Surgery Overseas

Let me be clear in stating that there is nothing wrong with having surgery overseas, provided you are completely aware of the risks, potential extra costs, and your rights as a patient.

Even if you are the world’s best plastic surgeon, you need to be licensed in the US to practice here. Practicing means doing a consult, free or not, talking to a patient, evaluating them for surgery, or discussing surgery to be done in another country. This is practicing medicine without a license, which is punishable by years in prison The laws are in place to protect you the patient, as without a license, the state cannot confirm the training, safety, and expertise of the doctor, and he has not shown himself to be qualified to practice in the US. It also makes it much more difficult to seek damages for errors in care.

Be aware that if your doctor says he comes to the US often and will treat you when he comes in, that this is against the law. When the doctor comes here and does injections, minor revisions, liposuction or other touch up procedures, he is also breaking the law and putting your health at risk. An apartment or a spa or salon is not the appropriate place to treat patients even if you do have a license.

To be a great doctor, especially a great plastic surgeon, you need good judgment. This means being honest with your patients, putting your patients’ interests ahead of your own, and following the rules of safety and good practice. I live by those words, and so should your doctor.
When considering going overseas for plastic surgery, using the surgical fee as the only factor in making your decision is often a mistake, and in order to make a fair comparison, you need to know what you are getting for your money. Aside from the cost of travel, staying in another country, loss of time from work, there are serious safety considerations. Below you will find some helpful questions to consider when thinking about overseas surgery.

Any plastic surgeon can have complications, even if they do everything properly. If this happens to you overseas, what is the emergency plan? Do you have insurance there if you need to be hospitalized? Can you even get to a qualified hospital quickly enough? Can you pay those fees which are often due before they even will put you in an ambulance? Does the nearby hospital have the medications or equipment needed to save your life? Can you afford to stay longer, potentially missing work, needing someone to watch your children? If you have a problem later, can you afford to take off more time, pay your additional flight and hotel so your doctor can help you? Can you afford the costs of a doctor here to fix the issue, if he will see you at all?

What sort of training did your doctor have? Does he belong to any national or international societies? How many years have they been in private practice? Have they ever had a death in the facility, or transported a patient to the hospital emergently? Are the implants or other devices they use approved by the FDA for use in the US?

The best way to stay safe is to be educated. I hope this helps .

Myths – Breast Implants

Breast implant surgery has been done for over 50 years now, but many old and outdated thoughts about them still persist. I thought I would take a moment to dispel a few.

MYTH 1- Breast implants have to be changed every 10 years. This came from a study that showed with the old silicone gel implants that a very high percentage were leaking within ten years. Since mammograms and other imaging studies could not always tell, the wisdom was to just change them. The more modern implants do not leak as easily, and I tell my patients to only change implants if there is a problem.

MYTH 2- You should get one size bigger then you want because implants get smaller over time. Breast implants do not change in size unless they are damaged or leaking. Your body does change, with pregnancies and weight changes, and breast tissue can decrease over time. What is usually happening is that women get used to the size at the beginning while the breast is swollen from surgery, and once the swelling goes away, it looks smaller. I think if you and your Plastic Surgeon both look at the same picture, and are happy with that size, compare yourself to that picture after and you will be happy.

MYTH 3- Your body can reject a breast implant. This is also not really true. Implants are not a natural part of your body, and you will create a capsule of collagen around the implant. Things such as infections, or a thinning of your natural tissue can cause an implant to need to be removed, but it is not a rejection by your body. The hardening of an implant, called capsular contraction, can also occur, and is not a sign that your body is rejecting the implant.

If you have doubts, or have heard strange things about breast augmentation from friends or on the internet, I suggest you visit me at Yager Esthetics for a complimentary consult so that you can hear the truth from a Board Certified Plastic Surgeon.

The Diet after Plastic Surgery

At Yager Esthetics, patients often ask me if there is a special diet they should follow after liposuction or tummy tuck surgery. While the short answer is that they can eat what they want, a sensible and healthy approach to diet and portion control is essential to maintaining the best shape.
While I do not claim to be a nutritionist or registered dietician, I thought I would pass along some healthy eating guidelines to lose or maintain your weight. I do not endorse any particular diet plan, and favor learning how to eat regular food both at home and in a restaurant so you can follow these principals forever.

To increase your body’s metabolism, you have to keep it working all day long. Skipping meals is the worst thing to do, as your body just slows down thinking it may never be fed again. I recommend eating every three to four hours in a sensible way.

In the morning you need a sensible breakfast, such as Special K with fruit, an egg white omelette with veggies, or a whole grain toast with preserves and coffee or tea. In between breakfast and lunch, have a low fat yogurt with 100 or less calories and a piece of fruit and space them out.

For lunch, I prefer a protein the size and thickness of my palm with a starch (rice, potato, etc) the size of my fist without a thumb. I can have as much veggies as I want, like a salad, but very little dressing on the side.
In between lunch and dinner, another yogurt and fruit. Dinner is the same guideline as lunch. After dinner, 2-3 hours later, I allow myself a dessert of 100 calories or less of any type. I often find it difficult to eat so much in a day. At work, sometimes frozen food are convenient if you read the labels, keep fat calories to 25% or less, and keep it under 500 calories.

Throw in a little exercise 2 to 3 times a week, and you are well on your way to a healthier new you! If you need more help, call us and we will recommend a nutritionist or weight loss doctor to help you.

Choosing a Bra 101

I am constantly amazed that so few women understand how bra size is determined. In fact, over 85% of women actually wear the wrong size bra. This is why I never ask what bra size a woman is seeking with cosmetic surgery. The most accurate test for me is to look at photos of my patients with similar body types and determine which ones the patient likes. This way, if I think it is a C and the patient thinks it is a B or D it does not matter. She gets the look she wants.

Another complicating factor is that all bra manufacturers have a different fit and size, so a 36C can be different from maker to maker. So how do you measure bra size?

Step one- With a tape measure, measure the distance around your chest just below the breast. If it is an even number, add 4, iif it is odd, add 5. This is the back size of your body.
Step two- now measure the distance around the breasts while wearing a bra.
Step three- subtract the back size from the breast size. Every inch equals a cup- 1” A, 2”B, etc. After D, the measurement is less accurate.

Hope this helps.