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Descripción del podcast
Info for Plastic Surgeons, Dermatologists, and Physicians in Medical Spas.
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Samuel Lam, MD, FACS: Plastic Surgeon, Artist & Entrepreneur In Dallas, Texas | Double board certified in facial plastic surgery and hair restoration, Dr. Samuel Lam keeps himself busy with his Ova skin care line and lecturing worldwide. Dr. Sam Lam is a triple board-certified facial plastic surgeon who is world renowned for his pioneering work in facial rejuvenation and hair restoration. He is the owner of the 27,000 sq.ft. Willow Bend Wellness Center. He has authored five major medical textbooks, Comprehensive Facial Rejuvenation, Cosmetic Surgery of the Asian Face, Complementary Fat Grafting, Simplified Facial Rejuvenation, and Hair Transplant 360 along with over 150 book chapters and scientific papers. He lectures monthly nationally and internationally with well over 100 lectures to date. He is the 2002 winner of the John Orlando Roe Research Prize for his research on skin rejuvenation. Name: Dr. Samuel M. Lam Clinic: Lam Facial Plastic Surgery Center Location: Dallas, TX Website: lamfacialplastics.com, hairtx.com, ova-skin.com That's interesting: After 2 years of research and development, Dr. Lam launched his new skin care line, OVA, that features plant-derived stem cells for skin rejuvenation, that is simple to use with only one morning product and one evening product. He is an accomplished artist having completed all of the illustrations for three of his medical textbooks along with many drawings for his scientific articles and book chapters. He enjoys painting during his free time and has on display over 150 of his original paintings in the new wellness center. He's also a certified PADI divemaster. Can you tell us about how you ended up as a plastic surgeon, researcher, and entrepreneur with your own skin care line? Part of it was planned determination and part of it was what Steve Jobs calls “connecting the dots backwards”. Jobs mentioned that he loved calligraphy when he was at Reed College. He never knew that it would be so influential years later when he introduced to the world the concept of the font with the release of the first Macintosh in 1984. I was a history major in college and because of that background, I have been able to write prolifically without much difficulty and also be an engaging public speaker throughout the year. I started my residency in head and neck surgery at Columbia University and when I heard Gene Tardy, a very patrician facial plastic surgeon, speak about rhinoplasty, I realized that I could integrate my passion for art and science. I believe what motivates me every day is being able to perform my art. That creativity inspires me. The idea of the skin care line started 2 years ago when I realized that most products out there were bunk. Too many steps, too complicated, too many chemicals, and little performance. I was blown away with the final formulation of my product OVA when we integrated plant stem cells. I saw a difference in my skin within 2 days. I have never seen that with any other product. This skin care line involves a single step besides the cleanser and there are no eye and neck creams or hand creams. It is all in a single morning and a single night product. As a guy, I have no time for putting creams on, and this product is profoundly simple to use. When I asked my biochemist, “Do we really need 10 products in this line?” She responded, “No, all of that is just marketing.” That is why I felt comfortable that we could put 10 active ingredients into a single bottle and blow away the market with this. I was also able to express my passion for design by designing every element of this product including the box, logo, name, bottle, colors, lines, practically everything. Finally, the skin care line allows me to give back to our community. 5% of all profits go to support Off the Mat, an organization that is helping to eradicate sex slavery in India where underage girls are sold against their will into sex slavery, impregnated and then their children are forcibly placed into the same trade. Part of the effort is to retrain them in a | 22/5/12 | Gratis | Ver en iTunes |
