Yager Plastic Surgery
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Safety Trumps Money

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. 


Loyalty and Plastic Surgery

October 17th, 2016

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.


Rocktober at Yager Esthetics

October 10th, 2016

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!


The Most Valuable Gift from a Patient

October 3rd, 2016

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.


The BRA- Thinking Big While Going Smaller

September 26th, 2016

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..