Tag Archives: mole removal

Airway burns from surgical fires – relevance to cosmetic surgery

Smoke Inhalational Injury from Burns


Background info on what happens with burn related inhalation injury:

  • Inhalation injury is the most important prognostic factor for mortality after burn injury
  • Total Body Surface Area (TSBA) or patient’s age doesn’t matter
  • After significant smoke inhalation, ciliary function ceases
  • Epithelial cells separate from the basement membrane
  • Edema of the airway
  • serious pulmonary injury may exist without endoscopically apparent changes
  • Fibrin casts form, may be revealed with repeat bronchoscopy.
  • Surfactant is diminished resulting in decrease in lung compliance.
  • Pulmonary fibrosis and airway stenosis is a late finding.

More background information on Inhalational Injury

How is this related to our plastic surgical practice in Modesto, California?

Surgical Procedures on the face which require the use of the Bovie

We need to be aware that inhalational injury exists.  When working on the face, the risk of a surgical fire is present in the operating room when there are anesthetic gases which can be flammable.  Oxygen is one of the main culprits for a surgical fire.  There are precautions to take by the surgical team when a surgeon uses the electrocautery device on the face for any surgical procedure – including cosmetic mole removal.

Consider evaluation by ENT colleagues.

Bronchoscopy can be done as part of the evaluation by ENT specialists (Ear, Nose, Throat) – along with follow up to rule out or manage smoke and thermal related airway injury.  A bronchoscopy could also be done by a General Surgeon colleague who has the experience.  Inhalational injuries may require ventilatory support.

Keep inhalational injury in mind

I think inhalational injury and ventilatory health is something to consider with any burns which occurs on the face, even with what seems to be a short duration burn with a small area injured.

What do we do at Surgical Artistry?


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I get this question a good deal.  I think it’s probably somewhat confusing as to what we do and we offer a lot of procedures and products.  Basically we are a two surgeon medical group offering services in Veins, Acupuncture, Plastic Surgery, and General Surgery.  That can be quite a lot.  But even with that said, it’s somewhat confusing as to what each of these items involves.  So I thought I’d make a list which doesn’t include everything, but covers most of what we do:



  • Botox for cosmetic
  • Botox for headaches
  • Botox for hand and axillary sweating
  • Botox for TMJ (jaw pain)
  • Fillers (ie. Juvederm)
  • Lip Augmentation with Juvederm or other injectable fillers
  • Vein Laser
  • Vein Injections (ie. with Asclera)
  • Face Vein treatment
  • Acne Consultation
  • Skin Care Consultation
  • Cosmetic Mole Removal
  • Microdermabrasion
  • Chemical peels (ie. Obagi Blue Peel Radiance and Obagi Blue Peel)


  • Acupuncture trigger point deactivation for muscle pain
  • Acupuncture for back pain / neck pain
  • Acupuncture for buttock pain (ie. pyriformis syndrome)
  • Acupuncture for IT band pain (side of thighs wrapping to below knee)
  • Acupuncture for fertility
  • Acupuncture for TMJ (jaw pain)
  • Acupuncture for stress / anxiety
  • Acupuncture for allergies
  • Acupuncture for fibromyalgia
  • Acupuncture for depression
  • Acupuncture for hormones (hot flashes, acne, menstrual cycle)
  • Acupuncture for facial rejuvenation (cosmetic)
  • Acupuncture to boost the immune system
  • General wellness Acupuncture
  • Anti-nausea acupuncture for those undergoing chemotherapy or pregnancy


  • Obagi Line
  • NIA 24 Line
  • Various Skinceuticals


To recover faster from workouts, prevent varicose veins, and prevent injuries

  • Calf sleeves from Sigvaris and CEP brands
  • Full calf sleeves from Sigvaris and CEP brands
  • Dress socks from Sigvaris
  • Thigh high and Pantyhose compression from Sigvaris.

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Surgical Artistry - Calvin Lee, MD / Tammy Wu, MD