Editorial Reviews. About the Author. Robin T.W. Yuan, M.D., Beverly Hills plastic surgeon in Behind the Mask, Beneath the Glitter: The Deeper Truths About Safe, Smart Cosmetic. Kindle App . Dr. Yuan has served as vice-chief of Plastic Surgery at Cedars-Sinai and is assistant clinical professor of plastic surgery at UCLA.
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She underwent emergency surgery and spent two weeks in a medically induced coma. Eight years and four major surgeries later, Daniels still has a mass of hernias in her belly, leaving her in constant pain and unable to bend over without risking a dangerous bowel obstruction. Under the right circumstances, plastic surgery should be relatively safe; the American Society of Plastic Surgeons ASPS reports that death occurs in only about one in 50, operative procedures.
But the growing popularity of cosmetic nips and tucks has made the field a breeding ground for exploitation. Not surprisingly, cash is a huge factor. Last year plastic surgeons performed more than 1. Of course, the way to make money as a plastic surgeon is to do surgery.
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But just because women can get cosmetic surgery from their internist or OB doesn? A board-certified plastic surgeon must undergo at least five years of specialized surgical training post? Doctors must then pass both oral and written exams and fulfill ongoing continuing-education requirements. Yet none of that training is required by law. In most states, anyone with a medical license can perform cosmetic surgery.
The results can be catastrophic. Serletti says he and colleagues have seen patients come in with improperly placed breast implants and damaged facial muscles after going to poorly trained doctors.
And yes, people do die: A recent German study of liposuction deaths concluded that lack of surgical experience was a major contributing factor. In July, Arizona internist Peter Normann, MD, was convicted of second-degree murder and manslaughter after three patients died in his care, two after liposuction and the third after a botched fat-shaping procedure. A different path Gregory Alouf, MD, is one physician who created his own route to cosmetic surgery.
Alouf, a family practitioner in Salem, Virginia, opened an "aesthetics" practice in , offering non-surgical procedures such as laser hair removal. In he began doing liposuction, followed by breast implants and other surgical procedures. Alouf learned the techniques primarily at medical conferences, where there was minimal hands-on experience. Two years after he started offering liposuction, Dr. Three other lipo patients experienced complications, resulting in hard and lumpy areas and "visible contour irregularities.
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Alouf claims that those are the only complications he has had in more than liposuction procedures. In , during a seven-hour mini-face-lift, Dr. The doctor had her sit up and applied pressure to the site while he called a plastic surgeon friend for advice. As a result of these cases, the Virginia Board of Medicine ordered Dr. Alouf to stop all "full incisional" surgical procedures, stating that he "lacks the requisite education, training, experience, knowledge, skill, expertise and competence to perform such surgery. Alouf says the issue is not competence, but competition. Alouf says, adding that he?
Money over medicine [ pagebreak ] Money over medicine It?
Other patients are simply physically unfit for surgery. Ideal liposuction candidates, for example, are relatively healthy, close to their ideal weight, with specific areas that need shaping. The Philosophical Theories by Malcolm Budd.
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