to pronounce words properly and smile with confidence. Developmentally, these teeth are quite essential. Recently, studies have shown that children with decay in their baby teeth tend to have a higher chance of decay in their permanent, adult teeth. Routine dental visits should be a part of your child’s health care schedule, even at a young age.

We strongly believe that achieving a lifetime of good dental health is aided by having a positive and hopefully enjoyable experience in the dental office. How many of us have been traumatized by a bad dental experience? It can almost ruin every dental experience afterwards. We do take the necessary time to reach a trust and comfort level before any dental work is to begin. For parents, there are several ways to help make your child’s dental experience a positive one. The American Dental Association recommends a child’s first visit take place by the age of one. During this appointment, risk of decay can be determined. More importantly, we make sure you are educated on proper diet and care for your child’s teeth. Before the initial appointment, if possible, prepare your child with positive descriptions and imagery. “The dentist is going to count your teeth” or “They will teach you how to brush to keep your teeth nice and clean.” Avoid words or phrases such as “shot” or “hurt”—these can make any of us fearful and nervous. Always brush and floss before a dental appointment.

Often, parents with a history of tooth decay are concerned their children have inherited this condition (e.g. “I think my daughter inherited my soft teeth”). However, to be more specific, research studies have shown that decay-causing bacteria can be transmitted from mother/father to infant. This evidence makes it very important for parents to practice good oral hygiene and keep their teeth in good shape. Bottom line, parents that have healthy mouths, free of active dental decay, are much more likely to have babies that are free of early dental decay.

There are great products out there that can help keep decay at bay. Kids always get excited about getting a new toothbrush (especially when it has fun characters and designs on it). Battery-operated toothbrushes can provide motivation to brush. Since they are still developing strength and coordination, children will need help with brushing until about the age of six. Floss your child’s teeth once two teeth begin to touch. There are great flossing products on the market that come in different colors and shapes—perfect for small hands to hold and learn to floss with. Another way to increase their interest in caring for teeth is to let him/her help you brush your teeth.

Good dental hygiene is an ongoing, lifetime effort. This means that parental teaching and supervision must continue well into your child’s teen years. Teenagers’ schedules get busier and diets often include more sweets and soda. Soda is a big culprit in that its acidity dissolves the enamel of teeth. Cut back on the soda! This is also a time when your child can be in the midst of orthodontic treatment (braces). Braces work to improve dental health by straightening teeth and improving the bite. However, during orthodontic treatment, braces are an obstacle to getting teeth clean at home. Food constantly gets trapped in the braces and brushing and flossing is more difficult. Teens really need continual encouragement to put the extra effort into their routine. Frequent dental cleanings and checkups are recommended while your child is in braces to ensure no collateral damage takes place.

No doubt, a child benefits from good habits early on—especially when it comes to teeth. (Hopefully, they will follow by example!) Think of baby teeth as a guide for adult teeth and take advantage of every opportunity to make dental care a priority for your child. Their healthy and appreciative smiles will be your long-term reward.

Dr. Bautista received her Doctor of Dental Surgery degree from the University of California at San Francisco School of Dentistry in 1995. She maintained a private practice in San Francisco for nine years before making her home in Orange County seven years ago. Her practice is focused on providing her patients with a thorough examination and developing a plan for preventative and restorative treatment using the most up-to-date and time-proven materials. Her goal is to provide comprehensive dental care that achieves an excellent functional and aesthetic result.

Children 16 years and younger
are invited to a complimentary exam
and checkup x-rays.

Donna S. Bautista, DDS, General & Cosmetic Dentistry
Dental Health and Wellness for the Family
949.226.7222 | www.donnabautistadds.com
26137 La Paz Road, Suite 270
, Mission Viejo

Laguna Laser Center

Laguna Laser Center

Vaser Liposelection

“Laguna Laser Center is proud and excited to announce Vaser Liposuction to their growing list of premier services. This minimally invasive procedure is performed in office without the use of IV’s or heavy sedation.”

FAQs on Vaser Lipo

Every body type has areas that are predisposed to fat storage and even with rigorous diet and exercise those unwanted bulges often persist. Patented VASER® technology and the advanced LipoSelection® technique now offer a safe alternative for eliminating unwanted fat, revealing a smooth new shape with fast recovery.

What is VASER Lipo? How does it differ from traditional liposuction?

VASER Lipo, also known as LipoSelection®, is an advanced body contouring procedure that selectively removes unwanted body fat. An alternative to the harsh techniques of traditional liposuction, VASER Lipo uses state-of-the-art ultrasound technology designed to gently reshape your body. What distinguishes the VASER Lipo procedure is its ability to differentiate fatty tissue from other important tissue structures­—such as nerves, blood vessels and connective tissue. Innovative VASER technology breaks up fat while preserving other important tissues to promote smooth results and rapid healing.

What body areas can be treated with VASER Lipo?

Doctors have experienced great success in treating all of the following areas: abdomen, thighs, knees, ankles, calves, buttocks, hips, back, arms, male and female breasts, love handles, chin, face and just about any other body part you need treated.

What body areas can be treated with VASER Lipo?

Dr. Alinsod will concentrate on his areas of expertise such as the upper and lower abdomen, mons pubis, love handles, backs, inner thighs and inner knees, saddlebags and outer thighs. Vaser is also excellent on calves, buttocks, hips, arms, male and female breasts, chin and facial areas.

Where is VASER® Lipo performed?

VASER Lipo is performed in a clean and sterile environment. Dr. Alinsod performs at the Laguna Laser office under local tumescent anesthesia, the safest of all locations and techniques.

How much does the treatment cost?

