Starting Year 19!

When I opened Yager Esthetics in 1997, I did not know what to expect.  I scraped some money together to repaint and build a small OR in a small office in Washington Heights.  I hired a woman to help me open up, and I was her first paying client.  She is now the premier plastic surgery consultant in the world.  She helped me hire my first employee, who is still with me.  I have expanded twice, to where I now have 6000sf on a prime corner across from Columbia Presbyterian in upper Manhattan.

My surgical volume is fantastic, I have never taken a day of ER call, and I have not done a case in a hospital in years.  My mission to help educate the Hispanic community about safe plastic surgery has gone well, and my Y Gallery art space for Latin artists is an international hit. I should be the happiest man on the planet.

I am not.  I still feel that I have not reached my potential.  Despite expanding the nonsurgical side with a nurse injector, laser hair removal,  Exilis Elite radiofrequency skin tightening and fat reduction, cellulite and scar treatments, I am still not satisfied.

I still see too many patients who have had overseas surgery disasters, too many getting taken advantage of here by Ob/gyn’s and Family Practitioners posing as cosmetic surgery experts, and I find I do not have enough time to see everyone with the time they deserve.

I thank you all for being loyal and making Yager Esthetics the most successful cosmetic plastic surgery practice serving the Hispanic community.  I will be working hard to take us even further as year 20 approaches!


What’s in a Name

When I was constructing my office expansion, I thought it was the best time to consider a name for the practice. Yager Plastic Surgery was working, but now we were doing so much more than Plastic Surgery. I wanted the name to include all of what we offered- the ySpa, spider vein treatments, injectable fillers and skin care, as well as laser and advanced scar therapies.Being that my practice was focused on the Hispanic population, I wanted a name that would appeal to a Spanish speaking patient. I tried all sorts of clever names before I settled on Yager Esthetics/Estetica. The reason was that I felt the best indicator of quality, trust, and dedication to the community was my name- Yager.

Yager is not a Spanish word. In fact, it is Austrian. Jaeger, the German version, means hunter. When my Great Grandparents came to the US over 100 years ago, the spelling was changed. They came to Washington Heights, and opened a candy store. My Grandfather opened a Pharmacy in the Bronx, and my Father was a Podiatrist in Manhattan. I came back to my roots in Washington Heights.

Treating patients well is of the utmost importance to me. I try to insure a first class experience from the time they make an appointment, to the way they are treated in a world class facility, to the consult experience and on through surgery and recovery. This is what I do.

I recently had a patient who was not happy due to an issue beyond my control. Even though it was not my fault, it was hurtful for me. I insured her, as I do all of my patients, that I would do everything possible to make her satisfied.

When you come to Yager Esthetics/Estetica, the name means everything. I will continue my mission to provide the highest quality of care to my patients and my community. In the community, for the community is not just a slogan, it is my reputation. If anyone is dissatisfied, please let me know how I can remedy the situation. I am here for you.


Is Your Home Ready for a Plastic Surgery Recovery?

Before undergoing cosmetic plastic surgery, my patients need to get ready. They come to Yager Esthetics for a consultation, we discuss what they want to change, and we do a physical evaluation to see if it is possible. We make sure that they are mentally prepared and understand the risks and potential complications, and have reasonable expectations. We make sure they are financially ready, and have their financing or payments coordinated. We make sure they are medically ready, and have all of their preoperative testing done and a note from their general doctor as needed to insure safety. But what happens when you get home from your procedure? Is your home ready to receive a Plastic Surgery patient?

First, you have to fix the social and family issues. Large dogs that jump on you, children who want to be carried, and people who rely on you for day to day care must be taken care of. Whether it is mom coming to stay with you are sending your kids away, arrangements must be made.

Next, is the house physically ready? If you live in a fifth floor walk up, it is not a good idea to stay there right after an abdominoplasty (tummy tuck). Make sure you have enough pillows, and that your bed is not too high or too low to get in and out of. Make sure it is clean before you come for surgery.

Have you prepared everything you could have? Do you have your medications, has food been cooked according to any restrictions of firmness (for facial surgery), and is someone around to help you especially the first few nights? Remember, the better you plan, the easier the recovery.

Finally, did you fill your house with positive energy? What I mean is that some people are negative about things, or jealous, or resentful. These people need to be removed from the house and replaced with the good attitude supportive friends and family that make your postop period a pleasure.