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Dr. Tahl N. Humes: Vitahl Medical Aesthetics In Denver | With two physicians, 30 years of combined aesthetics experience, and inclusion in the top 1% of Botox injectors in the US, Dr. Tahl Humes is rocking it at Vitahl Medical Aesthetics in Denver. Name: Tahl N. Humes, MD Clinic: Vitahl Medical Aesthetics Location: Denver, CO Website: vitahl.com That's interesting: Dr. Tahl Humes is a Laser Trainer and Spokesperson for Cutera Lasers. She is in the top 1% of Botox injectors and the top 5% of Juvederm injectors in the country. In addition to serving as Medical Director for VITAHL Medical Aesthetics, Dr. Humes practices Internal Medicine at Saint Joseph Hospital in downtown Denver. You're an Internal Medicine Attending at a hospital in Denver. How (and why) did you end up making a move into cosmetic medicine? With the countless all –nighters as a resident and staying up studying through out Medical School, I started thinking of preventative ways to treat my skin. While researching ways that I could keep from aging, I became intrigued with lasers and how much they could change the skin. The more I learned about Botox and lasers, the more I realized how dynamic the aesthetic side of medicine is. My overall goal when starting Vitahl was to bring together a luxurious spa environment with the safety and professionalism of a medical office. You've got two physicians, a NP, a PA, and a sizeable staff. How is your clinic organized and operated? Vitahl is physician owned and operated. Our physicians are on-site to oversee all medical treatments performed in the office. Our Office Manager oversees all other day-to-day practices and supervises the employees. We have a team of ten employees, including doctors, nurse practitioners, physicians assistants, medical aestheticians and administrative staff. We offer a wide range of laser skin procedures, injectables, surgical and non-surgical body contouring, cosmetic surgery procedures, and facial treatments. vitahl is located in upscale Cherry Creek North in Denver, CO. Staff compensation for clinical staff is a combination of hourly plus commission. We have different levels of clinicians, and pay increases as clinicians are promoted to higher levels. In the past we were commission only, however, we changed to hourly plus commission because we found that with commission only that our staff did not realize that patient care is about more than doing the actual treatment, it also about educating patients pre-treatment and following up with patients post-treatment. We try to be smart about hiring, but often times it is difficult to get a good feel for a clinician until they are working in the office. We evaluate our new employees at 30, 60 and 90 days and if they are not meeting the standards we have set forth we fire them, and look for a new employee. Our goal is to keep turnover low, however, we also want a strong team that puts patient care first. What IPL or laser technologies are you using? What are your thoughts about the technologies you’re using now? Laser technology is one of my specialties and passions; I have been on expert panels for Cutera and conducted laser trainings throughout the nation. We offer many different laser and light technologies including Vaser body dontouring – Vaser Lipo and Vaser Shape, Smooth Shapes, LimeLight IPL, Titan Skin Tightening, Pearl Fractional and Pearl Laser Resurfacing, Laser Genesis, Laser Tattoo Removal with the RevLite SI, Laser Hair Removal. In addition, we recently brought on miraDry, the first long term treatment for hyperhidrosis and Cellulaze, the first FDA approved procedure for long term results of Cellulite reduction. We have been pleased with all of this technology as well as the companies who make the machines. I stay on top of laser lechnology and choose the best machines and treatments available through research in the field of Lasers. With a wide variety of Laser companies and the ever changing technology it is best to continually be watching the trends and technolog | 21/5/12 | Gratis | Ver en iTunes |
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Dr. Sabine Zenker: Aesthetic Dermatologist In Munich, Germany | Dr. Sabine Zenker welcomes us to her clinic in Munich, Germany and she shares her thoughts on cosmetic dermatology, technology, and the operations of her clinic. Dr. Sabine Zenker is a well know European dermatologist who has a passion for clinical research and teaching that we've been wanting to interview for some time. We finally got together to learn what this German dermatologist thinks. Name: Sabine Zenker, MD Clinic: Dr. Zenker Dermatology Location: Munich, Germany Website: dr-zenker.de That's interesting: Dr. Sabine Zenker is the consultant dermatologist for L'Oreal Paris and an internationally recognized authority on micro-invasive techniques. She is well known for her clinical research into both established and innovative technologies and treatments, teaching, training, and continuing professional development both in Germany and internationally. She contributes regularly to medical journals, public press, print, TV and multimedia. Sabine Zenker is a member of a large number of national and international societies including DDG, AAD, ASCDAS, AAAACS, EADV, ISDS, DASIL etc. She serves as executive board member of ESCAD. She is also a speaker and clinical trainer on almost any recognized national and international congress in the aesthetic medical field Why did you choose to specialize in dermatology? During my university days, I got attracted to Dermatology