The Walker Plastic Surgery Blog

The Nose Knows

Posted on Jun 15, 2015 @ 12:04 PM

Deciding on Surgery

Plastic surgery is never a simple choice. It’s a permanent, life-altering decision. Even the guarantee of great results does not assuage the nervousness that precedes a surgical procedure.  This is a perfectly normal reaction. Hearing about experience from a doctor’s perspective can be helpful, but hearing the patient's story can give better insight.

Marisa's Story

Marisa is an eighteen-year-old girl who has just graduated from high school and will attend university in the fall. This past April, she underwent rhinoplasty surgery with Dr. Walker. Beautiful as she was, her nose was an area about which she always felt insecure. She wanted the surgery and recovery to be finished in time for her prom in May and graduation in June. 

Marisa Before Her Surgery

Marisa came into the office for her consultation in mid-April. With high school coming to a close, she was already worried about finishing out the school year. The idea of having a cast on her nose for one of the final weeks was a bit nerve wracking, but it was something she had wanted for quite a while. So many questions ran through her mind: How long would it take? Would she feel any pain? How much time till she was fully healed? Would she look very different?

Altering your appearance shifts how you see yourself physically and psychologically. Dr. Walker assured her of the subtle and natural correction she would make. They looked at Marisa’s “pre-op” pictures to collaboratively discuss what would be done. It was a comfort to know she had some control over what exactly would happen in the operating room.


Marisa met Dr. Walker at the surgery center at 7:00 am two days later. She got into her gown and was wheeled into the OR where the anesthesiologist placed a mask over her face and had her count down: 10, 9, 8, 7…

When Marisa woke up, she felt a weird pressure in her nose, which was encased with off-white plaster and tape. Her parents were speaking with Dr. Walker, whom she overheard say that the surgery went well. This was it. In ten days she would be able to show off her new nose.

The recovery period was a bit more of a struggle than expected. As an athlete at school, Marisa was not accustomed to staying on the sidelines. It was tempting to jump in on the action, but she took care not to ruin the wonderful gift her parents had given her. It was well worth it.

She spent the weekend resting and saw Dr. Walker the following week for a dressing change. With the lighter dressing, Marisa found that not only could she breathe out of her nose again, but she could breathe better than she had before.

By the time of the big reveal, Marisa was so excited. She sat in Dr. Walker’s ENT room with anticipation. Her mother and Kathleen (the lovely office manager) stood in the room while Dr. Walker peeled the tape off Marisa’s inner cheek bones. The plaster cast slid off with ease revealing a slightly reddened, slender new nose. 


Seeing her nose for the first time in over a week, Marisa was speachless. She just looked in the mirror and could not stop smiling. Her mom gasped and said "Oh my god, Marisa, it looks SO good!" Marisa agreed. It looked incredible, and she was so happy with her decision. 


The Aftermath

Marisa went to prom later on in May. She looked absolutely stunning in her pink and blue dress. Marisa After Her SurgeryThe surgery helped her gain assurance in her appearance and herself at a time when insecurity hits teenage girls the most. She felt so beautiful and so happy.

Promoting self-confidence is one of the most important things we can do for women of all ages.When people feel good about themselves and their appearance, it's empowering. It's one thing to tell someone how beautiful she is, but it's an entirely different thing for her to feel that way about herself.

Marisa now has a stronger and more positive view of herself. She's graduated from high school and is on to even bigger adventures in college with confidence that is as plain as the nose on her face.




 Prom and Graduation Pictures

Marisa and Her Mom         Marisa at Prom

Marisa at Graduation

Marisa and Her Parents


Marisa and Her Family









Tags: teens, Nose Surgery, teen plastic surgery, american plastic surgery, nose reshaping, facial surgery, rhinoplasty, personal story, feminism, self-confidence

A Few of My Favorite Things: Plastic Surgery

Posted on Apr 08, 2015 @ 02:43 PM

Though I, the lovely and talented media manager, write most of the blog posts here at WPS, this week I thought it might be fun to get Dr. Walker directly involved. So, I decided to ask her some questions about her favorite parts of plastic surgery. Yes it’s good to have all the information and facts laid out, but sometimes you just need to hear a surgeon’s opinion. Also, this is a great chance to have a more personal outlook on Dr. Walker’s practice! Check out the interview questions below:

Sound of MusicWhat is your favorite aspect of plastic surgery?

