Surgery Center Accreditation – Another Way to Protect Plastic Surgery Patients
The majority of Plastic Surgery is performed in the outpatient setting, and in the San Francisco Bay Area, the majority of the these procedures are performed in Outpatient Surgery Centers. These facilities offer many advantages to patients and plastic surgeons, but are they safe? How can you be certain the ambulatory facility your cosmetic surgeon is using is up to the high standards required for surgery?
Professional societies are not all created equally. The ASAPS and ASPS are two of the most stringent when it comes to member requirements. Not only is proper training, ethical standards and board certification required, but every member is required to operate exclusively in Accredited Ambulatory Surgery Centers when anything other than local anesthesia is required. The reason — Patient Safety.
Plastic Surgery Patient Safety
Accreditation is performed by a limited number of regulatory bodies to assure the public that a Surgery Center is up to standards for both physical and administrative operations.
Physical Characteristics: include building codes like width of halls and doorways, construction materials, fire exits, power backup, oxygen safety and delivery and environmental heating, cooling and ventilation. Also included are the types of equipment kept on site for anesthesia, life support, sterilization and fire suppression.
Administrative Operations: include how patients and their private medical information are handled, as well as staff selection and peer review, drug tracking and data tracking of procedures and complications.
The Cost of Patient Safety
Don’t be fooled by doctors promoting the safety of surgery done under local anesthesia. They may be masking an unaccredited facility and the inability to offer general anesthesia. Often, they will offer lower prices, because accreditation may not be the only corner they are cutting.
Unfortunately, it is not cheap to maintain accreditation. Regulations change frequently. Often, consultants are hired before inspections to be certain the latest rules are being followed. The cost of the inspection is borne by the facility, and this is in addition to meeting additional building requirements and having the proper well maintained equipment. Often, multiple types of accreditation is required, and inspections may be required every three years or more, depending on the agency and the findings during inspection.
How To Check Accreditation
Below is a list of the current nationally recognized accrediting bodies. Ask your surgeon, or better the surgery center directly, which they are accredited by. You can also use the links below to learn more about the accrediting organizations.
Using only Accredited Surgery Centers is just one more way that your Plastic Surgeon can demonstrate that they care about your safety. If your surgeon is using accredited surgery centers, they will not be offended if you ask them. The hospitals and surgery centers I use are accredited by the state, federal (medicare) and at least one other of the above agencies.
The Accreditation Association for Ambulatory Health Care (AAAHC) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) are two of the national recognized accreditation bodies in the United States.
John Muir Hospital Walnut Creek, John Muir Hospital Concord and San Ramon Regional Medical Center are all JCAHO Accredited, while Premier Surgery Center, Diablo Valley Surgery Center, Aspen Surgery Center and Sequoia Surgical Center are all AAAHC Accredited. This accreditation gives me peace of mind that every facility is regularly checked by an independent organization dedicated to the safety of my patients. It also means I can spend more of my time taking care of you.
Outpatient Surgery Centers Provide Convenience Too
Most surgical procedures are outpatient, meaning you can go home the same day. This is true for all surgery performed in the United States, not just Plastic Surgery. The vast majority of these procedures are performed in an ambulatory surgery center. In fact, there are not enough hospital operating rooms to accommodate the volume of surgery performed in ambulatory surgery centers. Without them, we could not provide appropriate patient care in a timely manner.
The main difference between a surgery center and a hospital is the amount of time you can spend there. Legally, an ambulatory center can keep you for 24-hours. After this time, either you should be safely on your way back home or transferred to a hospital if additional care is necessary.
There are other differences which may not be as obvious. Hospitals are for sick people, so that is where you find them, along with the diseases they are suffering from. Some of these diseases are contagious, and if you do not require the higher level of care that a hospital provides, staying away from the inpatient setting also means staying away from sick people. On the other hand, if you have multiple medical problems, or require a complicated surgical procedure, the higher risk of the hospital setting is more than balanced by the additional care that they provide.
Convenience is another factor that the ambulatory surgery center can provide. While Safety is number one, Predictability is a close second. Since Surgery Centers deal with healthier patients and less complicated procedures, they are more likely to run on time. Unlike a hospital with emergency rooms and trauma centers, there are few emergencies to “bump” the operating schedule and cause understandable, medically necessary but inconvenient delays.
