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Breast Augmentation - Surgeon Qualifications?

Who Is Qualified to Perform Breast Surgery?

You would not select a dentist to perform a Face Lift. Similarly, you should not jeopardize the outcome of your Breast Surgery, or your well being, by choosing anyone less than the most qualified plastic surgeon.
While many states allow any licensed physician such as a gynecologist, general surgeon, or otolaryngologist to perform cosmetic surgery, that does not mean that these physicians have had the extensive formal training in cosmetic surgery that is taught to a Board Certified Plastic Surgeon. In some states, even dentists are lobbying to perform cosmetic procedures.
Because Breast Surgery is major surgery, you should place your life in the hands of the most qualified and skilled plastic surgeon. You should also choose a surgeon who will show you solid "Before and After" examples of his or her work, and whose artistic sense is in sync with the results that you are seeking.

In choosing a surgeon to perform Breast Surgery, you should first choose one who has been certified by the American Board of Plastic Surgery (ABPS): www.abplsurg.org).

This assures that surgeon has endured the most rigorous training possible, including three to five years of training in general surgery and two years of training in plastic surgery. Beware of those physicians who claim to be "board certified" cosmetic surgeons. This may mean that they have taken a brief weekend course in a procedure, but does not guarantee the competence that the American Board of Plastic Surgery ensures. Ideally, you will choose a surgeon who has extensive Breast Surgery experience, not only experience in plastic surgery in general. Breast Surgery, like sculpturing, is an art that is learned through experience, but can only be perfected by the plastic surgeon who has an eye and feel for body proportions and contour. This ultimate expert should be an artist as well as a skilled surgeon.

What Surgical Facility is Best for Breast Augmentation, Reduction and Lifts?
You wouldn't have your wisdom teeth pulled in your dentist's living room. Why not give equal consideration to your physician's surgical facility? Your very life could depend, not only upon the skill of your surgeon, but upon the quality of this facility.

The Importance of Accreditation
Your surgery should be performed at an accredited ambulatory surgery center, or at a hospital. It is unwise to have your surgery performed merely in a physician’s office, or procedure room. If your physician operates in a surgical facility, there are five crucial factors to consider:

  1. It is certified by the American Association for Accreditation of Ambulatory Surgery Facilities (www.AAAASF.org) or;
  2. It is certified by the Accreditation Association for Ambulatory Health Care (www.AAAHC.org) or;
  3. It is certified by Medicare or;
  4. Is it certified by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and;
  5. The facility has a transfer agreement with a local hospital. (This is necessary in an emergency situation when a patient needs to be transferred to a hospital).
  6. Does the facility have the capacity for overnight stay? There is a trend towards requiring post-surgical overnight monitoring or stays for more extensive Breast Surgery procedures; or in cases when multiple procedures are performed at one setting.

Is your physician credentialed to operate at a local hospital? Does your physician have privileges to perform your chosen surgery in a hospital? If a hospital does not approve a surgeon as qualified to perform your procedure in its facility, this is a significant factor to consider for your safety. Has he or she been barred, disciplined, or suspended from any hospital?

To investigate the status of local physicians, visit www.medbd.ca.gov/lookup.htm
What Kind of Anesthesia Is Used for Breast Surgery?
As a rule, your cosmetic surgeon will use general anesthesia for this procedure. You should pay special attention to the anesthesiologist who your plastic surgeon uses during surgery. Like your surgeon, the anesthesiologist literally holds your life in the balance. It is therefore critical that you put your life in the best hands.
Many patients have preconceived notions about the type of anesthesia that is best for them. Unfortunately, these thoughts are often based upon hearsay, or upon informal research that has no scientific basis. While you are the final arbiter of your treatment, only an experienced physician can guide you properly in making the crucial decision about your anesthesia.

This is not guesswork! Allow your physician to explain your safest anesthesia option.

Many facilities employ trained nurse anesthetists. However, it is optimal to have anesthesia administered by an anesthesiologist rather than a nurse. Preferably, your anesthesiologist should be certified by the American Board of Anesthesiology.

The anesthetized patient must be monitored meticulously and constantly, with consideration for all medical conditions. The best person to do this is a physician who is trained and experienced in the practice of medicine, in the specialty of anesthesia. This is especially important in surgical facilities that operate independently. In such freestanding facilities, a nurse anesthetist might not have the adequate supervision of a physician anesthesiologist, or the support system required to properly address emergencies.

You should be skeptical about promises that extensive cosmetic surgery procedures can be performed under local anesthesia in an office, procedure room, or even in an office surgery room. Having an extensive procedure performed under local or "twilight anesthesia" is not safer than having it done under general anesthesia. On the contrary, the risks of this "twilight sleep" might be greater because procedures that take two hours under general anesthesia will take several more hours when you are inadequately anesthetized locally. The risks that your condition will become unstable will increase under this circumstance. Also, you will then have to deal with the side effects of the longer acting anesthetics that remain in your system, even after you go home.

Dr. Younai is a Board Certified Plastic Surgeon with formal training in Plastic & Reconstructive Surgery, as well as General Surgery at some of the most prestigious university residencies in the United States. As a cosmetic plastic surgeon he has had ample experience in performing Breast Augmentation, Lift, reduction, capsulectomy, capsuloraphy, implant exchange, breast reconstruction, and breast augmentation revision surgeries. At the California Center for Plastic Surgery Dr. Younai will review your treatment options for Breast Augmentation and Enlargement, including pros and cons of each procedure, potential risks and complications, recovery course, pre and post operative instructions, and esthetic outcomes. There are also many before-and-after pictures and high resolution images of Breast Augmentation available in our photo gallery.

Dr. Younai receives patients from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard.

Dr. Younai performs his surgeries at the Regency Surgery Center which is certified by Medicare, AAAHC, and AAAASF. This state-of-the-art facility is located in Encino, and near Sherman Oaks, Calabasas, Woodland Hills, Thousand Oaks, and Westlake Village.

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Dr. Sean Younai
is a Board Certified Cosmetic Plastic Surgeon, who practices in Encino, Los Angeles, Southern California.
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