Locations
Ocbody.com
San Clemente, CA
Phone
Practice website
Insurances accepted
Medicare
Office
San Clemente, CA
OcBody.com
Orange, CA
About
Bio
I am a board certified plastic surgeon in Orange County California who splits his practice between pretty breast and body cosmetic work and wound care and breast reconstruction for cancer and trauma. I also blog at CosmeticSurgeryTruth.com .
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Plastic Surgery
Breast Surgery
Doctor Q&A
332 Answers
47 Agrees
The number of answers this doctor has agreed with.
A 29-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Scar Revision: Painful scars at a year of age might best be managed by revision particularly if they are wide as long as they are not true keloids.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Flip that around: It is better to finish childbearing first if childbearing is still in the picture. Breastfeeding might be easier before breast reduction surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Varies: In an extreme case, a plastic surgeon closes it using tissue from a nearby body area. It depends upon how deep and involved the wound is and the overa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
No: You could traumatize the keloid and it would probably get worse. Not a good idea.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Depends: This depends upon the surgeon's schedule and whether or not you need any preparatory work such as medical clearance from your doctor. It can also depe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Several....: Bleeding , infection , skin loss, disfigurement. These are much less common if you retain proper surgical talent of course.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Debatable: It depends upon what you might want done. Plastic surgeons specialize in a variety of areas including cosmetic, cancer reconstruction and wound recons... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Usually: The quality of a tummy tuck result depends upon what condition you are in, your health and your surgeon's expertise and care. Good surgeons in patient... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
See another surgeon: See another surgeon to see if you can have that cyst removed as opposed to "needled.".
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Increasing: While the interest in labiaplasty is increasing, it is not nearly as popular as breast implant surgery or liposuction.
It is increasing though. Te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Liposuction works...: Lipozap the last time i checked was out of business. It was not terribly or reliably effective.
http://www.cosmeticsurgerytruth.com/blog/?p=2120.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Usually 3-4 times: A full tummy tuck is usually 2-4 times the work of a mini, and the recovery time is longer. The restrictions after surgery are also more stringent for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Size & Symptoms: Breast reduction is usually performed for women with large breasts and associated back, neck pain or shoulder pain.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Tummy Tuck pregnancy: After tummy tuck pregnancy is not a good idea particularly if the tummy tuck included a muscular repair. This repair will at the least be stretched by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Depends....: That would depend upon your reason for the visit. Each might be better at certain things. No one is great at everything. :).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
3-6 months: It really depends upon how long it takes for your weight to stabilize after the pregnancy.
3 months is a good minimum but i examine patients to be s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
No...: Bumps can be small infections or just a reaction to irritation. :).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Zerona?: Zerona is not liposuction. It is not well regarded by many in plastic surgery and might not turn out to be effective. I consider it an experiment:
... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Stretching again: It is optimal to have tummy tuck surgery once you have completed childbearing. The results of surgery can be diminished by pregnancy afterward. The ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Labiaplasty: Surgery is unfortunately the only way to re-design the labiae to make them hang less.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 53-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Not really: At this time tummy tuck surgery is the mot reliable way to minimize loose skin in the abdomen.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old male asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Why Take the Chance?: It might not be a problem but why take the chance? Just try to get the psoriasis controlled beforehand.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
You can....: Anesthesia is the patient's choice in most cases.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Controversial: Performing such a sensitive operation at such a young age is controversial. This is not standard. If her doctor actually recommended it, that makes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Sometimes....: Simple breast implant removal can at times be performed under local anesthesia. More involved surgery such as capsule removal and/or breast lifting wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Nope....: I would center your efforts on getting the drinking problem eliminated. Pass on the tummy tuck for now. :).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Yes and No.: Doing the operation under lesser anesthesia is possible, but the results will probably not be as good. Having you relaxed during the surgery is key to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Better to wait: You can but you are better off waiting for the tummy tissues to soften for a few months. There is swelling in there after pregnancy that takes a while... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
They vary...: Many have sponsorship programs by which doctors without many good reviews can pay to get their profiles featured highly. Other sites "filter" reviews ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Genetics and...: Genetics is half of what we are. The other half is the influence of our environment. This can include trauma and activities in the case of the shape o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 18-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Not usually.: Tummy tuck surgery is consider cosmetic surgery and is rarely reliably covered by health insurance.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
They can.: The labiae are elastic but can stretch over time. The tendency for this is probably genetic.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Tuck vs Body Lift: A body lift addresses more laxity at the sides and back. A tummy tuck is tuned to the front of the abdomen mainly.
It is really a matter of where y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
It can be.....: Tummy tuck surgery is amongst the largest scale operation a plastic surgeon can offer. Some are larger than others though. It depends upon the problem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Rarely: Cancer can grow in long standing pressure wounds. These cancers are rare. They are named marjolin's ulcers after a french man.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 50-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
It cqn be.: Liposuction and a tummy tuck together often produces a picture patients refer to as "swell hell." this swelling can take a while to subside and is one... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 29-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Not really...: It is not practical as it is hard to see the difference between ducts and fat. There is liposuction, but it might damage the ducts a bit as well.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Sorry to hear....: I am sorry to hear of your troubles. Stay close to your surgeon's office until this problem is resolved. Good luck. :).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Many possibilites: You might have an infection. If this persists, see your doctor. :).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Maybe: You would probably be able to do so, but might be pushing it a bit. It would also be likely that with more than a little breastfeeding duty after surg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Mild soap: Try a mild hypoallergenic soap like cetaphil.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
More inforamtion: The applicability of liposuction revolves around weight, fatty distribution and body shape. There has to be fat that is available for removal in areas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
It might: Acne prone skin can be hard to treat as too much stress can cause a breakout. You are better to see a dermatologist on this one.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Different training: Oral and maxillofacial surgeons start in dental school and plastic surgeons start in medical school. At the end of the day, the individual surgeon va... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Tummy Tuck Garments: Loose-fitting clothing over a compression garment. To the surgery center, patients wear sweats commonly so they don't have to lift their arms and can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 50-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Yes, but...: It is less uncomfortable when the patient is under a short anesthetic. All because it can be done under lesser anesthesia doesn't mean it is better do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Might be....: Tummy tuck surgery is best performed after childbearing is completed. If you were to have a tummy tuck and/or a breast lift at 25 years of age, your r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
"Lipo Plus": Lipomatic is an ultrasonic liposuction system. I have not used it but I have used similar systems before. I call liposuction modifications using ultra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 63-year-old female asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Cancer shrunk: If this was a small skin cancer it might be a reasonable choice. Some basal cell cancers shrink when biopsied as the patient's immune system seems to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. John Di Saiaanswered
Plastic Surgery 33 years experience
Medical Clearance: When medical issues are questionable, the patient is evaluated by an internist to assess peri-operative risk. If this evaluation is positive, surgery ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
5
Recommendations
164
Thank you notes
HealthTap member
Nov 12, 2012
My labiaplasty surgeon of years ago. He did an amazing job. After reading the scary stories of other women's labiaplastys by other doctors I feel blessed to have met him.
He is the best and not ar...Read More
HealthTap member
Mar 30, 2015
Dr. Di Saia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Di Saia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank You! Share thanks in your own words...
HealthTap member
Thanks for your quick reply! Share thanks in your own words...
HealthTap member
Thank you, your answer or tip was very helpful! Thanks alot
Education & Training
Medical/Graduate school
UC Irvine School of Medicine, CA
Graduated 1990MD
Residency
UCI
Residency
UCI
Awards
Top Plastic Surgeon , First Place, Orange County, CA - Winter
2013
HealthTap Founding Doctor
Publications
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less