Posts Tagged ‘cosmetic surgeon atlanta’

What Can I Do To Improve My Cosmetic Surgery Results?

Cosmetic SurgeryAs a prospective cosmetic surgery patient, you spend a lot of time researching doctors, centers, facilities and credentials, and that is as it should be. It is a critical step in getting the right result. But all too often, patients forget to consider that their surgery team – in addition to the surgeon, anesthesiologist, nurses, and other staff – should include another vital team member – you! What you do, or what you don’t do, can have a tremendous impact on the quality of your surgery outcome and the safety of your care.

For instance, sometimes patients feel reluctant to share their entire medical history with their plastic surgeon, thinking that it may not be relevant. In order to provide you the very best care, your team needs to understand all of your previous surgeries, medical treatments, medications, significant illnesses, or prior reactions to medication or anesthesia. Knowing this information can help us modify and customize your care, such as identifying risk factors that might be addressed or adjusting techniques or medications to improve your results and your surgical and recovery experience. As an example, if you have had nausea after previous anesthesia for an unrelated procedure, that might clue the anesthesiologist to use different medications and techniques with your upcoming surgery to reduce the risk that this will happen again. If you have a family history of certain types of blood clots, this would alert your surgical team that you need additional prophylactic measures to decrease the risk of a clotting complication.

A second way patients can help optimize their results is in carefully following preoperative instructions and guidelines. Your particular instructions might include stopping medications that may lead to an increase in the chance of surgical bleeding or bruising, using skin care products that will help prepare your skin for laser resurfacing or a chemical peel, or losing a few extra pounds that will help a body contouring procedure give even more dramatic results. The instructions from your anesthesiologist are particularly important to keep your surgery safe. For instance, everyone knows that it is important not to eat or drink prior to surgery, however sometimes patients think that “just a little bite” or “just a small drink” won’t do any harm, but it can significantly increase your risk of lung problems after surgery.

The third way that patients can help to optimize their results is to follow the post-operative instructions carefully. Like pre-operative instructions, these are intended to keep you safe and give you the best outcome. For instance, if you have had a chemical peel or laser resurfacing, it is important to keep out of the sun until you are fully healed to get the best look afterwards. It is also very important that you follow instructions related to physical activities after surgery. Too much early activity to a body area treated by surgery might cause wound problems or bleeding which could require further treatment and could compromise the result. On the other hand, it is important to be up and out of bed early, which decreases the chance of blood clots developing. Recent trends are that surgeons are encouraging more and earlier return to physical activity, which patients usually love, however the type of activity is important. For example, after a breast augmentation early push-ups or pilates may put too much strain on the chest area and cause problems, but a recumbent exercise bike might be a perfect cross-training choice until the chest area is fully healed.

One final, and most important way in which patients can help control their results is to carefully listen to their doctor during their consultation. Sometimes what you hear may not be what you want, and it is important that you really think through that. As an example, when significantly overweight patients come in hopeful that plastic surgery will solve their weight problems, they are sad, and sometimes angry, to hear that their weight makes them poor candidates for surgery, both from a safety and an outcome basis. Others might come hoping to have many different procedures done at the same time. Although it is extremely common for surgeons to combine procedures, there is a limit to how much can be done safely at one setting, and thus it may be necessary to stage the procedures at different times with healing in between. There are well-publicized cases of hopeful patients who ignored the advice of well-qualified surgeons and “shopped around” until they found someone who was willing to do everything they wanted that ended in a tragic result. Remember, your surgeon wants you to have the best result possible result, so listen carefully and consider what they say. And through truly working as a partner in your own team, you will have a great impact not only on your results, but also on your experience.

At the Emory Aesthetic Center, we believe in this team approach to your care. The journey is about you, your hopes and desires, and we are delighted to share in this journey with you.

About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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How to Choose the Right Aesthetic Surgeon for You

How to Choose the Right Aesthetic Surgeon for You

Cosmetic SurgeonWhen you first start to think about having an aesthetic surgery procedure or a non-surgical one, picking the right physician is a huge decision. You take time to look at the facts, but with every website touting world-class credentials and fame, how do you know who to choose? I once had a patient, who was a judge by profession, discover that she had undergone a procedure by a non-plastic surgeon. She had reviewed the doctor online and saw diplomas and certificates in the office, but yet she was still deceived. If it can happen to a judge, it can happen to anyone.

