The tragic death of comedian Joan Rivers earlier this month during a procedure in an outpatient endoscopy center raises the question of the safety of procedures performed in outpatient or ambulatory surgery centers. As a surgeon with extensive experience with office-based surgery and the immediate past president of Accreditation of Ambulatory Surgical Facilities (AAAASF) », one of the most respected accreditation organizations for ambulatory surgical facilities, our own Dr. Harlan Pollock would like to answer that question:
“All surgery has risks, regardless of where it is done, and requires qualified medical providers, careful patient selection, and the safety parameters of an accredited surgical facility. With proper precautions office surgery is as safe as a hospital setting. However, as a patient, you should be aware of several:
- “Be certain your surgeon (or proceduralist) is appropriately credentialed. Research the credentials of your surgeon. The surgeon should be board certified by a Board recognized by the American Board of Medical Specialties. Further, the surgeon should have hospital privileges to perform that procedure that is to be done in the ambulatory setting. The same principle of proper credentials and hospital privileges applies to the anesthesia provider.
- “Selection of which patients and procedures can safely be done in the ambulatory setting is the responsibility of the surgeon. But sure you are comfortable with this decision. Remember that you have a say. Surgery in patients with a significant underlying medical condition is best treated in a hospital.
- “Look for the accreditation of the ambulatory surgical facility. JCAH, AAAHC, and AAAASF are the three most accepted accreditation organizations. Each of these agencies has data showing the safety of their accredited facilities.
- “As with any other medical decision, don’t hesitate to seek the advice of your referring physician, primary care physician and obtain a second opinion.”
We have more information on our website related to this topic:
What is liposuction? As you may know, it is a plastic surgery technique for removing excess fat from under the skin by suction. As Dr. Harlan Pollock and Dr. Todd A. Pollock describe the procedure to patients, the goal is to reshape certain areas of localized accumulations of fat. A cannula (which is a hollow tube) is attached to a vacuum pump, inserted through a small incision, and then fat is removed to reshape an area.
So liposuction is a contouring procedure but it is not a weight loss method. While traditional liposuction relates to the actual technique of vacuuming excess fat, over the years a variety of devices have been introduced related to this cosmetic surgical procedure – some of which are still used and many others discarded.
Find out what our North Dallas Plastic Surgery (NDPS) physicians thinks about the various liposuction procedures and their perspective on the subject. More information is here, on our website: http://www.drpollock.com/dallas-allen-liposuction.htm ».
Our current promotion is a complimentary surgical consultation with one of our Dallas and Allen plastic surgeons. Call NDPS now to schedule yours: 214.363.2575!
Both Dr. Harlan Pollock and Dr. Todd A. Pollock at North Dallas Plastic Surgery like to help our patients make the best possible decision when considering breast augmentation surgery. Our doctors are the ones who consult with our patients, not some staff member.
While the idea of placing an breast implant to enhance the breast size may seem simple, there are many differences in opinion as to which of the following variables will produce the best result: most attractive, least potential for complication, etc.
One should understand that there is no single, standard breast augmentation operation. Educating yourself is a good way to help you make an informed decision. We offer many surgeries to help patients with their specific needs:
Each of these topics are mentioned on this page of our website: http://www.drpollock.com/dallas-breast-surgery.htm ». Schedule a consultation now to get answers to your questions from one of our Dallas surgeons!
Both of our North Dallas Plastic Surgery physicians, Dr. Harlan Pollock and Dr. Todd A. Pollock, have been performing the Mommy Makeover for many years. They were even quoted in a New York Times article about the procedure back in 2007!
What is a Mommy Makeover? The name came about as part of a marketing strategy and it continues to be talked about and searched for to today. It can be a surgery combining three treatments: a breast lift with, or without, breast implants, plus a tummy tuck (also known as abdominoplasty), as well as some liposuction. These procedures are sometimes wanted by a woman after delivering her last child and who wishes to reclaim part of her more youthful appearance.
Dr. Harlan Pollock was interviewed last year by CBS News » – he discussed the revolutionary tummy tuck procedure known as “Progressive Tension Sutures” that he and Dr. Todd A. Pollock created. The advantage to this abdominoplasty procedure is it has no drains so patients can resume an upright posture sooner after surgery.
Read More on our Website about these different procedures:
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At North Dallas Plastic Surgery (NDPS), our tummy tuck – also known as an abdominoplasty procedure – differs from standard techniques.
The Progressive Tension Suture technique (PTS) which was created by Dr. Harlan Pollock and Dr. Todd A. Pollock allows secure healing. Best of all it is known as the “No Drain Tummy Tuck” as no drainage tubes have to be left in place. Also it allows more rapid return to upright posture and normal activities. Our NDPS surgeons recently wrote a summary of the successes patients had with the PTS procedure which was printed in a peer-reviewed journal.
