Archive for the ‘Help for patients’ Category

Safety in Plastic Surgery – Part 1 – Palo Alto

Safety in Plastic Surgery

I am initiating this blog purely to provide as much information as I can about safety in plastic surgery to keep all patients of all doctors nationally and internationally safe, comfortable, and with pleasing results.

To do this, we must first consider what is important, or should be foremost, in the minds of all patients and all plastic surgeons. The big three of plastic surgery are safety, quality loving care, and beautiful results. These three will come up again and again in my discussions.

I have practiced plastic surgery for well over 30 years and have seen many breaches of these three Absolute Principles singularly or in combination that have led to disastrous results and even death. In addition to my medical practice, I have a legal consultation practice that has allowed me to sort out disaster after disaster.

Why do patients keep making the same mistakes in regard to safety in plastic surgery? They follow slick ads; they believe incompetent, untrained doctors; they go to non-surgeons for surgery; they follow prices that are too good to be true; they have surgery without an MD anesthesiologist in attendance; they have surgery in facilities with no accreditation; they have surgery in places with no RNs and no licensed surgical technicians; they have surgery in facilities run by $13 non-licensed workers; and on and on. I have seen examples of disasters emanating from each of these and far more.

So the entire effort of these writings will be to help patients obtain the goals they must certainly want: safety, quality loving care, and beautiful results. This is a patient resource guide that hopefully will establish simple guidelines patients can employ to attain their goals. The established goals are simple, but the long list of tragedies I have seen and continue to see make it apparent that the road is a slippery and treacherous one. It is a road with horrible signage applied by doctors who live and win by deception.

It is time to begin the journey. One hint today regarding safety in plastic surgery: never, never, never have surgery unless the doctor professing to be a plastic surgeon is a real, trained surgeon. You must never have surgery unless your doctor is a Fellow of the American College of Surgeons. The doctor must have FACS after his or her name.

This at least assures the doctor has gone through a residency of 7 to 10 years of training in a program recognized by the American Board of Medical Specialists. This board grants the FACS if and only if the doctor is a fully trained surgeon who has passed required board examinations in his or her field. FACS or NO SURGERY. This is the hint of the day.

Thank you and my best,
Dr. C
George W. Commons, MD, FACS, ABPS

To find out more about safety in plastic surgery, contact our office.

Posted in Avoiding Unhappiness, Bad Doctors, Help for patients, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Patient Dissatisfaction in Cosmetic Surgery, Patient Safety, Plastic Surgeon Palo Alto, Plastic Surgery on December 6th, 2013

Liposuction – Weight Gain – Where Does Fat Go? – Palo Alto

Liposuction

After liposuction, fat will be deposited in a different pattern than if you never had liposuction. Since treated areas have less fat cells, they will expand, but much less.

Unfortunately, if you do gain weight, the fat will be deposited in non-treated areas. These may include arms, shoulders, back, legs, face, and inside the abdomen on the mesenteric fat. There is no good place. If you gain a huge amount of fat, you will not look good. Your arms and shoulders may become very large. Breasts also gain fat size, which may or may not be okay.

I ask my patients to do the following after liposuction:

1. Reflect the weight I removed when you step on the scale.

2. If overweight, match the weight I removed.

3. Know your body fat percentage and never let it increase.

Remember the following:

Liposuction does not cause weight gain, but many people do gain weight in the years after liposuction. Why? The simple answer is that humans tend to gain weight as they age and to exercise less. The result is weight gain plus gain in body fat percentage.

As we age, we must eat less and exercise more. But we do not. We eat too much. Our lean muscle mass decreases. Our body fat percentage increases. Try to reverse this. Strive to be thinner, happier, and smarter. It is possible.

If your weight is up, you eat too much. If you choose to blame hormones, or your mother, or your upbringing, or job stress, or anxiety, etc., go ahead. But in the end, it is impossible to deny that if it doesn’t go in, it doesn’t go on.

We eat too much. Not all of us. But at least 70% of us eat too much and hasten aging and Alzheimer disease. 50% of people over 85 have Alzheimer disease. Alzheimer increases with body fat percentage, with excess weight, and with insufficient exercise. Get to work. The motivation is fantastic.

