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Posts Tagged ‘cosmetic surgeon’

ABCS-new-beauty-infographic_lgIn an attempt to provide the utmost in patient care and education , we find it necessary to discern the field of cosmetic surgery from that of  plastic surgery.  As a practice that offers cosmetic surgery, on a daily basis,  we encounter patients who are unable to distinguish “cosmetic” from “plastic”. For this reason, we have published numerous articles expressing the differences between the two fields. One of the articles can be found here.

As the field of cosmetic surgery gains mass popularity, an increasing amount of misinformation has surfaced. In particular, New Beauty Magazine recently published an article containing a shocking amount of deception regarding the field of cosmetic and plastic surgery which ultimately depicts Board Certified Cosmetic Surgeons in a negative light. The American Board of Cosmetic Surgery has devised an informative response to address the inaccuracy resulting from the New Beauty magazine article.  Our mission to provide patient education and safety has prompted us to share this information with our readers.  We hope this will eliminate some of the confusion.

Read the American Board of Cosmetic Surgery’ s response at

http://www.americanboardcosmeticsurgery.org/newbeauty-open-letter

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cosmetic surgery in Chattanooga TennesseeIf you think cosmetic surgery is only for wealthy housewives and glamorous celebrities, it is time to think again. As a wider variety of non-surgical alternatives and financing options surface, more Americans, from all socioeconomic backgrounds, are electing to undergo cosmetic enhancements.

Financing Cosmetic Procedures

The new-found availability of financing is largely responsible for the rise in cosmetic surgery patients . Carecredit ,offered at our cosmetic surgery practice in Chattanooga, is a financing option specifically for cosmetic services. Just like a credit card, Carecredit allows patients to fit procedures like Botox, breast augmentation and facelift surgery into their monthly budget. No longer do patients have to save up for their procedure. They can get the look they want when they want it.

Just as many invest in their looks through gym memberships, spray tans, high end cosmetics and hair stylists, more individuals treat routine Botox or injectable treatments as another necessity in their beauty regimen. Payment plans make this more feasible for the average person.

Non-surgical Enhancements

Before the introduction of Botox and injectable fillers like Restylane and Juvederm, cosmetic patients did not have many non-surgical alternatives. Many patients looking to erase wrinkles or rejuvenate skin only had expensive, surgical solutions. Thanks to years of research and development, the modern cosmetic patient has an abundance of options. Whether it be injectable fillers like Perlane or Radiesse to address deflated facial features, or Dysport injections to treat frown lines and crow’s feet, our surgeons strive to resolve patient concerns through non-surgical approaches before resorting to surgical intervention.

If you have been considering cosmetic surgery but unsure of how to fit it into your budget, our staff can work with you and explore your options. It is a great time to be a cosmetic patient. For more information call 423-648-4011.

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tummy tuck Chattanooga

How is a mini tummy tuck different from a full tummy tuck?

While more traditional tummy tucks address the belly button, lower and upper abdomen, the mini tummy tuck only tightens the lower abdomen. Upon healing from a full tuck, patients will have scarring around the belly button and an additional scar that extends across the lower abdomen, typically extending from hip to hip. A mini abdominoplasty results in a smaller scar only at the lower abdomen and no scar around the navel.

Although mini tucks can be an effective alternative for patients with skin laxity and stretch marks isolated to the lower abdomen, mini tummy tucks cannot correct the upper abdomen and belly button nor can it remove stretch marks present in the upper region of the stomach.

Mini Tummy Tuck Candidates

Ideal candidates for mini tummy tuck surgery are healthy, non-smokers who exhibit loose skin in the lower abdomen not treatable by liposuction alone. Pooching, skin laxity and stretch marks must be limited to the lower abdomen. If the patient exhibits these symptoms on the entire midsection, they may be better suited for a full tummy tuck.

To see if you are a mini tummy tuck candidate, call 423-648-4011 to schedule a complimentary consultation with our Board Certified Cosmetic Surgeons.

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If you pay any attention to tabloid headlines, you will notice celebrity plastic surgery is a common topic. With the “Did She or Didn’t She?” ,or even more sensational, “Plastic Surgery Nightmare” features saturating the magazine covers, “plastic surgery” and “celebrity” are two terms which have become closely related. Cosmetic plastic surgery is so common in Hollywood that it is probably rare to find a celebrity that has gone completely without some sort of cosmetic enhancement.

However, good cosmetic surgery rarely receives the press coverage that botched jobs do. So, why? Aside from the fact that the negative stories tend to be more exciting to the public, good cosmetic surgery can be so subtle it often goes unnoticed to the unassuming eye.

