الخميس، 31 يوليو، 2008

How to choose your esthetic surgeon?

How to choose your esthetic surgeon?
Excerpt from Dr. Max Sawaf’s new book "Anti-Aging Made Simple"
Equating the terms plastic and esthetic is one of the most common mistakes made by laymen on this subject. The term plastic in ancient Greek is to shape or mould. Plastic surgery is about reconstruction of the breast after cancer surgery, or treating burn victims or reconnecting a hand that was accidentally amputated in a factory or fixing a congenital anomaly such as a cleft lip or palate and so on. Cosmetic surgeons on the other hand concentrate their training and practice on treating wrinkles, saggy skin, reshaping a nose or liposuction. The right surgeon for you will be the one who has done the procedure you want numerous times on people with features similar to yours and who has successfully gotten the results you are hoping for, it does not matter what degree he or she attained twenty years ago. With the increase in demand for plastic/ cosmetic surgery, a flood of medical doctors and firms have penetrated the field, but this influx has not contributed much to the patients expectations. Therefore, in order to reach out for the right cosmetic surgeon you need to identify the following nine characteristics. The surgeon must:
Be highly skilled in the exact operation you wish to make
Be ethical and should advice when the operation is unnecessary
Update his knowledge and skills with the latest development in the field
Be working in a well equipped hospital under the supervision of a responsible and qualified management
Provide a complete explanation on all details of operation and must elaborate on the different outcomes and suggest alternative treatments
Be qualified to operate in a one day surgery and local anesthesia environment
Be courteous and most of all you should feel well and comfortable with doctor (right chemistry)
Be working in an office or center where they have multiple sub-specialists in cosmetic surgery with each surgeon concentrating on few surgeries (practice makes perfect)
Work in an office or center where staff is knowledgeable and friendly. You can use the above rules to search for a cosmetic surgeon, but in reality, these rules are for any kind of doctor you may choose. Cosmetic surgeons, plastic surgeons, eye surgeons, ENT (Ear, Nose and Throat specialists) and maxillo-facial surgeons and dermatologists have all contributed to the field and no one specialty, interest group, or organization should monopolize the field which belong to the surgeon who spent the time and effort to practice the craft with skill, safety, honesty and loving attention to the wants of the patient needs. Choosing the right surgeon for your cosmetic surgery is not easy. It would be much easier if it were a simple matter of schooling, degrees, and medical specialty, but cosmetic surgery is about on the job training. Beware the use of titles and diplomas as your exclusive guide to choosing the right doctor. It is not the paper- it is the practice! One thing is certain: as the nineteen century cardiologist Herman Nothanagel said, “Only a good person can be a good doctor”. And of course it follows that only a good doctor can be a good cosmetic surgeon. After you’ve told the doctor what bothers you and what you’d like to accomplish, there should be a thorough discussion of what the procedure entails. All information should be given to you in plain English. The basics of all these techniques are not complicated, and you should understand how the procedure you are inquiring about works; how it will work for you personally, how to prepare yourself beforehand, how long the procedure will actually take; hospital stay; when you should expect to see the benefits of surgery, and, most important, the potential risks versus benefits of going ahead. The early phase of the initial encounter forms the basis for “impression management,” a process by which the patient and physician interact in a hopefully positive sense as they get to know each other in a professional but friendly setting. The patient is always thinking “can I trust my face or body to this doctor,” while the surgeon constantly assesses whether or not the patient’s expectations can be met and the ultimate happy outcome achieved. Thus, a two-way verbal and mental assessment occurs between two strangers, augmented by facial expressions, verbal intonation, and body language. Within a matter of minutes, a mutual appraisal of vital significance has occurred, in which each individual’s impression of the other is cemented, confirmed, or doubted. For my part, the elements of interaction must, when summated, result in a simplistic judgment about whether I “like the patient.” If any doubts exist whatsoever regarding this fundamental question of chemistry, further probing assessment is indicated or gentle disengagement is necessary. I rely also on the opinion of my front desk staff and patients’ counselors to alert me to their reaction when small things go wrong such as their reaction to occasional delays in the reception area or change in their appointments and so forth. One must always hold paramount that the majority of patients seeking cosmetic surgery are ”well” patients who seek to be “weller” (happy); the surgeon may be in the inappropriate position to make them sick (unhappy).

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