The Unique Vision behind The Haworth Institute

Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Realizing a vision in stone Swapping his scalpel for a chisel, Beverly Hills plastic surgeon Dr. Randal Haworth MD was hands on in the design and construction ofhis new ojj‘ice lobby, which included a mammoth reception counter made from Carrara marble by lenniter Richinelli When designing his new office for his plastic surgery practice in Beverly llills, CA, Dr. Randal llaworth MD was drawn to while marble In create the look he envisioned. ntients visiting the office of I)renowned plastic surgeon Dr. Randal Haworth MD in Beverly Hills, CA, will observe firsthand the doctor’s flare for design. As the former Chief Resident in Plastic and Renonstructive Surgery at the UCLA Medical Center and recipient of the title of “Plastic Surgical Consultant Of The Year for 1993-94,” I-laworth excelled in science and medicine, but always remained in touch with his artistic side. As a result, it was no surprise how intimately involved he became in the design and construction of his new office space, which features an extensive amount of stone. “My inspiration for the lobby was simply the notion of lime,” explained Randal. “Amongst the seemingly infi- nite number of both inorganic and 66 August Z01? | Stone World For the lobby walls, an alternating formation of both protruding and recessed multi-tiled pieces was individually assembled in sections from a 1-are and now unavailable source of distressed unfinished 2- x 8-inch marble tile veneer. organic ‘things’ on this planet, only the human being can be affected psychologically by the idea of time passing. Of course, everything on this planet, including those entities we consider permanent, such as the mountains, oceans and atmosphere, physically change over time. However, it is only the human who can be con- sciously aifectecl by the concept of time and consequently react to the present and plan for the future. “‘l‘he bmwn, white and gray palette, including the dual-toned aqua and cobalt blue sofa, reflects the basic molecular foundation of Mother Earth herself, while the repetitive pattern formalired by the textured shone walls represents what is ostensibly immuta- ble and ‘forever/” Haworth went on to say. “ln contradisfincfion to this is the massive 18-foot-long marble reception counter, which is transformed from violent, yet beautiful chaos, into a tra- ditionally refined smooth surface. As a metaphor of how modern plastic sur- gery can make unappealing forms into beautiful ones, the sculptural transfor- mation reminds us we can change how we appear over time.” The doctor explained how he has always been attracted to all types of stone construction since he was a child attending the King’s School in Canterbury, England, which he said is purportedly the oldest school in the world. “Many of the classrooms and dorms were based within ancient Gothic stone buildings surround- ing the 1,400-year-old Canterbury Cathedral, so for me, stone represented stability, strength and wisdom. Stone is far more than just a construction mate- rial — within its austerity lies timeless beauty,” he said. The lobby walls consist of an alter- nating formation of both protruding and recessed multi-tiled pieces – totaling 120 square feet “l had each tile section individually assembled from a rare and now unavailable source of distressed unfinished 2- x B-inch mar- ble tile veneer that came in old wood crates from Italy,” said Haworth. “The oombinal-ion of the particular texture — along with the pattern and manner in which it was assembled – was chosen to maximize depth.” The showpiece of the 240-square- foot office lobby is the mammoth reception desk made from two massive slabs of Carrara marble. These were divided into nine pieces in order to complement the full 18-foot length of the counter. “The stone materials were chosen from both an aesthetic and practical standpoint,” explained Randal. “I was looking for a white purity for the wall themselves, while the slabs for the reception counter were chosen for a certain multi-variegated pattern, as well as thickness. The thickness was needed to accommodate both violent carving and impart mass in the end.” The stone was supplied by Empire Marble in San Fernando Valley, CA. The installation When it came to the stone installa- tion, Randal was intimately with the 1-ton reception “Indeed, I rolled up my involved counter. sleeves to carve and polish the structure and ulti- mately camouflage its seams because, it turned out, l was the only one who knew what I envisioned,” he explained. “l experimented with a number of painterly techniques in order to visu- ally unlfy the individual sections of marble as one horizontal massive rock. For the foundation, a pony wall was set up as the main anchoring frame span- ning frorn the left corner adjoining the tiled wall to the right suspended hand- icap accessible section. Creating and anchoring the recep- tion desk was a trial-and-error process, explained l-laworth. “As experienced and proficient as they were in their craft, I realized my team was inad- equately prepared for what I wanted Stone World | August 2017 67 The Carrara marble slabs were cut into nine pieces and then assembled to create the mammoth reception counter. ‘Work was then dune ho smooth out the seams. The main attraction of the office lobby is an 18 -toot-long reception counter made tram two massive slabs of Carrara marble. to create,” he said. “It was basically my fault because my inexperience did not allow me to realize theirs in han- dling this one idiosyncratic aspect of the total project. It was as much about structural engineering as it was about art. I realized that when you are utiliz- ing others to translate your vision of something that is unique and out of their comfort zone, you must seek top specialists in that particular medium you want to work with. For example, despite the innumerable conversations and detailed drawings I provided to the architect, project manager. engi- neer and marble craftsman, the form of the counter during construction began to differ widely from what I was envi- sioning. lt was fortunate that l arrived after surgery just in time before the glue and mortar dried so that I was able to have the nine stone pieces repo- sitioned to my “ln a similar vein, the person l commissioned to do the carving was woefully oft course in terms of ele- gantly decreasing the texture of the marble from left to right to convey the analogy from chaos to perfection,” Haworth went on to say. “With dead- lines rapidly looming, I realized that I had to take matters in my own hands to become quickly proficient with the Makita saw, power sanding and the plain old chisel and mallet until the wee hours of the night.” While there were some bumps in the road during construction, Randal was pleased with the final outcome. “Since wehavernovedintoournew officeore and half years ago, the subjective raw emotional feelings as an artist during the act of creation have now dissipat- ed,” he said. “I am affected by it in in a more objective way. lam amazed that I created what I feel is a magical, mod- ern yet spiritual space which brings an element of strength and peace that will not vanish with time. Marble since CrecoRoman times has fascinated humans, as evidenced in temples nest- ing our desire of eternity. Design today still wants to echo the perpetual against nature’s backdrop. Yet, nature will always be ahead of us in our creative search which can only be successful if we understand and respect nature before we attempt to perfect it.” El 68 August 2017 I Stone World

