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

Russian Roulette? Strax Rejuvenation

Patients seeking bargain pricing for their plastic surgery have been going to Strax Rejuvenation for years as the cheapest option in town. Strax commonly advertises very low prices to lure patients for their procedures. Recently, patients are learning that the lowest price is often not the best value. There has been another death at Strax Rejuvenation. That makes 5 known deaths in less than three years. Last Thursday I received information about a patient that died while undergoing a procedure at Strax Rejuvenation. The patient went to Strax for fat transfer to the buttocks. During the procedure her blood oxygen levels began to drop and she could not be resuscitated. She died in the operating room at Strax Rejuvenation. I have written about the deaths at Strax Rejuvenation in the past: /blog/bargain-price/ In that post I analyzed recent deaths at Strax and calculated their mortality rate. Based upon my review, giving Strax Rejuvenation a huge benefit of the doubt, their mortality rate is alarmingly high. In fact, it was seven times higher than a published acceptable rate from the American Society for Aesthetic Plastic Surgery. When last Thursday’s tragedy is added to the analysis the numbers get much worse. My original review of the Strax Rejuvenation death rate was based upon 4 deaths in two years time. That was less than one year ago. Let’s look at an analysis that includes this most recent death. Strax Rejuvenation currently has 12 doctors on staff. Only 10 perform aesthetic procedures. We could assume that every one of them operates every day of the week, never takes a vacation, and never sees patients for consultations nor follow up visits. Clearly that is not the case, but let’s give them the benefit of the doubt. Also assume that each doctor performs 4 procedures everyday. That would calculate to  31,200 procedures in a three year period. If that were true the death rate at Strax Rejuvenation would be 1 in 6240 cases. But it’s actually worse than that. Strax Rejuvenation has six operating rooms. It would not be possible for all 10 surgeons to perform procedures all day, everyday. Only six cases can go on at the same time. So now let’s assume that each of the six operating rooms are fully occupied 12 hours a day, 5 days a week, 52 weeks a year, for three years. That would add up to a total of about 19,000 cases which would make the death rate at Strax Rejuvenation 1 in 3800 cases. That’s more than THIRTEEN TIMES the mortality rate published by the American Society for Aesthetic Plastic Surgery (ASAPS). If we use Strax Rejuvenation’s own numbers it is even more grave. They boast having performed 29,000 procedures. Strax was founded in 2004 which gives it an eight year history. If the cases are evenly distributed over the eight years that would come out to just under 11,000 cases in three years. That means the death rate at Strax Rejuvenation over the last three years using their own numbers is 1 in 2175 cases. That is shockingly over TWENTY THREE TIMES  the published mortality rate. When compared to having your procedure performed by a board certified plastic surgeon in their own private practice, having surgery at Strax Rejuvenation sure does seem like making a riskier choice to me. Maybe not quite like Russian roulette, but definitely not the bargain most patients think they are getting.

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.

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