EVOLV Medical Aesthetics

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Category: Certification

What is a ‘Real’ Plastic Surgeon?

Seems like everyone is getting or is interested in getting ‘work done’ these days. The demand and interest in cosmetic or aesthetic surgery, services and products has never been higher as our society works and lives longer and improved technology and techniques offer more natural and effective results. More people of any age are seeking and benefitting from improvement in self-confidence, psychological well-being and quality of life.

But, how do you go about selecting a properly trained and qualified professional for your cosmetic surgery or aesthetic service? What is a “real” plastic surgeon anyway and why should that matter?

The internet has dramatically and forever changed the landscape of our lives, particularly the interaction of health-care consumer (our patients) with providers (medical professionals). Despite growing demand particularly for aesthetic services and products, there has not been a corresponding increase in regulations with regard to who performs aesthetic surgery, dispenses aesthetic products as well as the cost of these services and products. The result of this discrepancy is increased risk and significant safety issues for patients when faced with selecting a medical provider. Can patients really trust that all physicians and professionals offering surgery and aesthetic services are properly trained and qualified? Recent studies and rising complications prove they cannot.

A recent report surveying over 5,000 people in a respected medical journal reveals that a huge majority of consumers…87%… believed that physicians must have special training and credentials to perform these procedures. Many are surprised to find out that they do not.

The study also confirms that the public and ultimately the consumer are confused by the titles ‘plastic surgeon’ or ‘cosmetic surgeon.’ More than half of those surveyed were also not sure about what kind of training is required to become a ‘Board-Certified’ plastic surgeon or cosmetic surgeon. Confusing medical marketing and unproven claims further magnify the problem for potential patients.

Survey Results

Here are some other interesting results from this recently published survey studying the opinions of over 5,000 people:

  • Only 10% of persons surveyed realized that there are no legal requirements for a provider to have adequate training or credentials to perform cosmetic (aesthetic) surgery.
  • 4,900 of 5,000 responders falsely believed that the medical system would prevent providers from performing surgery or procedures that they are not trained to perform.
  • Over 61% of people surveyed believed that board certification in plastic surgery is a legal prerequisite to perform aesthetic surgery – it is not.
  • Most people surveyed did not know the difference between a ‘Board Certified’ plastic surgeon and a ‘Board Certified’ cosmetic surgeon nor did they understand the significant differences in required training for those certifications.

The only official governing body for all recognized medical specialty based certifications is the Aesthetic Board of Medical Specialties. The American Board of Plastic Surgery certification is recognized by the American Board of Medical Specialties while the “American Board of Cosmetic Surgeons” certification is not because “cosmetic surgery” is not a recognized specialty by the board. Another essential difference is that board eligibility in plastic surgery requires 6 or more years in specialty training while only 1 year is required by the Board of Cosmetic Surgery.

The purpose of this discussion is not a turf battle or to limit another physician’s practice, but rather to educate consumers of aesthetic services on how to appropriately identify qualified providers. The lack of adequate regulation or oversight of medical marketing combined with the lack of awareness by the consumer on the important differences between the training of surgeons performing cosmetic surgery has severely compromised a patient’s ability to choose a properly trained provider. The process of choosing a properly credentialed aesthetic provider is critically important because accumulating evidence indicates that procedures performed by those without appropriate training and qualifications can and do compromise patient care and safely, sometimes with severe or lifelong consequences.

Studies also show that the most important factor in a satisfying a safe aesthetic outcome is not the technology but the ability and training of the provider. The doctor-patient relationship is built on transparency and trust. By educating patients and helping them make informed decisions, we are following the lessons learned in our first days of medical school – ‘primum non nocene’…first do no harm.

 

Frank Barone, MD, FACS

Does Board Certified Really Matter?

As the field of aesthetic medicine and cosmetic surgery have grown due to increasing demand, so have the number of options and choices in service providers for consumers. And so has the confusion regarding training credentials and qualifications of those physicians and other ancillary professionals providing those services.

