Medical Tourism
March 23rd, 2010
Thirty percent of patients considering a $10,000 cosmetic surgery procedure would travel outside the US for the surgery, if it were cheaper. This report is according to a 2007 online American Academy of Cosmetic Surgery survey.
After cost savings, privacy was the next most popular reason. Interestingly, more than 1/3 of the people surveyed report that they would go of shore for procedures not available in the US. Breast surgery is a common surgery driving the popularity for medical tourism. A significant contributing factor being that some breast implants are not approved by the FDA and are only available in Europe and Canada. Read the rest of this entry »
Patient Satisfaction
January 26th, 2010
What cosmetic surgeries rated highest in patient satisfaction?
RealSelf.com has published a list of cosmetic procedures ranked on whether patients think having a particular procedure was worth it, based on patients answering their survey question, Was your cosmetic surgery or treatment worth it?
While the ranking of patient satisfaction for various cosmetic surgery procedures is debatable, I find that there are definitely favorites. For my own practice, breast enlargement and liposuction patients seem to be quite pleased with their decision to have cosmetic surgery. The survey came up with different conclusions. Maybe the ranking by RealSelf.com merely represents overall patient satisfaction, without taking into account the quality or training of the physician or technician performing the surgery or treatment.
According to the survey, the top two procedures, tummy tucks and breast reductions are rated at the top. They are almost always done by board certified plastic surgeons. The bottom two procedures, Veloshape and mesotherapy, are almost never done by board certified plastic surgeons. As you move from top to bottom on this list, the percentage of each procedure done by board certified plastic surgeons becomes less and less. For instance, tumescent liposuction, Smart Lipo, liposculpture, liposuction and Vaser lipo, are all done by board certified plastic surgeons, as well as general surgeons, dermatologists, head and neck surgeons (otorhinolaryngologists), family doctors, and gynecologists. In fact you can probably get some type of liposuction done by any medical or surgical subspecialist. Obviously, the medical training in such a wide spectrum of surgical providers can be extremely variable. The survey overlooked this important factor.
My own bias concludes that training is paramount when choosing a physician. Plastic surgery residency is intensely focused on aesthetics of the body and face and the sculptural aspects of surgery. In addition, the medical students who are most often drawn to a plastic surgery residency have both an aptitude and intense interest in the artistic aspects of surgery. Therefore, I believe that a key factor in patient satisfaction is to understand the qualifications of the person doing your surgery or treatment. However, as with all physicians, plastic surgeons do have dissatisfied patients, a fact of life in the practice of medicine in general. Choose wisely.
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