Article on Planned Surgery for Conjoined Texas Infants Underlines the Many Medical Uses of Plastic Surgery, says Dr. J

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The Beverly Hills-based Plastic Surgeon notes that the reconstructive techniques which will be used on the Hernandez twins illustrate the more serious side of plastic surgery.

Payam Jarrah-Nejad, MD, FICS, FACS is a double board certified Beverly Hills Plastic Surgeon, with certifications from both the American Board of Plastic Surgery and the American Board of Surgery.

Dr. J adds that he has personally dealt with many of these procedures, both as part of his regular practice and also as part of charitable work he has done in such nations as Peru.

According to an article on 13 WMAZ, conjoined twins Ximena and Scarlett Hernandez are set for a major surgery, which will separate the infants and include reconstructive and plastic surgery. Beverly Hills-based plastic surgeon Payam Jarrah-Nejad, M.D., F.I.C.S., F.A.C.S., better known to patients and colleagues as Dr. J, notes that, on top of many other important procedures which will be needed – the twins now share numerous vital organs – the children will very likely need a great deal of reconstructive and plastic surgery to allow them a chance at a more normal life. He also notes that these kinds of procedures are outstanding examples of the important work done every day by plastic surgeons around the world, which goes well beyond the more commonly discussed elective procedures that dominate so much of the media discussion.

Such procedures as facial rejuvenation, body contouring, liposuction and breast and buttock augmentation, Dr. J notes, are largely designed for patients who would like to add to the amount of positive attention they get for their appearance. However, the plastic surgeon notes that a great many other plastic surgery procedures that are less frequently discussed are simply about making a person’s appearance and functioning more normal. As with the case of the Ximena and Scarlett Hernandez, many of these surgeries are performed on infants and very young children, such as repairs on cleft palates and other congenital abnormalities.

Other procedures, which might appear to be strictly cosmetic, are often something else entirely, Dr. J adds. Breast reductions, he notes, are also often obtained by younger women to avoid unwanted attention as well as to head off back pain and other physical problems. Rhinoplasties (nose jobs) are often as much to deal with deviated septums and issues with broken noses as they are cosmetic procedures. Of course, operations to deal with disfiguring traumatic incidents, from traffic accidents and wartime injuries to serious dog bites, are also often needed. Dr. J adds that he has personally dealt with many of these procedures, both as part of his regular practice and also as part of charitable work he has done in such nations as Peru.

Dr. J adds that he is, nevertheless, equally proud of his work performing specifically cosmetic procedures, ranging from breast and buttock lifts to facial rejuvenation, and much more. Plastic surgery is a serious and demanding medical discipline, and every procedure, he says, is an extremely important matter and makes an enormous difference in a patient’s life. For more information on plastic surgery of any type, interested readers can call Dr. J’s office at 310-993-3800 or visit his site at

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Bob Westal
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Dr. J (Payam Jarrah-Nejad, MD, FACS) Board Certified Plastic Surgeon
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