Archive for the ‘Patient Safety’ 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

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

Safety must always be number one in Cosmetic Plastic Surgery

There are many concern in securing a fine experience for the cosmetic patient. The most important is Safety. SAFETY is such a critical issue. I tell patients that there are the Big Three of Plastic Surgery. These are Safety, a kind caring experience, and a beautiful result. What makes plastic surgery safe. First pick a surgeon that is a Fellow of the American College of Surgeons. Second, choose a surgeon boarded by the American Board of Plastic Surgery. Assure the operating facility is accredited by the American Association of Accreditation for Ambulatory Surgical Facilities (Quad A or AAAASF). In addition assure your surgeon has privileges to do your surgery at a major JCHA local hospital. Also assure your surgeon has a full staff of RNs and licensed Surgical Technicians working at the facility. Last but important is the recovery facility at thew center, and its management by RNs.
If all this is in order you will be safe and secure. My Best, Dr C

Posted in Adbominoplasty, American Association for Accredition of Ambulatory Surgical Facilities, American Board of Plastic Surgery, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Anesthesia in cosmetoc surgery, Artistry in Plastic Surgery, Avoiding Unhappiness, Brazillian Buttocks Palob Alto, Breast Augmentation, Breast Implants Palo Alto, Breast Reduction, Commons in Print, Eyelid Lift Palo Alto, Facelift Palo Alto, George Commons, Insurance Coverage for Plastic Surgery, Insurance Covered Plastic Surgery, Liposuction, Liposuction Palo Alto, MD, Nose, Otoplasty Palo Alto, Palo Alto Area Patient Profiles, 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, Rhinoplasty Palo Alto, Tummy Tuck, Tummy Tuck Palo Alto, www.aaaasf.org, www.plasticsurgery.org, www.surgery.org on July 18th, 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

Doctors and beauty machines; which is more important?

Doctors and beauty machines; which is more important?

George Commons, MD

Article by George Commons, MD
Palo Alto Plastic Surgeon

I find it interesting to find so many questions about which liposuction assist technology is better or worse asked on this site. The technology used is such an unimportant question. It should be far down your list, if on the list at all. What you are looking for is a smart surgeon. Great surgeons can get great results with any technology or with no technology assist at all. Remember that with any technology assist, the workhorse is always small cannula tumescent liposuction and 80% of all liposuction procedures is small cannula work and not technology. Worldwide 90% of all liposuction is small cannula tumescent technique with many beautiful results and no technology assist at all. What you should be hunting for is a great surgeon. Yet, I see the many questions about which technology and so forth is best. This is a result of massive marketing by the companies that make the machines. The companies spend millions to attract doctors to buy the machines and the technology companies advertise for patients to have the procedure. So finally the doctor buys the machine, but in many cases the machine is insignificant, for what the doctor really buys (and doctors know this very well) is a massive patient marketing and referral system. So the companies spend millions advertising to doctors and even more to patients, the doctors pay as much as $400,000.00 for these machines, and get possibly a $15,000 machine and a $385,000.00 patient marketing system formulated by the technology company. And then on top of this the doctors often spend even more dollars marketing the new miracle machine they just purchased. (Remember every month the doctor must pay $6000 to $8000 lease payments for the machine). And the patients pays for 100% of this nonsense. The ads announce with fanfare, come to our office and meet our new miracle technology trinket. Our machine will do your liposuction in just a few pain free minutes minutes and make you a couple of cups of coffee during your procedure etc etc..absurd. Anyway you get the idea. Its all a bunch of hype. The machines work a little but no doctor needs any machine of high technology to do a great liposuction. These machines are most often bought for their marketing value and the marketing obviously works and that is why there are SO MANY QUESTIONS on this web site about which technology is better. The advertisers are getting to you. Don’t fall for hype and slick marketing. Just say no and do your own thinking. Do you really want technology companies and slick marketing to do you thought formation. Think. Please think.

