Ten Ways to Find the Best Plastic Surgeon  Every day I get e-mails from plastic surgery marketing organizations. One common message is that I have been nominated to be one of the Top Plastic Surgeons. If I remit 199$ I will receive a display worthy plaque that I can hang next to my desk for my patients to know that there surgeon is the “top surgeon”. I appreciate the problems patients have in trying to find a plastic surgeon they can trust. Please allow me to give you some helpful starting advice, to find a competent and caring physician.  The American Board of Plastic Surgery will supply you with a list of board certified plastic surgeons in your area. Contact the society at: www.plasticsurgery.org.Local and state medical societies will have lists of plastic surgeons in your area. For example in Los Angeles you can contact: www.lasps.org.Ask a physician you trust to refer a plastic surgeon.Ask friends who have had plastic surgery about their experience and for a referral.Get two or three referrals, and schedule a consultation. Many plastic surgeons will offer a complimentary consultation.Choose a doctor that is board certified. Understand which board has certified him or her, ask about their credentials. For a list of boards you can contact: www.abms.org.Does the physician listen to you? Were you able to express yourself fully? Are you on the same “wavelength” as the doctor? If the answer to any of these questions is no, keep looking.Does the physician give you a clear explanation of what the problem is, alternative invasive and non-invasive treatments, and what you can expect after the surgery. If not keep lookingBe comfortable with the staff, facilities and fees. If you are not keep looking. Consult with your doctor at least twice before sugery.  This list is a beginning. I sympathize with the patient and their concern about finding the best plastic surgeon. Fortunately, there are many talented, caring plastic surgeons who have the best interests of their patients at heart. You can find one.

In a word, yes. Doctors should put themselves in the patients position and ask and then answer “what would they like to know about the operation?”.  Being understood is an advantage for the patient and should be for the doctor as well. The following list should help you get what you need to know what you are getting.  Is the doctor speaking the same language you are? Does he or she use words and explanations you can understand?Is the doctor speaking directly? Speaking around information or using words like “natural result”, is not enough. Clarity is essential.Is the informed consent coming from the doctor or has she or he delegated that duty to someone else.Did  you receive copies of your consents and written information regarding the surgery?Were audiovisual and computer aids used so you could see examples of likely results? I believe that a doctor who really understands a procedure can explain it so that the patient understands the benefits, alternatives, complications and consequences. Once the patient has this information, anxiety will be reduced and the patient will be able to decide if it is a good idea to proceed with treatment.

Dr. Alexander Sinclair’s operating room is certified by the American Association of Accredited Ambulatory Surgical Facilities (commonly known as Quad A, or AAAASF). Propofol  (Diprivan Tm) is a sedative/hypnotic used for the induction and maintenance of monitor assisted sedation. Propofol is given intravenously and works within 30 seconds. Wake up is quick usually within a few minutes. It is always given with all necessary supportive equipment. When used properly it is safe and efficacious.

If you want great eyelashes you should know great eyelashes don’t just happen overnight. This is why it is important to take note that LATISSE® gradually works and with remarkable – full results after 12 – 16 weeks.
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Anesthesia care in an accredited or licensed facility has reached a level of sophistication that is absolutely comparable to the care received in the hospital. For maximum safety, the American Society of Plastic Surgery recommends that:

• Any planned anesthesia should be administered by skilled, licensed personnel acting under the direction of an anesthesiologist or the operating surgeon.
• Before any type of anesthesia is used, the surgeon or anesthetist must take a full medical history. A physical examination and appropriate lab tests may also be performed. Your surgeon needs to know if you have any serious medical problems or have had previous adverse reaction to any other type of anesthesia. Also, you must let the anesthetist know about any medications you are taking (including herbal supplements), any known drug allergies, when you last ate and whether you smoke cigarettes or use alcohol or illegal drugs.
• You should be assured that you will receive individual monitoring by skilled, licensed personnel before, during and after the procedure. Staff who are familiar with the warning signs of cardiac or respiratory distress and are trained in advanced cardiac life support (ACLS), should be on hand to monitor your procedure and recovery following your surgery.
• If you are told that you will be kept overnight at the surgical facility while you recuperate, make sure that the facility is accredited by a recognized agency. In an accredited facility you will receive around-the-clock care and monitoring by two or more skilled and licensed staff members with at least one trained in ACLS. You will also be assured that the facility has the necessary equipment and medications to handle complications that may arise and an emergency plan in case you need to be transferred to the hospital.

Dr. Alexander Sinclair, his staff and independent associated caretakers follow the recommendations of the American Society of Plastic Surgeons.