Any doctor can say they perform aesthetic surgery; however, there are ways to make sure that the physician you are considering does actually have the correct qualifications to perform the procedure that you desire. If you know where and how to look, it can be easier than you think.

  1. Training background. Common sense dictates that you want to find a doctor who is specially trained in the area in which you are interested. It would seem odd to choose an emergency room physician to do your facelift, or a pediatrician to do your breast surgery, but these things do happen. To know for sure, check out specific background training and if that training was actually completed in its entirety in a residency program approved by the American Council for Graduate Medical Education (ACGME) [acgme.org]. Appropriate background training for aesthetic surgery procedures, i.e. those training programs that include aesthetic surgery or procedures within their curriculum, include plastic surgery (all areas), otolaryngology (facial), ophthalmology (facial areas around the eyes), and dermatology (skin). Physicians trained in these areas will often have additional training such as an aesthetic surgery fellowship leading to additional credentials, e.g. certifications by the American Board for Facial Plastic and Reconstructive Surgery or membership in the American Society for Ophthalmic Plastic and Reconstructive Surgery.
  2. Board certification. Everyone knows to check out board certification, but most don’t realize that medical boards are not regulated by the states or federal government. This means that just about anyone can create a “board” and print impressive looking certificates that may not be backed up by the appropriate training and testing to assure your safety. With successful completion of testing, ACGME training programs lead to certification by boards that are members of the American Board of Medical Specialties [abms.org]. These include the American Board of Plastic Surgery, the American Board of Otolaryngology, the American Board of Dermatology, and the American Board of Ophthalmology, which together represent the “core four” boards. Be aware these boards generally require a period of time in practice before the certification is awarded. If a surgeon that you are considering is board eligible, don’t discount them for not having their certification in hand as long as they are working toward that certification.
  3. Where the doctor operates. Hospitals, outpatient surgery facilities, and office-based surgical facilities are all appropriate locations for aesthetic procedures. It is critical, however, that the facility is appropriately certified by one of the major certifying organizations. These include the Joint Commission, the American Association for the Accreditation of Ambulatory Surgery Facilities, or the American Association for Ambulatory Health Care.
  4. Hospital privileges. Most aesthetic surgery procedures are performed in an office or ambulatory surgery environment; however, it is important that your doctor has hospital privileges as well. In order to be granted hospital privileges, a credentialing committee must examine the training background, board certification or eligibility, and ethical considerations of the physician. The surgeon you choose should have privileges to perform your desired procedure in a hospital.
  5. Memberships in legitimate national professional societies. Many national medical societies require that members are board certified in a particular specialty. For example, both the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons require that members be board certified by the American Board of Plastic Surgery. In addition to the education that they require, they examine marketing claims, review ethics complaints, and require that surgeons operate only in approved surgical facilities.
  6. Speaking with former patients. Often patients who have had surgery will volunteer to speak with others about their experiences with the doctor. This can be very helpful on a couple of fronts, first by making you feel comfortable with the care that has been provided to someone else, but also by understanding directly what the recovery and results were like.
  7. Don’t choose solely based on photographs. Although historically it was recommended to review a doctor’s before and after photographs to make a decision, in this digital age you can never be sure if those are actually that doctor’s patients or that the images are not touched up. Lighting and makeup can markedly affect how the photos look, and of course, surgeons tend to pick their best patients to showcase. For these reasons, choosing a doctor based primarily on their photographs may not be reliable. However, when talking with a doctor that you trust, pictures can be a powerful tool to help you understand what your results could look like and what are realistic expectations.

Once you do your homework, then it is very important to meet with the doctor one-on-one. Do they seem genuine? Do they really listen to you? Do they spend appropriate time with you? Are they trying to sell you something or do they seem truly interested in you and your goals? If you feel uneasy with a surgeon before surgery, just imagine how you will feel afterwards, especially if things don’t go as hoped.

At the Emory Aesthetic Center we are committed to having appropriately trained and certified physicians working within their scope of training. All of our physicians have undergone the scrutiny of Emory Healthcare’s credentialing process, and each holds an appointed faculty position at the Emory University School of Medicine. But most importantly, our physicians are committed to providing quality care to you, with understanding and compassion, as you embark upon your aesthetic journey.