This is the operating room for cardiovascular surgery at Gemelli Hospital in Rome, Italy. This hospital operating room is specialized, provides a higher level of care making it very expensive, and excessive, for Face Lifts or Breast Augmentation.
Cost is another factor. Ambulatory Surgery Centers do not need to be staffed 24-hours a day, and do not need all the additional equipment needed for the most complicated surgical procedures. Because of this, the hourly rate for an operating room located in an outpatient center averages significantly less then the hourly rate for an operating room located in a hospital.
Cosmetic Plastic Surgery
If you are considering Cosmetic Plastic Surgery in the San Francisco Bay Area, give me a call at (925) 943-6353. By using only accredited facilities, my goal is to provide you with the safest and most predictable results possible.
It’s no secret that most Plastic Surgery Patients are women. While most Plastic Surgery Procedures are for age management, a significant number of Cosmetic Surgeries are performed to repair the ravages of pregnancy. In fact, surgery to repair the changes after pregnancy is common enough to have it own name: Mommy Makeover. The Mommy Makeover is a combination of procedures that provides Breast Enhancement and Abdominal Sculpting, the most common combination being Breast Augmentation with a Tummy Tuck.
Pregnancy and the Zika Virus
Since many of my patients are of child bearing age, and since the Zika virus has been in the news, this week’s post is a PSA with the latest information and links to more information about the Zika Virus.
If you’ve seen the evening news lately, then you know the Zika virus is associated with severe birth defects when it infects a pregnant woman. To date, there have been no cases of direct transmission between people, so how is it transmitted and what exactly does it do?
How the Zika Virus Spreads
In almost every documented case, the Zika virus needs a vector to spread. In the case of the Zika virus, the vector is the Aedes mosquito, the same mosquito that spreads dengue and chikungunya. If a mosquito then bites a person infected with the Zika virus, it can then spread the virus to the people it bites subsequently.
An Aedes albopictus female mosquito feeds on a human blood meal. Photo by James Gathany, Centers for Disease Control and Prevention
The virus can also be transmitted through a blood transfusion of infected blood, and two cases of suspected sexual transmission has been reported. These are extremely rare means of transmission.
Despite what you may have heard on the evening news, information on transmission from mothers to babies during pregnancy or childbirth is very limited. Perinatal transmission has been reported with other mosquito-borne viruses such as dengue and chikungunya, so it seems likely. Research is currently under way on possible mother-to-child transmission of the virus and its effects on babies. Pregnant women in general, and particularly those who develop symptoms of Zika virus infection, should be closely monitored by health providers.
On November 28, 2015, Brazil’s Ministry of Health established a relationship between an increase in cases of microcephaly in newborns and Zika virus infections in the country’s northeast. According to a preliminary analysis of research carried out by Brazilian authorities, the greatest risk of microcephaly and malformations appears to be associated with infection during the first trimester of pregnancy. How often Zika virus infection leads to microcephaly has yet to be determined. Precise numbers will be hard to determine, especially since the virus can infect without symptoms. Regardless, even if a link is confirmed, only a small fraction of infections seem to lead to birth defects.
The History of the Zika Virus
The Zika Virus was discovered in 1947 in the Zika forest of Uganda. For much of its history, it remained in Africa, with small sporadic outbreaks in Asia. In 2007, the first major Zika virus epidemic occurred on the Micronesian island of Yap. Nearly 75% of the population was infected.
In 2014, a case of Zika virus transmission on Easter Island was reported by Chile. The virus was detectable from March until June, 2014.
Human Cases of Zika virus for 2015-2016 from the Pan American Health Organization.
In May of 2015, Brazil confirmed an outbreak of Zika virus in its northeast quadrant. According to the Pan American Health Organization (PAHO), in 2015 and 2016, the virus has spread to most of northern South America, Central America, the Caribbean and Mexico.
Symptoms of the Zika Virus
Zika virus infections can be without symptoms; however, symptoms usually begin 2-7 days after the bite of an infected mosquito. It commonly presents as mild fever with a skin rash (exanthema), often with eye irritation (conjunctivitis), muscle and joint pain, and general malaise. There is no association between the Zika virus and death. An increase in Guillain-Barré syndrome (GBS) has been observed in areas where a Zika virus epidemic has been documented (e.g., in French Polynesia and Brazil).
