In a recent article published by Newbeauty.com, Dr. Adam Rubinstein details several reasons why so many patients either die or suffer from life-long complications from plastic surgeries. In the case of 40-year-old Kizzy London, her botched Brazilian Butt Lift resulted in a fat embolism which claimed her life. Dr. Rubinstein warns potential clients about physicians who falsely advertise their services and certifications. He stresses that while having a medical degree certifies someone to practice medicine, it does not inherently mean that a physician has the qualifications to be a competent plastic surgeon. The Legal Loophole Costing People Their Lives In the state of Florida, any doctor with a valid medical license can legally perform any surgery on a patient who provides consent. In the U.S., every medical certificate includes both the title physician and surgeon. Even psychiatrists are MDs, giving them the legal right to practice any surgery, including plastic surgeries, if they wanted to. This loophole allows doctors who are not licensed plastic surgeons to offer plastic surgery procedures to their patients, often at exponentially lower prices than their licensed competitors. Not surprisingly, this can be a huge problem. Plastic surgery is very intricate and, if performed incorrectly, can be devastating to the patient. Kizzy London’s death is an unfortunate reminder of this. Preventing Future BBL Deaths and Complications While plastic surgery-related tragedies do occasionally occur due to situations outside of a physician’s control, many can be avoided through patient education and research. In order to make sure you have the best experience possible, it is imperative that you do your research before choosing a plastic surgery provider. You’ll want to confirm that the surgeon you intend to select has not only experience and positive reviews, but that they have all the appropriate licenses and certifications that would qualify them to practice plastic surgery. Remember: just because a doctor is listed as a “surgeon” does not mean that they are a board-certified plastic surgeon. Searching a providers name on their state health department website will confirm whether they licensed or not, and whether or not they have had any disciplinary actions filed against them for past surgery mishaps. You’ll also want to consider price when shopping around for a surgeon. Prices that fall well below the average cost of a procedure should throw up red flags. When researching surgeons, it is important to note that many different “Boards” exist to certify doctors in specialties that are related to Plastic Surgery. Specialty boards in the United States are regulated by the American Board of Medical Specialties. The only plastic surgery related Board recognized and regulated by the American Board of Medical Specialties is the American Board of Plastic Surgery. Be aware that any “Board” with the word “cosmetic” in it is not a recognized board. In this vein, any doctor advertising themselves as a “cosmetic surgeon” and not a “plastic surgeon” is one to be wary of. Dr. Rubinstein is a proud Diplomate, certified by the American Board of Plastic Surgery. He also currently serves on the editorial staff of the Aesthetic Plastic Surgery Journal published by the International Society of Aesthetic Plastic Surgery, is the Chief of Plastic Surgery and the Vice Chief of the Department of Surgery for Jackson North Medical Center, and is a clinical assistant professor in the Department of Surgery at NOVA Southeastern University. Furthermore, Dr. Rubinstein is a member of the clinical faculty for the Department of Plastic Surgery at Florida International University (FIU) School of Medicine and for the Cleveland Clinic Plastic Surgery Residency Program in Florida. Additionally, he holds memberships in many prestigious medical societies and associations, some of which are: The American Society of Plastic Surgeons, The American Society for Aesthetic Plastic Surgery, The International Society of Aesthetic Plastic Surgery, The American Society of Bariatric Plastic Surgeons, and The Ralph Millard Jr., M.D. Medical Society & Education Foundation If you want to schedule a free consultation regarding a Brazilian Butt Lift or any other plastic surgery procedure and reside in Hollywood, Sunny Isles Beach, North Miami Beach, North Miami, Miami-Dade County, Miami Beach, Broward County, or Fort Lauderdale do not hesitate to contact Dr. Rubinstein at his Aventura office today.
Watch as Adam J. Rubinstein, MD, FACS, Miami Plastic Surgeon, performs Cellulite and ThermiTight. One of the latest treatments for cellulite, in fact, the best treatment we’ve ever had for cellulite, is a treatment called Cellfina. And what Cellfina does is it cuts bands that create dimples. And we’re gonna do some today. Right now we’re gonna be injecting some local anesthesia in a special needle that is like a little sprinkler. That will allow us to inject and get the numbing fluid throughout the area. And we’ll start in the upper butt here, you’re seeing the right side of the butt. And all of these little blue marks are dimples. And we’re gonna numb up the entire area. Now that we have the patient entirely anesthetized, what we’re gonna do is use the machine to treat the cellulite. And what it’s going to do is pull the skin up to a real precise level, then put a blade underneath the skin that cuts the bands. So, the cellulite is being pulled from the surface down towards the muscle. The blade’s gonna get in there and cut those bands, releasing the skin and making it smooth. This plate is going to pull the skin up into this clear area, to an exact height of six millimeters. You see these blue markings are where the dimples were when the patient’s standing up. Using some suction, we get that attached. Here’s the blade. And we turn the motor on. It reciprocates back and forth at a real high rate, and that’s how we’re gonna cut the bands. Using this blade, we insert it in the track, turn the motor on, and release the bands. So now that we’ve completed the Cellfina, we’re treating this patient with ThermiTight, which is a radio frequency method for tightening skin. It uses radio frequency energy with this probe and heats the skin up from below. By passing the probe underneath the skin, it puts energy under the skin into the dermis and heats the dermis. While we’re doing that, the probe has a sensor that tells me the exact temperature inside the skin, and there’s a camera that’s watching that shows us the exact temperature outside the skin. So if you take a look at the monitor you’ll see that the white or yellow areas are hotter, and the pink areas are cooler. So we can tell exactly what the temperature is on the surface and inside the skin. That keeps us very safe. We welcome you to contact our office today and schedule a consultation today to see if Cellfina and ThermiTight may be procedures fit for you, 305-340-2191.