Healing after Plastic Surgery; State-of-the-Art for 2017.

“Time is a cruel thief to rob us of our former selves. We lose as much to life as we do to death.” Elizabeth Forsythe Hailey

Living in the modern world becomes more complex and harder as life in the 21st-century becomes faster and faster. We are burdened with responsibilities and distracted by an interminable onslaught of media in all forms including the capricious internet. It seems as if everything is competing for our attention in one way, shape or form while stealing precious time we could otherwise devote to family, friends and simply to our  own selves. Therefore, when it comes to saving time, the need to heal quickly after any cosmetic procedure is almost rapacious.

Unfortunately, there is no magic pill or formula to bypass the post operative inflammation of  bruising, swelling and discomfort at this current time. As one of the top plastic surgeons in Beverly Hills, Dr. HAWORTH has seen a thing or two about how patients heal after the thousands of surgeries he has performed over two decades. As a facial plastic surgery expert, he has performed thousands of primary and revision rhinoplasties, brow lift, facelifts and blepharoplasties not to mention the breast implant operations throughout his career and has realized there are things you can do both at home and in the clinical setting to accelerate your healing.

First of all, it is a good idea to focus on whole foods as much as possible while avoiding processed ones as the former will contain the highest levels of vitamins and amino acids your body will need for a speedy recovery.  Amino acids help wounds heal faster and obviously, these are found in  chicken, meats, egg whites, fish, brown rice, healthy nuts like walnuts and almonds or sunflower seeds. Taking supplemental vitamin C in your diet while increasing zinc in your diet can be helpful. Instead of taking vitamin C for a bottle, you can eat strawberries, papayas and citrus fruits which are great sources of vitamin C.  500-1000mg  is the usual amount that is taken. Zinc is found in oysters which have one of the highest levels of zinc found in any food. If you are going to take a supplement, 15 mg of zinc daily is the recommended amount but you can increase your zinc intake to 30–50 mg for 2 weeks before and 2 weeks after surgery, using zinc picolinate.