because our professor was fabulous. Dermatology is a specialty based on visual analysis: I learned to watch, to see, to describe, to analyze. Having specialized in dermatology, I trained with one of the renowned dermatologists specializing in Aesthetics in Munich. This is where my enthusiasm for cosmetic dermatology started. Can you share your working principles? I am convinced that these days, being a doctor means you have to provide not only a high end service from the scientific point of view but also a special, exclusive and individualized care. This is why I kept my clinic small. It`s a single doctor based clinic with a handful cosmeticians, beauticians, as well as one anaesthesiologist who comes on demand. In addition to this, I work with a vast multidisciplinary network of doctors with different specialities. I refer my patients-not only in Munich but internationally. I personally perform all major procedures and I follow-up all cases as well. I am reachable. I give out my cell phone number and I also call my patients personally. In addition to this, I take my time in discussing and proposing different solutions for any patient's needs, elaborating the case to the patient –even if this consultation might take an hour. Once a treatment plan is decided, especially in aesthetics, I am convinced that offering all inclusive solutions with a “cost-airbag” makes the patient's life as well as the doctor's life easier. Every day offers a chance to learn. Being a teacher and a trainer in Aesthetic Dermatology, I learn something new on any congress presentation, workshop and teaching course I participate all over the world. And this is how my patients can profit of these activities: breaking down this knowledge on every day's work means refining techniques for the provision of best patient care and the best aesthetic outcome of every procedure. Aside from being focused and up to date in aesthetic procedures, I am a strong believer that a medical doctor has to stay as a doctor. I do practice General Dermatology every day and with great passion as this provides the basic medical service to our patients and gives us the “right to exist”. What's your staff management plan? One of my principles in running a clinic is trust. It's not about controlling the staff but about working in a team. It's about knowing them in terms of character, work discipline and empathy. Having employees who cover segments you cannot perform is the key to success as competition is not the killing energy there. In our team, it's all about a longterm relationship. We ar | 17/5/12 | Gratis | Ver en iTunes |
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Dr. Karen B. Vaniver: A Plastic Surgeon in Seattle | Breast cancer advocate, Dr. Karen B. Vaniver is paying it forward from her plastic surgery clinic in Seattle, Washington. Name: Karen B. Vaniver, MD, FACS Clinic: Seattle Plastic Surgery Location: Seattle, WA Website: drvaniver.com That's interesting: Dr. Vaniver's essays on women in plastic surgery and the role of spiritual practice in plastic surgery have been published in the Journal of Plastic and Reconstructive Surgery. She has worked internationally with Interplast, a not-for-profit organization providing free reconstructive surgery for children and facilitates a support group named "Girltalk". She is the creator of Dr. Karen B. Vaniver Breast and Body Recovery Serum. Can you tell us a little bit about how your interest developed in cosmetic medicine? I’ve always loved skin care products and makeup. When I was eight, my grandmother bought me the much coveted Barbie Beauty Center, which consisted of a Barbie head on a stand with blonde hair. The set contained a hairbrush, rollers, eyeshadow, blush, and lipstick. I loved it. In college, I worked at the Clinique® counter at Wanamaker’s Department Store in Philadelphia. Later, as a fellow, I was assigned the review on skin care and non-invasive treatments, because all the other fellows were guys, and none could distinguish a cleanser from a toner. Tell us what your clinic looks like. What kind of treatments do you specialize in? My office is located on the 12th floor of the 1101 Madison Building in Seattle, just off the elevator. It is part of the Swedish Medical Center Campus. It is 1100 sq feet. We have a very open space, with windows all the way across that look at the Olympic Mountains, Lake Union and the Cascades. While we have 2 exam rooms, we mostly use the front exam room. The back room is used for injectibles and minor procedures. Major surgeries are performed at the hospital. Cosmetic surgeries and secondary surgeries are performed at the Surgery Center. The vast majority of my patients are women. The majority of my practice is breast surgery, although I also perform cosmetic surgery of the face and trunk. I have a skin care line, which currently contains one product- Dr. Karen Vaniver Breast and Body Recovery Serum. I created