Why do humans gain weight more often than lose weight, and how can we stop it?

1. Eating more calories than you burn off. Calorie count or fail is my rule! To not calorie count is just plain dumb and silly. Do you keep track of your dollars? Then keep track of your calories. Calories are far more critical than dollars in the long run.

2. As women age, they tend to gain weight and body fat percentage in their bodies. We must eat less and exercise more as we age. We must know our body fat percentage and measure it yearly. It’s easy, and the cost is less than $99 a year. We must choose our food and calories well. We must calorie count or fail.

3. We must take one multivitamin a day and 3000 mg of Omega 3. In addition, we must take vitamin D. This not only stimulates our bodies and facilitates weight management, it also prevents Alzheimer disease.

4. We must keep a daily record of our caloric intake and account exactly. We must keep a daily exercise schedule in our daily record. Our daily record must be kept close to our hearts and we must honor it. Otherwise, our heart does not stay healthy.

5. We must state our goals in our daily record and adjust daily or as needed. Keep a daily journal. We must write down why we want to be thinner, healthier, smarter, and avoid Alzheimer disease. Remind yourself 10 times a day. We must record our weight daily, measured in the a.m., first thing, stark naked, and before we do anything else.

6. We must want to be the right weight or we will fail. Desire. Motivation. Goals. Intellect. Happiness. Liposuction or not, this is what it takes. Weight gain or loss has nothing to do with liposuction. It has everything to do with your brain.

7. If you eat too much, of course you will gain weight. Guaranteed. We gain weight because we eat too much…period!

8. Good luck. Count your calories and study yourself 100% or you will fail. What a pity to fail when you can so easily win. A pity! You can win. It is all up to you. Please win. We all want one another to win. Human beings are compassionate and caring. It is all up to you and your brain. As your plastic surgeon and friend, I want you to win! Please, please, win it all!

9. When we get thinner, happier, and smarter, our friends and loved ones do the same. We help those we care about.

10. Those with the maximum lean muscle mass and least fat live longer. If you want to go to Heaven, fine, but no Holy Book suggests speeding the process with an early death.

Best,
Dr. George W. Commons, MD

To learn more about liposuction and keeping the weight off, contact our office.

Posted in Ankle Liposuction, Arm Liposuction, Body Procedures, Calf Liposuction, Help for patients, Hip Liposuction, Knee Liposuction, Liposuction, Liposuction Palo Alto, Male Liposuction, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Plastic Surgeon Palo Alto, Plastic Surgery, Pubic Liposuction, Thigh Liposuction on December 6th, 2013

Facelift Anatomical and Marketing Terms

Facelift, Minilift, Threadlift, Cheeklift, Browlift, Weekend Lift, Midface Lift, Neck Lift.
If you asked 100 surgeons what a facelift describes, you would get 100 different answers. Confused? So are the surgeons. Let us first separate the anatomical terms from the marketing terms. Neck, brow, face, forehead, cheek, and midface are all at least anatomical terms that are somewhat self descriptive. Then there are the vast array of marketing terms that are as diverse and varied as there are surgeons concocting the name. The marketing terms include but are certainly not limited to the American Lift, the Brazillian Lift, the Wonder Lift, the Noon Lift, the Minilift, the LA Lift, the NYC Lift, Miracle Lift, Quick Lift, String Lift and on and on. Please separate the marketing terms from anatomical terms. Marketing terms are silly names contrived to SELL. When you see a marketing term for a facelift, leave and go to a different ABPS surgeon who discusses anatomy. We will pick likely the most common marketing term for a facial procedure and discuss it in detail; that is the minilift.

The Minilift is a marketing term. No surgeon on Earth knows exactly what a Minilift is. Understand carefully that Minilift is a marketing term. This term is used by surgeons because every surgeon knows patients want something simple and quick. The minilift is born. The minilift is something vastly different from the ideal standard FACELIFT. A minilift is LESS. The name is MINI and the results are MINI. Likely, in the minds of many, the hope is maxi results but mini surgery and cost. Maxi results will not happen with a Minilift. In a minilift there is less of everything. Less skin correction, less fat correction, less wrinkle correction, less, if any, muscle work, and less and less and less. It is MINI. Instead of the 4 or 5 hours for a great standard facelift, a minilift takes 1.5 to 2 hours. A surgeon simply cannot and does not do much in an hour or two. A patient may be happy with a mini if they have MINI expectations. They rarely do. Avoid the mini and do not waste your money.

