Cosmetic Surgery Malpractice

Aside from post-mastectomy reconstruction, no cosmetic surgery has a medical reason or indication. Patient deaths in cosmetic surgery are uncommon. it is the nature of cosmetic surgery that creates a media frenzy when deaths do happen. It stands to reason that, if you don’t have to have a surgery, dying having it would be very unacceptable as well as attract a great deal of media attention.

General anesthesia (GA) is almost certainly the commonest form of anesthesia given for cosmetic surgery. It is expedient but fraught with avoidable risks. There are no avoidable risks for surgery that has no medical indication as is the case for cosmetic surgery. Those avoidable risks include malignant hyperthermia (i.e. recent Florida teen death), lack-of-oxygen mishaps leading to brain damage or death, blood clots to the lungs, vomiting, edema of the lungs. These risks occur because of the significant degree of trespass depressing the patient’s ability to protect themselves.

Fortunately, there is a alternative anesthetic technique that creates a minimal trespass and thereby maximizes patient safety while eliminating the risks associated with GA. In 1997, Dr. Friedberg developed BIS monitored propofol ketamine technique, now trademarked as minimally invasive anesthesia(MIA)

The BIS monitor generates a number from 0-100 generated by information collected by a forehead sensor on the patient. The lower the number, the more asleep the patient is.

Most patients desire to neither hear, feel or remember their surgery - a state associated with GA (BIS 45-60). MIA gives the identical experience of GA at BIS 60-75 with 20-30% less medication (i.e. propofol). ‘Goldilocks’ anesthesia

becomes possible by not letting the BIS drift lower than 60 (’too much’) and not letting it go higher than 75 (’too little’). BIS between 60-75 is ‘just right’ along with adequate local analgesia.

A fair number of anesthesiologists have embraced the concept of brain monitoring as useful to assist in the giving of anesthesia.. However, many anesthesiologists have been reluctant to adopt technology approved by the FDA in 1996.

Since the brain is what is being medicated, it stands to reason that using a device like the BIS that measures the brain response would be a far more accurate way to give patients their anesthetic drugs. Rarely has a member of the lay public failed to grasp this obvious point. Having patients request this type of monitoring may be a positive force for change.

Gradually giving propofol while following the BIS down to 75 often permits patients to continue to breathe on their own without requiring additional oxygen to be safe. Under these conditions, lack-of-oxygen mishaps have never occurred with MIA.

Once BIS reaches 75, ketamine may be given. Propofol at BIS less than 75 prevents all of the historically reported negative side effects while to sparing the patient from experiencing the pain of the local anesthetic injection that is common to all cosmetic procedures. The numerical value of the patient’s brain response to propofol makes giving the ketamine a predictable, reproducible, and very safe experience.

Propofol is a powerful anti-nausea medication, so MIA patients have the lowest incidence of vomiting (0.5%), even without additional anti-nausea medications like Zofran. Neither propofol nor ketamine are triggering drugs for malignant hyperthermia which eliminates that risk.

The Doctors’ Company (TDC) is a medical malpractice insurer with a large number of plastic surgeons as insured. The Fall 2005 TDC Newsletter about deep vein thrombosis (blood clots) and pulmonary emboli (blood clots to the lungs) said:

“… the immobility associated with general anesthesia is a risk factor for thromboembolism. Newer techniques for intravenous sedation that include the use of propofol drips, often in combination with other drugs, have made it possible to perform lengthy or extensive surgeries without general anesthesia and without the loss of the patient’s airway protective reflexes.” reference #11

11. Friedberg BL: Propofol-ketamine technique: dissociative anesthesia for office surgery. Aesthetic Plastic Surgery Journal 1999,23;70.

Some anesthesiologists are just as reluctant to give patients ketamine as they are to utilize brain activity monitors like the BIS. Patients will likely need to ask for MIA in order to receive it.

Any anesthesia provider has more skill than necessary to provide MIA. Giving MIA is more a matter of being asked to provide it than any technical difficulty in doing it.

Create a force for change! If you knew there was a safer (simpler and better) anesthetic for cosmetic surgery, wouldn’t you want to ask for it? For more articles like this, bookmark www.CosmeticSurgeryMalpractice.info

Author: Barry Friedberg

Cosmetic surgery malpractice is often blamed for the high cost of plastic surgery in the United States.   This is  one of the reasons that many more patients are going abroad for their plastic surgery procedure.   If you choose to have your cosmetic surgery done in Costa Rica, or another country, ensure that you do your due diligence, as there are still risks and you may not have the same access to legal representation and ability to recuperate losses in a foreign country’s legal system.

