Black Friday and Yager Esthetics

Black Friday, the day after Thanksgiving, has become a major event in the United States over the last few years as the official start to the holiday buying season.  This year, 2011, some retailers have moved the clock up to start Thanksgiving night.  In my opinion, this has to stop.

Thanksgiving commemorates the working together and peace of the pilgrims and native Americans at the start of the colonization of America, before greed and prejudice eroded the trust in this country.  We now use it as a day for the family to come together and give thanks for the blessings we have.  And then, we race to the stores, trample over people, and even pepper spray them to get a good price on an X-Box?  Ridiculous!

I understand the idea of creating buzz for the retail industry, and jump starting sales, but the timing couldn’t be more inappropriate, and the method is dangerous.  Let families enjoy the holiday together and not think of materialistic things.

I used to operate on Thanksgiving morning, and make sure the staff left by noon, thinking nothing happens before then on the holiday anyway, and that many people found it a convenient time to take off from work.  Then I stopped operating that day, but was open Friday and Saturday as normal.  I stopped that as well a few years ago so that my employees could have more family time.

I guess the purpose of this blog is to remember that no matter how cheap a deal is on an ipad or plasma tv, it is meaningless compared to value of family time.  If you are lucky enough to have the Friday off, enjoy the precious gifts that money can not buy.


Depression and Plastic Surgery

On the paperwork you fill out at Yager Esthetics, there is a place for medical problems.  When I speak to the patients, they often leave out several issues and medications.  One of the most common is depression.  I believe it is partly out of shame and fear, and partly due to the fact that they do not consider depression a medical problem.  This is potentially dangerous.

When people have a history of depression, they often do not respond to emotional stress well.  Plastic surgery, even the use of skin care or wrinkle injections, can be a stressor.  This is especially true if they do not have supportive people around them.  Situations such as these can be very dangerous.

It is important to tell your doctor about depression, and to not be ashamed.  It is no more embarrassing then diabetes or high cholesterol.  This knowledge helps the anesthesiologist dose certain medications differently, and the surgeon to insure that you have the support network you need before a procedure is done.

Plastic surgery does not cure depression.  You only get better looking depressed people.  If you are the family member or friend of a potential patient with depression, make sure to let the doctor know.  Be positive and supportive, let them know you care, and tell them they look fabulous.  Sometimes, treatment is needed prior to surgery, and your surgeon can help you find a qualified health care professional to help you on the inside as well.   

image: gettyimages.com


Keeping It Real

If you are walking down the street, or are on the beach and can tell in two seconds that someone has had cosmetic surgery, it is not good plastic surgery.  While some people may like the overly done look, or high round fake breasts, that is not what most people want in my practice.

The real challenge is to improve your patients’ appearance dramatically without it being obvious to the world that they are surgically enhanced.  A believable lie, or beautiful secret, whichever you prefer.  It is, however, not an easy task.

Breast implants should look like breasts, not implants.  Liposuction is not a procedure to remove every fat cell from your body, but to enhance your natural curves.  Facial surgery should not make you look different or 30 years younger, but should make you appear fantastic for your age.

I urge you to be very careful when seeking out a provider for your plastic surgery.  Make sure they are Board Certified by the American Board of Plastic Surgery, and that they do a lot of the procedure you are requesting every month.  Also, make sure they are used to treating your ethnicity and skin type, and understand your beauty ideals.  Look at at least three before and after pictures that they themselves did recently on similar appearing patients and make sure you like the results

When considering plastic surgery, try to “keep it real.”  

image: gettyimages.com


Family and Plastic Surgery

One of the hardest things about becoming a plastic surgeon is the time it takes away from your family.  The training process is grueling- 4 years of University, 4 years of Medical School, 3-5 years of General Surgery and 2-3 years of Plastic Surgery, more if you do a fellowship. During that time, you are working about 100 hours a week, leaving little time to spend awake with others.

Starting in practice is also difficult.  Sometimes there are on call commitments for the emergency room, waiting for operating room times, and scrambling to build a patient base.

When you are fortunate enough to be successful, it is more hours operating on more patients, and then seeing them after surgery while also seeing the new consults.  Being busier means more staff and more headaches.  If only 1% of your patients are difficult, and you operate on 100 a year, that’s only one person to worry about.  When it is 500 or 1000, now you have 5-10.

As I built Yager Esthetics, I have been fortunate enough to be able to expand twice in 15 years from 1500 sf to 6000sf, and from one employee to nearly 30.  This can be stressful on your family life.  This is why I make sure to leave the office by 5pm every day except Wednesday, when I start at 11 and stay to 7.  I need to spend the time with my children before they go to sleep, or take them to school on my late night.

I am 1000% dedicated to trying to make every patient happy, and I work extremely hard to do things safely and with the highest standards of care.  I do the same for my family.  Balance is important, and it is surprising how you do not miss the time wasters like television that get eliminated when you enjoy the good things in life.

Your children are only young once, your spouse needs your attention too.  No matter who you are or what you do, take the time for family.

image: gettyimages.com