February, 2012 | Dr. Forley
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Archive for February, 2012


Tuesday, February 14th, 2012

Once you have made the decision to pursue plastic surgery, where do you go from there? How do you go about choosing a plastic surgeon to perform your procedure?

Plastic surgery can improve your appearance and enhance your self-confidence, but finding a plastic surgeon who is qualified and possesses the expertise to handle your concerns skillfully and safely can be challenging. Dr. Forley was recently interviewed by The Plastic Surgery Channel to share his opinion on factors to consider when searching for a reputable surgeon. He noted the importance of understanding the meaning of “board certified” when evaluating a plastic surgeon’s credentials. There are many organizations that claim to offer board certification, but only 24 specialty boards, including The American Board of Plastic Surgery, are recognized by the American Board of Medical Specialties (ABMS). The rigorous credentials and examination process mandated by the ABMS assures the patient that those physicians who achieve board certification by one of their member boards has demonstrated the skills and knowledge necessary to excel in their chosen specialty.

Another useful piece of information is whether the doctor you are considering has privileges to perform the procedure you are asking about in a hospital. Having privileges means that a credentialing panel of other doctors has screened the doctor thoroughly before permission to operate in their hospital is granted. Doctors need to be re-credentialed every two years to maintain their hospital privileges.

Dr. Forley discuss choosing a plastic surgeon on - The Plastic Surgery Channel

Watch Dr. Forley discuss choosing a plastic surgeon on “The Plastic Surgery Channel”

“Choosing a Plastic Surgeon”

Since many plastic surgeons offer office-based surgery, it is important to consider the safety and quality of the facility in which your procedure may be performed. A standard of excellence that you should seek is accreditation of the office facility by an organization such as The Joint Commission, an independent, not-for-profit, national body that oversees the safety and quality of health care for accredited hospitals and office-based surgery practices. Founded in 1951, it is the nation’s oldest and largest standards-setting and accrediting body in health care. Other accrediting organizations are the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and the Accreditation Association for Ambulatory Health Care (AAAHC).

A key element of a safe and successful surgical outcome is anesthesia. Anesthesiologists certified by the American Board of Anesthesiology are best qualified to offer you an optimal experience both while undergoing the procedure and during the immediate recovery phase. You should ask about who will be giving you anesthesia and what technique will be used.

Once the preliminary qualifications have been evaluated, it is important to schedule a consultation with the plastic surgeon(s) that you are considering. During the consultation, you will be able to get a personal impression of the plastic surgeon and have a chance to get your questions and concerns answered. It is a good opportunity to view before and after photos and assess the level of expertise the surgeon possesses in your area of interest. An office will often try to accommodate requests to speak to other patients so that you can get a first hand account from someone who already had the procedure done. You may also want to ask your friends about the surgeon you are considering as often times word of mouth can be a valuable resource when making a decision.

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Monday, February 6th, 2012

The potential for bruising exists with many of the non-surgical and surgical procedures we offer to patients. Whether a vessel is damaged by a needle or a surgical incision, blood will collect near the skin surface and produce skin discoloration. The bruise will evolve in its appearance as it heals due to the presence of hemoglobin, the iron containing pigment in blood cells, with a progression of skin color changes from purple to reddish blue and finally yellowish green before returning to its normal color. The following recommendations will decrease the likelihood of getting a bruise or speed its resolution should it occur.

Non-Surgical and Surgical Procedures

Stop for 7-10 days prior to and following treatment :

  • Aspirin or non-steroidal anti-inflammatory medications such as ibuprofen, Motrin, Advil, or Aleve. These medications prevent blood cells, known as platelets, from clumping together to form a clot which stops bleeding. You may use Tylenol for pain as needed.
  • Vitamin E, Multivitamins (most of them contain Vitamin E), Fish Oil, Omega-3, Flaxseed Oil, Gingko, Ginseng, St. John’s Wort, and Garlic. These vitamins and supplements also decrease the clotting of your blood.
Non-Surgical and Surgical Procedures

Platelets must be able to form a clot to stop bleeding and minimize bruising

  • Ask Dr. Forley if you have any questions about medications or supplements you are taking.

After your treatment:

  • Cold packs can be selectively applied following certain procedures for 5-10 minutes every hour for the first 8 hours to reduce swelling and bruising. Occasionally, the use of cold packs is indicated for the first 2 days. It is important not to use excessive application of cold packs as they can freeze the skin and produce blisters. The use of cold packs will be discussed with you by Dr. Forley.
  • Arnica Montana is a homeopathic remedy that may help to reduce post-operative bruising and swelling. It is manufactured by Boiron and VitaMedica and is available in 12C or 30C pellets which dissolve in the mouth (both versions are effective). The recommended dose is 4 pellets/3x per day for 5-7 days or until any bruising resolves.
  • Auriderm is a topical gel which contains Vitamin K and has been helpful in decreasing the onset of bruising or in speeding its resolution. We recommend applying it up to 5-6 times a dayAuriderm for 2 days after treatment. You can continue using it on any visible bruises until they disappear.
  • Eat fresh pineapple the day of your treatment. Pineapple contains bromelain, a natural anti-inflammatory, which can help to decrease swelling. Bromelain supplements can also be added for procedures where there is a greater tendency for swelling.

Recovery Support Program

Dr. Forley incorporates nutritional supplements and vitamins from VitaMedica to optimize your surgical outcome. VitaMedica’s Recovery Support Program enhances wound healing, boosts immune function, and stimulates tissue growth factors. Inflammation, bruising, and swelling are also reduced. The program starts 2 weeks prior to your surgery and continues for 2 weeks following the procedure.


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