Yager Plastic Surgery
We are the Latina beauty experts
Somos los expertos en la belleza Latina

(212) 543-1700


Archive for the ‘Board Certification’ Category

Safety Trumps Money

Monday, February 20th, 2017

As a Board Certified Plastic Surgeon, I have had the privilege of taking care of the Hispanic community for 20 years in my private practice, Yager Esthetics.  I have always considered patient safety my number one concern, and have never done an unnecessary procedure to earn money, or sold a service, product, or procedure that I did not feel was of benefit to the patient.

Additionally, I often have patients who want multiple surgeries, and feel doing it all at once is best.  That is not always true.  You must consider the health of the patient, additional risks of a combined procedure, as well as the positioning and discomfort during the recovery process.  For example, a healthy, normal weight, young person can do an abdominoplasty with liposuction of the flanks. If they wanted fat transfer to the buttocks, this would be separate, as to get the proper result from a fat transfer, you need to sleep on your stomach and not sit for a week.  This is impossible to do after a tummy tuck.  Sitting on a special pillow is not, in my opinion, the best or safest option.

Some patients have risk factors due to age, weight, or medical history.  I always suggest separating procedures for safety concerns, often consulting with the patient’s primary care doctor.  These are elective surgeries, and every effort to reduce risks should be made.

One of the hesitations I hear is that separating the procedures is more costly, and this is true.  You are paying the operating room fee and anesthesia fees twice.  In an effort to keep you safe, I have changed my policy so that if you schedule and pay for your multiple procedures and I decide to separate them, you will pay the same as if it were all done together.

That is what I call putting safety ahead of money. 

Back to School 2016

Monday, September 12th, 2016

As the kids return to school, and teachers begin to work again, the beginning of September is a great time for me to work on learning.  After four years of college, four years of medical school, and 5 years of training in Plastic Surgery, even starting my 20th year of private practice does not mean I know it all.

Every 3 years, I must complete 150 credits of continuing medical education just to maintain my license.  In addition, to remain a Board Certified Plastic Surgeon, I have to do a Maintenance of Certification program in 10 year cycles.  This involves courses, certifications and an exam.

Next year is my exam year, and I will be doing the Cosmetic Plastic Surgery module, as that has been my sole focus for my career.  While I still remain competent in all areas of Plastic and Reconstructive Surgery, I have not performed many of the procedures in decades.

This year, I am on a mission to explore new areas of practice, as well as critically assess what I do best and where I can improve.  I have never seen a perfect result in plastic surgery, be it my own work or others.  I do not think it is impossible, but I like the challenge of getting as close as humanly possible while remaining safe.

I invite you to assess your own work, whatever it may be.  I am sure there are courses or videos that might expand your abilities, as there are for me.  Let us all return to school and learn for a lifetime.  School is definitely in session.

Early Results With Inspira Breast Implants

Monday, August 8th, 2016

Another breast augmentation blog!  Whenever something new comes out, I do my due diligence and report back to my patients.  When I was informed of the Natrelle Inspira line, I naturally read all I could and spoke to my implant people. I have been using these implants for 6 months, not exclusively, and find that they are not the only answer, but a very helpful tool in my implant arsenal.

Inspira is a silicone gel based breast implant of the traditional type.  It is not a highly cohesive gel, or gummy bear type.  What distinguishes it from the standard or classic gels is that the same dimension shell is filled to a higher percentage.  This results in a bit more fullness.

Inspira implants come in different profiles, which further adds to the options for custom tailoring each procedure to each patient.  I can select many different implants for the same size breast and create different looks depending on the personality and desires of each patient.

I find that for the patient who wants that little bit more upper pole fullness without looking fake, it is an excellent option.  My patient satisfaction has been extremely high so far, and I have not yet had a capsular contraction.  This most likely will happen at some point.

I would be happy to offer my advice to those of you who are considering breast augmentation.  Inspira may not be right for you, but it is worth considering.  The search for the perfect implant continues.

Victim of my own Success

Monday, May 2nd, 2016

When I decided to serve the Hispanic community after my training in Plastic Surgery, I opened up Yager Plastic Surgery in 1997.  I had no business plan or experience, no training in HR or administration, and plenty of school debt.  All that I knew was that I was a good plastic surgeon who could serve a need for Spanish speaking patients in Washington Heights, New York.

As I became more popular, I have expanded the office twice, and rebranded as Yager Esthetics to encompass all of the nonsurgical treatments and spa services we offer.  Fast forward to starting year 20, and I have become busy to the point that there is a wait for surgery and appointments, despite the massive staff I have assembled to keep up with demand.

The good news is that due to my experience, I am able to deliver the highest quality surgical results to more people.  The bad news is that I cannot see everyone at every visit for as long as they might like.  I love my patients, and enjoy talking with them, but have to strike a balance to serve the community as a whole.

This does not mean that I miss anything, or give less care.  I see everything on everyone and ensure the best possible care medically as always.  It is the social part that suffers for some.  This is such a hard balance to strike, and I am still working on it.

Please know that I always give my all, and think that surgically, I have never been better.  I want to make it so people do not have to wait long to see me, but there are only so many hours in a day.  If you need more from me, please tell me.  I am still here for you.  It has never been about the money, only the opportunity to help the Hispanic community.

World’s Best Plastic Surgeon

Monday, May 25th, 2015

I am not the World’s Best Plastic Surgeon. In fact, if I even made that claim, I would be in jeopardy of losing my status as Board Certified. But what are the qualities that make for great Plastic Surgeons, specifically Cosmetic Plastic Surgeons?

Ability is obviously important. You must be technically gifted to perform the procedures properly, and with appropriate education and training, most Plastic Surgeons are. The surgeries are not that difficult in concept, and can be mastered.

Judgment and an esthetic eye are not as common, and cannot really be taught. You see some surgeons at esthetic conferences feverishly writing notes, and asking for formulas or exact steps in a hope to recreate what they see. These doctors are usually not blessed with the talent for cosmetics.

The ability to connect with the patient and communicate well is also tricky. You can be the smartest and most talented plastic surgeon, but if you can’t convey that to a patient, no one will trust you to perform a procedure. Be honest and educational, and make the patient comfortable. It has to be a match on both sides.

Knowing who NOT to operate on is to me the most difficult. I like to give people the benefit of the doubt, and my first instinct is to help. I do not like to think that people have bad intentions, and have been burned a few times.

While I may not be the World’s Best Plastic Surgeon, I certainly try my hardest to deliver for each patient. Judging by the number of surgeries I do each year, it’s good enough for nearly all.