The sign of good cosmetic surgery is, in fact, that there is no sign at all. This is a mentality greatly valued at our cosmetic surgery practice . Whether it be a face lift, brow lift or lip enhancement , the results should only enhance and rejuvenate your natural beauty….you, but only a few years younger. Your friends may notice something is different, but they can’t pinpoint just what it is.

The truth of the matter is that plenty of celebs are going under the knife, however, most find cosmetic surgeons who subtly enhance their natural beauty instead of completely altering it. Disastrous cases tend to result most likely as a combination of incompetence on the surgeon’s end or mental instability on the patient’s behalf. Patients with body dysmorphic disorder will often push plastic surgery to the extreme by augmenting features that do not need augmentation. This is a recipe for disaster.

Ultimately, cosmetic surgery can work wonders for one’s confidence and appearance when performed by a highly qualified, Board Certified surgeon on a mentally stable patient. To ensure satisfaction with your cosmetic surgery, make sure to research your surgeon. Do you like their before and afters? Are they board certified? Make sure you are undergoing cosmetic surgery for the right reasons.

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Cosmetic Surgery Chattanooga, TennesseeFrom breast augmentation to facelift , if you have cosmetic surgery in an office-based setting you will certainly not be alone. Since 2005, an estimated 10 million procedures have been performed annually in office settings. Advances in medical technology have made it possible for cosmetic plastic surgeons to perform more advanced and complex surgical procedures in their offices. Whether it is a tummy tuck or a brow lift, every surgical procedure performed in a cosmetic surgeon’s office involves some form of analgesia or anesthesia to make the surgery painless. Some office-based procedures might even involve general anesthesia that provides total loss of consciousness.

Benefits of office-based cosmetic surgery

Since most patients want to avoid an overnight hospital stay after surgery and reduce costs, ambulatory surgical procedures have become very popular. More recently, though, there has been a growing trend for cosmetic surgery to be done right in the cosmetic practice’s office. Office-based surgery can offer the convenience of having a procedure done in a more private, comfortable setting and a quick return home with significant reduction in cost without compromising safety.

The same anesthetic techniques used in hospitals and ambulatory surgical centers are used in office-based surgery. Patients undergoing office-based procedures will be asked to follow precautions similar to those in a hospital. From the simple removal of a mole to facelift, liposuction, varicose vein laser or tummy tucks, a rapidly growing number of cosmetic procedures are being performed in the surgeon’s office rather than in hospitals or surgical centers.

Questions to ask before undergoing cosmetic surgery in an office setting

In considering your options when surgery is advised, here are some questions you should ask before undergoing surgery in an office setting:

Who will be providing my anesthesia , and has this person been trained to give anesthesia?

Ideally, anesthesia should be delivered or supervised by an anesthesiologist or Certified Registered Nurse Anesthetist medically trained to evaluate your health needs and decide whether you are a good candidate for surgery in an office setting. At a minimum, a person extensively trained in the delivery of anesthesia should be involved. Anesthesia needs are determined by your medical condition as well as by the type of operation you will have. Your cosmetic or plastic surgeon will discuss your anesthetic care with you before the surgery. Blood pressure, pulse rate, EKG and oxygen levels are some of the important vital signs that should be monitored during your surgery. You should have a qualified individual monitoring your vital signs in addition to the surgeon.

A surgeon’s office [like a hospital] should have the necessary emergency drugs, equipment and procedures in place to care for you in the rare event of a life-threatening complication. In rare instances, serious complications may require that you are transferred to a local hospital. Many states require licensing or accreditation by a recognized agency. These agencies regularly inspect such offices to ensure that the minimum standards of the patient are met. The State of Tennessee does not require licensing or accreditation; but requires surgical suite review prior to complex, Level III surgeries.

Surgical Suite Accreditation

Centers of excellence usually request voluntary accreditation by the Accreditation Association for Ambulatory Health Care [AAAHC ] or the American Association for Accreditation of Ambulatory Surgery Facilities, Inc [AAASF]. Today, about one out of 10 surgeries are performed in a doctor’s office. Ask your cosmetic plastic surgeon if his or her surgical suite has been accredited.

Although our surgeons have hospital permissions, we perform the majority of our procedures in our AAAHC accredited , office-based surgical suites.

