Which Plastic Surgeon Should I Choose for BA? Is On-site or Off-site Surgery Better?

Which surgeon should I choose? I've narrowed it down to 2. PS#1 is a lot older, has more experience, has an on-site surgery room, and offers free revisions if it is needed(still need to pay anesthesiologist though). The only problem is, there is a possibility he may retire soon. PS#2 is younger, has excellent credentials, surgery will be off-site at a surgery center. Both doctors were very nice and understood what I want, and recommended me the same thing. Is on-site or off-site surgery better?

Doctor Answers 5

Plastic Surgery Facility for Breast Augmentation

In my view, whether the surgical facility is on or off site makes no difference.  You should check to make sure both facilities are accredited by a recognized body such as the Joint Commission or the AAAASF, but assuming this is the case, where the facility is located need not be an issue.

Have you checked into each plastic surgeon's background pretty thoroughly?  If one is certified by the American Board of Plastic Surgery and the other is not, that could be a deciding factor.  You should also make sure each one has privileges at a hospital near by, just in case of emergency.

Assuming the credentials of each facility and each surgeon check out, go with your gut feeling.  If you like the older surgeon better and you're concerned he may retire just at the time you need a revision, you could find out if another surgeon might be taking over the practice. 

Good job in consulting at least two surgeons.  And good luck!

Elliot Jacobs, M.D.

New York Plastic Surgeon

New York Plastic Surgeon
4.4 out of 5 stars 34 reviews

Which plastic surgeon should I choose for BA?

Hello! Thank you for your question.  Cost will vary among plastic surgeons as well as with geographic location and what procedures exactly they will be providing to you.  Certainly, researching a board certified plastic surgeon well-versed in the procedure(s) you desire is recommended - checking the American Board of Plastic Surgery is a great start. Consult with two or more surgeons who you are happy with their postoperative photographs and those who you, most importantly, feel comfortable and confident with. Use the opportunity to ask questions as well as visit with staff and investigate the accredited facilities they work out of.  I believe fellowship-training, beyond the core plastic surgery residency to be important, as that surgeon has gone above and beyond to seek additional training specific to that area of interest and chosen to gain additional expertise in that area.   

Experience should not be measured solely by the age of the surgeon or how many years s/he has been in practice.  Checking the education and training is more valuable - a Board Certified MD plastic surgeon who was accepted to and completed an integrated plastic surgery residency, in today's day and age, are excellent choices. Those are the top students who have superior training at top institutes.  Plastic Surgery is NOT a fellowship...it is a residency. Those surgeons who have actually successfully completed additional fellowship training beyond the plastic surgery residency are also passionate about that area and will likely have the most recent, innovative, and up to date techniques. These are usually the younger surgeons, who are still readily willing and competent to continue to strive for the newest material and remain up to date on literature and conferences. 

You must decide for yourself who you are most comfortable with and confident with who will meet your goals and expectations. Cost may differ just on expertise and the aforementioned additional training ad what that additional expertise training has afforded to his/her patients.  Hope that this helps!  Best  wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Which surgeon to choose

It sounds like either surgeon is a good choice.  An on site operating room is convenient but there is nothing wrong with using a separate surgicenter.  I say choose the surgeon you like the most and had the best connection with.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Choosing a surgeon for breast augmentation.

It sounds like you've done a good job in assessing to possible surgeons. Both should be board certified in plastic surgery. The facility should be properly accredited. The surgeon should have the privilege of doing a breast augmentation in a hospital indicating that he is gone through peer review for that procedure.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

On-site or Off-site Surgery

So long as both are doing surgery  in approved operating rooms I see no advantage of one over the other. I would ignore that, and choose by the remaining criteria you are considering. Sounds like you have two good choices.  All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

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.