this completely natural product for patients to use after breast surgery. I also have a commercial skin care line, lash enhancer, microdermabrasion, Botox® Cosmetic, injectible fillers, and sclerotherapy for spider veins. We maintain a very small practice which is exceptionally personalized. . My dog, Lily, is a therapy dog who comes to the office two days a week to visit with the patients. I am a breast cancer survivor and this has been my chance to pay it forward to other women. We know all of our patients. Most of them get to know each other from our support group, or just from sitting in the waiting room. They have 24/7 access to me when I am in town. How do you manage your staff? How do you instill the core values of your practice? I used to have a 1700 sq ft office with 5 employees. At Seattle Plastic Surgery, we keep a very small staff, consisting of me, my office manager, and our assistant. We outsource our billing. I don’t have a nurse, so I am completely hands on. While some might see this as inefficient, I find it a rewarding way to maintain relationships with my patients, and to keep educating them while I am removing sutures or doing fills. I really enjoy doing injectibles. I find it relaxing. I think it is really important to hire for skill sets, work ethic, and personality, although you have to be careful that they all balance. I have never found experience to be most important in the long run, because every practice is different, and a self starter can learn systems quickly. My patients are extremely fond of my office manager, and she forms wonderful relationships with them. We also have routine meetings to keep on task. Communication is very important, as is establishing the values of the practice. Y | 17/5/12 | Gratis | Ver en iTunes |
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Where Does Creating The WOW Factor Begin? | Have you ever been put in the bad situation of believing you need to fill an opening out of need? You post and ad and literally the first few people that respond and can walk and chew gum get the job. How did that ever work out for you... There is a real skill set to interviewing & selecting the "A" players that will create the WOW factor even without all the tech behind them. The question I'm most often asked is how to find them, interview them and hire them. Here are a few tips to consider. 1. Start with ad itself. Don't flour up the position or your establishment to make it seem like a dream job. Instead, think of what you specifically need for the position you're trying to fill and use language that will weed out anything other than "A" players. In other words don’t talk about your wonderful environment. Talk about the demands of the position. 2. Weed through the stacks of resumes and make piles of A & B applicants. All others can be put in a rainy day file for a possible another look. Now send an email to each of your A/B possibilities asking them to describe in specific terms what they can do for your organization. Then sit back and evaluate who you want to bring in for a face to face meeting. In order to hire a WOW employee they need to really impress you in this phase. 3. At this point you're now meeting the applicants. Remember your job is to find the best "A" level player. Now you have to find out if they can think on their feet and react positively to pressure. For myself I inform each applicant that regardless of what they are being hired for that every position also has three responsibilities. A. Everyone is in Sales B. Everyone is a Customer Advocate C. Everyone is responsible for outside marketing activities and needs to bring in 5 new patient per month through those efforts. In short they will need Evangelize how we are and what we do. Now at this point you will begin to weed out the producers from the pretenders but for me, there is still one more test. I call it my pen test but feel free to create your own. I tell the applicant that I need them to role play for me. I tell them that I want you to sell me a pen and not just any pen. I want you to pretend that there are 3 other pen sales people in the waiting room all trying to sell me the exact same pen you're trying to sell me. I then count down from 5 and it's roll play time. What you're looking for is the applicant that can take the heat of the moment and find some way to shine. Funny thing is that I'd estimate that 75% of the over 1,000 people I've interviewed in my life fail this test. Some break down and cry, some stammer then shut down, some freeze and walk out and some hit it out of the park. I submit that if a candidate can't handle selling a pen how the hell are they going to sell aesthetic services? If they can't handle the pressure of a simple role play how will they handle the irate patient we get from time to time. If that can’t sell you a pen that’s the same as 3 others how can they sell Botox & Laser treatments that are same at other practices in your area. I’m constantly amazed at how few staff members at other organizations I meet can’t give a simple elevator pitch as to why I should buy from them vs. the competition. If they lead or bring up price in the first sentence or two I can assure you the organization is floundering on failure. So, seek out the "A" level players. They exist but you need to attract them, hire them and retain them. The last one might be another topic to discuss... Click here to play | 15/5/12 | Gratis | Ver en iTunes |