Long known as a gorgeous and exciting travel destination, a surprising fact is that Costa Rica plastic surgery, and other medical procedures performed here, are the draw for 14% of all visitors. Over 90% of these visitors are from North America, due to its proximity and the ease of traveling to Costa Rica.

So the obvious question: Why is Costa Rica plastic surgery is drawing so many people?

The most obvious answer would be cost. Costa Rica plastic surgery costs as much 50-70% less than it would in the United States, Canada, or Western Europe. This is the case because Costa Rica is still a third world country in the sense of per-capita GDP, despite being much more developed than its neighboring countries. What this means is that wages are lower for doctors, nurses, and other health care practitioners, and the cost of living is much lower here. Moreover, government subsidized healthcare helps keep the cost of private healthcare low.

Perhaps most relevant to Americans is the relative lack of malpractice suits. As a result of being the most litigious country on the planet, healthcare costs have skyrocketed in the US to compensate for malpractice insurance. Malpractice suits in Costa Rica are rare, and those that succeed usually just cover medical expenses.

The idea of not having recourse in the event of malpractice is something that scares many people who have thought about having cosmetic surgery in Costa Rice. However, if you are looking at standards of safety in the top ranked private institutions of Costa Rica you would see that their success records are on par with, if not better than, the majority of hospitals in the US.

If quality is your concern, take heart: there are numerous well-qualified and internationally certified surgeons and doctors in the Costa Rica plastic surgery industry. At the best hospitals and clinics you will find many surgeons who have been trained in the US, Canada, and Europe. The top-flight CIMA Hospital is associated with the prestigious Baylor University Medical Center in Dallas. The Clinica Biblica hospital is accredited by the JCI, the international branch of the United States’ most highly regarded and stringent healthcare accreditation agency. With the quality of healthcare here, and the success rate of procedures, your risk is minimal and no greater than in the US, all at a fraction of the price.

What kind of procedures does Costa Rica plastic surgery offer?

Pretty much anything you can get done in the States, you can have done in Costa Rica. Facelifts, eyelid surgery, liposuction, rhinoplasty, breast augmentation, tummy tucks, butt implants, and more are all possible. You can even get LAPBAND surgery. As an example of the prices, you can have breast augmentation for around $2,800-3,500. Breast augmentation in the States would cost between $7,000-8,000 on average. The savings really add up if you have multiple procedures, as is common among many patients.

What’s more, there are medical tourism agencies that offer package deals for patients’ procedures with transportation to and from the airport as well as accommodations included. A unique spawn of the Costa Rica cosmetic surgery industry is the Recovery Retreat, a type of luxury accommodation that offers on-site nursing care for those recovering from their procedures.

With airfare between $300-600, Costa Rica plastic surgery is an excellent way to combine a vacation with affordable, high-quality cosmetic surgery. A great idea is to go to Costa Rica for a week of touring and having fun, then having your procedure and spending a week at a private, luxurious recovery resort. If you ever considered plastic surgery, Costa Rica offers an exceptional alternative to having it done in your home country and offers you an opportunity to participate in the growing phenomenon of medical tourism.

Author: Doug Ramsay

Article Source: http://EzineArticles.com/?expert=Doug_Ramsay

Avoiding cosmetic surgery malpractice is complex and complicated, however, many of the risks can be eliminated by finding the right cosmetic surgeon and working through being proactive about the potential risks of your selected procedure.  But, accidents still happen, mistakes still occur.  So, if you, or a loved one, has already suffered from cosmetic surgery malpractice you have legal rights and should immediately contact a medical or surgical malpractice attorney.

Plastic surgery is getting to be a pretty popular thing to do these days. From breast augmentations, nose jobs, face lifts, to many many others. There are many reasons women decide to get breast augmentations. They either want bigger breasts, sometimes smaller breasts even, or they want them to be perky and not saggy, or they want them the same size, equal. Plastic surgery in all reality is a pretty big deal, and what doctor you pick is most important.

A lot of women decide to get breast augmentations after they have children, because in some cases causes the breasts to sag or “deflate”. Nowadays, doctors can even cut the nipple smaller, lift the breast, etc all in the same surgery. It does add on the dollar signs though. I think they are pretty safe for the most part, but I do suggest going to at least three consultations with three different doctors before you decide on a doctor. You want to make sure you feel comfortable with this doctor, that he has a lot of experience, that he is kind and patient, if they are a verified doctor etc.

