Aside from your surgeon’s qualifications, another important factor you should look into is your plastic surgery facility. The general rule of thumb is to make sure that it is accredited by at least one of the following agencies stated below:
- Institute for Medical Quality
- The American Association for Accreditation of Ambulatory Surgery Facilities, Inc.
- Joint Commission on Accreditation of Health Care Organization
- Accreditation Association for Ambulatory Health Care, Inc.
Most of these certifying agencies have online database, which you may want to visit to verify the accreditation of your plastic surgery facility, or more accurately referred to as ambulatory surgery center (ASC).
Also, keep in mind that board-certified plastic surgeons are compelled to perform their surgeries only in accredited ASCs or hospitals.
It may be safe to surmise that most plastic surgeons these days prefer ASCs to hospitals due to a number of reasons such as:
- Most hospitals charge twice as high as ASCs.
- ASCs have qualified personnel who often deal with plastic surgery patients; the same thing may not be true for most hospitals.
- They can eliminate bureaucratic environments because they generally have a smaller number of operating rooms compared to most hospitals.
- Patients have better control over scheduling (delay or reschedule is very rare in ASCs), while “unexpected” emergency room demands are not uncommon in most hospitals due to their large-scale operation.
- Proponents of ASCs suggest that quality control processes are easier because of the small number of operating rooms; however, this might pose a challenge to hospitals with their large-scale demands.
- Some plastic surgeons believe that ASCs can give them more control as they do the hiring process.
- While it is still up for debate, some surgeons suggest that the risk of contamination is lower when plastic surgery is performed in ASCs because they generally do not handle infectious diseases. For this reason, they are the preferred venue of many surgeons performing breast implants in which a low-grade infection can lead to scar capsule (scar tissue around the device becoming thick) and high reoperation rate.
Despite the perceived benefits of ASCs, sometimes a hospital setting might be more conducive if the patient is older than 50 or has a medical condition that requires hospital stay (or close monitoring for a few days).
Some doctors also prefer a hospital setting when doing multiple surgeries, which is a common practice in mommy makeover surgery and plastic surgery after weight loss.
Liposuction a second time around on the same area may involve certain challenges, although the possibility of achieving smooth results remains high with proper patient selection, surgical planning, and postop care, as suggested by renowned plastic surgeons at the California Surgical Institute.
Liposuction of certain body areas may pose a risk of over-correction. For instance, the outer thigh or saddlebag can be aggravated by incorrect patient position at the time of surgery, which could lead to inadvertent over-liposuction in which the skin becomes irregular and the natural contour is obliterated.
Because it is much harder to correct the effects of over-liposuction, some surgeons err on the safe side by removing just a conservative amount of fat, and then ask their patients to wait a couple of months—or until their postop swelling subside and their skin redrape to the final contour—to determine if a touch-up is necessary.
While a secondary liposuction on the same area is feasible for most patients, it is important that they have good skin elasticity, allowing it to shrink down to the new contour. If there is significant skin laxity, the surgery may only aggravate the problem.
But people who are experiencing yoyo weight loss have poor skin elasticity, so they are a bad candidate for secondary liposuction or any type of body contouring surgery because the real issue is their inability to maintain a healthy weight long term.
A small amount of weight gain will not have any detrimental effect on the results of liposuction, while larger fluctuations (25-30 lbs. or more) certainly can. As a result, a good candidate should understand the importance of healthy lifestyle as the only long-term solution for weight management.
Aside from skin quality, another issue is the underlying scarring that has occurred due the initial surgery, which could make it difficult to achieve smooth results. For this reason, some plastic surgeons prefer to use PAL (power-assisted liposuction) when performing a redo.
PAL uses a cannula or suction probe that releases tiny, rapid vibrations to destroy fats in the gentlest, most accurate manner. Also, this technique has been known to reduce the operative time, surgical trauma, and healing period.
Meanwhile, other plastic surgeons prefer laser liposuction in which heat energy is used to break up the fat cells before they are suctioned out of the body. Proponents suggest that it is ideal for patients with superficial problems such as internal scarring from previous surgeries, dimpling, and cellulites.
Brazilian butt lift surgeons must augment and reshape their patients’ “behind” using excess fat sourced from another area of their body. But to achieve near permanent results, the injected fats or grafts must form a new blood supply, according to California Surgical Institute website.
A Brazilian butt lift combines two procedures to reshape one’s buttocks: liposuction as a way to harvest the fats, which is then followed by re-injection of grafts.
As with any body contouring surgery, a Brazilian butt lift requires technical skills and “eye for detail” to achieve natural-looking results that can last a lifetime.
The list below explains the qualifications you should look for in your plastic surgeon.
- Right board certifications
While there are countless professional-sounding boards, only consult with someone who is a member of the American Board of Plastic Surgery, which makes him uniquely qualified to perform your surgery.
Take note that ABPS members have completed their education from an accredited medical school; have completed at least two years of supervised residency in plastic surgery; have completed three years of general surgery; have passed the rigorous board exam, which they have to take every 10 years; and have at least two years of professional practice.
Cosmetic plastic surgery is believed to be more “art” than exact science. For this reason, the experience of Brazilian butt lift surgeons plays a crucial role because it gives them the opportunity to hone their artistic skills.