Self Esteem and Plastic Surgery

I often see patients in consult for cosmetic plastic surgery who are crippled by low self esteem. They can barely look me in the eye, are timid, and are embarrassed to even let me look at them for the purpose of a physical examination. My heart breaks for these women, and I work extremely hard to make the experience at Yager Esthetics one of healing and support.

The reasons for low self esteem rarely stem from the actual physical defects that they have or perceive. It comes from a childhood of being emotionally and psychologically abused, and sometimes even physical or sexual abuse. This leads to a feeling of shame and low self worth. These unhealthy feelings attract the wrong kind of people, and a thoughtless or abusive spouse or partner feeds off of this negativity to further cripple the person.

I am very clear with my patients that I am there to help them correct the physical defects that they possess, and offer support and encouragement to show them that they are worthwhile people. I also tell them that surgery is not the answer to fixing a cheating spouse, or improving their social life. It will not get them a better job, or make their family dynamic change.

I am encouraged by the many cases I have where the physical improvement has indeed changed the way in which the patient views herself, and has lead to them breaking unhealthy patterns in their lives. They carry themselves differently, dress differently, and are suddenly empowered to remove the negative influences from their lives.

In some cases, I decline to operate until they see a counselor or other professional to make sure that they are safe and in a proper state to undergo surgery. It is unfortunately not the usual patient who agrees, but some do. The improvement in the emotional well being of the patient sometimes overrides the need for plastic surgery, which does not bother me at all. Being a Plastic Surgeon to me is all about helping people look and feel their best, and if I can do it without surgery, then I have really made a difference.


Great Expectations

When a patient consults with me at Yager Esthetics, they usually come as a result of knowing or seeing a patient of mine who is extremely happy with their result.   I had a woman show me on her phone that in her contacts, I am listed as “Miracle Doctor,” for the transformation she underwent after her procedures.

After 15 years and over 30,000 different patient consults, I have also established what I consider the premier practice in Cosmetic Plastic Surgery in the Hispanic community of the New York region.  The center looks a certain way, the staff is trained just so, even the website and patient education materials show an incredible dedication to detail.

I have also become a frequent resource for the media in Spanish to speak on topics related to my field.  I had a patient see me last week who said “Tiene tanta fama que sale en mi sopa.” (You are so famous that I even see you in my soup).  All of this together means that when patients arrive for their consult, my reputation is such that great expectations are placed on my work.  This is both good and bad.

I am a Board Certified Plastic Surgeon, and I am very confident in the way I operate and manage patients.  My results are generally excellent, and 99% of my patients are extremely pleased with their outcomes.  The overwhelming majority of dissatisfaction comes from patients who expect more than quality plastic surgery can realistically deliver.

I try very hard to give a true picture of the surgical and post operative periods, and to point out the limitations of what I can do.  I even show patients the things on their own bodies that I can not fix.  The problem is when patients think that despite what I say, perfection is guaranteed.

After hearing the wonderful experiences of my former patients, seeing me on television, and going through the consultation and office tour, the bar is set quite high.  I always do my best, and can say I can not recall a single case in which my effort was lacking.  My advice to any patient coming to Yager Esthetics or any other office is to listen carefully to what your doctor says, read all the consent and instruction forms thoroughly,  and be clear in expressing your expectations before electing to have surgery.  If all of this is accomplished, satisfaction is nearly always achieved.


Your Plastic Surgeon is not your Parent

Many patients visit me at Yager Esthetics looking for answers to their cosmetic  concerns.  They want to look better, have heard good things about my office from friends, family, other doctors, or on television, and they see me for a consultation.  What surprises some is that I do not make any of the decisions, I leave them to the patient.

To clarify, this does not mean I do what the patient asks of me regardless of what it is.  It is my job to educate you, give you the benefit of my experience, and review the risk and benefits of your options with you. I will let you know if I disagree with your choice, and explain why it may not be your best option as well.  I am not your parent, I am your experienced guide and teacher, a partner in care who will help you decide what the best choice may be.

I hear stories of consultations in other offices where the doctor pops in, looks at the patient, and tells them what they need, and leaves it to his staff to answer questions and try to make you commit to surgery.  I do not think this is adequate.  Each patient is unique, and just because you plastic surgeon is partial to a c-cup, this might be either too big or small for your taste.  One size does NOT fit all.