We’ve all seen the term ‘Board Certified’ and even ‘Double Board Certified’ advertised for doctors promoting aesthetic services. What you and most prospective patients may not know is that some physicians promoting their ‘Board Certified’ credentials are not actually board certified in the specialty directly related to the procedures they are performing or promoting!

Does that matter? Actually, it does. Outcome clinical studies have proven that complications, often serious, are statistically higher in patients receiving aesthetic services both surgical and non-surgical from physicians without Board Certification directly related to the specific type of service performed. Shockingly, some of these Board Certified doctors that are promoting their ‘Board Certified’ status have their certification in a non-related medical specialty or an unofficial board and are performing surgical and invasive procedures without any valid or certified surgical training!

Because of this lack of transparency and related increased patient complications, the state of Florida enacted legislation requiring those practices who advertise Board Certifications to identify in what particular field they are actually board certified. Unfortunately for patients, this is not the case in Ohio and most other states.

When performed by an appropriately trained physician or professional service provider, cosmetic surgery and aesthetic services are safe, effective and can significantly improve the quality of life for patients of all ages. But please be careful, do your homework and before undergoing any elective surgery, cosmetic injection, laser or aesthetic service, please be sure to get specific answers to the following questions:

  1. In what actual specialty does your doctor have their ‘Board Certification’ and is directly related to the procedure you are considering?
  2. Is the ‘Board’ one of the 19 recognized specialties by the American Board of Medical Specialties? Remember there is no official Board of ‘Cosmetic Surgery.’
  3. Will your elective surgery or procedure be done in a credentialed outpatient operating facility?
  4. What specific training/experience does your nurse or service professional have and are they officially certified and licensed?
  5. Is your skin care service provider officially licensed in aesthetics and what training do they have?
  6. Keep in mind that any doctor can legally market themselves as a ‘specialist’ or ‘Board Certified’ in any specialty even if they have never actually received credentialed training in that specialty.

Board Certification was established by the American Board of Medical Specialties to identify those physicians that have completed supervised training in specific areas or specialties of medicine and surgery. The intention or purpose is to improve patient safety and outcomes as well as to provide transparency about a physician’s qualifications and skills. Please remember to always check the specific specialty of Board Certification of a physician when considering any cosmetic surgery or aesthetic procedure as the results may have lifelong implications.

Frank Barone MD, FACS

Cosmetic Benefits of Exilis Ultra

Exilis Ultra is an FDA approved, nonsurgical method of firming and tightening skin and body tissues as well as reducing excess fat. Exilis Ultra is unique in that it uses radiofrequency, which is an energy that passes through the skin and precisely effects the underlying fat cells, treating the skin for laxity and stimulating collagen production. The primary cosmetic benefits of Exilis Ultra are firming the skin, reducing fatty excess, and creating some tightening for a more youthful appearance.

How is Exilis Ultra Different?

Exilis Ultra is a new and exciting technology that combines the benefits of ultrasonic energy with radiofrequency. By combining radiofrequency and ultrasound energy, the Exilis Ultra can achieve benefits from therapeutic sound waves, which offers a synergistic effect. The ultrasound energy allows a faster, easier and more efficient delivery of energy to the tissues. Additionally, ultrasound energy allows the patient’s tissues reach therapeutic temperatures more quickly and with less discomfort than with radiofrequency alone. The end result is a more effective and comfortable treatment, improved skin tightening and more fat reduction for a positive patient experience.

The Exilis Ultra Applicator

The applicator of Exilis Ultra is also unique. It has a cooling tip specially designed to allow precise and adjustable penetration of the radiofrequency and ultrasound energy. It can also be controlled with a process called “layering”, which treats the surface of the skin if the patient desires skin tightening or targeting the deeper tissues for fat reduction and collagen stimulation or a combination of the above. The applicator also cools the skin to protect the surface while treating the deeper tissues, increasing the temperature in the fat. Ultimately, Dr. Barone has been quite impressed with the broad versatility of this technology.