There are many different things women would like to know about their doctor, so I have made a list. It’s a good idea to take this list of questions to every doctor you see and have them answer all of the questions. After seeing all of the doctors, you can sit down and pick your favorite or do the pros and cons, whatever makes YOU feel most comfortable. After all, this is about you.

Ask the doctor if they are a a board-certified plastic surgeon with the American Board of Plastic Surgeries?

What is their safety record?

What areas do they specialize in?

An important one, have they ever had their malpractice insurance coverage denied, revoked or suspended?

Does this doctor believe that what you want to achieve is reasonable?

Are your expectations realistic?

Ask him if there is anything in your medical history that he thinks may cause complications.

Also, be sure to look at all of his before and after photos.

Plastic surgery is an important procedure. It will change your life in some cases, and this will be with you for the rest of your life. Be careful, choose the right doctor, make sure you are informed. Be smart about the decisions you make. There are some sites that have great doctors with commentary as well. These sites may help you out..

Author: Brittany Shea

Article Source: http://EzineArticles.com/?expert=Brittany_Shea

Cosmetic surgery malpractice often arises from even the most basic of mistakes, but it can also be an issue with a surgeon performing a procedure outside of their training, in substandard facilities and without fully understanding all of the patient’s potential health issues.  Ensure that you ask the right questions of your surgeon, check their background and training, find other patients who will are able to discuss their experiences with that surgeon and be honest with your surgeon about your health history.  You can eliminate many of the risks by asking questions, empowering yourself and being proactive.

Are you considering plastic surgery? Whether you want a smaller and cuter nose, a flatter stomach, bigger breasts or smaller love handles, there is risk involved. Even with the best surgeons available, it always involves the element of risk. There are dozens of things that can go wrong, complicate the procedure and put your life at risk.

But there is a new, growing problem that can make plastic surgery even more dangerous. In the past few years there has been a significant influx of unqualified, uncertified doctors into the this business. With the rising costs of malpractice insurance and student loans, a lot of doctors are looking for ways to make more money. They see the huge dollar amounts people pay for this kind of procedure, and rather than taking the circuitous and expensive route to certification, they falsify their credentials and set up unregulated the practice.

Today, more people than ever before are having plastic surgery. The popularity of reality-based surgery TV shows has led to a huge increase in demand for cosmetic surgical procedures. Because this isn’t covered by health insurance, doctors can ensure a hefty, rather trouble-free payday by performing it.

If you are going to have plastic surgery, health experts recommend these three precautions to minimize the risk of complications.

First, pick a surgeon certified by the relevant health board in whatever country you’re in. For example, in the United States a plastic surgeon should be certified by American Board of Plastic Surgery, or ABPS. These certifications require a doctor to have graduated from an accredited medical school, have very thorough training and pass comprehensive exams.

Second, the surgical procedures should be done in either a hospital or an accredited or licensed facility. Be very cautious about checking a non-hospital’s accreditations.

Third, make sure your health is thoroughly evaluated before you go under the knife. Be sure you are checked for heart issues, diabetes, or a history of blood clots. The majority of deaths that occur during plastic surgery have to do with a blood clot, so be particularly cautious about that.

Here are some more thorough guidelines about checking a plastic surgeon’s credentials.

When you are having a body contouring procedure such as liposuction, breast augmentation or a tummy tuck, you want a surgeon certified by the American Board of Plastic Surgery. But if you are having facial plastic surgery only, you can use either a certified plastic surgeon or an Otolarynologist (otherwise known as an ENT or Ear, Nose and Throat specialist) certified by the American Board of Otolarynology. But do not allow an Ear, Nose and Throat specialist to perform any procedure below your neck.

In Canada, surgeon performing a body contouring procedure may be certified by the ABPS, the Royal College of Physicians and Surgeons of Canada, or both organizations.

People performing this procedure under false pretenses often use bogus “certifications” from institutions with similar names as the correct organizations. If you want to ensure a safe, successful, high-quality plastic surgery, you absolutely must be positive about the provider’s credentials. Otherwise, you put your health, well-being and appearance in great risk.

Author: Amy Nutt

Article Source: http://EzineArticles.com/?expert=Amy_Nutt

Often times in cosmetic surgery malpractice cases we hear about the horrific scarring or even disfigurement of the patient.  However, as serious as any part of the surgery is the anethesia the patient is put under for the procedure.  Ensure that you thoroughly discuss any allergies or health issues that you have with your cosmetic surgeon to proactively try to eliminate the risk of anethesia going wrong in your plastic surgery procedure.  If you, or a loved one, has suffered from plastic surgery malpractice, contact an surgical malpractice attorney immediately.