The general rule of thumb is to choose someone who has been doing the surgery regularly for a minimum of five years.
Your doctor’s core values, or guiding principles, should be mainly focused on patient safety. Meanwhile, avoid “arrogant” surgeons who often downplay the risks and are likely to use over-aggressive surgical maneuvers—e.g., removing too much fat in one day, injecting too much fat that the pressure leads to low survival rate, etc.
Also, any surgeon who prioritizes patient safety only performs his surgeries in accredited surgical facilities or hospitals; always works with licensed anesthesiologists and qualified staff; and provides the best aftercare to help achieve impressive results from Brazilian butt lift.
Your doctor’s before-and-after photos will reveal a lot about his skills in creating a curvier, natural-looking result. Keep in mind that impressive contours can be achieved if a surgeon takes into account his patient’s overall anatomy, particularly her pre-existing butt shape, bone structure, waist-to-hip ratio, and height.
Brachioplasty, or upper arm lift surgery, typically involves an incision that stretches from the elbow up to the underarm, sometimes even extending to the chest area for massive weight loss (MWL) patients who need the most correction. Aside from eliminating the “bat wing” appearance, a good result should also appear natural and smooth.
However, a technique called brachioplasty minimal incision is more suitable for patients who need less correction, or to be exact, those with little loose and redundant skin.
This minimally invasive approach results in a shorter scar, usually just within the armpit area, allowing the patient to wear sleeveless tops without having to worry about the visible scars. Nevertheless, it should not be attempted on someone who needs more correction due to risk of poor contour, skin asymmetries, and (ironically) unfavorable scarring.
While brachioplasty with minimal incision can provide an impressive outcome for the right candidates, it is occasionally performed in conjunction with liposuction in which the excess fat is removed through a stainless steel tube called cannula.
The adjunct procedure does not result in visible scars because it uses a few incisions that are less than ¾ of an inch, which further shrink and fade as the patient moves forward to her recovery.
But to achieve good results from liposuction as a concomitant procedure of upper arm lift surgery, the entire circumference or at least 75 percent of it should be treated. The idea is to create a smooth transition between the upper and lower arm through judicious fat removal.
However, it remains imperative to leave some fat layer to preserve the natural appearance of the upper arms and avoid the overly muscular look; this is particularly important among female patients who need to maintain the femininity and “smoothness” of their arms.
Regardless of the incision pattern, it is important to close the wound in several layers in an attempt to remove or at least minimize the tension on the wound, thus preventing it from becoming thick, wide, and raised. Proper suturing techniques also prevent wound breakdown and poor healing.
To further promote “favorable” scarring, it is not uncommon among plastic surgeons to recommend steri-strips and/or silicone tapes, which hold the wound in place and provide a gentle compression to inhibit keloid or hypertrophic scar formation.
Meanwhile, the average arm lift cost is $4,000-$5,000, although minimally invasive techniques are slightly less expensive than a full or standard method.
Due to the high demand for breast augmentation Los Angeles, its cost is also higher compared to other smaller, less populated cities. Nevertheless, the price should not be your primary concern, but rather your plastic surgeon’s qualifications, training, experience, and other factors that can help him deliver impressive results.
While it may be tempting to choose your surgeon based on someone who gives amazing discount, the caveat is that it may prevent you from hiring a reputable doctor. Also, prices that are too low relative to the average cost generally have some compromises in the quality of implants, facilities, and surgeon’s talents.
According to a recent survey, breast augmentation Los Angeles prices are typically between $4,000 and $7,000. The considerable variation in costs is due to the type of implants, miscellaneous expenses (operating room cleaning fee, surgical equipment, pain medication, postop garments, etc.), and doctor’s fee.
In general, breast augmentation procedure via silicone implants is around $1,000 more expensive than a surgery with the use of saline implants.
Despite the pricey silicone implants, Los Angeles plastic surgeons say that 70-90 percent of their patients choose them over saline implants because of their more natural feel and (Photo credit: Freedigitalphotos) look.
Although it makes sense to be price-conscious, you should not compromise your safety, comfort, or cosmetic results just for the sake of lowering the surgery’s cost by a couple of hundreds. For instance, a pain pump, which delivers numbing medication directly to the breasts, entails an additional fee of $250.
Pain pumps are highly recommended because they promote a more straightforward and more comfortable recovery. Using them could also lower the incidence of nausea and other untoward side effects of oral painkillers.
Using Keller Funnel, which allows no-touch implantation during surgery, could also entail that you pay $100 extra for it. This disposable device that closely resembles a baker’s piping bag has been known to reduce the incidence of implant contamination, infection, capsular contracture, and reoperation.
To avoid financial surprises, ask your surgeon for a quote (ideally on the invoice sheet) that includes even the most trivial things that might be easy to miss such as your postop bra, painkillers, follow-up visit, etc.
Meanwhile, you may tap into different breast augmentation Los Angeles payment plans, which a growing number of surgeons are offering to their qualified patients.
Other financing options you might consider include regular or health care credit cards, home equity loan, unsecured medical loans, bank loans, loans from families and friends, and 401(k)loans.