Beverly Hills plastic surgeon Dr. Haworth also recommends these useful supplements to take in preparation for your surgery include:

B12 and Iron – Iron and B12 both aid bone marrow in forming new blood cells, so incorporate foods like fish and eggs.

Vitamin B6  250mg, twice a day for a week, starting 3 days after surgery. This helps reduce post-surgical fluid retention, such as swelling of the face, hands, feet or legs. With B6, you can experience substantial reduction within 24 to 48 hours.

CoQ10- Surgical trauma (particularly from cardiac surgery) causes an increase in free radicals, which  damage cellular function. For this reason alone, you should take at least 50 mg of CoQ10 as part of your daily routine before your cosmetic surgery and 100–200 mg/day for at least 4 weeks after.

Fiber and probiotics – This combination helps boost the immune system and also keeps your digestive tract moving along. Eating yogurt with granola is just one easy way to get a serving of both fiber and probiotics! When choosing a probiotic, consider one that contains acidophilus and bifida bacteria (follow label instructions for dosage). Surgical patients often receive oral or intravenous antibiotics in the hospital, which creates the potential for  yeast infections, digestive disturbances and diarrhea. A probiotic may help counteract these problems.

One amino acid that has been shown to speed with healing is glutamine and a study from Harvard and Dave showed that it shortened healing by about four days. Apart from supplements, glutamine can be found in beef, chicken and all types of fish. Dairy products such as cheese, milk, yogurt and eggs contain glutamine with ricotta and cottage cheese being the two richest sources. Vegetarians can find glutamine in beans and lentils. For most of his patients, facial plastic surgery specialist Haworth recommends supplemental Arnica Montana, Bromelain/ Bromezyme (this pineapple enzyme helps prevent blood clots, aids digestion while decreasing inflammation and pain after surgery) and Pycnogenol/Pine bark. This triumvirate is aimed at reducing bruising, soreness and inflammatory edema. Apart from the above, many patients inquire about any other additional medications, exercises or procedures that can be done to maximally reduce their healing times after surgery. Of course, all patients should ask their individual physicians or surgeons about their own personalized recommendations to speed up recovery which is beyond the scope of this post.  
Bioptron® Light employs a combination of polarized infrared and visible light (480nm-3400nm) considered beneficial in the treatment of wound problems and injuries by exerting its effect at the cellular level. Bioptron® therapy has a low energy density (fluency) of 2.4 J/cm2 at a distance of 10 cm and can penetrate the skin up to 2.5 cm.
This patient had impending skin necrosis around her here after a facelift. Only 7 days of Bioptron ® light therapy were administered and notice the rapid improvement in reversing the damage.
After 5 days of Bioptron® therapy to resolve bruising resulting from lower eyelid procedure to treat her dark circles/tear troughs.
After 3 days of Bioptron® light therapy to accelerate the resolution of bruising and skin injury after a breast reduction by Dr. HAWORTH.

It has been used effectively in the treatment of burns, pressure sores, leg ulcers, wounds, pain and recently, postoperative healing. Dr Haworth have found it very useful in his clinic to reduce both swelling and bruising. Supporting his experience, other plastic surgeons here and abroad have noted decreased resolution times of eccymosis and edema following surgery by over 33% with Bioptron®. Indeed, it has been used to also reverse the course of cutaneous necrosis as well as accelerate granulation of open wounds, either alone or in conjunction with hyperbaric oxygen therapy (HBOT).

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. It is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with HBOT include serious infections, bubbles of air in blood vessels and non-healing wounds as a result of diabetes or radiation injury.

