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Choosing Between Two Surgeons

Im planning to get lipo on my chest and flanks sometime in mid December. I visited a total of 5 plastic surgeons I narrowed down my choices to two highly qualified surgeons based on anesthetic method, for some reason most of the surgeons I consulted with only use general anesthesia, these two surgeons use twilight both surgeons have been practicing in the field before I was born 1984. There prices differ considerably one wants $3800 the other wants $5400. Both perform procedures in office.

Heres where the issue is, surgeon $3800 his OR is not accredited by anyone as far as I can tell he is licensed in the state of Florida but no facility accreditation. The other doctor’ $5400 facility is accredited by the AAAASF. Both facilities look the same. The issue with this is doctor $3800 wants to use a smart lipo/ vaser and doctor $5400 want to use tumescent lipo, for some reason I think doctor $3800 approach will result in the best. What should I do? Chest/ flank lipo

Doctor Answers (23)

Several factors don't seem right with either doc you are looking at.

+2

Be sure the facility is accredited. That is very important.  The $3800 is way to cheap for smart or vaser lipo or any other technique for that matter for the areas you are to get liposuctioned.  Be sure the doc is not doing it so cheap as to gain experience on you or letting one of his fellows in training do the procedure.  Don't go where they are still doing lipo under the old method of  general anesthesia. He technique may be out dated as well.   A little sedation is still fine though.  Consider further consultations.  Good Luck,

David Hansen,MD


Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Outpatient facility certification is important

+1

In my opinion you are absolutely right to desire conscious sedation without general anesthesia for liposuction.

Regarding certification, I would look a little further into the reasons why one does not practice in a certified operating room.  There are requirements that all ASPS member surgeons practice in certified operating rooms.  Is he a board certified plastic surgeon?

Certification is important.  It does not guarantee a good outcome but it does guarantee specific safety standards are upheld.

York Jay Yates, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 39 reviews

Chossing between two surgeons.

+1

The fully accredited OR is an indication that the surgeon is willing to open up his/her facility to outside scrutiny. This is a sign that the surgeon is confident in the delivery and quality of care

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

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Choosing a surgeon

+1

Many times we get caught up in the ongoing battle for which technology is the best.the best technology is what technology does your surgeon use to get the best results.That is more important then anything.Excellent results can be had by both techniques,the real question is which surgeon utilizes that technology to get superior results.I think having an accredited facility is important and that should weigh in your decision.

Robert Brueck, MD
Fort Myers Plastic Surgeon
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Choice Between Two Surgeons

+1

A couple of points:

1.  I would recommend using a facility that is AAAASF certified.

2.  The method of liposuction is far less important than the skill of the plastic surgeon performing the procedure.

3. Select a Board Certified Plastic Surgeon

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

Choosing a surgeon

+1

Always go with the surgeon who has a fully accredited facility unless you have it done at a hospital. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Accreditation means something

+1

accreditation means that surgeon went to a lot of trouble to be sure his OR  measures up to some pretty strict standards...and the other guy might be cutting corners. who do you want to operate on you???

      a good surgeon will get good results with either method...and a bad one won't. it's not the machine one uses, it's the skill of the operator.  sometimes you get what you pay for........

Bruce K. Barach, MD
Schenectady Plastic Surgeon
4.5 out of 5 stars 11 reviews

Choosing a Plastic Surgeon

+1

Board certification in Plastic Surgery and an accredited facility with a plastic surgeon you trust and feel comfortable with are the most important factors.  This may be slightly more expensive but will minimize risk (Yes, there is risk, even in a liposuction procedure) and  help ensure that the procedure will go smoothly. 

Stephen Delia, MD
Boston Plastic Surgeon
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Surgeon Preference

+1

Wow...the threads posted here from my colleagues are RIGHT ON!  Peter A. Aldea, MD and Stephen Prendiville MD have hit the nail square on the head. Safety is paramount...ask these two surgeons 1) Are you Board Certified, 2) What are you Board Certified in? 

Surgery Center certification is a MUST...if the center doesn't have it, ask WHY.

Good luck and be safe!

Dr. C

John Philip Connors III, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 14 reviews

Choosing a plastic surgeon

+1

Please re-read Dr. Aldea's thoughtful answer as it rings true entirely.  First of all, be sure you are going to real Board Certified Plasic Surgeons as many non-plastic surgeons do liposuction (ie "cosmetic surgeons").  Then decide on the quality of their results and from seeing photos of patients like you.  Make sure they are telling you honestly how good a candidate you are for liposuction because so many who want it aren't going to have the best skin shrinkage regardless of technique.  Finally, make sure their facility is accredited for optimal safety and lastly compare price.  You only want to do this once so go to the best.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.