So I hope I have at least seeded your brain with the idea that it is a great doctor that counts and not some silly machine that is not needed for great results. Great doctors get great results with any technology assist and with no technology assist at all. How do you find a great doctor? First understand liposuction is a surgical procedure and for surgical procedures you must go to a surgeon. A surgeon is a person that has gone through 8 to 10 years of intense surgical training at Stanford or UCSF or similar fine institutions, passed a surgical board, and becomes a Fellow of the American College of Surgeons. This is the first question to ask any doctor. Are you a fully trained surgeon, certified as a Fellow of the American College of Surgeons. This doctor can then put FACS after his or her name. If the doctor is not FACS, go elsewhere. Your search is for a fully trained surgeon that is great and skilled and a FACS Fellow. Do not EVER have surgery by a non surgeon. Do not be bamboozled. Get the answer….is the doctor FACS. I see so much awful surgery done on poor patients by non surgeons often for very high fees. Use you head. Use commons sense. Question number 2 is ask the doctor that in addition to FACS, is he or she certified as a fully trained surgeon by the American Board of Plastic Surgery. This question is so very vital. You want a surgeon with FACS, but not just any surgeon, you want a Plastic Surgeon correct? Of course. So now you have the big two questions, but there is a third and last which will start you on you safe journey. I am not giving you ten questions, but just three. The third question is to ask and obtain an absolute written guarantee that the operation you are having at the doctors surgery center, he or she can also do in a hospital. Doctor, do you have privileges to admit and do my surgery at a local major JCHS Hospital. Hospital peer reviews doctors and this almost guarantees a doctor is up to snuff. Besides if the doctor has no hospital admitting privileges, where is the doctor going to admit you if you have a complication? Those 3 question will get you on a safe path. There are other questions and I will discuss them later, but these three are the beginning of a safe journey. Doctor…….are you FACS, are you boarded by the American Board of Plastic Surgery, and doctor do you have major hospital admitting and operating privileges? Ask these question and demand answers. Pick 3 doctors that meet these criteria and schedule consults. The best doctors often do not charge for consults. The best doctors do their own consultations. The best doctors do not use a marketing person to do their consultations. Be a smart consumer. Do not be a victim of endless slick marketing. Call the American Society of Plastic Surgery or go through the internet…(www.surgery.org)…. and get the names of 3 doctors in your area. If you don’t like them, get 3 more. This takes your time and your work. Don’t fail yourself. Your surgical results and your very life are at stake. More to follow about other questions, about artistry, and about safety in future discussions. My Best, Dr C

Posted in arm fat correction, Bad Doctors, Beauty Machines?, Failed beauty machines, Liposculpture, Liposuction, Male Liposuction, neck liposuction, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Patient Safety, Plastic Surgery, Pubic Liposuction, Thigh Liposuction on November 23rd, 2012

Successfully Picking the Best Plastic Surgeon

Successfully Picking the Best Plastic Surgeon
Inbox

There are many fine plastic surgeons. Picking the best means the best for you in your local area. The following are a very short list of questions that should connect you with the best plastic surgeon for you. It is a very short list so remembering it is easy.

1. Doctor I am seeking a plastic surgeon and I want to know if you have received your boards from the American Board of Plastic Surgery? (Means 10 years of surgical training after medical school and PASSING the ABPS Board Exams.)

2. Doctor are you a Fellow of the American College of Surgeons. ( Means the College has recognized the Board as an authentic surgical Board recognized by the American Board of Medical Specialists.

3. Doctor, do you have surgical privileges to do the operation I want at a local major hospital? ( Even if the surgery is done at a doctors office facility, the doctor must have privileges to do the same operation at a major hospital and admit you there if there are problems. Many do not have this)

4. Doctor, is your operating facility certified by a recognized certification organization and please give me a copy of that certification to study and review? ( Many have no certification whatsoever and some have papers from non recognized certification facilities.)

5. Doctor, do you have an MD anesthesiologist at each surgery 100% of the time? ( You safety and very life may depend on this one.)

ONCE THE FIRST 5 QUESTIONS ARE ANSWERED, HERE ARE A FEW MORE QUESTIONS TO GET ANSWERED.