Zika Virus Treatment
Blood tests can help to confirm the diagnosis. Some (virological PCR tests) are useful in the first 3-5 days after the onset of symptoms, while others (serological tests) detect the presence of antibodies but are useful only after five days.
Like most viral infections, there is no vaccine or specific treatment for Zika virus infection. Therefore, treatment for everyone, including pregnant women, is directed at alleviating symptoms such as fever and body aches. To prevent dehydration, it is recommended to control the fever, rest, and drink plenty of water.
Prevention is the best treatment available. Avoiding travel to regions with ongoing transmission is the best prevention, especially if you are pregnant. When this is not an option, precautions should be taken.
Since mosquitos spread the virus, prevention is directed toward control of the vector and prevention of mosquito bites. The Aedes mosquito bites mostly during the day. Long sleeves, mosquito nets and repellents can help, but repellents should not be used on children younger than two years of age. A more complete list of preventive measures is available on the CDC website.
If we are lucky, Facial Aging is something we all experience. It can present as changes in skin tone or coloration, fine lines or deeper wrinkles, and even loose or saggy skin. It happens, if we stick around long enough. While Facial Aging cannot be altogether prevented, how you look is influenced by how you treat your skin. Some of our normal daily activities help, while others hinder the effects of time.
Good Genes and Bad Habits
We all know someone who never wears sunscreen, drinks, smokes and whose skin looks great. It’s hard to beat youth and good genes, but you can if you try hard enough. Skin likes Protection, Hydration and Circulation, so here’s how to earn your PhC in beautiful skin:
Protection – Prevention is the best medicine, and this is true for your skin, too. While we need a small amount of sunlight to activate vitamin D, the amount we subject our skin to, especially when we are young, is excessive. The high-energy ultra-violet light in the sun’s rays breaks the DNA inside the skin cells. At a minimum, sunshine dehydrates the skin, but it also damages the elastic fibers that keep skin supple, reduces the skin’s ability to heal itself and if too much damage is done, leads to the development of skin cancer. We would all treat cancer after it’s found, but why not treat it before it starts, by protecting your skin?
Skin cancer can occur even where the sun does not shine, but it is most commonly found in areas exposed to the sun. Moreover, the risk of Skin Cancer increases with the amount of sun exposure. Today, sunscreen is incorporated into many moisturizers, cosmetics and even fabrics. Hats and long sleeves help, but sunscreen is a must. Personally, I could not survive a trip to Hawaii without sunscreen, a hat and a swim shirt. When I was young, it may not have made me look cool, but it did allow me to have fun with my friends without a week of recovering from sunburns. Now, if you go to the beach, sunscreen and sun shirts are common, and using them shows that you care about your body.
Hydration – Our skin keeps us from drying out, but it is not impermeable. I remember a junior high school science project during which we placed a plastic bag over one hand. The water that is normally lost through the skin was trapped in the bag. It made it quite clear that we are constantly dehydrating.
If you’ve ever watched Naked and Afraid, or any of the other survivor “reality” shows, you know that water is more important than food. Keeping hydrated keeps us healthy. It improves circulation and allows the body to rid itself of toxins. Alcohol, on the other hand, tends to dehydrate us, so all things in moderation.
You can help your skin by using a moisturizer. Moisturizers do not supply moisture to the skin, but trap the normal water that is lost through the skin. Petroleum Jelly (Vaseline) is very effective. It certainly helps injured skin heal with better scars, but its sheen is a bit obvious and it greasiness makes using vaseline quite messy. Most moisturizers are not as good as Vaseline, but are easier to live with. It’s a compromise.
Circulation – Good hydration promotes good circulation. The blood is mostly water, and when we are dehydrated the skin suffers more than another other organ. Circulation is also effected by our habits. Good habits, like daily exercise, promotes increased circulation and may improve the look of our skin, too. Bad habits, like smoking, decreases circulation, and the skin is especially hard hit.
As a Cosmetic Plastic Surgeon, I am operating on the skin, and I need healthy skin and circulation to get the best results. Several cosmetic operations are known to have increased risk in people who smoke. For procedures like Face Lifts, Breast Reduction and Tummy Tucks, smoking increases the risk of wound healing problems by six-fold. Because of this, Plastic Surgeons recommend smoking stop at least four weeks before and after any elective surgery. If you can quit smoking for surgery, you can quit for life, literally your life.
