Is It Safe to Have a Breast Reduction and Tummy Tuck at a Private Facility Not a Hospital?

Is It Safe to Have a Breast Reduction and Tummy Tuck at a Private Facility Not a Hospital?

Doctor Answers 21

Is it safe to have a Mommy Makeover in a private facility in a private facility and not a hospital?

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It could be safe. You need to check very carefully, joust like you would in the hospital.

Is this an accredited facility
Will there be a board certified anesthesiologist administrating my anesthesia and monitoring me? How many times has my plastic surgeon performed this procedures before. What do the results look like? You missy look for many, many before and after photos. Are there scars around the belly button, or does the belly button look unnatural? If so, keep looking. 
Is the Surgical suite accredited by JCAHO (Joint Commission) and /or AAAASF? Who will be in the OR with you. Who will be monitoring your progress after surgery?  These are just a few questions you need to ask.  I have created information and guidelines for women who are interested in having the best possible results from a mommy makeover. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Breast Reduction & Tummy Tuck Procedures Are Frequently Performed in Outpatient Surgical Facilities

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Breast reduction and tummy tucks are frequently performed in outpatient surgery centers. When having outpatient surgery, it’s important to make sure that the facility is fully accredited and certified at both the state and federal levels. It’s also important to make sure that both your plastic surgeon and anesthesiologist are board certified as well.

When cosmetic surgery is performed on an outpatient basis, certain criteria must be met. Patients need to be in good health otherwise and they must have a support system in place. Safety should always be a priority. When patients have co-existing medical problems, they should undergo a comprehensive medical evaluation before surgery. Depending upon the results of these studies, inpatient surgery may be indicated.

Every patient’s situation is slightly different and because of this, some patients should have outpatient surgery while others should have inpatient surgery. This decision is determined by multiple factors. These include the overall health of the patient, the nature of the procedure, the surgeon’s preference and the patient’s support system. The vast majority of cases can be done safely on an inpatient basis. This has the added advantage of significant savings and the convenience of home during recovery.

Hospital vs. Surgery Center for Mommy Makeover

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The answer to your question is a resounding YES.  Board Certified Plastic Surgeons can only operate in certified surgery centers or hospitals.  Therefore, by definition, if you are going to a Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery, then your surgery will be done in a certified surgery center.  Ask to see the credentials of your anesthesiologist and your plastic surgeon.  Ask to speak to a few of the plastic surgeons patients who had similar procedures to see what level of care they got at this private facility.

In Hawaii, most of the cosmetic surgeries are done in private facilities by highly qualified Board Certified Plastic Surgeons.  I am certain that North Carolina has the same quality facilities and also highly qualified plastic surgeons.

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Private Facilities vs Hospitals for Procedures

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If you are in good health, are an appropriate candidate and plan to have your surgery at a Certified Ambulatory Facility, than it is safe to have both of these procedures outside the hospital.  

As a patient, you want to review the certification of the facility and to review the credentials of your anesthesiologist.   Facilities that are AAAA (Quad A C) certified,  are held to the same standards as the hospital.  They are regularly re-inspected to make sure the safe standards are maintained.   

Additionally, you need to carefully consider your immediate post-op recovery.   Will you be staying at the facility and will you have access to nursing care.  The first 48 hours following these two procedures especially when done together,  are painful.   You will want to review pain management, and how you will be assisted to get out of bed, as well as deep breath and cough.  

Finally, you will want to know how you will reach your doctor in the event of an emergency.

Carlin Vickery, MD (retired)
New York Plastic Surgeon

Mommy Makeover at Private Facility vs. Hospital

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The answer will depend on multiple factors.  First, what is your health status, and are you a candidate for an outpatient procedure?  You may need to be cleared for surgery by your Family Medicine or Internal Medicine Physician.  Next, what is the certification status of the surgey center?  National certifications will help keep high standards, (i.e.; AAAASF, JCAHO, Medicare).  Also, the choice of Anesthesiologist is important.  We use a Board Certifeid Anesthesiologist for our cases.  Further, make sure the Plastic Surgeon has admitting privileges at a nearby hospital just in case.  With that said, most cases can be done safely in an outpatient setting.  Do talk with your Plastic Surgeon if you have any concerns.

Surgery at a private facility.

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It is safe to have surgery performed in a private facility. Facilities that specialize in plastic surgery can offer the same degree of safety but a more private experience. It is absolutely imperitive however that the surgery facility be fully accredited, the surgeon board certified.

Breast Reduction and Tummy Tuck in a Private Facility

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Thank you for the question.
Whether it is safe to have these procedures performed together (in any location) will depend on your specific medical history, physical examination and selection of surgeon.  You need to make sure that your surgeon is a board certified plastic surgeon who works with a board certified Anesthesiologist who works in a fully accredited surgery center  or hospital.
I hope this helps.

Surgery outside a hospital

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I either perform surgery in a hospital or an accredited facility through what is called Quad A or (AAAASF).  If a patient has significant medical issues I will always do it in the hospital.  Most patients prefer my facility because I think it is less stressful for the patient.  Both are safe and offer different advantages.

Private facility vs Hospital

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For any cosmetic surgery, I recommend you have your procedure at an accredited facility (such as an AAAASF accredited surgery suite/facility) or a hospital.   Accreditation ensures that certain safety parameters have been met.  Talk to your PS about the private facility.  Visit the facility.  If you do not feel comfortable, then you can always opt for a hospital.  

Safety of private surgery centers

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Safety is a very big issue in plastic surgery these days. In many ways you are actually safer at a private facility been in the hospital because one in 20 people that are hospitalized get a hospital infection. The risk of infection at a private facility is minimal. You should, however, check to see that this facility is accredited by AAAASF or AAAHC, the two main accrediting bodies. As an inspector for AAAASF myself, I can tell you that this organization takes outpatient safety in its accredited facilities very seriously. There are inspections and high standards which the facilities have to pass in order to be accredited so just make sure you do your homework.

Andrew Kaczynski, MD (retired)
Sacramento Plastic Surgeon

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.