The standard accepted facelift attains correction of cheek, lower orbit area, nasolabial fold, jowls, and neck. If the patient desires, this can be accompanied by a brow lift. The best browlift is the endoscopic browlift for most patients. Upper and lower eyelids may be also added. So the standard facelift is an anatomical term. The standard facelift is not a cookie cutter procedure but rather a procedure customized to the patient. Excess skin is removed. the cheek and lower orbit are elevated, the fat pads are elevated, the jowls are corrected, the neck is corrected. This takes 4 or 5 hours and has life time durability in many ways. If you are considering a facelift, have the real procedure. People sometimes fear they will look stretched or DONE after a standard facelift. This will not happen. The stretched look is a result of too many skin lifts combined with peels, laser, or dermabrasion. Once done, a standard facelift shows benefit for your entire life.

What is new in real, well done, standard facelifts. Likely the biggest addition has been the addition of fat grafting to the deficient areas of the face. Where does the fat come from? The fat for facial grafting is best taken from a stable area such a arms, flanks, thighs etc….area of lipo disproportion. A big part of our aging comes from fat loss. Think about the hollow eyes, thin lips, and hollow cheeks of older people. Fat addition restores a youthful look. Stable fat graft take well and last a lifetime. Fat grafting is becoming a part of the well done standard facelift.

Should you have questions about any aspect of this facelift topic send a communication to Dr Commons at drcommons@gcommonsmdplasticsurgery.com or call at 650-328 4570…….or email me at gwcommons@gmail.com. All questions will be answered and consultations can be arranged. Thank you, Dr Commons

Posted in Face Procedures, Facelift, Facelift Palo Alto, Help for patients, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Patient Safety, Plastic Surgeon Palo Alto, Plastic Surgery on August 21st, 2013

Never remove fat from the lower eyelid area

Far too much fat has been removed from the lower eyelid area over the years. This has been done to correct puffs in the lower lid predominantly. It is far far better to simply relocate this fat in a better position. The lower eyelid and orbit area becomes deficient as we age and hollowness results. We get a skeletal look. This happens as we age, but it is important no surgeon speeds it along. The proper operation for the lower eyelid in 2013 is the eyelid – muscle suspension – midface lift combination. In this procedure all fat is saved and the cheek is elevated. Then a muscle suspension is done ans well as the cheek lift. This restores a youthful look and is ideal. So remember, never let a surgeon remove eye fat. You need every drop. My Best, Dr C

Posted in Face Procedures, Facelift on July 17th, 2013

Facelifts done properly are durable and bring happiness

There are many offers on the internet for the quick and easy facelift and how great it is. Do Not be fooled. Remember we are all suckers for a bargain or supposed easy route to an endpoint. What seems to be, and is billed as an easy route, may well be a detour laden with bad road and dangers. Mini lifts give mini results and the endpoint is mini, if any happiness. If you are 45 years or older, you need a real facelift. Do not dance around with the mini lift, the noon lift, the back to the office the next day lift, the quick lift, the limited lift and on and on. Remember with the limited facelift you go in with a lot of money and a lot of expectation and you end up with limited, if any gain as well as LIMITED MONEY.

A real facelift costs a little more but, wow, is it ever worth it. The real facelift lasts a lifetime. The real facelift addresses the SMAS and lifts it permanently, The real facelift lifts the cheek fat and puts it back where nature first started it. The real facelift get rid of excess facial skin accumulated over the 45 + years. The real facelift involves adding fat to deficient areas under the eyes, in the cheeks, at the mandibular border, under the brows and hollow sunken eyes, and around the mouth and lips. The real facelift address and correct permanently, neck bands. The real facelift results in a beautiful neck line of youth. The real face lift removes neck and under chin fat and often places it in areas of need. The real facelift usually addresses the lower and upper eyelids. The real facelift usually addresses the dropped forehead and brow and give beautiful lift and correction of frown. Why fool yourself with some limited procedure with minimal and unhappy results. That is just a waste of your money.