VASER Lipo is an advanced procedure. Consults are free. The total cost of your treatment will vary depending upon the number of body areas treated and the extensiveness of the procedure. The Laguna Laser Center has financing plans available, so that you can pay for the procedure in convenient monthly payments.

Please call our office for promotional discounts.

Using the VASER® Lipo System, Dr. Alinsod helps his patients set realistic expectations, gives a plan for success, and performs the highest quality techniques to help his patients reach the best outcome.

Body Sculpturing

History:

Pleasant middle aged professional in her mid 30s requested a reduction in abdominal girth and fat content. She was currently on a weight loss program and wanted a “jump start” in her efforts to reclaim her pre-pregnancy weight and shape. She wanted an improvement in her silhouette without a surgical tummy tuck and did not want any downtime due to her self-employed status.

Procedure:

Vaser liposculpting was done under tumescent anesthesia with the patient completely awake and very gently sedated with only Ativan. No narcotics were used. The areas treated included upper and lower abdomen, mons pubis, and flanks. A total of four pounds of fat were removed resulting in approximately 3 inches of waistline reduction. No sutures were placed post op. There were no complications.

Post Op Course:

The patient required a minimal amount of pain medications (Ibuprofen) and was able to walk home and be pain free the entire day. She wore an abdominal binder that kept her abdomen compressed.

Results:

The patient went to work the next day with minimal discomfort. She felt like she had done a few hundred sit ups but it did not interfere with her ability to walk and work in her office. At one week post op, as seen in the photos, she was very happy with her results and planning for her next liposculpturing of back and thighs.

Comments:

This is an excellent example of a patient that is perfect for Vaser Liposelection. She wanted an outpatient awake procedure not needing an IV or hospital or surgical center stay. She wanted no downtime. She wanted a sleeker appearance and the ability to wear clothes from the past. She also did not want an abdominoplasty and had realistic expectations of results. She realized that it would take more exercise and dietary follow up to continue her improvement and achieve her final goal of normal weight and shape. She did not consider Vaser to be a weight management technique but more of a sculpting procedure that would give her an excellent outlook on her way to a new body.

31852 Coast Hwy, Suite 203, Laguna Beach, CA 92651-6765
949.499.5311 | www.urogyn.org
 | www.pelvicsurgeon.com

Donna S. Bautista, DDS

Donna Bautista, DDS

Tried and True
Dental Habits

As a dentist, part of my job is to motivate and encourage patients towards good dental habits. However, for most patients, being told to brush and floss is not enough. Offering up alternative solutions, suggesting a change in ones dental routine at home, or simply reviewing the basic techniques with a mirror can make a difference in improving ones oral health.

Here are some things to consider towards keeping your teeth in tip-top shape:

1. The basics of brushing: Brush your teeth with a soft toothbrush for at least two to three minutes twice a day. Consider brushing your teeth in the shower. It’s a good place to really get in there and spend the time. Don’t forget to focus on brushing close to the gumline where most food and bacterial dental plaque settle. Also, begin brushing the hardest-to-reach areas first (usually the very back and surfaces next to the tongue)–our attention is greatest at the beginning of a task and therefore this ensures that nothing gets missed.

2. Flossing requires time and patience. Most people report that they don’t floss because they don’t have the time. If you can’t floss once a day (which is ideal), floss when you can and do it correctly. (Floss correctly by sliding it along the side surfaces of teeth.) You can even floss while watching television in your favorite chair. By the way, if you notice your gums bleeding from flossing, don’t stop. This bleeding is an indication of inflammation and could be present because you haven’t been flossing. The bleeding should subside and get better in about a week or so. Lastly, although these may not take the place of flossing, other tools can be useful to clean in between teeth also. These include specially-shaped toothpicks (wooden or plastic) and small interdental brushes. Also consider an oral irrigation device that is designed to direct water between teeth. Check out your local drugstore’s oral care section to see what’s available.

3. Be mindful of how certain food textures stick to teeth. Starchy foods tend to be chewy and get caught between the teeth and stick to the smooth surfaces more. Food that sits around your teeth and gum all day encourages more plaque buildup and a chance for cavities or gum disease to develop. Think about how a bowl of pasta would affect your teeth as opposed to a crunchy, crisp apple. Consider snacking on foods that “cleanse” our teeth. Coincidentally, these “cleansing” foods are also nutritionally good for you (e.g. apples, carrots, celery).

4. Many of the things we do everyday can erode tooth enamel. Erosion of our enamel can cause teeth sensitivity and/or discoloration. We expose our teeth to acid through certain foods we eat and beverages we drink. Beverages containing acid include citric juices, carbonated drinks, sports drinks, and even fizzy mineral water. Lessen the erosion of enamel by rinsing with water after your teeth have been exposed to acidic foods or beverages. Try sipping acidic drinks through a straw to minimize contact with the teeth. Also, wait at least 30 minutes before brushing with a soft toothbrush after acid exposure to avoid further breakdown and wear of your enamel.

Achieving good oral health at home requires some thoughtful and detailed attention. Take the steps to brush and floss correctly and do whatever it takes to keep your smile safe including visiting your dentist on a regularly basis. My husband and I have a popular mantra at home, “There’s no such thing as a free lunch.” For dental health, this means, you can’t have healthy teeth without doing the work to get there.

Children 16 years and younger 
are invited to a complimentary exam
and checkup x-rays.

Donna S. Bautista, DDS, General & Cosmetic Dentistry
Dental Health and Wellness for the Family
949.226.7222 | www.donnabautistadds.com
26137 La Paz Road, Suite 270
, Mission Viejo