Good Genes and Good Sense
There are many simple actions we can take to keep our face and skin happy, and earn our skin a PhC. You have probably heard many of them before, like eating right and sleeping, but good advice only works if you act on it. I will share additional pearls in additional posts.
If you would like to learn more about Facial Plastic Surgery procedures, feel free to follow the links in this post article to access more information, or give me a call at (925) 943-6353, to schedule a personal consultation appointment at our San Francisco Bay Area Plastic Surgery office in Walnut Creek, CA.
Dr. Mele is humbled to receive the 2015 10 Best Client Satisfaction Award from the American Institute of Plastic Surgeons.
The Award Goes To…
It’s awards season, and I am humbled to receive the Inaugural 2015 10 Best Award in Patient Satisfaction from the American Institute of Plastic Surgeons.
The American Institute of Plastic Surgeons
Founded in 2015, the American Institute of Plastic Surgeons is an impartial third-party rating organization comprised of eight separate divisions. The American Institute of Plastic Surgeons recognizes excellence in the filed of Plastic Surgery. They compile an exclusive list of the “10 Best” Plastic Surgeons for each State.
Per the American Institute of Plastic Surgeons website:
“This is a prestigious honor for the Plastic Surgeon as each Plastic Surgeon must:
Be formally nominated by the board, patients, and/or a fellow Plastic Surgeon
Have attained the highest degree of professional achievement in his or her field
Having done so with an impeccable Patient Satisfaction rating
Many Plastic Surgeons can achieve high degrees of success but this is often times at the expense or satisfaction of the most important person in the case – the patient. American Institute of Plastic Surgeons looks for Plastic Surgeons that have achieved unparalleled success but most importantly have done so for the benefit of their patient. Very few Plastic Surgeons can do so, and our organization recognizes this significant achievement.”
My profile is featured on the American Institute of Plastic Surgeon’s home page. Click the blue profile box to visit the full profile on their site.
Thank you to my patients, who make being a San francisco Bay Area Plastic Surgeon a satisfying profession on a daily basis, and thank you for the nomination. I am thankful that I get to spend my time at work helping people in the most direct way possible.
Skin laxity after pregnancy or weight loss can be corrected with a Tummy Tuck. The Plastic Surgery term for tightening the tummy is Abdominoplasty, and abdominoplasty literally means abdomen changing. In cases where there is a lot of extra skin, the difference can be life changing, too.
When Diet and Exercise are not Enough!
After Weight Loss, the belly often does not spring back into its original shape. The fat will go away, but skin and the abdominal muscles remain loose and redundant. They are stretched by the excess fat and over time this over-stretching becomes permanent.
Loose Skin can remain unsightly, and lax muscle allows the abdominal contents to push the belly out. Both these problems rarely respond well to diet and exercise. Loose skin and Over-stretched Muscles cause unsightly bulges. Well after the excess pounds are lost, these continue to effect how we look and feel about our body, even in clothing.
In the Tummy Tuck Video below, I discuss the procedure, indications and recovery. The process is further illustrated with Tummy Tuck Before and After Pictures. More information about Tummy Tucks is available here on the San Francisco Plastic Surgery Blog by clicking on the Tummy Tuck (Abdominoplasty) link under Categories in the column.
Tummy Tuck Video (Abdominoplasty)
Tummy Tucks Tighten Skin
The Tummy Tuck removes excess skin from the lower belly. Often, in the center of the abdomen, the skin from below the belt line to above the belly button is removed. Any stretch marks in this skin are also removed. The remaining skin from the upper abdomen is redraped over the entire abdomen. The result is vertical skin tightening and a flatter tummy.
Tummy Tucks Tighten Muscle
While the skin is elevated, the abdominal muscles are addressed. If they are lax, or if a separation (diastasis recti) is found between the muscles, it is repaired. The repair is like a corset running from the ribs to the pubic region, underneath the skin. You won’t see these reinforcing sutures, but you will see what they do to help flatten the abdominal wall – just another way that Abdominoplasty is a belly changer.