A real facelift takes about 5 hours and longer, if eyes and forehead are included. The procedure may last 8 to 9 hours, but then it is all done. You are asleep during the procedure and are very safe under the care of an MD anesthesiologist. Recovery to return to work is 2 weeks at the longest. There is not much pain with facial surgery. The modest discomfort is controlled with pain medication and sedatives for the first week. Yes you must make this care and time commitment but then it is done and you will look great for years to come. You may need a touch up in ten years and a little botox and juvederm off and on but overall, the results last a lifetime. Yes, many of the facelift changes last the rest of your lift. Choose wisely. Think. Select a surgeon that is FACS and ABPS. Do not be lured by offers that seem to offer things too good to be true. If it’s too goo to be true, IT PROBABLY IS NOT TRUE!

My Best, Dr C

Posted in American Association for Accredition of Ambulatory Surgical Facilities, American Board of Plastic Surgery, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Avoiding Unhappiness, Botox, Commons in Print, Endoscopic Forehead Lift, Face Procedures, Facelift, George Commons, Palo Alto Area Patient Profiles, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Patient Safety, Plastic Surgery, www.aaaasf.org, www.plasticsurgery.org, www.surgery.org on July 16th, 2013

Ten Steps toward methodically choosing a real plastic surgeon

1. Assure the doctor is a Fellow of the American College of Surgeons and therefore a true, fully trained surgeon, boarded in a surgical specialty.
2. Assure that the surgical specialty is plastic surgery and that the doctor is boarded by the American Board of Plastic Surgery.
3. Assure the proposed plastic surgeon has extensive experience and a special interest in the surgery you are considering. Ask the surgeon about interests and look on RealSelf.com and other talk sites. Check the doctor’s web site carefully. Check photos that are displayed.
4. Assure the proposed plastic surgeon has privileges to do the surgery you are considering at a major JCHS hospital.
5. Assure the plastic surgeon’s office based surgery facility is fully accredited by a major accrediting agency accepted by the American Society of Aesthetic Plastic Surgeons.
6. Assure the proposed plastic surgeon’s operating facility is staffed by an MD anesthesiologist at all times. Assure your plastic surgeon guarantees this.
7. Assure your proposed plastic surgeon guarantees RNs at the surgical facility at all times. RN = Registered Nurse, licensed in the state of the proposed surgery.
8. Assure your proposed plastic surgeon guarantees licensed Surgical Technicians are present at each surgery and that they do all sterile surgical instrument preparation.
9. Assure your surgeon has licensed RNs present in the Recovery Room at all times.
10 Assure your proposed plastic surgeon lives within 30 minutes of the surgical facility and can and will respond personally to each and every emergency you may encounter.

My Best, Dr C

Posted in Adbominoplasty, Anesthesia in cosmetoc surgery, Ankle Liposuction, Arm Liposuction, Artistry in Plastic Surgery, Awake Surgery, Axillary Hyperhydrosis, Backrolls, Bad Doctors, Belly Button Repair, Blepharoplasty, Body Procedures, Botox, Breast Implants, Breast Procedures, Breast Reduction, Calf Liposuction, Dermabrasion, Ears, Face Procedures, Fat Transplantation, Hands, Help for patients, Hip Liposuction, Juvederm, Knee Liposuction, Liposculpture, Liposuction, Male Liposuction, mommy makeover, Nose, Otoplasty, Palo Alto Plastic Surgeon, Patient Safety on July 16th, 2013

Is the doctor a real plastic surgeon? Best ten questions to ask.

