What is the difference between HMO, PPO and EPO?

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Health Maintenance Organizations (HMO) plans only cover care that is provided by doctors and hospitals within the HMO's network. With an HMO plan, a member selects a Primary Care Physician for all their health care services. With the exception of emergency services, all referrals must come from the member's Primary Care Physician.

Preferred Provider Organizations (PPO) plans cover care that is provided both inside and outside the plan's provider network. Members have the freedom of seeing any provider without a referral, whether they are inside or outside they're network. Often times, a member may pay a higher percentage of out of pocket costs for out-of-network care.

Exclusive Provider Organizations (EPO) plans only provide coverage to care that is within the plan's provider network. Within an EPO plan, a member does not need to choose a primary care physician and does not need a referral to see a specialist. An EPO plan has a limited network of doctors and hospitals to chose from and does not cover care outside of that network.

Book your complimentary consultation with Dr. Zelken today. Call us at (949) 432 - 4730. It is Dr. Zelken's utmost pleasure to consult with you, whatever your insurance company may be. Here at Z Plastic Surgery, we are happy to work with you and your insurance company by filing all the all the neccessary paperwork. We contact your insurance in real-time to obtain eligibility information and maximize your benefits.

How long after breastfeeding can you have a Breast Augmentation?

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The female body goes through numerous changes during the period before, during and after pregnancy. The physical changes that occur for women as they create, carry and birth a child is a natural part of life. Post-partum, the female breasts naturally become enlarged due to the production of milk, whether or not a mother elects to breastfeed her baby. Once this period is complete, it is conceivable to say that majority of women consider Breast Augmentation after breastfeeding in order to feel rejuvenated, refreshed, and to pursue the path to achieve and enhance their aesthetic desires and goals.

The changes in a women’s breasts and body following pregnancy is unique and varies amongst each female individual. There are numerous factors that contribute to this period of transition back to baseline, some of which include: hormone levels, exercise, diet, and lifestyle. Breast Augmentation can best be considered 4 - 6 months once a woman stops breastfeeding. During this period, the breasts involute and cease the production of milk. It is important to consider a Breast Augmentation once the lactation ducts have properly closed and the swelling has properly gone down, in order to have a breast size that is stable. This will properly maximize the chance of achieving the best degree of aesthetic goals and minimize any potential risks.

It is important to consult with a Plastic Surgeon who is well qualified. Dr. Jonathan Zelken is a Board Certified Plastic Surgeon and has performed Breast Augmentation across the United States and worldwide. He approaches each of his consultations in a comprehensive manner and works with each patient in a concise and harmonious manner, in order to achieve their aesthetic vision, desires and goals.

Why Reconstructive Surgeons are Better Aesthetic Surgeons

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Dr. Zelken is very proud of and reliant on his extensive training in reconstructive microsurgery and trauma surgery. He holds roles on the trauma call panels of the major Orange County trauma centers, and is called upon for the most extensive injuries. This allows him to perform complex aesthetic procedures with relative ease. There is a growing aesthetic focus in reconstructive surgery; reconstructive surgeons will increasingly benefit from innovations in aesthetic surgery as the standards of reconstructive and elective surgery merge. Focused aesthetic surgeons are encouraged to publish, as synergistic innovations in technique and technology will improve results in reconstructive and elective patients alike. Aesthetic surgeons likewise stand to benefit from advances in reconstructive surgery and the innovations of seasoned reconstructive surgeons. The convergence of disciplines is amenable to disruptive innovation, as we have seen with botulinum toxin, limb-lengthening, fat grafting, hair transplantation, dermal matrices, skin care products, and breast reconstruction. Aesthetic and reconstructive surgery is not mutually exclusive; a well-trained reconstructive surgeon must not resist opportunities in aesthetic surgery when the market allows for it, and vice versa. Because of his international experience in reconstructive surgery, Dr. Zelken is exceedingly familiar with head and neck anatomy, perfusion mechanics and aesthetic norms and ideals of various cultures.  

How long does swelling last after Rhinoplasty, and why so long?

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Rhinoplasty, also known as a “nose job,” is a plastic surgery procedure that is performed to reconstruct the nose for both cosmetic and functional reasons. Aesthetically enhancing the appearance of one’s nose is beneficial to alleviate nasal asymmetry and/or disproportions to the face. Ensuring functionality of the nose is also important for addressing any breathing impairment that may be caused by trauma, septal deviation, or airway obstruction.

With any surgery, the healing process varies depending on an individual’s own natural ability to heal. It is important to understand the structure and physiology of the nose. The nose has an extensive anatomy, to include its external structure and internal structure. There are crucial nerves, blood vessels and lymphatics of the nose, all of which provide important sensory information, blood supply and play an important role in the body’s natural healing process.

We are all equally guilty of having that sense of urgency when we want something. It is instinctive for us to satisfy our needs the moment we know we want something. Our impulsiveness convinces us that we need something now. We don’t have time to wait. Not tomorrow, not a later point in time. We want that instant gratification now. But in the case of a Rhinoplasty, that saying: Patience is a virtue, couldn’t be more relevant.