“My favorite aspect of plastic surgery is the perfection,” Dr. Walker said, going on to explain how every small detail in plastic surgery is incredibly important. She explained how she has always been incredibly meticulous and overly-organized from the time she was a little girl. She was always interested in science, but also had an artistic side. “I was taught to sew by my Norwegian grandmother,” she said. “I like the artistic quality of fashion, clothes, and sewing.” For her, plastic surgery was a compromise as it’s the most artistic field within medicine. “I wouldn’t call myself a true artist, but I would say I have an artistic sense.”  

What is your favorite procedure to perform?

“I find facial procedures most anatomically interesting and surgically challenging,” she told me. The face is the first thing you notice about a person and requires the most care, surgically speaking. “Face lifting procedures are some of my favorites because they’re multi-complex, require great technical skill, and require attention to minute detail. I also like to perform rhinoplasty for the same reason.”

Sound of Music Gif

If you could, would you perform this procedure on yourself? If not, what is one procedure you wish you could perform on yourself (logistics excluded)?

“Yes, absolutely! Definitely I would perform it on myself,” she said. “I look in the mirror every day wanting to perform this procedure.” She disclosed about nasal procedures though that “I wouldn’t perform a rhinoplasty on myself because I don’t need it.”

What is your most highly recommended procedure?

“I recommend a blepharoplasty,” which is an eyelid lift. As we get older, our skin loses collagen and elasticity so we start to look more worn. Dr. Walker explained that “it takes the tired look out of the face,” and as a result can give a more youthful appearance that most patients desire.

Do you prefer small treatments or large operations?

“I prefer to do larger operations because I like to focus on a number of different things. I like to do face and eyes in concert. I think it looks better,” she said as far as her older patients go. For “younger patients, I like to do a series of operations over a period of time so no one realizes they’ve had plastic surgery.”

Sound of Music Gif part 2How have your preferences changed since you started your practice 20 years ago?

“I always liked to do facelifts and facial procedures, but the way I do them is different now,” she told me. As with most areas of medicine, procedures change with new research and development. “I have a more minimalistic approach,” said Dr. Walker. “Structural fat grafting has definitely changed the way I approach facial procedures.”

Tags: Nose Surgery, fat augmentation, american plastic surgeons, american plastic surgery, nose reshaping, Surgery, facial surgery, plastic surgery, look younger, facelift, eyes, eyelid, eyelid surgery, blepharoplasty, rhinoplasty

5 Benefits of Plastic Surgery

Posted on Mar 20, 2015 @ 10:13 AM


The benefits of plastic surgery are plentiful and often more than skin deep. Though the media portrays plastic surgery as "fake" and "superficial," there's a side to it that people don't get to see often enough. Many of the benefits of plastic surgery are far less obvious than one would imagine. A lot of care and artistry goes into the practice. Here are five benefits of plastic surgery:

1) Appearance

Without a doubt the most noticeable benefit of plastic surgery is overall appearance. This too is what most people tend to associate with plastic surgery, and for a good reason. Though it may seem superficial, everyone likes to look their best for emotional or psychological reasons. No matter what procedure you are considering, the end-result will be a physical transformation that will be noticed.

2) To look more natural

While the media likes to promote plastic surgery that makes people look less real the more common benefit is to look more natural. For many a plastic surgery procedure can provide the balance and proportions needed to give their appearance a natural and healthy look. It sounds ironic, but the reality is that plastic surgery works to reduce evidence that surgery or trauma ever occured. Looking at victims of physical injury or those with birth deformaties it is easy to see how plastic surgery would be the best solution as it provides the most natural reparative results. 

3) Self-confidence

Some people choose plastic surgery to balance the way they feel on the inside with the way they look to others. They seek to look as young as they feel and see plastic surgery as the solution. Their new look inspires self-confidence and can trigger significant benefits to mental health, such as fewer feelings of anxiety or depression.

4) Kick start a lifestyle

The benefits of plastic surgery can also ultimately include benefits to one's health as a whole. For some, the idea of any form of public exercise when they aren't in ideal shape is insurmountable. Whether it is wearing tight exercise gear or just feeling out of place, plastic surgery can help alleviate those concerns and ultimately, kick off their journey toward better overall health.

5) The final touch

Sometimes working out endlessly may just not be enough for someone to acheive their desired results. For many who may have already undergone a major transformation by way of a procedure such as gastric bypass, accompanied by healthy eating and lots of exercise, a tummy tuck or body contouring procedure may be the last piece of the puzzle to getting the body that they really want.

The benefits of plastic surgery are wide and varied, and each person is different. Anyone considering plastic surgery should have a frank discussion with a qualified and trustworthy professional in the field who can help him or her in determining which of these potential benefits may be applicable to them.