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Will I be happy with my cosmetic surgery?This question is one that is asked in our cosmetic surgery practice quite often and as simple as this question may first present itself, to the contrary, it can render a very complex answer. Many factors contribute to a patient’s satisfaction with their outcome following cosmetic surgery . Major components such as the patient’s expectations, life circumstances, mentality and the performing cosmetic plastic surgeon can all attribute to patient satisfaction or dissatisfaction.

Cosmetic Surgery Satisfaction: Forming Realistic Goals

To begin forming realistic expectations, it is vital for patients to carefully weigh the advantages of the selected cosmetic procedure against the possible risks, disadvantages or complications. For example, a tummy tuck may result in a tighter, flatter midsection but some scarring is a by-product of this procedure. Is scarring an effect you are willing to accept for a tighter stomach? Be sure to research and consult with your cosmetic surgeon regarding possible risks and disadvantages associated with the procedure you are considering.

Before undergoing cosmetic surgery, patients should outline some solid and attainable goals in which they expect to achieve by undergoing the procedure of interest. Will the procedure help you reach these feasible goals (flatter stomach, fuller breasts, younger appearance)? Make sure your surgeon is confident that cosmetic surgery can accomplish these basic goals, and let me emphasize the terms “basic”, “attainable” and “feasible” .If you are expecting cosmetic surgery to completely alter your personality or life, you are probably not generating feasible goals and will be setting yourself up for disappointment. Also, be sure your motives for cosmetic surgery come from within. It is never a good idea to undergo cosmetic surgery for someone else.

Choosing your cosmetic or plastic surgeon

In addition to forming realistic goals and well-informed expectations, it is vital to put careful consideration and research into choosing your cosmetic or plastic surgeon. No matter how well you prepare yourself for the procedure mentally, if your surgeon is incompetent, you will most likely regret your cosmetic surgery. When choosing a cosmetic surgeon it is important to select a cosmetic surgeon who is board certified. In most states it is legal for any physician who holds a valid medical license,with or without surgical training, to practice cosmetic surgery. Board certification is important because it makes certain your surgeon has the training, qualifications and experience needed to perform your cosmetic surgical procedure safely and skillfully. A board certified cosmetic surgeon has greater insight into your needs, has knowledge of state-of-the-art techniques and the surgical skill and judgment to recommend and perform the cosmetic surgical procedure that will enhance your appearance effectively and safely.

As for how you should choose a cosmetic surgeon or cosmetic surgical center— You should do the research locally and online. You can perform a standard internet search with the name of the doctor or the procedure about which you would like to receive more information. What do you see online? Do you like their before and after photos? Do they have negative or positive reviews ? In addition, ask about the surgeon’s privileges in an accredited surgery center or a hospital to perform cosmetic surgery. Given the growing number of cosmetic surgery patients and the highly competitive pool of doctors performing cosmetic surgery, it is vital that you obtain accurate information regarding cosmetic surgery and the doctors who perform it.

You should be happy with your surgery as long as you research your surgeon carefully, educate yourself on the advantages and disadvantages of the surgery of interest and make sure your expectations and goals are realistic and attainable.

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Cosmetic surgery is a sub-specialty that uniquely restricts itself to the enhancement of appearance through surgical and medical techniques. It is specifically concerned with maintaining normal appearance, restoring it, or enhancing it toward some aesthetic ideal for all areas of the body. Cosmetic surgery involves a multidisciplinary and comprehensive approach from a variety of disciplines including board-certified dermatologists, general surgeons, maxillofacial surgeons, ophthalmologists, ENT’s, plastic surgeons and physicians from other fields. All of these disciplines have contributed to the vital growth of cosmetic surgery.

Choosing a surgeon for cosmetic procedures

Choosing a doctor for any healthcare need is an important decision. Patients should choose a healthcare provider based on his or her training, education, experience and demonstrated practice history. It is the American Medical Association’s policy that individual character, training, experience and judgment are the criteria for granting privileges for surgical procedures, and that physicians representing several specialties can and should be permitted to perform the same procedures if they meet criteria for the specific procedure.

With an expanding number of consumers anxious to undergo cosmetic surgery, it is imperative that consumers have access to accurate information, the freedom to choose among physicians and that the number of qualified providers is not artificially restricted. Unfortunately, the vast majority of consumers view cosmetic surgery and plastic surgery as one and the same. Consumers’ misapprehension in this regard has them relying on incomplete and false information when choosing a physician to perform cosmetic surgery procedures.

Plastic Surgery is not Cosmetic Surgery

When considering cosmetic surgery, people are almost universally unaware of the difference between cosmetic surgery and plastic surgery. For this reason, they are easily misled to believe that board certification in plastic surgery evidences a physician’s competence to perform cosmetic surgery. It does not.