Postoperative swelling after a Rhinoplasty can take up to one year. The reason being is that after any trauma (including surgery), our body needs to undergo essential phases for healing and repair. Swelling lasts even longer in most Revision Rhinoplasty cases, and sometimes, injections of steroids can help. Healing is a systemic process with three phases:  Inflammatory Phase (1-7 days), Proliferative Phase (1-6 weeks) and Maturation/Re-modeling Phase (6-12 months). The Inflammatory Phase is the body’s natural response to injury. During this phase, blood vessels dilate to allow essential cells and biochemical processes (ie. white blood cells, growth factors, enzymes and nutrients) to reach the site of trauma. The Proliferation Phase consists of tissue rebuilding with healthy granulation tissue (comprised of collagen, extracellular matrix, and new network of blood vessels). The Maturation Phase occurs when the wound has closed up. During this phase, the tissue remodels and matures as the collagen fibers reorganize to enhance tensile strength.

There is not one universal type of Rhinoplasty surgery that will meet the needs of every patient. Dr. Zelken customizes every Rhinoplasty surgery specific to each patient, depending on his or her needs, desires, and goals.

Cosmetic Surgeon vs Plastic Surgeon vs Board Certified Plastic Surgeon

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The terms Cosmetic Surgeon, Plastic Surgeon and Board Certified Plastic Surgeon have resonated in the field of medicine and have often times been misinterpreted in their meaning, use and technicality. Although cosmetic surgery and plastic surgery are closely related, they are significantly different in terms of education, training, and overall treatment goals.

What is the difference between cosmetic surgery and plastic surgery?
Cosmetic surgery is a discipline in medicine that uses surgical and non-surgical procedures to enhance the appearance of one’s body. Cosmetic surgery is an elective surgery geared towards helping an individual achieve their cosmetic desires and goals. Cosmetic surgery can be performed on numerous areas on an individual, to include: the head, neck, face and body.

Plastic surgery is a surgical specialty that focuses on correcting dysfunctional areas of the body in order to improve the appearance and ensure proper functionality of the body and organ systems. Reconstructive plastic surgery is performed for various reasons, some of which include: injury, trauma, burns, birth disorders, and/or disease. Aesthetic surgery focuses on aesthetic improvement.

How is the education and training different?
A practitioner who refers to themselves as a Cosmetic Surgeon can essentially belong to any other medical specialty and has decided that they would like to perform cosmetic procedures. To become a Cosmetic Surgeon, one must graduate from medical school and complete a residency in any kind of specialty (it does not necessarily have to be plastic surgery). They then specialize in cosmetic surgery, which can be obtained by completing a 1-year fellowship in cosmetic surgery or even just by attending cosmetic procedure classes or weekend training courses.

To become a Plastic Surgeon, one must graduate from medical school and complete a 6-8 year accredited residency program that is specific to plastic surgery, alongside passing an extensive written and oral examination. Based on the educational training and requirements, it is guaranteed that a Plastic Surgeon has completed 100% of the rigorous curriculum, necessary training and proper credentialing in their specialized field.


What does it mean to be a “Board Certified” plastic surgeon?
“Board Certified” simply means that one satisfies the requirements for board certification in a certain field and can be accomplished in various medical specialties and sub-specialties. A Board Certified Plastic Surgeon is certified by the American Board of Plastic Surgery (ABPS), which is the only Board recognized by the American Board of Plastic Surgery (ABPS) to certify doctors in the discipline of Plastic Surgery. This ensures that a surgeon has completed an approved residency program of at least 6 years and has passed a comprehensive written and oral examination. Board certification is a significant factor in determining a surgeon’s qualifications, with a strict set of criteria and formal training to ensure a high level of proficiency and expertise in their field.

Jonathan Zelken, MD is board—certified in plastic surgery, a member of the American Society of Plastic Surgeons (ASPS), and a diplomate of the American Board of Plastic Surgery.

Breast Augmentation

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Breast Augmentation
Breast Augmentation is a surgical procedure frequently performed by women of all ages in order to address the size, shape and volume of their breasts. This procedure includes the use of breast implants or fat transfer to increase the size and appearance of your breasts, to attain a more rounded shape and improve natural breast size and asymmetry. Breast augmentation increases the fullness and projection of breasts and enhances one’s self-image and overall self-confidence. In order to achieve one’s aesthetic goals, there are various types of breast implants that come in various shapes and sizes.


Gummy Bear Implants
Gummy bear implants are high strength, form-stable, highly cohesive silicone gel implants that are made of a semi-solid gel contained within an outer shell. Gummy bear implants contain silicone gel that is thicker than traditional silicone implants. They are well-known for their ability to retain their shape, even when the implant shell is cut in half. While these implants are found to be firm, strong and durable, they still retain the quality of remaining remarkably soft to touch. Gummy bear implants are available in round (traditional) and shaped (anatomical).


