Another year of blogging is now complete. I hope to those who read it, it has provided some valuable information, some amusement, and a little insight into what makes me who I am. Intentionally, and often unintentionally, my personality will leak out in my writing.
Even if no one ever read these pages, it was still worth it to me writing. It is an excellent exercise in thought. Each blog takes me about 10 minutes to complete. I sit down with no topic or notes and then just flow with an idea of the moment. I do no drafts or revisions. I have no editor or assistant. It is often fascinating where my mind decides to go.
2017 will be a year of major changes at Yager Esthetics. Our nonsurgical services are booming, and more technology is on the way. Stay tuned here for what is next. At least 2 will launch in January. Both are long overdue and will be much in demand.
We are going full electronic records and eliminating paper. Get ready for iPads and laptops, as well as a video revamp of the website. Technology cannot be stopped. We will continue to set the bar for plastic surgery in the Hispanic community.
I wish you all a very happy and Healthy 2017. Thank you to all who have supported me over these 20 years, and know I will continue to support you for as long as you will have me.
Hard to believe, but this will be my last blog before Christmas. I hope all of you have done your shopping, and are ready to have a wonderful family holiday. I had a great time with my Yager Esthetics family last week at out annual holiday party. We rented a local restaurant, Mamajuanas, and had a fantastic time with great food and drinks.
I am still busy in the operating room, as holidays mean time off from work and school, which translates into time to recover from plastic surgery with family around to help out. A nice way to end the year, but a busier time for me.
I usually will steal long weekends in January, before it gets super crazy, so that I have a little family time and relaxation time. Unfortunately, I am not the kind of person who likes to sit on a beach doing nothing. Vacation for me is all about seeing, doing, and learning. It is often more tiring than work! Have to think about that as a New Year’s resolution.
I have received so many lovely gifts from patients this year. I tell them that my gift is their happiness, but sometimes they give more. Not necessary, but greatly appreciated. My hope is that each patient feels that I did my best and exceeded their expectations.
This week will be a lot of yspa and injectables like Botox, Xeomin, Radiesse, Voluma and Juvederm, as the office parties and family gatherings bring out the competitive nature of people. I like to theink the Yager Esthetics advantage always gets the edge!
Happy holidays, and thank you for supporting me supporting the Hispanic community.
It is already the last month of 2016- where did the year go? The older I get, the faster time seems to speed by. Yager Esthetics is charging ahead in our 20th year as the Latina beauty experts. With all of the imitators popping up, we are certainly flattered, but be sure to be safe and do your homework.
December is a funny month, in that we tend to hold a few extra surgery days aside for the “last minute shoppers” of our practice. All of a sudden, people start realizing the holidays are coming, and there is time off from school and work. Gift money comes in, and all of a sudden they want to finally have that cosmetic plastic surgery procedure they have been thinking of.
If that is you, realize that surgery should not be rushed. Testing needs to be done beforehand to insure you are healthy and safe. Implants, girdles, and special order items need to be secured ahead of time, and all of the preop and postop visits need to be coordinated. You need to think about child care, who will pick you up from surgery and care for you, and who will cover you at work.
Of course we offer nonsurgical treatments and injections, such as Botox, fillers, skin tightening, laser hair removal, Silk Peel and skin care, for those who can’t quite get a surgery together. The results are amazing and can get you ready for a holiday party, family gathering, or New Year’s Eve celebration.
If you want this to be your December to remember, be efficient, make an appointment with your general medical doctor for right after your visit with me so testing will not be delayed. Patients aren’t the only ones who take off time around the holidays, doctors do as well. Except for me- I am here to serve you.
I can’t believe Thanksgiving has passed already! It is my most favorite holiday, as all Americans can celebrate together. It is a wonderful reminder to all of us as to how lucky we are to live in this great country.
One tradition I have in my life is to have a Thanksgiving dinner for all of my staff, where we can enjoy food from everyone’s traditions and share a moment without working. It is important to realize that we are all people, and have personalities and lives outside of work. Getting to know each other in a more personal context is fantastic.
At my home, I make it a point to insure that everyone we know has a place to go for dinner. Even if it is a new neighbor, classmate of a child, friend of a friend, we try to open our house to at least one new person a year to make it a welcoming holiday. It is about sharing and caring.
I would also like to thank my Hispanic community for welcoming my practice for 20 years. It has been my pleasure serving, and I hope for at least 20 years more.
There is an ancient Chinese curse, “May you live in interesting times.” I think with the results of the United States Presidential election last week, these times would surely qualify. Donald Trump, a billionaire with zero political experience and a decidedly not political way of expressing himself, went from an outsider with a 1% chance of winning last year to the office of Washington and Lincoln.
I am not here to express a political view, but rather to step back and consider what this means in general terms. I try to take inspiration and find the good in everything, and there is a lot of both in this result.
To those of you who think that no one can make a difference in politics, it has just been shown that even if no other politician likes or supports you, it is the American people who get to choose. Put your message out there, and if it resonates with the public, you can win. Trump was outspent and did not have the full support of his supposed party behind him, yet he won.
Many people voted for the first time, or the first time in a while. While I feel the campaigns and the process in 2016 were ugly and a poor example to the world of a civil democratic process, this has certainly sparked an interest in the millenials in voting.
I am hopeful that all politicians take notice and realize that they serve at the will of the people. Maybe they can pull together and actually get things done so that service to their constituents and to this great nation I love will come before party and politics. G-d bless America.