A recent national cosmetic surgery training survey sent to the 89 active US plastic surgery programs in regard to resident preparedness in aesthetics was quite revealing. The information published in the Journal of Plastic and Reconstructive Surgery revealed significant differences in opinions between program directors and finishing senior plastic surgery residents. Although 51 percent of residents felt prepared to integrate cosmetic surgery into their practices upon graduation, 36 percent felt further cosmetic training was desirable after completion of plastic surgery residency. Confidence levels were specifically low in rhinoplasty, face lifts, endoscopic procedures and body contouring techniques. Experience with skin resurfacing, facial fillers and botulinum toxin type A were listed as other areas of concern.

On a positive note, breast augmentation, breast reduction and abdominoplasty were most frequently performed by plastic surgery residents during training with the highest resident comfort levels. On the basis of these results, Dr. Colin Morrison, et al suggested changes in cosmetic surgery training during plastic surgery residency.

As there are very few dedicated Cosmetic Surgery Fellowships, cosmetic surgery is primarily learned during post residency through ongoing continuing education, training and experience. The most recent advances in cosmetic surgery have appeared in the last seven years- Botox, facial fillers, advanced laser skin resurfacing and body contouring. If your surgeon completed residency more than seven years ago and offers advanced cosmetic surgery procedures, he or she learned these techniques at post graduate training courses offered to physician and surgeons of all specialties.

Ultimately the decision is yours..so only can make the the right choice for your surgical procedures, whether elective for cosmetic reasons or for medical reasons. Choose well!

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Cosmetic surgeons combine knowledge, surgical skill, technical expertise and ethics to achieve their goal of providing aesthetic enhancement for their patients. When choosing a cosmetic surgeon it is important to select a cosmetic surgeon who is board certified. In most states it is legal for any physician who holds a valid medical license, with or without surgical training, to practice cosmetic surgery. Board certification is important because it makes certain that your cosmetic surgeon has the training, qualifications and experience needed to perform your cosmetic surgical procedure safely and skillfully. A board certified cosmetic surgeon has greater insight into your needs, has knowledge of state-of-the-art techniques and the surgical skill and judgment to recommend and perform the cosmetic surgical procedure that will enhance your appearance effectively and safely.

Having said that, board certification does not equal quality care or quality outcomes. Having a Tennessee driver’s license does not make one a good driver—it only verifies that they have successfully completed the examination and have been issued a license to drive.

Becoming Board Certified in Cosmetic Surgery

In order for a surgeon to become board certified in any medical specialty, they must go through a long demanding process that takes years to complete. The American Board of Cosmetic Surgery [ABCS] is the only certifying board that exclusively tests a surgeon’s knowledge and experience in cosmetic surgery. Surgeons develop their cosmetic surgical skills through post residency training and experience. The point is that a cosmetic surgeon’s skill and ability will depend on the surgeon’s cosmetic surgery training and experience, not on core board-certification.

The number of people seeking cosmetic surgery has grown rapidly over the past several years. As part of a greater focus on appearance, people are turning to cosmetic surgery as one means of enhancing their appearance. At the same time, more and more doctors are practicing cosmetic surgery.

Given the growing number of cosmetic surgery patients and the highly competitive pool of doctors performing cosmetic surgery, it is vital that you obtain accurate information regarding cosmetic surgery and the doctors who perform it. Before you undergo cosmetic surgery, it is important you become informed about the doctor’s education, training, experience and proven competence with respect to the specific procedure you seek.

Cosmetic surgery may be performed in various facilities such as hospitals, surgical centers and office settings. An accredited surgical facility must meet certain minimum standards to obtain and maintain its accreditation.

Research Before Undergoing Cosmetic Surgery

Before the surgery, your doctor should explain to you the risks and possible complications, and potential side effects, including the pros and cons of the procedure. In addition, ask about the surgeon’s privileges in an accredited surgery center or a hospital to perform cosmetic surgery.

As for how you should choose a cosmetic surgeon or cosmetic surgical center— You should do the research locally and online. You can perform a standard internet search with the name of the doctor or the procedure about which you would like to receive more information. What do you see online? Negative or positive feedback or reviews.

Make sure that your surgeon has a good reputation, a strong background in the surgical field, and above ALL … that he or she produces good results. Training is important; board certification is important; but skill, judgment and artistic detail are evidenced by experience and outcomes — not board examinations.

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