Yager Plastic Surgery
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Somos los expertos en la belleza Latina

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Archive for the ‘Operation Room’ Category

Santa Claus and Plastic Surgery

Monday, December 29th, 2014

Almost all little children look forward to xmas, a time when good behavior is rewarded with family time and the fulfillment of wishes for presents.  It is a happy holiday, but one in which many lose the true meaning of sacrifice for others, and instead focus on themselves.

Sometimes, cosmetic plastic surgery patients act the same way.  They see their plastic surgeon as a type of Santa Claus, who can magically grant every wish for physical improvement with the wave of a scalpel.  The bandages are like the wrapping paper, which when removed reveals the wonderful gift within.

Many times, patients are thrilled with the results, and understand the work that went into creating them.  All the training and sacrifices made by their doctor to acquire his or her techniques and esthetic eye are evident.  Some, however, like spoiled children, can never be satisfied or have enough.

I always meet with my patients several times before performing a surgery upon them, so that I may review the risks and alternatives of each procedure, and try to give them a realistic idea of what to expect.  Unfortunately, not all patients listen well.

Over 99% of my patients are quite satisfied with their care and results of treatment at Yager Esthetics, but that 1% is what makes my life difficult.  If everything is done well and the results are excellent, and the patient is unhappy, there is very little that can be done.

If plastic surgery is under your tree this year, don’t be naughty.  Listen to your doctor, try to have realistic goals, and all will turn out nice.  Happy Holidays!

Why Does Plastic Surgery Cost More in The U.S.?

Monday, January 27th, 2014

When I first opened Yager Esthetics in 1997, I spent a lot of my time answering the question as to why the cost of Plastic Surgery is higher in The United States than overseas, and why the extra money is worth it. Seventeen years and over 5000 surgeries later, it is still the most important question for a patient to ask.

I do not spend my time and energy educating the Hispanic Community about safety and honesty in Plastic Surgery for the sole purpose of making money. I do it to make sure that everyone knows what the risks and benefits are before making a decision as to where and with whom to have elective surgery. I have seen and heard too many horror stories to let my conscience do otherwise.

There are many very talented and qualified Plastic Surgeons in every country. The problem is knowing which is which. In the U.S., you can go to www.abplsurg.org and see if your doctor is Board Certified by The American Board of Plastic Surgery, insuring the highest level of training and education. This type of verification does not exist in most countries, and you have no idea as to what the training of your doctor was.

Where is the procedure taking place? In the U.S., not only hospitals are accredited, but ASPS members are required to operate in only Accredited Ambulatory Surgery Centers, and you can check that accreditation online or by phone. It insures the highest level of safety and emergency equipment as well. In many other countries, operating rooms are unregulated, and you have no idea who is giving anesthesia or caring for you after surgery.

Even if you manage to find a fantastic surgeon who does things well in his well organized center overseas, and you have a complication such as a reaction to anesthesia or an unknown health condition, where is the nearest hospital, how do you get there, and do they have the most advanced technology to save your life? In the U.S., if you have a complication, your doctor is available to see you without having to travel or miss work.
Plastic Surgeons here are also required to have malpractice insurance, follow rigorous and extensive programs for infection control and safety as well as continuing medical education to protect you and your rights, all at their expense. FDA approved materials and products all cost more due to the strict testing needed.

So it is not that U.S. doctors are greedy, or do the same thing for more money. Plastic Surgery is more than just the operation. It is the preoperative testing, the proper training and education of the patient, providing the safest environment and having the systems in place to reduce the risks of the procedures to insure your safety. With all of that, the question should be why is Plastic Surgery overseas cheaper?

Operating on my Employees

Wednesday, December 4th, 2013

At Yager Esthetics, I have over 20 employees, all of whom are women. Like any group of women, some are interested in beauty and appearance. Many of my staff have taken advantage of the products and services we offer for skin care, veins, hair removal, and injectables. A few of them want something more which can only be achieved by surgery.

As a Board Certified Plastic Surgeon who has been doing only cosmetic surgery for the last 17 years in private practice, I am certainly an option. I am honored when someone who works with me selects me as their surgeon, as it means that they respect my work and how I treat patients. If it is not awkward for them, I do not mind operating on my employees.

The staff understand that they will be treated the same, and go through exactly the same steps and process as every other patient I treat. There are no short cuts, and they are expected to follow the same instructions, down to post op appointments on a scheduled basis.

If my employee is not a good candidate for a procedure, or needs to lose weight, the same rules apply as to any new patient. Nothing “extra” or “special” is done for my staff that is not done for everyone seeking surgery. ALL of my patients are important to me, and I only have one level of care- my best.

What Makes Plastic Surgery Results Great?

Monday, June 24th, 2013

There are thousands of Plastic Surgeons in the world who do cosmetic surgery. Each one is trained differently, has a different esthetic eye, and experience. The ones who are Board Certified by The American Board of Plastic Surgery meet a certain standard of knowledge, but it does not mean they can achieve great results.
When I go to meetings, I can tell who is an artist and who is a technician in my field. The technicians are the ones who talk about precise measurements and protocols and absolutes, with algorithms for procedures and ratios that must be met. The artists are the ones who talk about balance and proportion and the variations of beauty from patient to patient. I like to think of myself as an artist who respects the traditions of technicians but relies on his own eyes to determine the final results.
To me, I like to achieve dramatic changes in appearance that do not alter the basic character of the person. Everyone should still recognize them after, and be left wondering what is different. If you get the harmony and balance right, even the most drastic improvement appears natural.
Part of it is also to listen to your patient, and communicate well to insure you are both on the same page with regards to goals. I tell my patients they do not have to choose the exact advice I would give as long as what they want is within the boundaries of good taste and normalcy.
How can you tell if your Plastic Surgeon is great? Talk to him/her, feel their personality, and see if the results are what you would want. If they can show you they have achieved what you want before, on a consistent basis, and seem to connect with you, it is probably a good partnership.

The Patient Escort After Plastic Surgery

Tuesday, April 30th, 2013

Whenever a patient undergoes a surgical procedure required sedation, regional, or general anesthesia, they are required to have a patient escort over the age of 18 to leave the office. This has always been the policy of Yager Esthetics, even before we became a AAAASF Accredited Surgery Center. It is amazing that some patients are annoyed at this rule.

The purpose of the patient escort is to have someone who is not altered by the medications that are given with anesthesia, and are not subject to the physical limitations imposed by the surgery so that they may help you arrive home safely. There should also be someone with you for at least the first 24 hours in case something happens and you are unable to call for help. It is common sense.

Going home in a taxi by yourself is never acceptable. If you pass out in the cab, what happens? If you get out of the cab and fall going into your home or building, who can help you? If you become confused or fall asleep from the anesthetic effects, who knows what might happen.

I know that some people live alone, and feel that it is embarrassing to tell someone they need help getting home from cosmetic surgery. It is a private matter, and not everybody has a person that they trust. If this is the case, ask about hiring a nurse or nurse’s aide to take care of you for the first night. They can pick you up and go home with you. Your safety is definitely worth the minor expense.