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Dr. Todd Pollock

Welcome to North Dallas Plastic Surgery

The practice of plastic and cosmetic surgery is extremely gratifying and I am pleased when I am able to make a difference in patients’ lives through surgery. Whether it is correcting a deformity, enhancing one’s natural features, or repairing a defect from injury or cancer surgery, I am always honored when residents of Dallas and Allen trust me with their care.

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BEAUTY BEGINS WITH KNOWLEDGE

Cosmetic surgery is elective surgery and involves a very personal decision. However this decision should be objective, based upon knowing the facts, the details of the procedure, alternative treatments, surgeons credentials and facility accreditation. Our website and our consultations emphasize patient education and factual information.

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FACE
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BODY

Dr. Todd Pollock Co-Created the Progressive Tension Suture (PTS) Abdominoplasty: the Drain-Free Tummy Tuck

This procedure simplifies tummy tucks, greatly reducing surgical complications, improving results, and shortening convalescence. We have been using this technique over the past 30 years and have found it to be reliable and long lasting.

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Latest News and Blogs

gloved hands iv bag 300x200 - Pain Control Speeds Recovery After Surgery

Patients considering cosmetic surgery often express a great deal of concern for post-operative pain that can delay or even prevent potential patients from proceeding with surgery. Pain control is a

significant challenge for all surgeons. As a cosmetic surgeon, dealing with patients who undergo elective surgery, I want my patients to have the best experience possible.  A big part of having a good experience is minimizing pain and getting people back to their normal activities as soon as possible.

Traditional post-operative pain control has centered on the use of narcotic pain medication. But there are many negative effects of this type of medication that may set patients back rather than speed their recovery. Common side effects of narcotic (or opioid) medications include nausea and vomiting, itching, lethargy and urinary retention to name a few. Addiction is a potential risk, but short-term use that is typical with cosmetic surgical procedures makes this risk minimal.

More recent concepts of pain control following surgery have placed opioids in a secondary role in favor of using a variety of medications and techniques to attack pain at different points along the “pain pathways” from the site of the surgery to the spinal cord to the brain using non-narcotic medications. This has been termed multi-modal analgesia. There are a variety of medications used; some whose common use isn’t pain control at all. Combining this pain control with nausea prevention are the fundamentals of a concept called Enhanced Recovery Programs.

While there are wide variations, multimodal analgesia looks something like this: some oral medications such as Gabapentin (an anti-seizure medication also used for pain) and Celebrex (an anti-inflammatory) may be started a day or more before surgery. The anesthesiologist may give a variety of anti-nausea drugs before and during surgery. They may also put various medications in your IV early in surgery such as a low dose of a steroid that has been shown to have long lasting effects on pain. During surgery, long acting local anesthetic is injected into the tissues at the surgical site and nerve blocks may also be done. Exparil is a new long acting local anesthetic that may be effective for up to 3 days. Unfortunately, it is fairly expensive.

After surgery, we have found Celebrex to be a game changer in pain control. I give it twice a day for two to four weeks after surgery and have seen a remarkable decrease in post-op pain and quicker recovery. In some procedures like tummy tuck, compressive binders or garments can be very helpful at not only controlling swelling, but also giving support and decreasing pain as the patient becomes more active.

This is only one example, but many other drugs are being evaluated. Post-operative pain control has come a long way when we look at it in a completely different way. This is just one way we try to make the surgical experience better at North Dallas Plastic Surgery.

patient viewing two breast implants 300x200 - Information on a Rare Breast Implant-Associated Cancer: BIA-ALCL

Woman planning to have a breast implant

Recent news stories and talk shows have reported on a cancer that has been associated with breast implants. Needless to say, this has sparked a number of calls to our office. Here is a summary of information on the subject to give you a better understanding of the disease, the risks, its diagnosis and treatment.

The type of cancer we are talking about is a lymphoma, not a breast cancer. It is called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). As far back as 2011, there were early suspicions of an association with breast implants, but it wasn’t until 2016 that enough evidence had been collected to confirm this association. It has been seen in both cosmetic and breast reconstruction patients and in both saline and silicone implants. To date, almost all confirmed cases are associated with textured implants. In the US, only about 15% of implants placed are textured.   (Note: NO TEXTURED IMPLANTS have been used at North Dallas Plastic Surgery in over 25 years)

It is important to understand that this is a very rare form of cancer. Each year, over half a million breast implants are placed, just in the United States. There are only around 400 confirmed cases of this breast implant-associated cancer worldwide. That makes the estimated risk to an individual who has breast implants 1 in 30,000.

BIA-ALCL typically presents as a fluid collection (seen as tight, painful swelling) around the implant that develops many years after implant surgery. The average time from implantation to development of symptoms is around 7-8 years. In most cases, treatment is curative with removal of the implant and surrounding scar capsule. In many cases, a smooth implant can be placed immediately. Unfortunately, there have been more advanced cases requiring additional treatment and there have even been a small number of deaths.

In women who currently have breast implants and are having no problems, there is nothing that need be done. No governmental agency (e.g. FDA) or medical association (e.g. ASPS, ASAPS, AMA, ACS) have recommended preventative implant removal.

If you have any concerns, you should contact your surgeon, or I would be happy to set up an appointment to answer any questions.

Teenager 300x200 - Cyber Bullying and Cosmetic SurgeryA recent article by a San Antonio news organization entitled “Kids/teens getting plastic surgery to prevent bullying” discusses the extremes some parents are going to in order to prevent bulling , and especially cyber bullying of their children. No doubt kids can be cruel in their teasing and this has reached new heights with social media and the strong attachments (even dependence) today’s kid have on social media. Teasing has been ramped up with social media as it can be anonymous, the indirect nature ramps up the meanness and there is no chance to get away as it follows kids 24 hours a day. As reported, this has even resulted in teen suicide.

But parents must remember, this is not solely an appearance problem but really more a social media problem. If you have a teen, you know that it doesn’t take a physical feature to insight teasing and bullying. My daughter was never bullied about her appearance but suffered many occasions cruel social media based bullying that resulted in long nights of comforting her and trying to get her to understand that this will not ruin her life forever.

As a plastic surgeon that treats prominent ears, unattractive noses, visible birth marks and male breast development to name a few, surgery needs to be considered carefully and may not be the sole answer. Modern plastic surgery is very safe and can improve these aesthetic concerns very effectively. But surgery is a serious step with real potential risks. Additionally, parents must also separate their feelings from what they perceive as their child’s feelings.

I believe that the real problem today is more of a problem with children’s excessive exposure to and dependence on social media. Bullying is the bully’s problem and not the victims. It is the bully that must change and not the victim. As a parent that has spent many a night comforting my child after vicious, unrelenting and untrue attacks, I understand that as a parent you want to do anything you can to protect your child. But addressing bullying must be separated from treatment of an aesthetic issue.

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214.363.2575
Dallas Location

214.509.0270
Allen Location

Fax: 214.363.3665

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OUR LOCATIONS

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DALLAS LOCATION

8305 Walnut Hill Ln # 210
Dallas, TX 75231

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ALLEN LOCATION

1105 N Central Expy #2310
Medical Office Building 2
Allen, TX 75013