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Celebrating the 4th of July in Riga, Latvia

Celebrating the 4th of July in Riga, Latvia

By Juris Bunkis, M.D., F.A.C.S.

Trust you all had a wonderful 4th of July weekend! As an immigrant to this great land, this is truly one of the most meaningful days of the year for me. Dr. Ekstrom and I celebrated in an unusual way—we were guests of Ambassador Christopher Robinson at the United States Embassy in Riga, Latvia. We enjoyed patriotic music performed by the US Army Cavalry Band and watched the Marine Color Guard present the colors.

We were in Riga to attend the biannual meeting of the Latvian Consuls from around the globe. This year, 95 consuls from 47 countries participated. As the Honorary Consul representing the Republic of Latvia in Southern California, I represented the Los Angeles Consular Corps. Over three days of intense meetings, we were updated on Latvian foreign policy, business opportunities, achievements, and anything new happening in Latvia. We met with government officials at all levels, and capped off the first day with a reception at the Presidential Palace.

One day was particularly enlightening as we heard presentations from the Foreign and Economics Ministers, followed by small group sessions and one-on-one meetings with various Latvian entrepreneurs eager to expand into the US. These interactions underscored the strong diplomatic and economic ties between Latvia and the US.

The last day was spent touring the area and spending time with relatives, making this 4th of July celebration both unique and memorable.

4th of July Celebration with Ambassador and Mrs. Chis Robinson at the US Embassy in Riga, Latvia.

Dr. Ekstrom and I with Latvian President Edgars Rinkevics.

Dr. Ekstrom and I attending the Honorary Consul Meetings in Riga.

Spotlight on Plastic Surgery – Relief from Breast Reductions – A Path to Comfort and Confidence

By Deborah Ekstrom, M.D.

Breast reduction surgery, also known as reduction mammoplasty, is a transformative procedure that provides relief not only from aesthetic concerns but also from a range of physical discomforts caused by excessively large breasts.

Benefits of Breast Reduction:
The primary benefit of breast reduction surgery is the alleviation of physical symptoms such as chronic neck, shoulder, and back pain. Patients often experience relief from skin irritation and rashes under the breast folds, as well as a reduction in posture problems. Additionally, the procedure can make it easier to engage in physical activities, improving overall fitness and health. Beyond the physical benefits, many patients report a significant boost in self-esteem and body image, contributing to better mental health and quality of life.

Who is a Good Candidate?
Ideal candidates for breast reduction surgery are individuals experiencing physical discomfort due to large breasts, such as pain, rashes, and posture issues. Those with disproportionate breast size that limits physical activity or causes self-consciousness may also benefit. It is essential for candidates to be in good overall health, non-smokers, and have realistic expectations about the outcome of the surgery.

How the Procedure is Done?
Breast reduction surgery typically involves the removal of excess breast tissue, fat, and skin. The surgeon makes incisions around the areola and down to the breast crease, reshaping and lifting the breast to achieve a smaller, more proportional size. The procedure is performed under general anesthesia and usually takes 2 to 3 hours.

Modern Techniques:
Modern breast reduction techniques prioritize minimal scarring and natural-looking results. If a significant vertical excess of skin is not present, a vertical or lollipop incision can be used instead of the traditional anchor-shaped incisions, reducing visible scarring. Liposuction may also be used to remove excess fat and contour the breasts.

Long-Term Benefits:
The long-term benefits of breast reduction are substantial. Patients often experience enduring relief from physical discomfort, improved posture, and greater ability to engage in physical activities. The boost in confidence and self-image can lead to improved mental well-being and overall life satisfaction.

Patient Satisfaction:
Patient satisfaction rates for breast reduction surgery are notably high. Most patients report significant improvements in both physical symptoms and quality of life. The combination of physical relief and enhanced body image contributes to the widespread satisfaction and positive outcomes associated with this procedure.

In summary, breast reduction surgery offers a blend of physical relief and aesthetic improvement, making it a highly beneficial procedure for those struggling with the challenges of large breasts. With modern techniques and high patient satisfaction, it continues to be a life-changing option for many.

52-year-old mother of three children, with complaints of shoulder and back strain due to the heavy weight of her breast. Shown here before and after a breast reduction by Dr. Ekstrom, going from a DDD to a C cup – her symptoms were totally relieved. Height: 5’6″ Weight: 140 pounds (actual patient of Dr. Deborah Ekstrom)

If you want to see if you can have any part of your body improved, contact us for a consultation:

For CA, please call 949-888-9700 or visit
Or for MA location, call 508-755-4825 or visit