Ten Credentials Your Plastic Surgeon Must Possess

1. Must be certified by the American Board of Plastic Surgery.
2. Must be a Fellow of the American College of Surgeons. FACS
3. Must have surgical privileges and admitting privileges at a major JCHS Hospital to do the surgery you are seeking.
4. Must have official and proven certification for any operating facility in the office.
5. Must have an MD anesthesiologist at 100% of surgical cases.
6. Must be a member of the American Society of Plastic Surgery.
7. Must be a member of the American Society for Aesthetic Plastic Surgery.
8. Must have a license to practice medicine in the state of California.
9. Must have Registered Surgical Nurses at all operations and in the Recovery Room.
10. Must have Licensed Surgical Technicians at 100 % of cases.

Posted in Patient Safety, Plastic Surgery on November 9th, 2012

Artistry and Safety; The Ultimate Pillars of Successful Plastic Surgery

Plastic Surgery is a word claimed by many doctors with little or no training. The true artists and guardians of safe and beautiful plastic surgery are those relatively few experts with board certification from the American Board of Plastic Surgery. Once boarded these fine surgeons who lead the world in excellence, then are permitted to join the American College of Surgeons and become Fellows of the American College of Surgeons. These TWO QUALIFICATIONS are your best questions to ask to seek and fine the best artistic surgeons with the safest operating facilities and track record. The true artists of plastic surgery then join the American Society of Plastic Surgery and the American Society of Aesthetic Plastic Surgery. These surgeons were selected for and completed 10 years or more of residency programs at major universities such as Stanford, University of Pennsylvania, and Harvard. These doctors were selected by these major universities for their integrity, artistic talent, and absolute consideration for the safety of the patient. Sometimes you are given a long list of questions to ask doctors you interview. Forget all those question at the onset of your hunt for an excellent and real plastic surgeon. Just ask two questions. Ask the doctor…..ARE YOU CERTIFIED BY THE AMERICAN BOARD OF PLASTIC SURGERY…….AND ARE YOU A FELLOW OF THE AMERICAN COLLEGE OF SURGEONS…FACS AFTER THE NAME? If the answer is no or evasive leave and look up another doctor. The best way to get a list of doctors certified by the American Board of Plastic Surgery is to call the American Society of Plastic Surgery and get a list for your town. You do not need to travel a long distance. A doctor certified by the American Board of Plastic Surgery is within 50 miles of all 350,000,000 million Americans. Make sure you see the doctor’s certificate of board completion. The words must read and read exactly American Board of Plastic Surgery. Period.

So what is artistry. Artistry in plastic surgery is both a native talent and a talent developed over the years by doing many thousands of cases. No matter how capable the surgeon, there must be a native artistic ability to know what looks good and what does not. What will look best for each patient. This is obtained by study, common sense, deep caring, and of course a fundamental artistic eye. Artistry is something a surgeon takes great pride in. The speed of a surgery is often somewhat irrelevant, but the perfection in detail is mandatory.

What about safety? It is beyond my imagination why any doctor would want to go through 8 years of college and medical school, 10 years of brutal training, and many board exams and then jeopardize it all by doing stupid, unsafe practices. . Really stupid right. You bet, but it happens. The American Society of Plastic Surgery mandates that its members practice in a safe manner. Operating Facilities must be appropriately certified and not by some fly by night organization. The fact is that there are many non certified and untrained doctors out there who are falsely claiming to be plastic surgeons and are in it for THE MONEY….PERIOD. As a result many patients suffer and some die. Study your neighborhood. Do not fall victim to absurd claims when the truth is the doctor has no plastic surgery training or skills whatsoever. Get 3 to 5 consults with real plastic surgeons as I have suggested and outlined. Good plastic surgeons generally do not charge for consultations and they do the consults themselves and give each patient a full hour or MORE. Forever BEWARE of the old ancient SUCKER game of prices that are just too low to be true. Low price medical facilities usually compromise safety and quality and often cause havoc. Period.