In a HBOT chamber, the air pressure is increased to 3 times higher than normal air pressure and under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure. However, there is some confusion about what actually is “true” HBOT. Those employing “soft” tent like enclosures are essentially useless since they are unable to obtain a true hyperbaric environment of 2 to 4 atmospheres absolute (ATA). In fact, these personal or home-use “hyperbaric”  tent enclosures can usually only attain a pressure of 1.3 ATA. There is a debate as to how much and how many treatments are necessary to speed up recovery after plastic surgery. While most plastic surgeons perhaps recommend one preoperatively and at least 3 to 5 postoperatively, experts in the field say one needs at least 15 to 20 treatments in order to see significant results. In my experience, 3 to 5 treatments are all that is necessary to achieve the more modest goals of reducing edema, bruising and discomfort resulting from elective  plastic surgery.

After certain surgeries, body contouring plastic surgery expert Dr Randal Haworth may also recommend selective lymphatic massage/drainage to resolve edema (swelling)  of the extremities, particularly after liposuction or liposculpture.

The above aforementioned vitamins, nutritional supplements and clinical interventions may not be the panacea to surgical healing which comes in a pill form, but they certainly are a step in the right direction in making recovery from any procedure as smooth as possible in 2017.

Dr Randal Haworth

2017 Beverly Hills

       

2016 State-of-the-art lip shaping-Dr. HAWORTH on the “Doctors’ show

Very few surgeons in the world understand aesthetics to the point where they can be a  true hyperaesthetic facial plastic surgeon specialist. A hyperesthetic specialist is similar to the conductor of an orchestra-he or she needs to know all the instruments better than the individual players in order to “orchestrate” them to create melodious harmony without dissonance. One of the keys to create visual harmony in the face is mastering lip rejuvenation surgery-it’s not just about adding volume (which is essentially what most practitioners and patients equate with lip enhancement), it’s about mastering the shape of both the upper and lower lip. Patients travel  from all corners of the globe to top Beverly Hills plastic surgeon and lip augmentation specialist, Dr Haworth to undergo hyperesthetic change, which may include any number of surgical art performances including a high-profile facelift, endoscopic brow lift, blepharoplasty, rhinoplasty or his lip reshaping signature surgery! https://youtu.be/cI3nEq5R3x8

Now that you had surgery, drains are your new BFF?

At the risk of sounding like I’m standing on a soapbox, I shall repeat my mantra once again . . . how well you follow up with your post-op aftercare instructions is nearly as important as what we do in the OR. Following these protocols conscientiously can ensure a positive outcome just as ignoring them can sabotage your final results.

Remember, the doctor and the patients are a team.

This is particularly true of drains. When you wake up from surgeries involving deep incisions and dissections involving an appreciable amount of surface area such as of abdominoplasties (tummy Tucks), facelifts and browlifts you’ll likely have one, two or sometimes even three tubes coming out of small incisions, each attached a suction bulb drain. They’re unsightly, true. They’re inconvenient, yes. They can be messy, absolutely. But for the duration – and this can be anywhere from 1 to ten days – that you’ll be living with them, your drains are your new body’s BFF or at least very trusted ally!

Let’s back up a minute. When surgery is performed, it is a fact that the innumerable microscopic blood vessels and lymphatic channels are cut. As a result they leak fluid in the postoperative period. Consequently, any space that was surgically created (for example, between skin and deeper muscle layer) can fill up with this fluid as opposed to getting rapidly absorbed by the body. Drains are placed within this surgically created space in order to rapidly evacuate the fluid as it is produced. The fluid in your drain, which will diminish over time, is comprised of a physiological mixture of blood and serum. As you empty the drain twice a day, recording the amount of fluid tell us the rate of decreasing fluid production and how your body is healing.

The advantages of sporting your drains for the prescribed time cannot be underestimated. Removing drains too quickly can result in untoward fluid accumulation in a surgical space potentially necessitating uncomfortable intervention afterwards to remove it. Leaving drains in the body for the appropriate amount of time will actually decrease your healing time by minimizing fluid buildup and prolonged swelling by fostering rapid adherence of the various layers to close the surgical space.

Drain connected to a self suction "grenade" style collection chamber
Drain connected to a self suction “grenade” style collection chamber
So please keep these in mind during the initial phase of your recovery if you find yourself getting annoyed. Soon enough, you’ll be in the office and we’ll remove them. Meanwhile, if you can view your drains in a positive light rather than as an unpleasant burden, it’ll make all the difference in the world.