Round vs Teardrop
The two basic breast implant shapes are: Round and Teardrop. Round implants can create round and nicely proportioned breasts. Round implants add volume to the upper pole and lower pole of the breast. Round implants tend to be softer than teardrop implants. Teardrop implants are considered anatomical due to their unique shape. In contrast from the traditional round shape, the tear-drop appearance is similar to the contour of a women’s natural breast shape. Tear drop implants tend to be firmer than round implants. They have a higher degree of fullness to the lower pole of the breast and are tapered towards the upper pole. Dr. Zelken is certified by Mentor and Allergan for their MemoryShape and Natrelle 410 style implants.
 

Finding the right breast implant is dependent on a woman’s breast volume, size and shape, along with the desired outcome they would like to achieve. There are many options and variations in size, shape, volume and texture, all of which have their own unique benefits to decide for the optimal implant selection to best fit a woman’s unique body type and desired goals. #keepemguessing #bestkeptsecret

Radiofrequency Treatment (Top Secret!)

Keep your tummy tuck top secret.

Keep your tummy tuck top secret.

TOP SECRET PLASTIC SURGERY

What is Radiofrequency skin treatment?
Radiofrequency (RF) skin treatment is an aesthetic technique that utilizes radiofrequency energy to heat tissue at the deep layer of the skin. RF procedures provide a nonsurgical alternative to effectively reduce fat, tighten saggy skin, and improve the overall quality and appearance of your skin. By stimulating the deep layer of the skin, this promotes the production of healthy new collagen at the sub-dermal level. This technique induces tissue remodeling and effectively promotes the production of new collagen and elastin, with the benefits of reducing fat and diminishing the appearance of fine lines, wrinkles, and loose skin.

What is BodyTite?
BodyTite, a breakthrough in body reshaping, is a safe, effective, and minimally invasive procedure for body contouring. BodyTite shapes, tightens and lifts the skin, without the surgical intervention. BodyTite gently treats fat in stubborn areas while contouring and tightening the skin, helping you sculpt your body into your ultimate shape, allowing you to attain your desired goals. BodyTite uses RFAL (Radio-Frequency Assisted Lipoplasty) technology to deliver rapid and uniform heating of the entire soft tissue matrix, combining a tightening effect on the overlying skin as adipose tissues (fat) is extracted from beneath. You avoid the post-surgical scarring and longer down time that is associated with traditional methods (ie. liposuction or surgical body lifts). No surgical scars! Ideally, it is your path to a top-secret tummy tuck or top-secret arm lift. Common target ares include: stomach, arms, chest, knees and inner/outer thighs. Multiple areas can be treated in one visit. Downtime ranges from as little as 1-2 days to up to 10 days. Results can be seen immediately, with best results noticeable after 3-6 months.

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What is FaceTite?
FaceTite provides dramatic improvement in skin laxity on the face and neck. FaceTite is comparable to a traditional surgical facelift, but without the scars. It is performed under local anesthesia or light sedation. It is your key to a top-secret neck lift. By avoiding a traditional method of an excisional facelift procedure, you will be scar free and benefit tremendously from reduced post-surgical swelling and downtime. Results can be seen immediately, with best results noticeable after 6-12 weeks.

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Is FaceTite and/or BodyTite treatment for you?
If you want exceptional contouring without the excisions, surgical scars, or downtime, then FaceTite and/or BodyTite are both minimally invasive procedures that effectively target the face, neck and body. FaceTite and BodyTite gives your face, neck and body renewal surgical results, without the scars and with long-lasting desirable results. Consider FaceTite for a top-secret neck lift or BodyTIte for your secret arm lift or secret tummy tuck. It’ll be your #bestkeptsecret.

Why I Became a Plastic Surgeon

Dr. Zelken was recent mentioned in a Zwivel article!

Dr. Zelken poses in his Newport Beach reception area

Dr. Zelken poses in his Newport Beach reception area

 

Some surgeons say while they knew from an early age they were destined for careers in medicine, they never thought they would specialize in plastic surgery.

“When I was a kid, I thought I was going to become an orthopedic surgeon,” says Dr. Jonathan Zelken of Newport Beach, California. “I had my own left hip reconstructed 15 years ago after a freak skiing accident, then did 2 years of orthopedic surgery research, and even began applying for orthopedic surgery residency programs.”

While studying orthopedic surgery, Dr. Zelken took an elective course in plastic surgery. That one class, which he took in the fall of his fourth year of medical school, changed everything. “Immediately, I realized plastic surgery was colorful while orthopedic surgery was essentially black and white.”

From Zelken’s perspective, plastic surgery was also more expansive than orthopedic surgery, branching well beyond the musculoskeletal system. Plus, it invited a more creative touch.

“I saw how plastic surgeons operated head to toe, on every body part and organ system, and how artistic and creative this specialty could be,” said Zelken.