Archive for the ‘Breast Augmentation’ Category
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
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.
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
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)
8:17 PM (0 minutes ago)
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.
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
Many breast surgeries in the San Francisco Bay area are done by MDs that are untrained surgeons. Surgical training requires a full residency in general and plastic surgery of 7 to 10 years. Unfortunately in California, MDs that are general practioners, family doctors and dermatologists are doing breast surgery. The breast surgery done by these untrained surgeons includes breast reductions, breast uplifts, breast reconstruction, and breast augmentation. Yes, your breast surgery may have been done by an untrained surgeon in California. Is this legal? Yes!. California licsenes MDs as physicians and surgeons. Many untrained doctors decide they can make more money doing your breast surgery than seeing patients for insurance reimbursements. They may have a slick approach and convince patients they are trained surgeons. A real plastic surgeon trained to do breast surgery has certification from the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons. Always look for the FACS. If they is no FACS you are dealing with a uncertified surgeon. If no FACS you are dealing with an MD that self proclaimed himself or herself a surgeon in the middle of a moonlit night. Yes, a fake. These untrained and uncertified surgeons. California knows very well about these people.
Some often claim they had some vague surgical fellowship that disappears when traced. A weekend course in a lecture hall does not make a surgeon. Some of these non FACS MDs calling themselves surgeons refer to their medical school surgery rotation as their training. These fake surgeons that are not FACS often fly from state to state doing surgery and poor surgery at that. It takes years to bring them to a stop. The California Medical Board is afraid to act because they may get sued. The California Medical Board turns its head until a death or disaster occurs an thentakes years to do anything. What can you do. Dont go to these untrained MDs. How to identify them then? Its easy. First and formost they are not FACS members. Second they have no recognized board training. They are almost always on the low end of the price scale. Beware what seems like a bargain in surgery. You may end up dead. They are elusive when you ask about credentials. They have uncertified operating facilities. They do not have MD anesthesiologists at their uncertified facilities. Anesthesiologists will not risk working for these people. They have no privileges to do the operations they advertise in a real certified JCHS Hospital. The hoplitals in the San Francisco Bay Area will not allow these untrained non FACS MDs to operate in the hospital operating rooms. Why. Because they are not real surgeons with the FACS and they are dangerous. They may injure and kill perople. Always choose a real FACS surgeon that is certified by the ABPS for your breast surgery. Think!. Probe. Dont fall for absurd low price deals. Extreme low prices equate to extreme low quality and danger. Look for the FACS and the ABPS. Make a doctor proove a major hospital allows him or her to operate and do breast surgery Call the hospital in the doctor’s office and confirm this on your cellphone. If this cant be done, RUN. My Best, DR C
Posted in Bad Doctors, Big breast implants, Breast Augmentation, Breast Augmentation, Breast Implants, Breast Massage post Implants, Breast Procedures, Breast Reduction, Cheap cornes cutrting facilities, George Commons, Help for patients, MD, Patient Safety, Plastic Surgery on July 23rd, 2012
Sagging Skin Post Pregnancy. What To Do?
After pregnancy it is best to wait at least on year before having any surgery. Next be sure you weight is ideal or at least where you want to live your lift. Exercise and keep fit. Lower you body fat %. All these endeavors get you ready fro a successful Mommy Makeover. Remember that a Mommy Makeover encompasses only that which is necessary. Some women never need a mommy makeover because there is nothings that needs to be made over. Some women simply need a breast lift or implants, or both. Some need a little liposuction. Some need a tummy tuck. An some unfortunate ladies need it all. You can even toss a thigh lift , butt lift, and arm lift into the equation for some unfortunates. So understand that the mommy makeover phrase has vastly different meaning from woman to woman. In general a mommy makeover is whatever is necessary to get a woman looking the way she wants to look after kids or I guess even if there were no kids but possibly a 70 lb. weight loss. So your lose sagging skin will improve with time and effort and attention by you. Take care of yourself. Whatever you cant do on you own, the plastic surgeon can step in and correct with surgery. Surgery includes all or some of the above mentioned procedures. My Best, Dr Commons
Web reference: Http://www.gcommonsmdplasticsurgery.com
Posted in arm fat correction, Breast Augmentation, Breast Procedures, Breast Reduction, Calf Liposuction, Liposculpture, Liposuction, mommy makeover, neck liposuction, Tummy Tuck, Umbilicus Reconstruction, Weight Control on April 18th, 2012