Find out how: http://www.drpollock.com/dallas-tummy-tuck.htm ».
More about the PTS procedure is here: PTS (Progressive Tension Suture) Technique Journal Article Gets Comments from Medical Peers »
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If you are concerned about aging and are considering facial fillers like Restylane, Juvederm and Radiesse, we welcome you to contact us for a consultation. Drs. Harlan Pollock and Todd A. Pollock only recommended these fillers after a complete facial evaluation to make sure these treatments are right for you.
Our surgeons, not technicians, are the ones who do facial injections for our North Dallas Plastic Surgery patients. Our doctors believe that, when used appropriately fillers can improve signs of aging and delay the need for cosmetic surgery. They also caution that if they are not used selectively and judiciously, the results can be disappointing.
Learn more about injectables here on the North Dallas Plastic Surgery website: http://www.drpollock.com/dallas-allen-injectables.htm ».
We like to educate our patients about the variety of options they have. Click below for more, related information from our writings known as Cosmetic & Plastic Surgery: Promise and Pitfalls – Consumer Information »:
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Here at North Dallas Plastic Surgery, when it is appropriate for our patients wanting a cosmetic facial treatment, we consider both non-surgical and minimally invasive procedures as well as surgical treatments. However, the only procedures we offer are those which have been scientifically proven to be safe and effective.
This is especially important in the case of patients who may have heard about new treatments or products. These should be used only if there is a proven advantage over established methods.
On this page of our North Dallas Plastic Surgery website we compare minimally invasive facial procedures to plastic surgery options: http://www.drpollock.com/anything-but-facelift.htm. This compares a variety of minimally invasive treatments to plastic surgery options.
Here is more information from our website related to injectable fillers and facial rejuvenation: Cosmetic & Plastic Surgery Promises & Pitfalls – Filler Treatments for Anti Aging Skin Care: Youth in a Syringe?
Please contact Dr. Harlan Pollock or Dr. Todd A. Pollock for answers to the questions you have about facelift options here in North Texas.
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Comments from our Dallas plastic surgeon, Dr. Harlan Pollock:
“In over forty years of surgical practice, I have continuously enjoyed a specialty that demands technical precision, surgical judgment, and an understanding of psychology while rewarding a sense of creativity.”
At North Dallas Plastic Surgery, our practice has always been scientifically based and has added new technology and techniques only after these methods have been proven to be both safe and effective for our patients. Read more about Dr. Harlan Pollock and North Dallas Plastic Surgery’s patient-centered philosophy: http://www.drpollock.com/harlan-pollock.htm »
It is both Dr. Harlan Pollock and Dr. Todd A. Pollock’s wishes to educate their current and perspective patients. For example, unlike almost all other plastic surgery websites here you will not find “Before & After Photographs” online. (Learn more about this, here: Before and After Pictures: Seeing is believing… or is it? »)
Together, they have created a series of online information they call Cosmetic & Plastic Surgery: Promise and Pitfalls – Consumer Information ». Take a look at it – you might be surprised at their opinions on some popular plastic surgery treatments!
Although a flat and well-toned abdomen is something many of us strive for by exercising and weight control, sometimes these methods alone cannot achieve our goals. At North Dallas Plastic Surgery, patients are evaluated and a variety of procedures are considered to meet an individual’s needs.
Our abdominoplasty approach is unique. Our doctors created the Progressive Tension Suture (PTS) technique to allow for secure healing and prevent fluid accumulation without the use of drains. It also allows for a faster return to both an upright posture and to normal activities.
More about how Dr. Harlan Pollock and Dr. Todd A. Pollock approach Body Contouring is here: http://www.drpollock.com/dallas-body-contouring.htm. It describes how, when considering a patient for body contouring, we assess three aspects: Skin, Fat and Muscle. There are also more links for more specific information concerning -
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The position of the eye brows affects the appearance of the entire face, but most importantly it changes the appearance of the eyes. The brow lift is a surgical method to elevate the eyebrows so they are in an attractive and youthful position. This reduces forehead wrinkles, eliminates excessive upper eyelid skin, and brightens the appearance of the eyes.
Learn how the position of the brows affects the appearance of the entire face, but most importantly the appearance of the eyes on our website: http://www.drpollock.com/brow-lift-surgery.htm »
This page has our Cosmetic Surgery: Promises and Pitfalls™ about this surgery, no matter how you spell it (brow lift vs. browlift) – the results should be natural looking and not result in a “deer in the headlights” effect.
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