Tummy Tucks Remove Fat
The fat on the abdomen is usually not distributed evenly. There tends to be more fat on the lower abdomen. The good news is, when the skin of the lower belly is removed so is this fat. So if your loose skin has some hitchhiking disproportionate fat, they will both be removed with the Tummy Tuck.
Fat that extends to the sides, or is continuous with the love handles, can also be removed during your Abdominoplasty with Liposuction. Tummy Tucks can also be combined with Breast Augmentation as part of a Mommy Makeover.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, give our San Francisco Bay Area Plastic Surgery office a call at (925) 943-6353 today, to schedule a private consultation.
Breast Augmentation remains on top of the list as one of the most popular Cosmetic Plastic Surgery procedures year after year. With hundreds of thousands of women receiving Breast Implants every year in the United States, it is no wonder that Breast Augmentation Revision has become its own area of specialization.
What is Breast Revision Surgery?
Breast Revision Surgery is any surgery on the breasts to repair or improve the appearance of a previous Breast Augmentation. The urgency ranges from completely elective to an emergency. It can be caused by aging, pregnancy, changes in weight, changes in goals or changes caused by the breast implants themselves. Some of the more common reasons for Breast Augmentation Revision Surgery are covered in the video and text below.
Breast Implant Revision Surgery Video
Below is a segment from a recent Body Beautiful appearance. This video about Breast Implant Revision Surgery first appeared on the San Francisco Bay Area’s New Station, KRON 4.
Breast Augmentation Revision Surgery Video (Breast Implant Revision)
Breast Augmentation Revision to Change Breast Implant Size
There are many reasons for Breast Implant Revision Surgery. Changing size is one of the most common, and usually the desire is to Enlarge Breast Implant volumes. After pregnancy, weight loss or aging, the breast may shrink. Increasing the size of the Breast Implants may be all that is needed to restore both breast shape and confidence. Sometimes, however, the goal is to Decrease Breast Implant volumes, and rarely, Breast Implant Removal is desired. When downsizing or removing the Breast Implant, it may be necessary to perform a Breast Lift to obtain the best possible results.
Breast Implant Revision for Capsular Contracture
Hardening of the Breast Implants occurs when the normal scar pocket that holds the implant in place becomes too small. The tight pocket squeezes the Breast Implant causing firmness, increased projection, decreased diameter and sometimes discomfort. The medical term for this is Capsular Contracture. Most of the time, the breasts can be softened with release (capsulotomy) or removal (capsulectomy) of the capsule as an outpatient procedure.
Breast Implant Revision for Deflation
A deflated Breast Implant needs to be fixed. Breast Implant Replacement is most common, though sometimes a patient will elect to remove her Breast Implants instead. For Saline Breast Implants, the diagnosis is simple. The breast will quickly return to its non-augmented size. The body quickly absorbs the saline, and it is eliminated as easily as when we drink extra water.
For Silicone Gel Filled Breast Implants, the diagnosis is harder, because the gel is not absorbed. New, highly cohesive breast implants, have an extremely low risk of gel migration, so the gel most often stays in the capsule and maintains the breast fullness. Often, an MRI is needed to diagnose a leaking silicone gel implant, but even this is only 90% accurate. If an MRI shows that your silicone breast implant is leaking, it should be removed and, if desired, replaced.
Breast Augmentation Revision for Malposition
Breast Implant Malposition means the implant is in the wrong position. It can be too high, too low, too medial (to the center) and too lateral (to the side). Often, the capsule requires modification in these cases to encourage the Breast Implant to stay in the proper place. Implants that are too large, or soft tissue (skin, breast of muscle) that is too thin, can make management more difficult. Breast Implant Malposition is one of the items discussed on the Breast Revision page of DrMele.com.
Breast Augmentation Revision Surgery Consultations
There are many reasons for Breast Implant Revisions. If you are considering surgery to improve the results of your Breast Augmentation, be certain to seek a Board Certified Plastic Surgeon with years of experience, like Dr. Joseph Mele.
To schedule a personalized Breast Revision Consultation call (925) 943-6353 today.
Male breast enlargement, Gynecomastia, is a common problem that goes by many names. Man Boobs has been used so often that is has become the contraction Moobs. Different techniques are required for different presentations of male breast overdevelopment; however, whether the entire breast is enlarged, or the puffiness is confined to the nipples, there’s a Plastic Surgery solution available.