Doctor please tell me:
1. Are you a Fellow of the American College of Surgeons and therefore approved by the American Board of Medical Specialties as a real fully trained and boarded surgeon?
2. Are you boarded as a diplomat of the American Board of Plastic Surgery and therefore a real fully trained plastic surgeon?
3. Do you frequently do the surgical procedure I am considering and how many have you done in the past year?
4. Do you have vast experience in the procedure I am considering and can you talk to me about this?
5. Do you have privileges at a major JCHS hospital to do the same procedure I am considering to have done at your surgery center or office facility?
6. Is your surgical center or office facility accredited and certified for the type of surgery I am considering and will you please offer me some verifiable proof?
7. Do you have an MD anesthesiologist at every surgery and especially will you have that same safety providing anesthesiologist at my surgical procedure?
8. Do you have certified and registered RN nurses in attendance at all surgeries at your facility and will they be in attendance at my surgery.
9. Do you have certified and licensed Surgical Technologists in attendance at every surgery in your facility.
10. Do you have Registered Nurses in attendance at all time while I am in recovery and is an MD anesthesiologist available at all times?

There are many other questions to ask but these ten get you a long way down the path of understanding and safety Make sure each question is truthfully answered. The first steps to any surgery is assuring safety, and quality. The nice results will follow.

My Best, Dr C

Posted in Artistry in Plastic Surgery, Bad Doctors, Breast Augmentation, Breast Implants, Breast Reduction, Commons in Print, Face Procedures, Fat Transplantation, Insurance Covered Plastic Surgery, Liposculpture, Liposuction, Non-Invasive Procedures, Nose, Otoplasty, Palo Alto Area Patient Profiles, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Plastic Surgery, Tummy Tuck on July 14th, 2013

Axillary Incisions – Breast Augmentation Palo Alto

There are several possible incision sites to consider when getting breast augmentation surgery. As a patient, it’s always in your best interest to educate yourself about your options. One of these options is the axillary incision (also known as a transaxillary incision), created in the armpit area.

Breast Augmentation When performing this type of incision during a breast enlargement procedure, the surgeon makes a small incision in a fold in the skin of a patient’s armpit. A path must then be created from the armpit to the area behind the nipple. This area is enlarged to accommodate the breast implant. An endoscope – a thin tube with a camera and a light attached – is often used to provide greater visibility, so that the surgeon can be as accurate as possible. As with the other potential incision areas, the implant can be placed below the muscle (partially or completely subpectoral) or above the muscle (subglandular).

While the periareolar (on the edge of the areola) or inframammary (on the bottom of the breast where it meets the chest) incisions are the most popular choices, the axillary incision does come with several benefits that they lack. Since those incision sites are on the surface of the breast, they’re more likely to cause damage to the mammary glands than an axillary incision would. Damage of this nature can create issues with breastfeeding.

Because axillary incisions aren’t made on the surface of the breast, they don’t leave scars anywhere on it. The small armpit scar that results from this incision is more unobtrusive. Additionally, some women have lighter areolas, and for them, periareolar incision scars would stand out. For women without a large natural breast fold, inframammary incisions can be more difficult. Because of these issues, an axillary incision may be a better site choice.

However, axillary-incision breast enlargement does come with potential risks. Because doctors have to start farther away from the intended implant location than they would with periareolar or inframammary incisions, there is a greater chance that issues will arise with the procedure. For example, if the breast implant site isn’t exactly where it was intended, this can result in an asymmetrical appearance. Related to this is implant displacement, the movement of an implant after breast augmentation surgery. With axillary incisions, implants can migrate laterally (in the direction of the patient’s armpit).

When choosing this site, you are also usually limited to saline implants. The axillary incision and the path the surgeon creates are very small. The empty implant – a silicone shell – is rolled up and inserted into the incision, brought through the path to the area behind the nipple, then adjusted and filled with saline solution using tubing. Because silicone implants are pre-filled, they’re larger before surgery than saline implants. A larger incision and path would be necessary, so several doctors avoid axillary incisions for silicone implants.

Another major issue associated with this incision site is that it cannot be reused for other implant-related surgeries. The narrow path would make any procedures extremely difficult, if not impossible. In these cases, surgeons elect to create a new periareolar or inframammary site, since they’re closer to the breast implant. Thus, the patient ends up with the mammary scars they were originally trying to avoid with the axillary incision.

There is no one single “correct” incision site; the right site for your procedure will depend on several factors, including your body type and goals. Dr. Commons, a board-certified plastic surgeon, is available and ready to help you achieve the results you’re looking for, so contact our office to set up a consultation!