Tags: dc plastic surgery, celebrity plastic surgery, dc reconstructive surgeons, teen plastic surgery, anti-aging, Surgery, health and wellness, benefits of, plastic surgery, asps, reparative surgery

6 Ways to Get Ready for Spring

Posted on Mar 17, 2015 @ 10:38 AM


Spring has sprung! Well, not quite yet, but the weather is getting warmer, flowers are coming out, and there is no more snow in sight (for now)! There is a wonderful sense of hope that accompanies spring. You start to feel young again. Spring is a season of change and rebirth where everyone starts to feel their best. Isn’t it great when you can look just as good and youthful as you feel? Here are six ways you can get ready for the new season:

1)      LATISSE®

LATISSE® is a great way to start out spring with that thick, full look for your eyelashes you’veEyelash Model always wanted. Daily topical applications to the root of the eyelash will give you noticeable results after roughly a month to six weeks of use. Eyelashes, like the hair everywhere else on your body, grow to a certain length before they fall out. This process is referred to as the eyelash life cycle. LATISSE® works to increase your eyelashes’ life cycle by attaching to specialized receptors in the lash root and stimulating the follicle to switch from its resting phase (Telogen) to its growth phase (Anagen). As a result, your lashes can grow thicker and longer.

2)      Vi Peel

The Vi Peel can help you shed that extra layer of your winter coat. The dry winter season can cause many to break out and dry out resulting in minor pigmentation; not the best way to start the “season of rebirth.” An in-office topical treatment can help alleviate these symptoms. Vi Peel can be used to treat acne and minor pigmentation on the face, chest, and back. Like your hair, skin has a life cycle of its own and naturally sheds off every three weeks. Vi Peel is a chemical peeling agent that speeds up this process by causing your skin cells to turn over more rapidly. Once that top layer of dead skin comes off you can enjoy the fresh new skin that lies beneath.

3)      TCA Peel

The TCA Peel is much like the Vi Peel and works in a similar way, only it is slightly stronger. The TCA peel is often used to treat deeper pigmentation as well as acne scars, lines, and wrinkles. In addition to increasing the turn-over rate of your skin cells, the strength of the TCA Peel affects your skin’s deeper layer to reduce the appearance of unwanted marks. It’s another great way to look fresh for spring!

4)      Botox

Most already know that Botox helps to reduce minor lines and wrinkles that start showing up Spring Chickenfor those of us who are no longer twenty. Botox works by temporarily paralyzing targeted muscle groups to prevent movement (both voluntary and involuntary) which could deepen wrinkles. Your skin’s natural elasticity then works to smooth over the beginnings of wrinkles and lines without the intervention of muscle movement. The result is smoother, younger-looking skin with which you can greet the new season!


5)      Lip and Face Fillers

Fillers like Radiesse, Silk, Juvederm, and Voluma C are another excellent way to achieve younger-looking skin. As we get older, our skin starts losing fat and collagen. Fillers plump up your skin and give back the volume that can be lost with age. Combine them with a "little" Botox for even more pronounced results. Not exactly a "spring chicken?" No one else has to know!

6)      ZO Skin Health

Last, but certainly not least, ZO Skin Health products are a must have for the season. Spring BreakSpring is coming and with it the fun and sun of Spring Break. As we put the winter behind us, we tend to get a little complacent with skin care. After months of hibernation, the sun can do worse damage to our skin because most of the time, we don’t come prepared. This can result in unsightly wrinkles and even worse, skin cancer. Keep your skin healthy and protected with moisturizers and sunscreens from ZO Skin Health. An easy way to stay worry free while enjoying the warm months ahead!

Tags: botox, refreshed, spring break, sun care, sunshine, skin cancer, look younger, spring, rejuvenate, rebirth, skin care, selfie

“Shared medical appointments” results in more face-to-face time between patients and their surgeons

Posted on Dec 12, 2014 @ 11:51 AM

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You may not be familiar with shared medical appointments (SMA)s. SMAs are a gathering of at least two patients, who are seen together by a doctor and/or entire healthcare team in a setting that encourages questions, sharing, and experiences.


Though not for everyone, SMAs are experiencing an increase in popularity. Many SMAs now include an individual, private examination and meeting with the doctor, maintain the confidential feel of a surgery decision while hearing from other patients who are also considering a surgery or have already experienced one.


According to a study by the American Society of Plastic Surgeons, “patient satisfaction rates were compared for 26 women who chose an SMA against 26 who chose traditional appointments. Results demonstrated very high patient satisfaction rates—89 percent overall and 92 percent with regard to the thoroughness of care, in both the shared and individual appointment groups. More than 75 percent of patients who participated in the shared appointments said they would be likely to choose the same option in the future.”