When a patient approaches a doctor or hospital or any other health care provider, the doctor owes certain duties to the patient. The doctor owes a primary duty of reasonable care. Medical practitioners despite their good intentions, skill and training, may commit mistakes. They are humans after all. But the medical profession demands the medical practitioners to be attentive, competent, and careful in administering their services. The lives of people are at stake. Failure to exercise the required minimum care can result in negligence. Anesthesia malpractice is a type of medical malpractice. Anesthesia (or anaesthesia) generally refers to the use of an anesthetic drug to reduce or prevent pain during surgery or other medical procedures. Anesthesia malpractice is not restricted to the operating room or anesthesiologists. It can happen during pre-operative preparation, post-operatively in the recovery room and in any procedure room in a medical facility or doctor’s office.

Anesthesia mistakes can take place during childbirth and even before the simplest dental procedures and are not limited to anesthesiologists. Administration of anesthesia requires specialized training and certification; certainly, the seriousness and number of complications increases significantly outside of the setting of the anesthesiologist in the operating room. Dental visits, cosmetic surgery procedures, and a host of other out-patient scenarios are all common places for anesthesia to be used and in many such scenarios, the anesthesiologist is not present and the administration is done by the doctors, dentists, surgeons, nurses or other health care providers.

Anesthesia injuries can result from anesthesia overdose and/or failure of the doctor or anesthesiologist to adequately prep the patient or take effective medical precautions and/or properly monitor the patient. The anesthesia staff also has a duty to obtain informed consent from the patient.

The doctors, dentists, surgeons, nurses or other health care providers in the anesthesia care may be individually liable for personal injuries caused by their negligence. Even the hospital or medical facility can be made liable for the injuries. Sometimes, the liability may even lie outside the medical staff. Anesthesia equipment requires proper assembly and regular maintenance. This might be performed by hospital staff or by the equipment manufacturer’s service personnel. A vital piece of equipment may be out of service because of lack of maintenance, thus endangering the patients. The equipment itself may be defective, and that defect may not have been known to the staff. As with a medical negligence suit, expert testimony will be required in most cases to establish the standard of care, the breach of the standard of care, causation and damages. A claim for anesthesia malpractice must be filed within the prescribed statute of limitation which varies from state to state.

Anesthesia malpractice can have devastating consequences, including paralysis, coma, heart attack, stroke, asphyxia, severe brain damage and death. Victims of anesthesia malpractice can claim compensation for:

• Pain, suffering, and emotional distress
• Loss of wages and future loss of earning capacity
• Permanent disability
• Mental impairment
• Medical bills
• Spousal Loss of Consortium

If the victim dies, the survivors of the victim can file a claim for wrongful death.

If you or someone you know has been the victim of anesthesia malpractice you should contact an experienced malpractice attorney immediately.

Author: Richard HastingsArticle Source: http://EzineArticles.com/?expert=Richard_Hastings

Resources regarding cosmetic surgery malpractice are important for you to investigate prior to any kind of minor or major cosmetic surgery so that you know exactly what kind of issues can arise so you can discuss them upfront with your cosmetic surgeon. If you, or a loved one, has been a victim of cosmetic surgery malpractice, contact a surgical malpractice attorney in your area for a consultation and potential legal representation.

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Cosmetic surgery malpractice is simply a devastating issue, and one that can cause scarring, psychological issues and even death.  It is of critical important to know what questions to ask of your potential cosmetic surgeon, know what could “go wrong” and have a backup plan for those issues and to ensure that you are fully informed of any cosmetic surgery procedure, even those that seem very minor.

So, you are considering plastic surgery. If this is the case, you are probably trying to figure out how to find the best plastic surgeon. After all, a bad plastic surgeon could literally scar you for life! As more and more are turning to plastic surgery to help them with their looks, plastic surgeons are popping up left and right. There are a few questions you should ask before you choose a plastic surgeon. These questions will help you from making a big mistake and ending up with a surgery result that you are unhappy with.

First, ask your potential plastic surgeon about their past history with the particular form of plastic surgery you are seeking. Find out exactly how many patients they have done the procedure on. If they are a rookie, run the other way! Remember, repeat customers probably means the doctor is doing something right. Also, you do not want to be his or her practice case!