Posted in Big breast implants, Breast Augmentation, Breast Augmentation, Breast Implants, Breast Procedures, George Commons, Help for patients, MD, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Plastic Surgery on July 1st, 2013

What to do when dissatisfaction occurs with Facelift Surgery.


Why may facial surgery results not satisfy patients.

To fairly assess a patients facelift results it is best to see the patient in person. When seeking a second opinion regarding an unsatisfactory result always take the new consulting surgeon copies of your pre operative photos and a complete copy of your medical-surgical record. Remember you own your records and any doctors is simply the custodian, so you must be given 100% of all your requests. Request 100% including operating facility records. Request all anesthesia records, all pre and post operative notes and records. 100% must be obtained by you. They are YOUR records. Bring 100% to your new consulting doctor. It is important to have complete pre and post photos including all views and all original photos. What can go wrong that produces dissatisfaction? Possibly the wrong operation is chosen. I am not a great fan of circumventing a real facelift by doing piecemeal procedures including mid face lifts, anterior neck lifts whatever that is, chin implants, cheek implants, and on and on. Most 44 year old women need and benefit most by a real facelift including full cheek, full neck, full jowls, full nasolabial folds, the mid face included in the facelift, and possibly more such as a brow lift and eyelid correction. Why dance around the sidelines when a real facelift is indicated. A mid facelift is simply part of a real facelift. A real facelift takes 4 to 6 hours and if eyes and forehead are done the entire procedure may take 8 to 10 hours. Yes, a long time but when your facelift is done, it is done, and you can go on with your life for 7 to 12 years without further surgery. A full facelift with total correction produces great happiness and satisfaction. When pre and post operative photos show little if any change big problems are the rule for patient and surgeon. No surgeon wants unhappy patients for both compassionate and public relations reasons. Occasionally a solitary mid facelift will help, but when a real facelift is needed ( 44 year old) it must be done. Of course a blepharoplasty for upper or lower eyelids can be done alone. The statement…. anterior neck lift…. mystifies me. I am not sure what that is. I guess it could be a simple 20 minute liposuction of fat under the chin? This would produce a 5 mm scar of no consequence, but does not produce results in a person needing a facelift. So why choose less than a facelift when a facelift is needed. At times the rationale is budgetary. A patient is working on a limited budget (don’t we all) and will agree only to little procedures. This is not rare. Or the patient may fear larger procedures or general anesthesia and pressure the surgeon into less than ideal surgery. No surgeon should succumb to this pressure because the final chapter in such an endeavor is never pretty. A full and proper facelift with eyelids and forehead is 8 to 10 hours and requires a general anesthetic administered by an MD anesthesiologist. In fact I feel an MD anesthesiologist should be present at all surgeries but this costs money. A fully certified hospital equivalent operating facility also costs money. Let me ask you one question….what is your safety and possibly your life worth? Sometimes surgeons choose small piecemeal procedures because their facility is not equipped for larger procedures. Sometimes the surgeon is not comfortable with 8 to 10 hour surgeries or has no experience with such procedures. A final thought. When considering Plastic Surgery please be sure your doctor is a certified surgeon and a Fellow of the American College of Surgeons with 7 to 10 years of surgery training.(FACS after the doctors name). In addition be sure your doctor is certified by the American Board of Plastic Surgery. Be sure your surgeon has privileges at a local hospital to do major facelift procedures. Ask your surgeon how many facelifts they have done and ask for proof. Never let yourself be intimidated. The best doctors never try intimidation nonsense. If you would like another 18 questions to ask check out my most recent article on RealSelf in the article section of my Dashboard. This article was written on October 1, 2012. I invite you to see it. Again obtain and take your best pictures, your complete records, and ideally do personal visit to a new consulting surgeon. Then armed with knowledge go back an talk to your doctor who did your surgery. Every doctor owes each and every patient a full and complete disclosure and an extensive question and answer meeting……possible multiple such meetings. For your own well being, please do this. Good luck to you. Be cautions and never impulsive. Choose well. Your results and possibly your life depend on this. My Best. Dr C

Web reference: http://www.gcommonsmdplasticsurgery.com

Posted in Face Procedures, Facelift, Patient Dissatisfaction in Cosmetic Surgery, Plastic Surgery on October 3rd, 2012

Your Breast Surgeon may have no surgical boards or hospital privileges.

