Thursday, July 10, 2008

Fat Transfer

People have always tried to improve their appearance since the beginning of civilization. Disfigurement of the skin has been particularly distressful for many. With the advent of new fillers there are excellent procedures available to correct such skin defects such as deep furrows and wrinkles on the face. Depressions on other areas of the body can also be corrected through a procedure called autologous (from the same individual) fat transplantation. This procedure can help contour the face, enhance the cheek and chin and correct facial or body deformities.

Fat is removed from a donor site and then re-injected into the recipient site. This can be done under local anesthesia. The process is repeated until the desired amount of fat has been transferred and the defect is corrected.

With this procedure, problems of rejection or allergic reactions are not factors, because the fat is transplanted within the same body. Recovery time is very short and patients are usually up and around the day of surgery. The only downside of fat grafting is that some of the fat may dissolve and the patient may need additional fat grafting procedures to achieve the desired contour.

Facial implants and fat grafting are ways of restoring lost volume and proportion in the face through minimal incisions and minimal scars with a fairly quick recovery.

Wednesday, June 18, 2008

Available Locations for Consultations

We see most consultations at our Surgical Facility in Rancho Cucamonga, as well as in our Victorville and Beverly Hills offices.

How To Choose a Surgeon

One of the most important decisions when considering cosmetic surgery is choosing the right doctor to perform your procedure.

When considering cosmetic surgery, patients are almost universally unaware of the difference between "cosmetic surgery” and "plastic surgery." For this reason, they may easily be misled to believe board certification in plastic surgery evidences a physician’s competence to perform cosmetic surgery. This is not always the case.

The truth of the matter is that a label or name does not guarantee a good outcome for the patient. To add to the confusion, many physicians use the term “cosmetic surgeon” loosely even though they are not specifically trained or certified in Cosmetic Surgery.

A patient seeking cosmetic surgery should know that a fellowship trained cosmetic surgeon, who specializes in the procedure you are seeking, is the most qualified surgeon to perform your cosmetic surgery.

A “fellowship” is an elite qualification that only a small percentage of surgeons performing cosmetic surgery can claim. A surgeon who has had an additional “fellowship” training has completed a focused and intense specialized training in a particular area of interest. This underscores a surgeon’s interest, commitment, and experience in performing procedures in that area of specialization.

Therefore when considering cosmetic surgery, you should seek the surgeon that specializes in the procedure you are interested in. To help give you guidance, the American Academy of Cosmetic Surgery http://www.cosmeticsurgery.org/ , the nation’s largest interdisciplinary medical organization devoted exclusively to cosmetic surgery, has prepared guidelines with points to consider in helping you make an informed choice.

Qualified cosmetic surgeons will welcome your questions about their background and be pleased that you are concerned enough to ask. Here are some guidelines to assist you in selecting a qualified cosmetic surgeon:

First figure out what you want to improve about yourself. If unsure, interview a few doctors since there are different ways of performing a procedure.

  • Ask about the surgeon’s experience with the procedure you are considering.
  • Ask how many procedures of this kind has the surgeon performed and how many does he/she currently perform per year?
  • Look at before and after pictures and make sure that it is theirs. This may give you some indication of the surgeon’s ability.
  • Ask about previous patients that you can speak with regarding your procedure(s).
  • Ask about the anesthesia and the facility. Find out who will be administering the anesthesia and where will the procedure be performed.
  • Make sure that you are comfortable with the personal rapport between you and your surgeon.
  • In addition, you should feel at ease with the staff. You should always feel that your concerns are being addressed.

While there are several certifying boards that claim that their members have special qualifications in cosmetic surgery such as the The American Board of Plastic Surgery and The American Board of Facial Plastic and Reconstructive Surgery, no certifying board requires demonstration of knowledge as extensive as the American Board of Cosmetic Surgery. This is the only board that deals exclusively with cosmetic surgery.

A Diplomat of the American Board of Cosmetic Surgery must:

  • Have satisfactorily completed specialty residency training and be board certified in their original surgical specialty as recognized by the board (Plastic surgery, General surgery, Otolaryngology, Maxillo-facial surgery, Oculoplastic surgery).
  • Complete a one to two year fellowship concentrated solely in cosmetic surgery.
  • Have performed at least 100 documented cosmetic procedures after their fellowship in the year leading to certification.
  • Pass a stringent two day oral and written examination.
  • Be of good moral character.

Becoming a Diplomate of the American Board of Cosmetic Surgery is a significant professional achievement and honor. Diplomates must strive to represent the high ethical and moral standards of the ABCS and to support the Board activities for the advancement of the specialty of cosmetic surgery. Diplomates agree to adhere to the ABCS and AMA guidelines regarding the ethical practice of cosmetic surgery, including advertising and representations to the public, and to practice the highest standard of patient care and safety at all times.

Jacob Haiavy MD

Cosmetic surgery is a multifaceted specialty involving specialists from different backgrounds, who bring their talent and training to the field of cosmetic surgery. The multitude of experience and training offers the highest quality of patient care for the specific procedure in which you are interested.

Dr. Jacob Haiavy graduated from New York University with the Alumni Medal for the highest scholastic average for four years. He attended Mount Sinai Medical School in New York, continuing there with an internship in General Surgery. Interested in cosmetic surgery and facial reconstruction, he continued his specialty training in maxillofacial surgery with heavy emphasis on cancer reconstruction and cosmetic surgery.

Following his residency, Dr. Haiavy gained acceptance to a general cosmetic surgery fellowship in Texas with Howard Tobin, M.D., former president of the American Academy of Cosmetic Surgery. After completion of the fellowship he moved to Southern California and has been practicing in Beverly Hills and Rancho Cucamonga.

Following training, Dr. Jacob Haiavy has practiced cosmetic surgery, exclusively, in the fully accredited surgery center in Rancho Cucamonga since 2001. Dr. Haiavy has always been interested in teaching. He has hosted live surgery courses for visiting physicians from all over the world in his Rancho Cucamonga facility.

He is also a director of a full body and facial cosmetic surgery fellowship training program that is accredited by the American Academy of Cosmetic Surgery.

In addition, he has authored a number of scientific articles on cosmetic surgery that have been published in prestigious and leading cosmetic and plastic surgery journals.

He has served as faculty for cosmetic breast, body, and facial rejuvenation courses, in addition to being a faculty for the Loma Linda University. Learn more about Jacob Haiavy.