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Effects of Changes in the Medicare Physician Fee System | Relatively newly practicing physicians may not know that the Medicare physician payment system changed pretty substantially in the early nineties. This was by design. The perception of those who designed this new system was that certain services were overpaid and others underpaid. It likely had much more to do with ratcheting down the costs of health care. As physician fees constitute only 10-20% of the entire equation, the wisdom of concentrating on physician’s fees to change the system is perhaps questionable. This is what was done nevertheless. A cornerstone philosophy of the new system was that procedure-based specialties were overpaid. The physician fee system prior to this was based on usual and customary fees. This newer one based payments on a model that paid for a service at a uniform rate regardless of who performed it. While this seems fair on the surface, it had predictable effects. Why would a surgeon with much higher overhead remove a lump in a patient if the new payment system put the procedure in a revenue negative position? The practice of surgeons removing certain lumps gave way to family practice and dermatology physicians removing many of them. These were the only specialties that under the newer system could turn a profit doing so. The Medicare fee schedule economically regulates procedures in medicine. It also indirectly fed the growth of cosmetic medicine and surgery as this was the escape hatch many practitioners sought as the Medicare boom feel upon us. Surgeons interested in turning a profit quickly figured on what paid adequately and more importantly on what did not. As my grandfather told me as a young child, everyone needs to make a living. It is perhaps unfortunate that doctors do not discuss these matters with patients when telling them why they cannot offer a service. Is it really ever wrong to tell your patients the truth? Click here to play | 15/5/12 | Gratis | Ver en iTunes |
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Dr. Kevin D. Light: Cosmetic Surgery & Anti-Aging Medicine In Dallas, TX | Bio-identical hormone therapies, cosmetic surgery, aerospace medicine and battling insurance policies with Dr. Kevin Light. After meeting Dr. Light at the Medical Fusion Conference last year, we decided that we wanted to know more about this former vet turned cosmetic doc. Name: Kevin D. Light, DO, MBA Location: Dallas, TX Website: tifm.com That's interesting: As a board certified General Surgeon, he practiced internationally with the US Air Force for 8 years. He was also lucky enough to be selected to attend the USAF Aerospace Medicine program early in his Air Force career, so he also served as a flight surgeon, that put him in the back seat of T-38, F-15 and F-16 fighter jets for 8 years. He was one of the first medical teams placed in Saudi Arabia during Operation Desert Storm and has received two Air Force Commendation Medals. He was Chief of Surgery during extended assignments in Germany, the Kingdom of Jordan and Guantanamo Bay, Cuba. As a US Air Force veteran, your surgery career included tours that were probably not focused on cosmetic or anti-aging medicine. How did you end up with in cosmetic medicine? I became weary of the practice of general surgery…….the insurance game, the demanding call schedule, high risk patients, and the politics of primary care physician referrals. I wanted to deal with a healthier, more upbeat patient population and I wanted to be able to market them directly, which you can’t do in a totally referral based practice. I had always considered doing a plastic surgery fellowship but due to my Air Force commitment, I didn’t have time for the training. In 1997 I discovered the American Academy of Cosmetic Surgery and attended a training seminar in Buenos Aires, Argentina with the well known surgeon Dr. Jose Juri. I was hooked. I attended several training events internationally and had several surgeons travel to Dallas to proctor me in my practice as I developed the skill set needed for a successful cosmetic surgery practice. I am very active in this organization and attend several meetings every year – which are always excellent. Your clinic offers bio-identical hormone replacement therapies. I'm very curious about how you've integrated this into your clinic. Is it a primary revenue