I encourage you to come to my office for an education on your safe options for improving your appearance.  I will do my best to guide you through the process so that we may come to a mutually agreeable decision as to how to realize your esthetic dreams.


The Best Facelift Compliment I Have Ever Received

As a Board Certified Plastic Surgeon, I try very hard to make each patient happy with their result.  I also try to make myself feel proud of the work I have done.  In all cosmetic plastic surgery, but in facial surgery in particular, you must make sure to achieve a great result without it looking fake or overdone.  I will share with you a favorite patient story.

I had the pleasure of taking care of a lovely Cuban woman in her early sixties.  She was happy in life, always smiling and vibrant.  She wanted to have a facelift in order to look her best for her son’s wedding.  It was to be 3 months later in Miami, and she had not seen him for nearly 10 years due to Castro.

I performed the operation, and healing was uneventful. We were both happy with the results, and off she went to Florida with the promise of returning with photos of the event.  I eagerly awaited her return (and the reviews from her family).

She came to see me at Yager Esthetics 2 weeks after the event with the pictures in hand and a smile across her face.  After listening to the story about the trip and the service and the family, I had to ask what her son thought.

She grinned, and told me that her son was so thrilled to see her.  He hugged her, cried, stepped back and stared at her in amazement.  He then said “Mom, you look the same as you did ten years ago.  You just never change.”

A better compliment than that, I can not receive.


Is Plastic Surgery a Good Investment?

With tax season upon us, and many of my patients receiving refund checks, the question arises as to how best to spend the money.  Obviously, family and financial needs must first be met.  But what if there is a little bit more that you could use?  Is plastic surgery a good investment?

I am a Board Certified Plastic Surgeon, not a financial planner or a business person, so my observations are from my 15 years at Yager Esthetics.  I will lay out for you the potential benefits, and you can decide whether it makes sense to you.

Plastic surgery can boost your self esteem and enhance the way you feel about your body and your sexuality.  The confidence it brings can change the clothing choices you make, the activities you will participate in, and even the way you interact with others both socially and in business.

A refreshed appearance can make you look younger, more energetic, and less tired to potential romantic interests as well as potential employers.  It can also help those who feel young on the inside feel better about looking in the mirror and seeing what they want to see.

Cosmetic Plastic Surgery can be empowering, especially to women after having had children or massive weight loss.  It can  be a fresh start to a healthier lifestyle, as when you look better, you tend to take better care of yourself through improved diet and exercise.

All of these benefits are enjoyed every hour of every day no matter where you are or what time it is.  Yes it is a “me” thing, but if you have worked hard you deserve to do something for yourself.

If the numbers add up for you, it may turn out to be the best money you have ever spent.


Is your Cosmetic Surgeon a Plastic Surgeon?

There is no shortage of people trying to recruit patients for cosmetic plastic surgery.  The internet, radio, tv, and print media are filled with ads for liposuction, lasers, breast and body surgery promising expert results.  To the untrained eye, they all look the same, so how can you choose?

There is only one board that certifies plastic surgeons, and that is The American Board of Plastic Surgery (ABPS). I include a copy of their logo below.  The other is the logo for The American Society of Plastic Surgeons, for which membership requires board certification.  Any Board Certified Plastic Surgeon will use these same terms and logos, and you can check membership at www.plasticsurgery.org to be sure.

The term “Board Certified Surgeon” really means a surgical specialty like General Surgery or Vascular Surgery.  “Facial Plastic Surgeon” indicates training in ENT, not plastic surgery.  “Oculoplastic Surgeon” means it is an eye doctor.  If you see “Board Certified Doctor”, it is a nonsurgical physician, such as a dermatologist, Ob/Gyn, internist, rehab medicine, or any other.  “Board Certified Cosmetic Surgeon” indicates a certification by the AACS or American Academy of Cosmetic Surgeons, which is not a board recognized by the ABMS.  Terms like liposuction expert or laser doctor do not tell you anything about training.

It is not illegal for any doctor with a license to do any procedures he/she wishes, as long as he/she does not lie about their training.  You as the educated consumer must make sure you are comfortable with the training of your doctor.  Ask them what specialty they did there residency training in, and what board certified them.  Do not be embarrasses, as it is important for you to know.

So, look for the logos and Board Certified Plastic Surgeon, check the website, and if there is any doubt, ask “Are you a Board Certified Plastic Surgeon?”  The only answer should be yes.