Your surgeon may have no plastic surgery training or worse yet may be not a surgeon of any type at all warns Dr A Youn and Dr G Commons (Palo Alto Plastic Surgeon)
George Commons

8:17 PM (0 minutes ago)

to post

PLEASE SEE BELOW DR YOUN’S SUPERB ARTICLE AND THE DANGERS HE BRINGS TO THE FRONT .BE CAUTIOUS! MANY DOCTORS IN CALIFORNIA CALL THEMSELVES PLASTIC SURGEONS AND HAVE NO PLASTIC SURGERY TRAINING WHATSOEVER. WORSE YET, THEY MAY BE PSYCHIATRISTS OR FAMILY DOCTORS TRYING TO MAKE SOME EXTRA SPENDING MONEY AND POSSESS ZERO SURGERY TRAINING WHATSOEVER. IS IT LEGAL. YES, CALIFORNIA ALLOWS IT AND THE MEDICAL BOARD OF CALIFORNIA DOES ZERO TO STOP. THE MEDICAL BOARD OF CALIFORNIA FEARS LITIGATIO FOR RESTRAINT OF TRADE. YES ….TRADE IS THE WORD……IT IS ALL ABOUT GETTING YOUR MONEY. MANY SAN FRANCISCO BAY AREA WOMEN HAVE SURGERY, INCLUDING BREAST AUGMENTATIONS AND UPLIFTS BY DOCTORS WITH NO SURGERY TRAINING, NO SURGERY BOARDS, AND ABSOLUTELY NO RESIDENCY TRAINING IN ANY SURGICAL SPECIALTY. THEY ARE FORBIDDEN TO PUT FACS AFTER THEIR NAMES
BECAUSE THEY HAVE DONE NO APPROVED TRAINING IN ANY SURGICAL RESIDENCY APPROVE BY THE NATIONAL BOARD OF MEDICAL SPECIALISTS. THEY CANNOT JOIN THE AMERICAN COLLEGE OF SURGEONS. THE CANNOT OPERATE IN HOSPITAL BECAUSE HOSPITAL REQUIRE BOARDS AND TRAINING. HOSPITAL FEAR THESE DOCTORS AND THEIR MISDEEDS. YET ALL THIS IS LEGAL IN CALIFORNIA AND S NOT APPROACHED BY THE MEDICAL BOARD OF CALIFORNIA. THE MEDICAL BOARD OF CALIFORNIA FEARS LITIGATION. CALL THE MEDICAL BOARD OF CALIFORNIA TODAY. CALL YOUR STATE REPRESENTATIVES.

WHAT TO AVOID. AVOID VERY LOW FEE DOCTORS WHICH ARE THE HALLMARK OF SURGEONS WITH NO SURGICAL BOARDS, NO HOSPITAL PRIVILEGES, NON CERTIFIED OPERATING FACILITIES , AND HAVE NO ANESTHESIOLOGISTS IN ATTENDANCE. WHY NO ANESTHESIOLOGISTS? ANESTHESIOLOGISTS, LIKE HOSPITALS FEAR THESE DOCTORS AND WILL NOT WORK WITH THEM.

BE CAREFUL. YOUR LIFE AND WELL BEING DEPEND ON YOUR NOT BEING PLAIN DUMB. DON’T BE TEMPTED BY SLICK AND CHEAP. BELIEVE ME YOU WILL PAY AND PAY IN THE END. YOU WILL BE FAR BETTER OFF NEVER HAVING HAD ANSURGERY AT ALL THAN HAVING A MESS YOU LIVE WITH (OR DO NOT LIVE WITH) FOR THE REST OF YOUR LIFE.