generator or more to round out our offering? I'm under the impression that you're unable to mark up the actual hormones and can only charge for your time, making it difficult to make money with. Is that so or am I wrong? That’s correct. However, bio-identical hormones are a small part of an age-management practice. It would be difficult to make much profit just offering bio-identical hormones. Revenue centers include nutritional IV’s, supplements (which is significant) and testing, which we bundle and price as a package. Just like a medical spa, the cosmetic surgery and age management side complement each other and serve as a great cross referral source. It looks like you're also the medical director for an outside medical spa. Can you tell us what kind of legal entities you needed in order to make that happen and what have been your experiences as the medical director for another business? How have you protected yourself from liability or risk? We executed a standard contract with a detailed description of what is expected of each party and several clauses included to allow dissolution of the agreement if desired. It’s critical to know the skills and capabilities of the personnel and to take an active involvement in quality control. Now is not the time to just collect a monthly fee to have your name on the door. The medical spa is also required to have a malpractice insurance policy. My association with them has been very rewarding and it has been a great referral source and a valuable adjunct in marketing my practice. You're offering a number of treatments like buttock augmentation and labiaplasty. Do you see any trends with these less common or fashion driven treatments? Are the | 15/5/12 | Gratis | Ver en iTunes |
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How To Use CT3+V: An Equation For Creating Facial Beauty | CT3+V = A simple equation for creating or restoring facial beauty. We all know that "Beauty" is in the eye of the beholder. When it comes to creating and restoring facial beauty, we collaborate and negotiate with our patients (and sometimes their family and friends) to optimize the result and reduce the risk by using more conservative aliqotes of different techniques and technologies. Each practitioner brings their own unique skill-set and biases to the procedure room. We (hopefully) listen to the patient requests, evaluate what the underlying structure, tolerance for downtime and discomfort, economic consequenses and duration of effect is, to be able to offer the patient a scientifically valid, safe, sensible treatment plan. Then, we present a palette of procedures, techniques and technologies to consider. What sets successful docs with many happy patients apart from the rest of the competition is attention to detail, listening to their patients (and sifting out the unrealistic ones) and having a plan that is recreated in some form (it's never the exactly the same twice) again and again. My equation (tool) for discussing and creating facial beauty (or re-creating a more youthful appearance) is CT3+V = Beauty... short for Color, Texture, Tone, Tightness and Volume (in proportion or re-establishing proportion) When the patient (on request) brings pictures of their face and neck that show them in yourthful repose, it is a strong tool to build consensus of what procedures and when in the scheme of possiblities, to pursue. Compare the old photos to current digital pictures obtained in 5 views-front-quarter and side views against a solid background with decent lighting and a portrait lens. Now diagnose the changes and educate the patient on the many ways you have to enhance and revitalize the issues you uncover in a systematic manner: Color-pigment mottling and broken blood vessels respond well to various IPL's, NdYAG's, PDL's and KTP lasers depending on the patient's heritage (Fitzpatrick or Lancer skin type); T3 (Texture, Tone and Tightening)-decide if the issues are epidermal, dermal or sub-cutaneous and treat with chemical or laser peels, focused ultrasound or radio-frequency and remember the skin looks better when "on-stretch", so Volume and surgery fit here too. Toxins soften the dynamic wrinkles and shape the brow, but should be delivered in a artful manner that yields a natural, rather than "done" result; Volume-Pierre Fournier, MD (Paris) taught us that "the look of youth is full" and the current saying "size matters" comes in to play here too. Youthful features are generally softer and rounder, age makes them more severe and hollow. Surgery helps take the luff out of the sail or the sag out of the jowl and neck, but does not effect volume very effectively. Volume is at least as (and maybe more) important long term. Fat and fillers (I prefer fillers for face) are a great way to go as long as you educate the patient as to how much it will really take and offer them permanent fillers (like Artefill in the USA) that can serve them well long term, once they find the look they want to preserve. So-with every patient: define the issues, make a mutually agreeable long term plan, track the progress with digital pictures and keep an open dialog and flexibility, so that both you and your patient achieve happiness and WOW results long term. Happy patients refer their friends. Surviving aesthetic medicine these last 15 years is no accident....it's all been done with mirrors and this equation! Click here to play | 14/5/12 | Gratis | Ver en iTunes |
