Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS

A Bargain at What Price?

Patients these days often look for the best deal in town. But by searching for the cheapest price some get more than they bargained for. Making the price of your procedure the most important factor in choosing your doctor or facility is not the best way of thinking. In fact, it has cost some people the highest price of all. In most major cities there are clinics that offer very low prices for procedures that cost more when performed by board certified plastic surgeons in their own private practice. These clinics usually advertise a tremendous amount and make up for the lower profit with volume. One such clinic in south Florida is Strax Rejuvenation. This facility is known for very low prices, but also has a history of significant complications. Just last week a patient having a procedure at Strax Rejuvenation had to be taken to a nearby hospital due to a complication that occurred during surgery. She died three days later. This is the latest of four known deaths in the last two years. That is staggering number. In their defense Strax officials may claim that they perform a very high number of procedures and that the actual mortality rate is not so bad when you account for the number of procedures being done. Well, lets examine that for a moment. In a study published by the American Society for Aesthetic Plastic Surgery (ASAPS) in 1997, after looking at 400,000 cases the mortality rate was 1 in 51,459 cases. If you look at a two year period that would be an impossible number of cases to perform, even for Strax, to account for four deaths. Strax claims 14 doctors, not all plastic surgeons. Even if we give them the benefit of the doubt and assume all 14 are plastic surgeons, every doctor at Strax would have to perform more than 27 operations every day of the week (Mon-Fri) every week of the month for the entire year to match that mortality rate. In actuality, if we assume that all 14 surgeons perform 4 operations every day (Mon-Fri) every week of the year for the same two year period, the actual mortality rate at Strax would be approximately 1 in 7400 cases – more than SEVEN TIMES the mortality rate published by ASAPS. So when you are thinking about having a procedure and looking to save money, you would probably be safer to stick with plastic surgeons that are certified by the American Board of Plastic Surgery and in their own private practice. You might have to pay a few dollars more, but if you look for the biggest bargain in town you might end up paying more than you ever thought possible. To learn more about patient safety, please check out my latest radio show episode.

Miami Cosmetic Surgeon Reveals What You Need to Know About Rhinoplasty

Your face is the first thing that people see – and it’s often the picture that remains with them long after you’ve met.  And if you feel that your nose detracts from your other great facial qualities, then it’s time to consider reclaiming your confidence with rhinoplasty. If you’ve never heard of rhinoplasty before, then you’ve probably heard of it under it’s more common name: a nose job.  Rhinoplasty is one of the most common procedures performed by Miami cosmetic surgeons, and proves to be popular across the country as well.  After all, this procedure doesn’t just reshape the nose – it can balance your facial proportions and highlight other beautiful facial features that had been previously overshadowed.  In fact, many patients report feeling much more confident in their appearance after a rhinoplasty procedure – and this confidence resonates in both their professional and personal lives. If you’re interested in undergoing a rhinoplasty procedure, what should you expect from the procedure itself?  Miami cosmetic surgeon Dr. Adam Rubinstein reveals what you need to know:
  • Apart from a general unhappiness with your nose, how else can you determine if you’re an ideal candidate for rhinoplasty?  Look at the following descriptions to see if any of them apply to you: You feel that your nose is too wide, large, small or narrow; you’re unhappy with a bump on the bridge of your nose; you want to fix a deviated septum in order to improve your breathing; and you wish to restore your nose after receiving an injury.
  • The procedure is typically performed within a cosmetic surgery center; however, your cosmetic surgeon may choose to perform the procedure at a hospital instead.  Depending on what needs to be done during the surgery, your cosmetic surgeon will either use local or general anesthesia to reduce any pain and discomfort during the procedure.  During the short operation (most rhinoplasty procedures take one to two hours), the surgeon will make small incisions into the nose and reshape the cartilage to the desired appearance.  Patients may leave a few hours after the surgery has completed; however, most cosmetic surgeons recommend having a friend or family member drive you home and help you around the house for a couple of days.
  • Recovery time can vary from patient to patient.  You’ll be expected to wear a splint, which helps to maintain the shape of the nose.  You’ll also be required to wear nose packing on the first night after the surgery; however, this is removed the next day, with the splint following after one to two weeks.  Swelling and bruising may occur during the recovery period, in which case you can use a cold compress to reduce any swelling.  The final results of the rhinoplasty can take some time to see – in fact, some patients report having to wait an entire year before seeing the desired result.  However, the majority of patients are thrilled with their rhinoplasty results, and enjoy the newfound confidence they experience with their new nose.

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