MY BEST, DR G COMMONS

Plastic surgery: ‘Wild West’ of medicine
By Dr. Anthony Youn, Special to CNN
updated 7:28 AM EDT, Wed July 25, 2012
Hospitals typically vet their surgeons and allow them to practice only within their field of training and expertise.
Hospitals typically vet their surgeons and allow them to practice only within their field of training and expertise.
STORY HIGHLIGHTS

Medical boards don’t restrict doctors from performing surgeries out of their specialty
Many physicians are opening plastic surgery centers on the weekends to make money
Find a plastic surgeon who is certified by the American Board of Plastic Surgery

Editor’s note: Dr. Anthony Youn is a plastic surgeon in metro Detroit. He is the author of “In Stitches,” a humorous memoir about growing up Asian-American and becoming a doctor.

(CNN) — Martha* had decided to undergo a breast augmentation. She researched doctors and found one she thought was well-qualified; ads in magazines touted him as board-certified and a top plastic surgeon in the area.

Martha met with him for a consultation and underwent the procedure in his office several weeks later. But at home that night, she discovered a shocking sight:

Her breast implants were lodged in her armpits.

The next morning, she rushed back to her doctor’s office. He inspected her chest and, with a quizzical look on his face, declared, “I have never seen this before.”

Martha decided to seek another opinion. A new surgeon explained that the previous physician had botched the procedure. She would need extensive surgery to correct it.
Dr. Anthony Youn
Dr. Anthony Youn

As if this weren’t bad enough, he also informed her that her doctor wasn’t what he claimed to be. Sure, he was board-certified — just not in plastic surgery.

Her “plastic surgeon” was actually an eye doctor.

Stories like Martha’s are becoming more and more common across the United States. Plastic surgery has become the Wild West of medicine, with an increasing number of doctors performing invasive cosmetic procedures without proper training or credentials.
Pfeiffer not opposed to plastic surgery
Teachers get free plastic surgery

In my metro Detroit practice alone, I’ve been horrified by dozens of botched jobs. One of my patients, a beautiful 25-year-old woman, was left with shark bite-sized divots all over her thighs and stomach after undergoing laser liposuction by a family medicine doctor.

A local ENT (ear nose and throat) physician took $12,000 from a young hairdresser for two unnecessary operations: insertion of watermelon-sized breast implants and liposuction to her abdomen. The implants were eventually removed, and the liposuction left her tummy a rippled, lumpy mess.

Why does this happen?

Although state medical boards regulate who can obtain a license to practice medicine, they don’t restrict doctors from performing procedures outside of their training or specialty. Once they are licensed, there is no law against doctors performing any medical procedure they want to, as long as the patient consents to it.

As a board-certified plastic surgeon, I can legally perform a knee replacement or hysterectomy, procedures for which I am completely unqualified. This lack of regulation has allowed an increasing number of doctors of all types — including gynecologists, general surgeons and even emergency medicine physicians — to perform tummy tucks, liposuction, facelifts and breast enhancement.

These procedures are almost never performed in real hospitals. Hospitals typically vet their surgeons and allow them to practice only within their field of training and expertise. Doctors get around this by performing cosmetic procedures in their own in-office operating rooms or at ambulatory surgery centers, where the credentialing requirements may not be as strict.

So why do so many doctors reject their chosen specialty and remake themselves as plastic surgeons?

One word: money.

Declining physician reimbursement has resulted in more physicians looking for ways to enhance their income. And plastic surgery is one of the only fields of medicine that is shielded from insurance companies.

So an increasing number of doctors are closing their traditional medical practices and opening cosmetic surgery centers. These physicians learn the basics of plastic surgery through weekend courses, shadowing other doctors and even online webinars. This influx of poorly trained cosmetic surgeons has caused Martha’s story to become just one of many.

If you are considering having plastic surgery, I implore you: Do your homework. Find a plastic surgeon who is certified by the American Board of Plastic Surgery, the only plastic surgery board that is recognized by the American Board of Medical Specialties.

For facial plastic surgery, a doctor certified by the American Board of Facial Plastic and Reconstructive Surgery is considered an equivalent in all states.

I consider it a privilege that my patients put their lives and bodies in my hands. All surgeons should. In return, we have a moral obligation to only perform procedures that we are fully qualified to do.

No matter how well it pays.

Posted in Bad Doctors, Big breast implants, Breast Augmentation, Breast Implants, Breast Procedures, Breast Reduction, Help for patients, Patient Safety, Plastic Surgery on July 26th, 2012