I always look for the good in people, and believe that deep down, all people want to do the right thing. Until proven wrong, I place my faith in other people every day. My employees are so critical in maintaining a safe and pleasant experience for each patient, and we train each one for a tremendous amount of time. I want each person who works at Yager Esthetics to be a great ambassador for the practice, and to comport themselves as an honest advocate not only for the practice but for the patient as well.
Being in private practice here for 20 years now, I have had many employees. While I am dedicated to the practice, many of my employees go on to get married, have children, move out of state, or get degrees or return to school. As their lives change, sometimes they have to move on. I am happy when I see them grow as people and go on to do great things and achieve happiness.
I tell each employee from the beginning that if they reach a point where they are not enjoying their work at Yager Esthetics, to let us know immediately. We try to see if there is a modification that can be made, and if not, are happy to help them transition to another field or adventure in life. We only ask for the professionalism and courtesy of being honest and upfront with us, and giving the time needed to seek a replacement.
Over the years, we have been very successful by treating patients and staff in this respectful manner. Of course, my trust has been betrayed on a few occasions by less than honorable staff. I would rather live my life believing in the good in people than being mistrustful of everyone. I will not change for the few bad apples. They have to look in the mirror and live with who they are.
As we are now rolling along in October, I get to enjoy some of my favorite music in the OR. Classic rock is the music of my youth, and everything from Heavy Metal, to Hair Metal, to Alternative and Grunge will make the playlist.
Operating to music makes everything better. It activates my creative brain, puts the patient more at ease upon entering the room, and keeps the energy level of all of my employees up throughout the session.
As a recording artist with an album under my belt, (Used Karmas- check it out on itunes, Spotify, or at usedkarmas.com) it keeps me humble to know how much better everything we listen to is than my own music. If it weren’t for all the cosmetic plastic surgery, I might have the time I need to get better.
The mood extends into patient days as well, although we do not pump metal into our waiting room. Sometimes Spanish Rock sneaks in, with Jarabe de Palo and Mana. It is all rock and roll to me. It is my tribute to the music that fed my soul growing up.
Please join me and appreciate the Rock inside of all of you. Be it at work if possible, in the car, at home, or during exercise. Rock on, my brothers!
I am a Board Certified Plastic Surgeon, and I do not complain about my income. I could certainly charge more here in my 20th year of private practice, but I try to keep plastic surgery accessible to working people in my Hispanic community. I do not expect anything more than what I charge for each surgery, and feel it is a bargain for what is provided.
Some of my colleagues on Park Avenue charge considerably more, and are often given expensive gifts as a routine by their patients. I have heard of expensive watches, jewelry, use of vacation homes, and even a car or two, far exceeding the value of the surgical fee.
I recently received a wonderful present that I feel is worth more. A young woman, very quiet and respectful, came back one year after her surgery to tell me how much her surgery meant to her. She felt that it helped her self esteem, her job, and her relationship, and wanted to thank me so much. I was touched and grateful for the appreciation, and then she handed me an envelope. Inside was a Starbucks Gift Card. She wrote “Thank You For Everything.”
It may not have the street value of a Rolex, but the thought was far more precious to me.
One of my favorite operations in plastic surgery has always been Breast Reduction. It is the only operation I still do that is not purely cosmetic. It has been done for over 100 years, though techniques have changed.
I had always been very happy with my results, and still think my traditional breast reduction results compare to any I have seen. The one thing I did not like, and is a limitation in breast lifts as well, is the lack of fullness in the upper part of the breast to make it seem more full and youthful.
Patients come to me because they have very large and heavy breasts, and want to remove the extra weight, and lift them so they appear more attractive. What they want to look like is someone who had breast implants. That’s when I got inspired.
Why not do a breast reduction and put in an implant at the same time? Breast Reduction Augmentation- BRA. Of course, you need to be very careful technically to insure you preserve sensation and blood supply to the areaola and nipple.
I have performed the BRA about 30 times now, and have been more than thrilled with the results. Implant selection and care with the size is crucial. I hope to publish my series soon.
So, going smaller does not mean it is necessarily a reduction alone. Sometimes you need to go back a little farther to move ahead..
The Brazilian Butt Lift, or “BBL”, has been quite popular over the last few years. I did my first liposuction with fat transfer as a medical student in 1989. It was amazing to think that you could move fat from one part of the body and have it survive and live elsewhere.
This is my 20th year in private practice, and I do between 150 and 200 BBL’s a year. I have probably done close to 2000 by now. Experience has taught me how to do the operation technically well, I have learned how patient care afterwards can affect the final results, and how to give a realistic expectation to a patient. So how come some people are disappointed with the results? I have broken it down into a few categories which I will share with you.
Sometimes the response from significant other or friends and family is not as great as the patient is looking for. You spend money and hope that the whole world will be positive and supportive. Unfortunately, people can be jealous or cruel, and the only way to not operate on these patients is to meet there whole social circle- not practical.
Others are looking for the impossible, despite them yessing you to death when you explain the limits of the procedure. You need to be realistic and understand what is expected if you truly want to be satisfied. Satisfaction comes from within you, and it is a choice.
Lastly, sometimes the result is less than what the surgeon expects, given body metabolism or quality and quantity of fat. This is an unfortunate possibility in a procedure where no matter how well the fat is placed, for some reason the body can’t support it. I always explain this possibility.
I would say 100% of my patients have improvement, and 90% are satisfied and happy with the change. If social support systems were good, and patients were all realistic, I think it would be 99%. I still think it is an amazing procedure, and I love making curves.