Gynecomastia Reduction is performed in several ways. Often, a combination of Liposuction for fat removal and direct excision of the firm breast tissue located beneath the nipple is the best combination.
How Is Gynecomastia Reduction Performed?
Male Breast Reduction is one of the most frequently performed cosmetic procedures for men. The procedure that works best depends on the extent, and the location, of the male breast enlargement. Several options are illustrated in the Male Breast Reduction Video below.
Male Breast Reduction on KRON 4 Television
This week’s San Francisco Plastic Surgery Blog includes video on Gynecomastia Reduction that was broadcast on the Bay Area’s News Station, KRON 4. This television segment was originally broadcast on Body Beautiful. Host Janelle Marie and I discuss Male Breast Reduction options and multiple variations are illustrated with Gynecomastia Before and After Photos.
Gynecomastia Reduction Video (Male Breast Reduction)
Body Beautiful on KRON 4
I always enjoy my time at KRON 4. The people I get to work with are the best, and they make doing Body Beautiful easy. Having the opportunity to share some Plastic Surgery Knowledge with the San Francisco Bay Area is a real privilege.
Dr. Mele and Body Beautiful host Janelle Marie – behind the scenes in the KRON 4 Bay Area News studio.
Plastic Surgery Consultation Appointments
Every effort is made to provide accurate information. Good medical care requires personalization. A careful medical history and physical examination are important steps that need to be completed before making the decision to proceed with Plastic Surgery. This is especially true for Gynecomastia as there are several methods available for correction.
If you are considering Gynecomastia Reduction or another Cosmetic Plastic Surgery you’ll want a Board Certified Plastic Surgeon with years of experience performing your procedure. If you are in the Greater San Francisco Bay Area, give me a call at (925) 943-6353, and schedule your private plastic surgery consultation today.
Plastic Surgery can help tighten loose skin in many places. Cosmetic Plastic Surgery procedures like the facelift, tummy tucks and breast lifts are well known. These procedures tighten loose skin of the face, tummy and breasts. Loose thigh skin, on the other hand, is less talked about.
What Is A Thigh Lift?
The Thigh Lift is a specialized cosmetic surgery that specifically tightens loose thigh skin. Also know as a thighplasty, the thigh lift can provide the finishing touch after weight loss. This is not a procedure that should be routinely performed for thigh skin that is a little loose. It is meant to remove redundant skin, and works best when the inner thigh skin looks less like a skin suit and more like skin drapery.
Thighplasty Video From Body Beautiful on KRON 4
Last week, I discussed Thigh Lifts on the San Francisco Bay Area’s News Station KRON 4. The show, Body Beautiful, gives me the opportunity to talk about the latest and the greatest procedures and treatments that Cosmetic Plastic Surgery has to offer. This week’s show included a segment on a lesser discussed procedure, the Thigh Lift. The video segment below is included in case you missed the television show.
Thigh Lift Video (Thighplasty)
Who Needs A Thigh Lift?
The Thigh Lift is most often performed after weight loss. Post Bariatric Plastic Surgery is a discipline of Plastic Surgery that specializes in tightening loose skin that is leftover after weight loss. The inner thigh is an area that is often left stretched out and deflated after weight loss. The thigh lift is designed to remove the excess skin and tighten the thigh. If is different than Liposuction, which only removes fat and may further loosen the thigh skin.
How Is A Thigh Lift Performed?
There are two main methods for removing loose thigh skin. One uses an incision that runs from the groin, between the legs at the top of the thigh and ends in the fold under the buttocks. The location of the scar makes it easier to hide. The second method uses a scar that runs down the inner thigh and ends at the knee. This method is better for removing skin on the lower thigh, but the scar is more noticeable. When the lateral thigh it the problem, a lower body lift or lateral thigh lift may be a better choice.
Which Thigh Lift Is Best For Me?
Determining which, if any, method is best requires a consultation with an experienced, Board Certified Plastic Surgeon. A focused medical history, combined with the physical examination can help determine the timing and the type of Thigh Lift that is likely to maximize the benefits and minimize the risks.
If you are considering a Thigh Lift, call (925) 943-6353 today to schedule a private and personalized consultation appointment.