Tags: sma, shared medial appointments, plastic surgery, asps

Breast size and teen mental health

Posted on Dec 09, 2014 @ 03:56 PM

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It’s no surprise that teens are, at any time, at a state of emotional fragility. As young girls make their transition into adulthood, many are bothered by their shapes. But just how much does this dissatisfaction affect them?


A recent study by the American Society of Plastic Surgeons shows that “differences in breast size have a significant mental health impact in adolescent girls, affecting self-esteem, emotional well-being, and social functioning.”


"The observed impaired psychological well-being of adolescents with breast asymmetry may indicate the need for early intervention to minimize negative outcomes," wrote Dr. Brian I. Labow of Boston Children’s Hospital (and coauthors).


The study went on to point out that plastic surgery is not always the answer, particularly in younger girls. Instead, mental support or consultation may be the appropriate answer.

Tags: breast aug, teens, mental health, teen plastic surgery, plastic surgery and mental health, breast augmentation, plastic surgery

Reparative tribal piercing plastic surgery on the rise

Posted on Dec 05, 2014 @ 08:58 AM


With every trend that involves “permanently” puncturing the body comes a new one a few years down the road: restorative plastic surgery.


A few years ago, it was very trendy to get “tribal” style ear piercings—often called gauges—which create large holes in the ear. The result? Now, a few years later, is that participants in this once-fashionable statement are turning to plastic surgery to restore their more natural pre-trend look.


According to CBS News: “Cutting away the excess skin is the only way to fix them. So Palmer had cosmetic surgery to reshape his earlobes. Plastic surgeon Adrian Richards says the procedure involves removing the excess stretched ear tissue and using internal and external stitches in the earlobe to recreate a more normal shape.”


Personal preferences aren’t always the main reason people undo their extreme looks, either. Many patients seek out restorative surgery because they find themselves difficult to employ.

Tags: reparative surgery, tribal piercings, ear gauging, ear surgery

“Selfie Era” brings increased demand for plastic surgery

Posted on Dec 03, 2014 @ 11:23 AM


It should come as no surprise to anyone with a smart phone that the increasingly popular “selfie” has brought about a new trend with it.


Plastic surgery—particularly procedures that affect the area seen in a selfie (above the waist)—has enjoyed a surge due to this social media phenomenon.


According to a poll by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), about a third of its 2,700 members indicated seeing an increase in requests for procedures due to patients being more aware of their image in social media. This was shown in a 10% jump in rhinoplasty last yaer, as well as a 7% rise in hair transplants and 6 % increase in eyelid surgery.


Tags: facetime, plastic surgery, selfie surgery, skype, selfie

This winter, some women opting for surgery to fit into boots

Posted on Nov 28, 2014 @ 10:22 AM

Every woman loves a great pair of boots, especially in the winter. But while many rely on footwear as a fashion statement, some are going to extreme lengths to to wear the season’s trendiest looks


According to Dr. John Zavell in Toledo, Ohio, women are opting to surgically remove excess muscle or fat from around the calf and thigh to fit into boots. Women are turning to “liposculpture” to wear the season’s best-known footwear.


But if you’re going to undergo this surgery, which can cost up to $12,000, plan ahead: recovery time can be up to half a year, meaning you’d have to wait til late spring just to debut your new look.

Tags: boot, calf surgery, winter surgery, winter, boots, plastic surgery, winter fashion

Botox breast lift?

Posted on Nov 25, 2014 @ 11:10 AM

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With breast lifts being one of the most popular surgeries in America, it’s no wonder doctors are attempting to make the procedure faster and less invasive.


“It is a knifeless instantaneous breast lift,” says Dr. Neetu Nirdosh, creator of the procedure. According to Yahoo News, “the “breastox” treatment, Nirdosh says, takes less than 30 minutes, lasts for up to six months, and promises to make breasts look perkier and up to one cup size larger. The technique purportedly works by using Botox to relax the pectoral muscles, which leaves the shoulder muscles to do the heavy lifting—hence the “breast lift.” “


However, Dr. Jennifer Walden, an Austin-based surgeon, expressed skepticism: “Botox cannot do what a surgical breast lift can do. People who are candidates for a surgical breast have excess saggy skin and drooping. Botox can’t address any of those things.”


For a more permanent solution, opt for a surgical procedure to ensure lasting results.

Tags: breast lift, botox, botox breast lift, breast surgeries