Choosing the right plastic surgeon is the most important step you will take in assuring an optimal Facelift /Neck Lift outcome. Rhytidectomy is a complex procedure, requiring not only a thorough knowledge of facial anatomy, but also a honed aesthetic sense. In short, you should choose a plastic surgeon who is an artist, as well as a physician.
As importantly, you should choose a cosmetic surgeon who is “board-certified” by the American Board of Plastic Surgery. This assures that the surgeon has not only had experience in General Surgery, but the most rigorous training available in all aspects of plastic surgery.
When you interview physicians, be certain that they can share legitimate “Before and After” photographs of their work. Discern your comfort level with this physician, and whether all of your questions are willingly addressed. Also importantly, consider the quality of his or her staff and of the facility where surgeries are performed.
The American Board of Plastic Surgery (ABPS) is one of 24 boards recognized by the American Board of Medical Specialties, and it is the only one that certifies physicians in the full spectrum of plastic surgery, including all cosmetic surgeries.
When you choose an ABPS certified physician (www.abplsurg.org), you are guaranteed the services of a specialist who has endured the most rigorous training. This includes graduation from an accredited medical school, five to seven years of internship and residency, including three to five years of training in general surgery and two years of training in plastic surgery. The physician must also complete demanding written and oral exams.
Absolutely not! Unlike a fully trained board certified plastic surgeon, many so-called “board certified” cosmetic surgeons have often completed only a brief course in one cosmetic surgery procedure. This does not provide the physician with the depth of knowledge and experience of a plastic surgeon who is certified by the ABPS. That is why The American Board of Medical Specialties does not recognize as legitimate the “board of cosmetic surgery.”
As a rule, your cosmetic surgeon will use general anesthesia for this procedure, although in some cases such as a mini-facelift, and ThreadLiftTM local anesthesia with sedation can be used.
You should pay special attention to the anesthesiologist who your plastic surgeon uses during surgery. Like your surgeon, the anesthesiologist literally holds your life in the balance. It is therefore critical that you put your life in the best hands.
Many patients have preconceived notions about the type of anesthesia that is best for them. Unfortunately, these thoughts are often based upon hearsay, or upon informal research that has no scientific basis. While you are the final arbiter of your treatment, only an experienced physician can guide you properly in making the crucial decision about your anesthesia.
This is not guesswork! Allow your physician to explain your safest anesthesia option.
Many facilities employ trained nurse anesthetists. However, it is optimal to have anesthesia administered by an anesthesiologist rather than a nurse. Preferably, your anesthesiologist should be certified by the American Board of Anesthesiology.
The anesthetized patient must be monitored meticulously and constantly, with consideration for all medical conditions. The best person to do this is a physician who is trained and experienced in the practice of medicine, in the specialty of anesthesia. This is especially important in surgical facilities that operate independently. In freestanding facilities in particular, a nurse anesthetist might not have the adequate supervision of a physician anesthesiologist, or the support system required to properly address emergencies.
You should be skeptical about promises that extensive cosmetic surgery procedures can be performed under local anesthesia in an office, procedure room, or even in an office surgery room. Having an extensive procedure performed under local or “twilight anesthesia” is not safer than having it done under general anesthesia. On the contrary, the risks of this “twilight sleep” might be greater because procedures that take two hours under general anesthesia will take several more hours when you are inadequately anesthetized locally. The risks that your condition will become unstable will increase under this circumstance. Also, you will then have to deal with the side effects of the longer acting anesthetics that remain in your system, even after you go home.
You wouldn’t have your wisdom teeth pulled in your dentist’s living room. Why not give equal consideration to your physician’s surgical facility? Your very life could depend, not only upon the skill of your surgeon, but upon the quality of this facility.
The Importance of Accreditation
Your surgery should be performed at an accredited ambulatory surgery center, or at a hospital. It is unwise to have your surgery performed merely in a physician’s office, or procedure room. If your physician operates in a surgical facility, there are five crucial factors to consider:
1.It is certified by the American Association for Accreditation of Ambulatory Surgery Facilities (www.AAAASF.org) or;
2.It is certified by the Accreditation Association for Ambulatory Health Care (www.AAAHC.org) or;
3.It is certified by Medicare or;
4.Is it certified by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and;
5.The facility has a transfer agreement with a local hospital. (This is necessary in an emergency situation when a patient needs to be transferred to a hospital).
6.Is your physician credentialed to operate at a local hospital? Does your physician have privileges to perform your chosen surgery in a hospital? If a hospital does not approve a surgeon as qualified to perform your procedure in its facility, this is a significant factor to consider for your safety. Has he or she been barred, disciplined, or suspended from any hospital?
Dr. Younai is a Board Certified Plastic & Reconstructive Surgeon with experience in all aspects of Facial Cosmetic Surgery including Facelift or Rhytidectomy, eyelid surgery or blepharoplasty, neck lift, forehead or brow lift, rhinoplasty, etc. He is skilled and experienced in all techniques of facial rejuvenation surgery and strives to create a face that is natural and normal looking. During your consultation he will discuss all details including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, recovery course, as well as what to expect after surgery. At that time Dr. Younai will also show you before-and-after pictures of other patients with facelifts, who might be similar to you.
Dr. Younai performs his surgeries at the state-of-the-art Regency Surgery Center which is certified by Medicare, AAAHC, and AAAASF.
Our center also includes the Regency Surgery Center which is a state-of-the-art outpatient surgery facility certified by Medicare and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., (AAAASF).
Thank you for taking the time to visit our Web site. Our staff is always available to help answer your questions regarding any plastic surgery procedures and financing options, as well as with your travel to our center. Plastic surgery has truly become a way to better ourselves. It allows us to take control of our lives, and to give ourselves the body and look we always wanted, and truly deserve. Why not! We deserve the best.