Posts Tagged ‘cosmetic surgeon’

How to Choose the Best Aesthetic Surgery Center

What do I look for when choosing an aesthetic surgery center for my cosmetic surgery? Learn what to look for to ensure a safe, quality procedure.While we all consider having a great surgeon a must, there are many other factors that contribute to safe surgeries with quality outcomes. Where you have your aesthetic procedure, for example, is just as important as who performs it.

So, how do you find the right aesthetic surgery center? Here are some important factors to consider:

Do they offer exceptional resources?

Resources include a well-trained team (surgeons, nurses, anesthesia, etc.) with certified facilities and equipment, and an evidence-based approach to clinical knowledge. When the right resources are in place, you have a great foundation for quality and safety.

Knowledge

Over the past several years, there’s been an ever-increasing focus on the quality of medical knowledge in the field of cosmetic surgery. The best surgery centers are in the forefront of research and analyze the data to ensure the best outcomes for their patients. It’s okay to ask questions about the care team’s training, experience and credentials. It’s also important to understand their approach to care and how they stay on top of medical advances.

Facilities and equipment

The facility itself matters. And, because medical technology continues to advance quickly, so does their equipment. We suggest asking these questions before making a decision:

  • Is the facility clean and well-kept?
  • Is it Joint Commission certified?
  • Do they have access to new technologies and equipment?
  • What surgical methods do they use and what’s their level of experience with them?

What systems and procedures are in place?

Systems and procedures are used to make sure your entire medical team is on the same page and that nothing is overlooked. Systems and processes include tools like checklists. Just like a pilot taking off in a commercial airliner, you want to know that your team has thought of all the things that have to be done. Checklists are one way that the entire team can be following the same playbook. Protocols are another tool that works with checklists. Ask about what systems and protocols are used to ensure your safety during a procedure.

Do you like their culture?

The way the staff interacts with each other and with you plays a large role in your overall experience and satisfaction. We suggest a visit to each center you’re considering — there’s nothing like experiencing it yourself — and asking yourself these questions:

  • Do they seem happy?
  • Do they communicate well and treat each other with respect?
  • Are they open to your questions?
  • Do they take time to educate you about the procedures?
  • Do you feel welcomed and comfortable there?

Are You Ready to Choose an Aesthetic Surgery Center?

At the Emory Aesthetic Center, we’ve worked hard to put these components into practice each and every day to optimize your safety, the quality of care you receive, and your experience. We have a team of highly trained, qualified, and experienced staff that are focused on giving you the best and safest care possible. Our facility is Joint Commission certified, and we use evidence-based protocols, checklists and process tools to make sure we work effectively and efficiently in a safe environment for you.

Do you want to learn more?

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Facial Rejuvenation- Secrets to Defying the Aging Process

Learn the secrets to defying the aging process with facial rejuvenation. Renew your face with tips from a board-certified cosmetic surgeon.Aging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools to help you do just that.

Facial Rejuvenation Starts with Skin Care

Skincare is the first and most important step of facial rejuvenation. You don’t need to ditch your current products and spend a fortune on complete skin care “systems” to get good results.

A licensed aesthetician can help. Find someone who’s willing to listen to your concerns and offer advice to help you get the results you want within your budget.

These products can help you look your best:

• Sunscreen. Use sunscreen every day to prevent aging sun damage, such as dark spots and fine lines.
• Vitamin C. Apply Vitamin C to your skin to reduce the effects of sun damage and significantly brighten your complexion.
• Tretinoin (Retin-A). Use a Retin-A product to penetrate the deeper layers of your skin and stimulate collagen production. It also works as a mild daily exfoliant.
• Prescription medicine. Ask a dermatologist about certain prescription medicines (such as hydroquinone), which can lighten dark brown spots, patches and hormone-induced darkening.

Chemical Peels and Micro-Needling

Minor procedures for facial rejuvenation such as mild to medium facial peels (also known as chemical peels) and micro-needling can do wonders to kick-start a healthy routine and help your skin care products to work even better. Regular peels can help keep your skin texture looking younger as you age.

Injectable Treatments

You may get great results from fillers and/or Botox© if you have these early signs of aging:

• Mild volume loss
• Fine, early creases around your forehead and/or between your eyes
• Crow’s feet

Most patients have more than one of these signs, plus others such as loose skin and fat build up. You may need a multi-step action plan for facial rejuvenation to tackle multiple concerns.

Cosmetic Surgery

If you’re trying to use fillers or Botox for something that really requires cosmetic surgery, you probably won’t be happy with the results.

For example, if you have extra skin or fat around your eyelids and use Botox to lift your eyebrows, you may end up with an unnatural, arched expression. If you use an injectable filler to add a significant amount of volume to your jawline, you may look more “puffy” than youthful.

There are many surgical procedures that can help you put your best face forward. Talk to a board certified cosmetic surgeon to learn which procedures may be right for you.

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Or call us at 404-778-6880 to schedule your personal consultation

About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

Ask the Doctor: Breast Augmentation Surgery & Recovery

Breast AugmentationOK ladies, if you’re reading this blog, most likely, you have been thinking about or at one point have thought about breast surgery. Maybe you’ve even seen a physician for consultation. And maybe the only thing stopping you from having your breast surgery is the concern about your recovery. Let me review what to expect after breast augmentation surgery to help you decide if it is the right time for you.

Breast augmentation surgery is a very popular procedure, and one of the reasons for that is the fast recovery time. The procedure takes about an hour to perform under general anesthesia. It is considered an outpatient procedure because it does not require you to stay overnight in the hospital. Immediately after surgery, you may have some nausea as the anesthesia wears off, but you are treated with medications to prevent this from becoming a major issue. You will not be discharged from the facility until you are feeling well enough to leave and your pain is under control.

These days breast augmentation can be done in a variety of ways, and each of these techniques can affect the necessary recovery. Augmentation can be done with either implants or fat retrieved by liposuction. Implants can be placed above the muscle (sub glandular) or below the muscle (sub pectoral). Having the implants placed below the muscle typically has the longest recovery time, though usually only by a few days. What works well for some of my patients is having surgery on a Thursday or a Friday, and then taking the following week off of work to recover.

As you consider your recovery, it is a good idea to take into account your job requirements or your daily routine. If you have a very physical job, more than a week may be needed for recovery. Similarly, if you are running around after small children, extra hands to help will be appreciated for a longer duration.

As far as returning to exercise, it is reasonable to take walks or ride a bike about a week after surgery. I would wait at least 2 weeks to begin any rigorous exercise routine. You will likely still be sore and won’t want to do it anyhow.

Finally, I caution you not to go out and buy new super pretty bras immediately after surgery. It will be tempting, trust me. After surgery, we provide a supportive bra for comfort. There will be weeks of swelling, and your final breast size will generally result 4-6weeks after surgery. Your physician can guide you during the recovery period as to when it would be a good time to invest in nice ones. What to do with all your gently worn bras that no longer fit? Consider donating them to a worthy cause. Visit www.breastoasis.org for information.

I hope this brief review helps in your decision to undergo breast augmentation surgery. If you have additional questions or would like to be evaluated by one of the board-certified cosmetic surgeons at the Emory Aesthetic Center, call us for a complimentary consultation to determine what would be best for you and your desires.

About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

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.