Is it Safer to get a BBL with Lipo 360 in a hospital setting?

Question

Hello, I'm looking to get a bbl and lipo 360 + arm lipo and I have a cardiac history with a heart stent. Although I'm cleared, the surgery is so invasive is it safer to get it done in a hospital setting? It is hard to find surgeons who do this. Let me know any thoughts or experience with high risk bbl patients. Thank you!

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question.Yes, it is possible.. But first, for safety reasons, to be a good candidate for the procedures you want, your labs and cardiovascular preoperative evaluation must be optimal.

Kind Regards,
Dr. Emmanuel Mallol Cotes.-

Kind Regards,
Dr. Emmanuel Mallol Cotes.-

Darryl J. Blinski, MD · Answer

Yes with your medical/cardiac history you would need to be seen by in hospital cardiologist to see if cleared for surgery. If all good I offer 24 hour overnight in hospital lipo/BBL. Fee $15,000. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

There are certain advantages and disadvantages for doing cosmetic surgery in a hospital setting.
Hospitals vary significantly in regards to their friendliness and openness to have cosmetic surgery.
Some hospitals do not have separate cash cosmetic surgery facility fees.
They instead bill everybody there set facility fees which can sometimes represent funny money ridiculous dollar amounts that are unreasonable for an individual to pay.
Contracted providers like Blue Cross, Medicare etc. have predetermined rates that hospitals collect for facilities depending on what procedure is being performed.
For individuals who do not have a locked in contracted rate you’ll be expected to pay the full price which can be an alarming sum of money. this can be true for all aspects of the procedure including anesthesia, lab fees after care etc.Other hospitals recognize that there needs to be a separate facility fee for people paying cash for cosmetic surgical procedures.
This simply varies from hospital to hospital and there is no set standard.
Hospitals that are not plastic surgery friendly and do not have a reasonable fee structure for cosmetic procedures or inappropriate places to have cosmetic surgery.
I was myself a patient in a similar situation also with a cardiac history needing an oral surgical procedure.
The only hospital the oral surgeon had privileges and did not have cash prices in the facility fee to have a tooth extraction was $35,000.In that case I had to choose a different provider who had access to facilities that were more compatible with cash paying patients.
Wow facilities and the decision of where to have the procedure is potentially an important topic it’s probably not what should be first on the agenda.
In order to justify having a cosmetic surgical procedure with underlying medical risk the patient needs to first be assessed to be a good candidate to make sure the procedure even makes sense in the first place.
On top of that then to find a provider who has a proven track record with enough experience to deliver a consistent quality results in part with the patient had expected to justify having the procedure.
Delivering consistent quality liposuction and fat to transfer results is far more difficult than most people believe and this definitely includes a lot of plastic surgeons.
The truth is most plastic surgeons really aren’t very good at either Liposuction or fat transfer.
The procedures are inherently simplistic enough that surgeons believe in the learning curve is fairly small and shallow.
The truth is that’s a master body contouring and deliver top quality results it takes years of devoted excellence and doing thousands of cases.
Unfortunately I see far too much mediocre poorly done Liposuction by people who have all the right credentials to recognize that simply choosing a board-certified plastic surgeon with good reputation is insufficient to guarantee getting a quality outcome.
Liposuction especially it’s a permanent and irreversible procedure. If done poorly patients are left disfigured. Poor outcomes cannot be corrected.
For this reason patients need to be exceedingly selective on finding a sufficiently skilled and experience provider.
The process starts with getting an assessment and finding the right provider. That provider can then help make the decision of what’s appropriate facility to do the surgery.
In the end doing procedures and outpatient facility is probably not all that different than doing it in the hospital.
Should a patient have a cardiac event or some other unforeseen complication like a change in their EKG rhythm during surgery it only takes a few minutes to do ambulance transfers to a local hospital. If a patient is having a medical complication it is no longer considered cosmetic surgery and the transfer and care in the hospital will most likely be covered by medical insurance so patience don’t have to worry about facility fees.
Whether being in the hospital itself in the first place we’re having to take an ambulance ride and go to the emergency department makes a big difference in the end is a bit unclear.
Should you have a cardiac event you’ll still need to be assessed by a cardiologist and you’ll still need to wait your turn to get into the cardiac Cath Lab. it’s not like the cardiac Cath Lab is going to be sitting there with an empty spot waiting for you during surgery.
Individuals with medical history obviously need to take their history into consideration and this does become part of the equation when making decisions. If your cardiologist has cleared you then you should be fine to move forward with an elective surgical procedure. If your plastic surgeon feels it’s appropriate and you’re a good candidate then you should be good to go in the procedure it should not necessarily have to be done in a hospital setting. There may be hospitals that are friendly to cosmetic surgery in your community and the surgeon you choose may or may not have privileges in such a hospital.
I recommend you don’t start the process based on your medical history but instead to start the process based on learning your own candidacy followed by appropriate selection of providers and finally discussing where the procedure should be performed.
To do that correctly I recommend all patients have multiple in person consultations with local board-certified plastic surgeons in their community.
During each consultation ask each provider to open up their portfolio and show you their entire collection of before and after pictures. Providers may be apprehensive to do this but patients should insist on seeing as many before and after pictures as possible. to put this in a reference and experience provider should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures like the BBL.
Being shown a handful of preselected pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures that provider has performed.
Ask the provider to show as many pictures of patients with similar body characteristics to your own when reviewing before and after pictures. Ask them to show you examples of excellent outcomes, average outcomes and less than outcomes.
Look very carefully at the pictures they show you and make sure the patients have similar body characteristics to your own in the before pictures. That should be a match in regards to age, skin laxity, the amount of body fat and overall body structure.
I not all people are good candidates for either Liposuction or fat transfer. some people may be good candidates for Liposuction but not for fat transfer, good for fat transfer but not for liposuction, good for either or good for both.
Individuals who are not good candidates for either Liposuction or fat transfer are not gonna get a quality results regardless of who does the procedure.
Individuals who are excellent candidate may get an excellent result if they choose as officially skilled an experience provider but they also went up with a terrible result if they did not choose the right provider.
These two variables are the hallmark of consistent quality outcomes in plastic surgery. Both patient candidacy and provider selection are equally as important and are the fundamental pillars of quality experiences.
Start the process by taking pictures of your own torso the same way plastic surgeons take before and after pictures. The pictures should show your own torso wearing revealing undergarments from your shoulders to your knees. pictures should be taken showing the front, side and rear view from about 8 feet away. use the timer on your camera or have somebody else take the pictures for you. Use those pictures when reviewing before and after pictures to make sure you are finding previous patients who had similar body characteristics to your own.
Bring printed pictures of your own body with you during the consultation and use those as reference when reviewing before and after pictures during the consultation.
I don’t know how many consultations patients may need to find the right provider. It depends a lot on how well you choose providers in the first place and sometimes it’s simply random that you happen to find the right provider early in the process. I think a reasonable number to start with as five consultations. If it doesn’t seem obvious that one of the providers is clearly superior and has very consistent quality outcomes and lots of them and simply slow down the process and schedule more consultations.
During each consultation you’ll have a chance to speak about your past medical history and how the surgeon feels about doing your procedure including what facility it should be done at.
The process should be done in correct sequence. It’s not a bad idea to talk to your cardiologist and get clearance from that person early in the process to make sure it’s even a viable option. That however does not eliminate the need for a proper assessment and the process of vetting plastic surgeons accurately and correctly.
Good luck,
Mats Hagstrom MD

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