Having children is a highly personal choice for each woman, and it requires a great deal of thoughtful consideration. So are elective cosmetic procedures including plastic surgery. When it comes down to decision time, it is important for women to consider their plans for pregnancy in relation to cosmetic procedures. Timing, before or after childbirth, can significantly alter the results of plastic surgery.
Before or After Children? That is the question.
A common point of conflict for many women interested in elective cosmetic procedures is whether or not to have a procedure before or after having children. It is unreasonable to assume that women considering plastic surgery, universally, have or do not have plans for children. It’s equally absurd to believe all women who have plans for children do not also have plans for cosmetic surgery. To make such assumptions would be counterproductive and inappropriate. Instead, it’s important to focus on helping women understand all the potential risks and rewards and provide the necessary information to help make decisions in planning cosmetic procedures.
What You Do vs. When You Do It
The particular cosmetic procedure you are seeking makes all the difference when it comes to planning. Though the process of having a child does not affect all cosmetic procedures, we’ve debunked the myths and provided facts on three common surgeries:
Breast Augmentation – While you may have heard that breast augmentation can interfere with breastfeeding, Dr. Rubinstein assures his patients that they have alternate options. Modern incision techniques allow for full function of the breast even with augmentation. The important pregnancy-related consideration for planning your augmentation is the preservation of your results. The changes to the body during pregnancy and childbirth may cause permanent alterations to your augmentation.
Tummy Tuck – It is common to hear women plan for a tummy tuck after they have had children. It is a wise decision given that the weight gain and development of excess skin associated with the process of pregnancy can completely undo the results of a tummy tuck. To maximize the effectiveness of this procedure, women who are not done having children may want to reconsider for later.
Facial Plastic Surgery – Generally speaking, the results of facial plastic surgery will not be impacted by pregnancy or childbirth. Patients should, of course, consult their physician when planning any procedure. Schedule a one-on-one consultation with Dr. Rubinstein today to learn more.
While there are many procedures and possible outcomes, what is most important for patients to understand is that timing is a highly personal decision.
There Is No Right Answer
For each woman, the decision to undergo elective cosmetic procedures must be made to suit her unique needs and desires. Electing to undergo the procedure before or after children may have an impact on the results, so it’s essential for women to learn all the facts about their cosmetic procedure and speak with Dr. Rubinstein about childbirth plans. Only you can decide when the time is right.
After losing lots of weight, patients feel better and enjoy better health overall. But they often find themselves dealing with new issues that are sometimes similar to how they felt before weight loss. People that are much heavier than they would like to be often don’t feel comfortable with their body image due to the excess bulging fat they carry around. After losing 50 pounds, 100 pounds, or more, the excess fat is shed and a new, healthier, more trim body emerges. As a result of weight loss, however, many patients find themselves dealing with loose and sagging skin. This frequently keeps them from feeling comfortable with their body image. They have traded excess fat for excess skin. Definitely healthier, but sometimes no better in appearance, simply different. Here in Miami and other cities where the weather is warm year round, these patients may still not feel comfortable wearing lighter clothing. The good news is excess skin and any remaining troublesome excess fat can be improved. As one of the founding members of the American Society for Bariatric Plastic Surgeons, I see a good amount of weight loss patients. Whether through gastric bypass, lap band surgery, a gastric sleeve, or diet and exercise, thousands of people are losing more weight than ever. Once the weight is shed we can develop a plan for improving the remaining issues. Every patient has different concerns, different goals, and different bodies. There are some very common issues but each person has their own priorities. In my practice we form individualized plans for each patient. Here are some guidelines that may help. The timing of body contouring after weight loss is very important. For patients that lose weight with diet and exercise alone I recommend that we plan surgery once their weight is stable for three months. If patients have lost weight with bariatric surgery (ie. Gastric bypass, lap band, or gastric sleeve) it is good to wait until one year after the procedure and still look for stable weight for three months. There are a lot of ups and downs with weight loss. If procedures are performed too early the results may change with further weight loss. Once weight has been stable for three months it is safe to have procedures without worrying about more weight loss affecting the results.
When you gain and lose a lot of weight or go through pregnancy your tummy gets stretched out and then relaxes back down. The muscles of your tummy also stretch out. The main muscles we are talking about are two big muscles that run up and down in the middle of your tummy. They are called the rectus abdominus muscles. They are supposed to be side by side like two columns right next to each other. With weight gain and/or pregnancy they can stretch out in the up and down direction as well as pull apart in the middle, separating from side to side. It is the side to side separation that is the real problem. The splitting apart of the muscles is called diastasis recti. This separation is the cause of the poochy shape of the lower tummy after pregnancy. Here is the main problem: you can exercise the muscles to make them strong again in the up and down direction, but there is no natural way to firm things up again from side to side. There is no way to exercise your muscles in a sideways direction. A tummy tuck can bring those muscles back to the middle where they belong but pulling them into position and keeping them there with stitches. When they are separated they are a bit weaker than they should be. This is due to the physics of how they work. They are meant to be together in the middle, so when they are put back that way they probably work a little better. You might not notice a big improvement when doing exercise, but some patients do feel stronger and more stable. Call our office today for a consultation to see if a tummy tuck may be right for you!
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