Exilis Ultra Results

The results of Exilis Ultra last far longer than comparable treatments but also are influenced by the patient’s lifestyle and skin care regimen. At Evolv, we believe in designing individualized and comprehensive treatment programs combining skin care with nonsurgical treatments to enhance and maintain more long-lasting and balanced outcomes.

Results with Exilis Ultra are seen shortly after the procedure and will continue to improve for several weeks after each treatment. Dr. Barone recommends a series of 4-5 treatments, one to two weeks apart for optimal results. It is interesting to Dr. Barone and most patients that the appearance of cellulite can also be temporarily reduced with Exilis Ultra. As stated above, this treatment can be used on virtually any body area, lifting and contouring lifting tissues around the eyes, face, upper arms, thighs, buttocks, abdomen, chest and hips.

Candidates for Exilis Ultra

Almost anyone is an ideal candidate since Exilis Ultra treats any area of the body where patients desire skin and tissue tightening, restarting your body’s natural collagen production, or excess fat reduction. It is a very versatile research-proven technology that provides safe and consistent results in appropriately selected patients. Patients should know that this is not a treatment for weight loss, but is a body contouring procedure.

Why Choose Evolv?

This is always a fundamental question for patients considering safe and effective aesthetic rejuvenation. Some aging changes can not be corrected with nonsurgical techniques, and that is when aesthetic surgery may have better and more lasting benefits. It may be replacing or restoring tissue to its original position, elevating sagging tissues, reducing excess skin, restoring volume, reshaping the nose and reducing the jowls and lower cheeks for the lax skin on the neck. Surgical options, when done properly on the appropriate patient, are most effective for naturally restoring harmony and fullness to the face. At Evolv, surgical techniques are often combined with nonsurgical treatments to increase the longevity of the surgical procedure as well as to obtain a more balanced and natural outcome.

Dr. Barone’s philosophy to cosmetic or aesthetic rejuvenation, which he has developed and evolved through more than thirty years of experience and research, involves a comprehensive and holistic program of pretreatment, procedures and a long-term maintenance program. Pretreatment is designed to prepare the patient and the skin in order to improve response, outcomes and safety. The procedures are personalized to each patient’s anatomy, goals and expectations in order to achieve a natural appearing result and to reduce downtime. The maintenance program is a yearly plan of flexible and ongoing skin care and nonsurgical options that are specifically formulated to each patient’s budget and goals in order to provide continuity and maximize the longevity and harmony of their improvement and outcomes.

Dr. Frank Barone’s Advice

If patients are looking for nonsurgical rejuvenation or cosmetic surgery, my advice is to do your research, take your time and be careful about where you are getting your information. There is an overwhelming amount of marketing and advertising in aesthetics, which can be confusing to patients. It is recommended that you seek the advice of a board certified plastic surgeon, preferably one who is a member of the American Society of Aesthetic Plastic Surgeons, (ASAPS), having extensive experience with these procedures.

Also, if you are considering any type of injections or nonsurgical treatments, be sure it is done under the supervision of a physician who has experience in this area and board certification in the specialty related to the procedure. These treatments and services can be done legally in any doctor’s office, whether there has been adequate training or not. “It is very important for patients to be careful about looking for credentials of the treating physician, experience of the office and professional staff, and training in these specialties as patient safety and reducing the risk of complications are always of paramount importance”, said Dr. Barone.

Request your consultation for nonsurgical facial rejuvenation today!

The Importance of Certification for Surgical and Non-Surgical Procedures

When choosing a surgeon for both surgical and non-surgical procedures, make sure to do your homework. Is the surgeon board certified? More importantly, are the doctor’s board certification specifically in the specialty related to the procedure which you are considering?  Are they knowledgeable in the treatment you desire? Here, board-certified plastic surgeon Dr. Frank Barone will discuss the important of certification for both surgical and non-surgical procedures.

