Plastic Surgey

History of Plastic Surgery Facilities in NYC

POSTED ON TUESDAY, AUGUST 24, 2010 AT 3:29 PM by Dr. Darrick Antell

The facilities in which surgery is performed can be quite diverse.  Most patients prefer an Office Based Surgery facility over a larger institution because using a private facility is like the difference between being on a private jet and flying commercial.  Let me give you a short history of operating room venues to start off.

As recently as the 1990’s patients checked into a hospital the night before surgery in order to ensure that they did not have anything to eat or drink the morning of their procedure.  Then, the anesthesia used required the patient to spend an additional night to recuperate.  Since then, anesthetics with shorter recovery time have been developed, the patient has been entrusted to fast allowing arrival on the morning of the procedure and it has become unnecessary to be kept overnight after the surgery. 

Once it was no longer necessary to be observed overnight, facilities specifically dedicated to outpatient surgery called Ambulatory Surgery Centers (ASCs) were developed with several operating rooms and recovery beds.  They typically offer pain management, diagnostic and surgical services and are operated by a small group of physicians.

Subsequently, surgical procedures have migrated to an even further specialized venue referred to as Office Based Surgery (OBS) facilities, which are the next step in the evolution of ambulatory surgery care.  They are an extension of a doctor’s office where typically fewer than 4 physicians use one operating room, and perform only the procedures they specialize in.  The highly specialized staff allows for more individualized care.

A reconstructive or cosmetic surgery patient can take advantage of the more intimate setting because they have time to research and choose the facility they will attend.  Most patients appreciate privacy, individualized care, and high quality of care.  At an OBS facility there is typically only one OR, handling one patient at a time.  Compare this to any other facility where there is only a cloth curtain separating you and the next patient during your pre and post operative period.  Not only can every word be overheard, but infection is also more likely to spread. 

My facility employs only a few of the very best handpicked assistants.  It is, therefore, likely that the nurse that assists me before during and after your procedure is the same person that you first contacted to set up your consultation.  We are all involved in every aspect of your experience.  This helps to avoid the anxiety and frustration that comes with navigating the bureaucracy of a larger institution, where most of the staff is unfamiliar with your case.

Furthermore, an OBS facility provides the same, if not better quality of care found anywhere else. Our facility, Lennox Hill Ambulatory Surgery, is certified by the same accrediting institutions that hospitals and ASCs are (the AAAASF and JCAHO, the gold standard in the healthcare industry) while avoiding certain types of infections that are found exclusively in larger institutions

http://www.nytimes.com/2007/10/17/health/17infect.html?_r=1&scp=1&sq=10-17-2007+kevin+sack&st=nyt

In my facility, I also complete every aspect of each surgery myself.  There are no interns, residents or fellows in training participating during your procedure.  It truly is like having you own private jet.

 

How to Find the Right Surgeon for Plastic Surgery in New York City

POSTED ON TUESDAY, AUGUST 10, 2010 AT 2:19 PM by Dr. Darrick Antell

When considering any medical procedure, one of the most important decisions is the selection of the physician.  Many people do not know where to look, or what they should be looking for.  In the case of plastic surgery, you want an experienced surgeon who has trained specifically in cosmetic and reconstructive plastic surgery.  This means that your doctor will use aesthetic principles to improve normal structures’ appearance and surgical outcome.  To help ensure that you have the best doctor there are several questions you can ask.  Is my doctor board certified in plastic surgery? Where did my doctor complete his plastic surgery training?  How long has my doctor been practicing plastic surgery?

Many of my patients are shocked to discover that a doctor does not even legally have to complete surgical training in order to practice plastic surgery.  The best way to evaluate your doctor’s training is consult the American Board of Medical Specialties website at www.abms.org.  Click on the “Is your doctor certified?” tab.  You will have to sign up for a username, but it is a free service. After you search your doctor’s name click on the result to see what their board certification is in.

The ABMS is the institution that grants board certifications to surgeons and non-surgeons.  If your doctor’s certification is listed as plastic surgery, then they have completed a five to seven year training program post medical school focusing on surgical procedures common to the field such as breast augmentation, liposuction, rhinoplasty and blepharoplasty.

Similarly, plastic surgeons are also the best equipped to perform non-invasive proceduresInjectables such as Botox® and Juvederm® have to be delivered to the site of musculature, which requires an intimate knowledge of the anatomy that plastic surgeons specialize in.  They are also uniquely qualified to treat any complications in the highly unlikely event that any occur.

For more information you can watch an interview I did with Matt Lauer on NBC’s Today Show.

All About Plastic Surgery in New York

POSTED ON WEDNESDAY, JULY 28, 2010 AT 10:52 AM by Dr. Darrick Antell

Plastic surgery is much more common than you think.  The American Society of Plastic Surgeons (ASPS) recently released a report indicating that the number of cosmetic surgeries performed in America each year has increased by 3% since 2008 to over  million (http://www.plasticsurgery.org/Media/stats/2008-quick-facts-cosmetic-surgery-minimally-invasive-statistics.pdf)!  It isn’t just Hollywood stars having work done either.

This may be because Americans are seeing the benefits of looking as good as you feel.  Many baby boomers work out and stick to a good diet, but their faces continue to age. We have seen several of them in our New York City Plastic Surgery office that are between career opportunities and have elected to use this time to have work done.  Like I say, “You wear your resume on your face.”  Indeed, the study by the ASPS states that the most popular procedures were Dermabrasion (up 13%) and cheek implants (up 11%).  They, along with Blepharoplasty (eye lift) can make a face seem more relaxed or youthful and energetic.   

Interestingly, repeat customers sustained the demand for these procedures, the study report.  This tells me that patients that explored surgical options have been so satisfied with their results that they have come back for more, despite prevailing economic conditions. 

To read more about the Plastic and Cosmetic Surgery options offered in our New York City office, visit our website.  http://www.antell-md.com

 

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