Seek and fine a ABPS – FACS surgeon with great credentials as I listed, great artistry, and great concern for your welfare and safety. Don’t be a dumb sucker for a bargain that may ruin your result and even cause your death. Seek quality. Seek safety. Seek and obtain artistry. All are readily available with ABPS – FACS Surgeons. My Best …Dr C

Posted in Artistry in Plastic Surgery, Bad Doctors, Palo Alto Plastic Surgery, Patient Safety, Plastic Surgery on November 7th, 2012

Ten Credentials Your Plastic Surgeon Must Possess

1. Must be certified by the American Board of Plastic Surgery.
2. Must be a Fellow of the American College of Surgeons. FACS
3. Must have surgical privileges and admitting privileges at a major JCHS Hospital to do the surgery you are seeking.
4. Must have official and proven certification for any operating facility in the office.
5. Must have an MD anesthesiologist at 100% of surgical cases.
6. Must be a member of the American Society of Plastic Surgery.
7. Must be a member of the American Society for Aesthetic Plastic Surgery.
8. Must have a license to practice medicine in the state of California.
9. Must have Registered Surgical Nurses at all operations and in the Recovery Room.
10. Must have Licensed Surgical Technicians at 100 % of cases.

Posted in Patient Safety, Plastic Surgery on November 6th, 2012

Dangerous, illegal, and cheap botox.

PATIENT QUESTION AFTER RECEIVING BOTOX IN NEW YORK STATE ( and yes, it could and does occur in California)
I have been getting Botox done for 7 years and no problems, other than some mild occasional bruising. I had a treatment yesterday on my frown lines, forehead and crows feet. All up I received 65 units, which is more than I usually get and it was extra sting when she was injecting. ( I have been to her before) hrs later I had hive like swelling around my eyes and forehead, it is sore. I went to my GP this morning and was told it is an allergic reaction, my injector said she hasn’t seen it before?

ILLEGAL, DANGEROUS, AND CHEAP BOTOX

You had Botox and then you had a red and painful reaction. In the past this never happened with Botox. Are you sure you had real Allergen Botox or did you receive illegal, cheap and dangerous Botox imported from a foreign country? You will need to talk to the injector and receive assurance and proof of authentic Botox being used. Beware! Some facilities use two types of Botox…….95% illegal BOTOX and the 5% Allergen Botox in case someone asks. Ask if they use only Allergen Botox. Ask for proof of volume of true Allergen Botox purchased. Push hard!

Use of bad and illegal drugs is a very large problem in the US. We recently have seen the disaster resulting from bad steroids and fungal infections. Could the same thing happen with Botox? Absolutely. Bad, dangerous, illegal, and cheap botox is no bargain. One can become very ill or even die. Botox is being injected into you body. A needle is stuck into you and something is squirted in to put it in simple terms. Can a tiny bit harm or kill you? Absolutely! Beware of prices that are too good to be true. There is always the OTHER PART OF THE STORY.

In conclusion you may have had an allergic reaction. Then again you were never allergic to Botox before. Did you just become allergic to botox or were you given CHEAP, DANGEROUS, AND ILLEGAL BOTOX? You need to find the answer to this question. Your family doctor will help with this or at least should HELP YOU.

In conclusion, did you simply have a very unusual allergic reaction to Allergen Botox or were you given illegal, cheap, and extremely dangerous botox in what adds up to a wanton disregard for your life, health, and welfare? That is the question.

Go only to doctors that are certified by the American Board of Plastic Surgery and who are Fellows of the American College of Surgeons. These doctors always put the welfare and life of the patient first.

My Best, Dr C

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

Posted in Bad Doctors, Botox, Commons in Print, Insurance Coverage for Plastic Surgery, Palo Alto Area Patient Profiles, Palo Alto Plastic Surgeon, Palo Alto Plastic Surgery, Palo Altos's Dr George Commons, Patient Dissatisfaction in Cosmetic Surgery, Patient Safety, Plastic Surgery on October 14th, 2012