Second, ask the doctor about the side effects that are likely from the plastic surgery. This is especially important, because many types of plastic surgery can lead to some interesting side effects. You will be told the common side effects when you opt to have the surgery, but you want to ask your doctor about the rare problems that occur with the procedure you are considering. Decide if the side effects are worth the risk. Also, find out what the risk really is, but keep in mind that even if the risk is really low, you might be the one that gives in to the side effect!

Next, beyond side effects, you will want to find out what could go wrong while you are being operated on. For example, ask the doctor what he could possibly do wrong and realize that he needs to be honest with you. If the doctor is not willing to tell you what could possibly go wrong, you might want to consider a different doctor for your plastic surgery.

Next, ask about any suits that the doctor has faced. Specifically, find out if your doctor has faced or is currently dealing with any malpractice suits due to their plastic surgery. You will probably feel uncomfortable asking this question, but you have a right to know if the doctor has made a huge mistake recently. Also, if you find out there is a malpractice suit against the doctor, make it a point to get as many details as you can, so that you know the cause of the suit. You may find it was not the doctor’s fault after all.

Finally, find out what you would need to have done if something went wrong with the plastic surgery. Along with this, ask specifically how much the reconstruction surgery would cost you. Remember that mistakes in plastic surgery can cause you serious emotional and physical problems. You want to know what you will be facing if something goes wrong. A good doctor will be willing to talk with you about the potential surgeries you face if something goes wrong.

If you are happy with the answers to these questions, then you have found a good plastic surgeon. Before signing up for the plastic surgery, make sure it is truly something you want and that you are willing to live with the potential problems.

Author: Michael Russell

Article Source: http://EzineArticles.com/?expert=Michael_Russell

Cosmetic Surgery Malpractice presents the following article about how plastic surgery can go wrong.  Cosmetic surgery, while an elective surgery, is still a surgery that needs to be taken as seriously as any other medical procedure, and there are many aspects to that surgery that can become an issue that can lead to scarring, poor results, health issues, even death.  Contact a malpractice attorney in your area if you feel that you are a victim of a plastic surgery gone wrong. 

Plastic surgery is a huge industry that is based, largely, on elective surgical and non-surgical procedures. The industry is driven in part by people’s attempts to achieve physical perfection. Unfortunately, sometimes things go wrong during or after cosmetic surgery procedures which take the patient further from perfection than where they started. When bad plastic surgery occurs, it is frequently fixable but sometimes not. It can have a permanent negative effect on an individual’s life.

When bad plastic surgery occurs, it is not always the fault of the surgeon. It is frequently a problem that is due to poor aesthetic choices made by either the surgeon or the patient prior to surgery occurred. Some people just cannot be persuaded that the nose they have determined they want will not look good on their face. Despite this, negative results from plastic surgery are frequently indicators of surgical errors during the procedure. Non-ideal results can occur after any cosmetic surgery procedure and frequently indicate a number of problems.

When problems occur, it is easiest for the patient (and their friends and family!) to identify the errors when they occur on a person’s face. When facial surgery goes wrong, the problem can be that the skin during a face-lift was pulled too tight. This can cause asymmetry and tightness. In addition, it can give an individual a wooden look and destroy their profile. Other individuals who are the victims of face-lifts gone wrong lose mobility in their face or sensation because the nerves were damaged during surgery.

Examples of the number of ways a surgical procedure can go wrong abound. Some forms can be simple to fix; however, other procedures that have been botched can be impossible. If a nose job, or rhinoplasty, is messed up, it can be impossible to fix. The ability for plastic surgery to be fixed typically depends on how much tissue is available to repair the problem.

While it is really difficult to hide botched procedures that were done on a person’s face, it is slightly easier to hide evidence of botched surgeries that occur elsewhere on the body. While they may be less visible, they are no less damaging. The after-effects of a bad plastic surgery experience can be difficult to live with both emotionally and physically. Physical scars include excessive scarring, deformation, and even paralysis. Emotional or psychological scars include diminished self esteem, guilt, and a feeling that the patient is being punished for vanity.

In many instances, poorly executed cosmetic surgery procedures are due to surgeon error. This can include a person who says they are a certified plastic surgeon practicing without a license. Whenever considering a cosmetic procedure, the potential patient should screen any surgeon carefully. This should include taking note of any credentials that are on display.

Author: Joseph Devine

Joseph Devine

Article Source: http://EzineArticles.com/?expert=Joseph_Devine