Plastic Surgery Board Certification Importance

The single most important factor in a cosmetic outcome or procedure is the physician that is selected. Any medical doctor can perform an aesthetic procedure, cosmetic or otherwise, in their own office, so it is important for patients to use great care in selecting a physician who is credentialed in the procedure that he or she is performing. Non-surgical procedures are done by many physicians, as well as other professional healthcare providers, and consequently, results can vary since there’s no certification on many of the providers performing these procedures.

Board-Certification Training

In order to obtain consistent and safe results, it’s important to look for a physician that is board certified in the specialty of the procedure that he or she is performing. This ensures that that physician has undergone training by an accredited board and has completed certain criteria to complete that training. This is important not just for surgical procedures, but also in non-surgical procedures such as injectables, laser procedures, micro-needling, and a variety of other aesthetic treatments. The high demand for these procedures, combined with the lack of experienced professionals who are certified and trained in those areas, has led to a number of complications and unfavorable results. It’s very important for patients to do their homework and be sure that their provider is adequately trained and credentialed in the procedure they’re performing.

If you are located in the Toledo area and have any questions, or would like to schedule a consultation with board-certified plastic surgeon Dr. Barone, contact us today at (419) 464-9422.

Does Board Certified Really Matter?

As the field of aesthetic medicine and cosmetic surgery have grown due to increasing demand, so have the number of options and choices in service providers for consumers. And so has the confusion regarding training credentials and qualifications of those physicians and other ancillary professionals providing those services.

We’ve all seen the term ‘Board Certified’ and even ‘Double Board Certified’ advertised for doctors promoting aesthetic services. What you and most prospective patients may not know is that some physicians promoting their ‘Board Certified’ credentials are not actually board certified in the specialty directly related to the procedures they are performing or promoting!

Does that matter? Actually, it does. Outcome clinical studies have proven that complications, often serious, are statistically higher in patients receiving aesthetic services both surgical and non-surgical from physicians without Board Certification directly related to the specific type of service performed. Shockingly, some of these Board Certified doctors that are promoting their ‘Board Certified’ status have their certification in a non-related medical specialty or an unofficial board and are performing surgical and invasive procedures without any valid or certified surgical training!

Because of this lack of transparency and related increased patient complications, the state of Florida enacted legislation requiring those practices who advertise Board Certifications to identify in what particular field they are actually board certified. Unfortunately for patients, this is not the case in Ohio and most other states.

When performed by an appropriately trained physician or professional service provider, cosmetic surgery and aesthetic services are safe, effective and can significantly improve the quality of life for patients of all ages. But please be careful, do your homework and before undergoing any elective surgery, cosmetic injection, laser or aesthetic service, please be sure to get specific answers to the following questions:

  1. In what actual specialty does your doctor have their ‘Board Certification’ and is directly related to the procedure you are considering?
  2. Is the ‘Board’ one of the 19 recognized specialties by the American Board of Medical Specialties? Remember there is no official Board of ‘Cosmetic Surgery.’
  3. Will your elective surgery or procedure be done in a credentialed outpatient operating facility?
  4. What specific training/experience does your nurse or service professional have and are they officially certified and licensed?
  5. Is your skin care service provider officially licensed in aesthetics and what training do they have?
  6. Keep in mind that any doctor can legally market themselves as a ‘specialist’ or ‘Board Certified’ in any specialty even if they have never actually received credentialed training in that specialty.

Board Certification was established by the American Board of Medical Specialties to identify those physicians that have completed supervised training in specific areas or specialties of medicine and surgery. The intention or purpose is to improve patient safety and outcomes as well as to provide transparency about a physician’s qualifications and skills. Please remember to always check the specific specialty of Board Certification of a physician when considering any cosmetic surgery or aesthetic procedure as the results may have lifelong implications.

 

Frank Barone MD, FACS