Body Beautiful is a half-hour television show dedicated to the latest in Cosmetic Plastic Surgery. Frequently asked questions about Thigh Lifts, Male Breast Reduction, Breast Augmentation Revision Surgery and Tummy Tucks are answered and illustrated with numerous before and after pictures.
Past Body Beautiful Episodes Available Here
Previously aired KRON 4 Body Beautiful episodes are available here on the San Francisco Plastic Surgery Blog. As of this post, 120 Plastic Surgery Videos are available. Click on Videos under Categories in the left column. Most of the latest and more popular Cosmetic Plastic Surgery procedures are reviewed. Most shows were broadcast live, and many answer questions called in by viewers. In the coming weeks, tomorrow’s show will also be added. Videos may also be viewed on Dr. Mele’s YouTube Channel.
More Information Available On Line and In Person
More Plastic Surgery Information is available here and on the other websites listed under Useful Links in the margin. While every attempt is made to provide accurate information, there is no substitute for a private, in-person consultation. Call (925) 943-6353 to schedule your personalized consultation appointment.
I received an e-mail today asking about the cost of a procedure. This is not unusual, but the procedure was not for them. It was for their spouse. Immediately, I wondered:
Does their spouse want Cosmetic Surgery?
Is it a Cosmetic Procedure the spouse is already considering, or is this going to be a surprise?
Is their spouse a good candidate for the proposed Plastic Surgery?
Is the proper consideration being given, risks and benefits, to the decision to have a Cosmetic Procedure?
Cosmetic Plastic Surgery can be a great gift under the right circumstances, but it should never be a surprise. There are a few caveats to consider, especially if the recipient’s decision has not been fully discussed prior to presentation. It is not a gift that can be returned or exchanged. It’s a medical procedure, and all the risks and benefits of a medical procedure need to be considered regardless of the funding source.
Gifting Cosmetic Surgery After the Decision to Have Plastic Surgery is Made
The best circumstance is if your loved one has already made their decision to proceed with a little nip, tuck or other enhancement. A few hints have been dropped, or a “what if…” scenario has been hypothesized. This means they have already done their research, considered their options and feel it’s a safe and predictable option for them. Maybe, they have already consulted with a Board Certified Plastic Surgeon, and feel comfortable with both the procedure and the surgeon. In other words, it is their idea, and they have already done their homework. Plastic Surgery is very personal, and only the person having the procedure can decide if it’s right for them.
Gifting Cosmetic Surgery after the decision to have plastic surgery is made is not likely to trivialize the surgery or make the giftee feel compelled to have a procedure they would not otherwise consider important. Ideally, the risks and benefits have already been weighed. In this case, the gift is the surprise, rather than the procedure itself. The gift is a show of support.
Surprise Plastic Surgery Gifting
Most of the time, we want our gifts to be a surprise. More specifically, a pleasant surprise. Surprise! I think you need plastic surgery, may not be a pleasant surprise. It is important to know your partner’s wishes; what concerns them and if they want to explore correction. If they have verbalized a desire to proceed, it may be safe. If they have not, they may not like being pushed.
Interested – But Options Not Explored
If there is interest, research is the next step. Exploring the available options, and finding a Reputable Experienced Plastic Surgeon, is a good place to start. The Internet is a good source for general information, but an in-person consultation is the only way to get the specifics. This also nails down the budget. A card offering support may be appreciated, but until the details are worked out, it’s still a bit risky.
Who Makes the Decision to Proceed?
Once a procedure is gifted, the financial barrier may be lowered, but you also need a Qualified Plastic Surgeon who agrees that the procedure is appropriate. Not everyone who comes into my San Francisco Bay Area Plastic Surgery clinic is a good candidate for plastic surgery. There are specific indications for each procedure that must be met.
Even after a Cosmetic Plastic Surgery procedure is considered safe and the desired results are deemed likely, ultimately, the patient gets to decide whether to proceed or not. It’s their body, and their decision. Receiving the procedure as a gift should not influence the medical decision. A thoughtful review of the risks, benefits, alternatives and recovery is most important. Being supportive of your partner’s well-thought-out decision, is the best gift you can give.
Posted in Patient Safety | Comments Off on Gifting Cosmetic Plastic Surgery