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Dr. Todd Schlifstein On Integrating Medical Spa Treatments Into A Wellness Center | Dr. Todd Schlifstein brings 4 years of management experience with his passions for sports medicine and cosmetic medicine. We had a chance to talk with Dr. Schlifstein on combining his interests to develop a wellness center and medical spa in the heart of NYC. Name: Todd R. Schlifstein, D.O. Location: New York, NY Website: fountainmedicalgroup.com That's interesting: Dr. Schlifstein is a Patient's Choice Award Recipient from 2009-2011. He is a speaker and consultant for more than 12 pharmaceutical companies. Dr. Schlifstein has many published research studies on sports medicine and pain management in the Archives of Physical Medicine and Rehabilitation and Clinical Journal of Sports Medicine. Your background (and practice) includes pain management, orthopedics, nutrition, sports medicine. How and why did you move into cosmetic medicine and open a medical spa? My long time friend and colleague, Dr. Jeffrey Goldstein and I shared a vision to create a Wellness Center and Medical Spa that could provide patients a breadth of medically based wellness service. In 2008, we opened Fountain Medical Group, a comprehensive medical facility and medical spa. Patients who were working out and training were also the people who wanted to look their best. I have used Botox for medical purposes for 14 years so transitioning to cosmetic was both easy and natural. Our clientele base for the spa began with our sports medicine patients. How is your clinic organized? What is their compensation plan? We have three Aestheticians and one Physician Assistant. All receive a salary base with incentive programs. Your medical spa is located in on the Upper East Side in Manhattan. What is it like running a medical spa in Manhattan which is both expensive and highly competitive? New York City is a fast paced environment, always changing and very competitive. You must strive to be the best at whatever it is you do, stay abreast of the latest changes in skin care technology, and always provide great service. Maintaining a good reputation is so important in this highly competitive environment, we rely on word of mouth as the best form of advertisement. Often times when a client returns for their next appointment they bring a friend, co-worker, or relative with them which shows that are clients are happy, which is the ultimate goal. You're using Sciton's ProFractional-XC and BBL. What other technologies are you using? How do you evaluate and make your technology comparisons and decisions based on efficacy and cost? Sciton Profile with BBL is a great machine as it is “user” friendly and has the capabilities of a variety of advanced treatments. We have Intraceuticals Oxygen Facial, ProFect Skin Analysis, and the Hydrafacial. There is always new technology coming out. I try to evaluate each in several ways: does it really give the results that it claims? What is the scientific proof? What do the clinical studies reveal? As a medical spa we only offer medically proven technologies. The next step is to evaluate the cost and return on the investment. We need to take into consideration how long a treatment takes, how much money will be generated, and how long to make our investment back. Cost effectiveness is important. Is there any technology that you're looking to purchase in the future? We are currently looking at several different new technologies for cellulite and fat reduction. At this point, we are still researching these different technologies.. Where do you see the most competition from other physicians in your area? How do you run your business in order to compete with them? At Fountain, we are focused on providing great service that is personal and professional, from the initial phone call to the follow phone call and emails, we take the time to make sure our clients are have the best experience possible. We try to treat every patient as you would a family member. We want every person to return and use all our services. One u | 14/5/12 | Gratis | Ver en iTunes |
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Wilfred Brown, MD, FACS: Plastic Surgeon In Connecticut & New York | Dr. Wilfred Brown has a medical spa and plastic surgery practice in Middlebury, Connecticut and belongs to New York Aesthetic Consultants, a group practice in Manhattan's Upper East Side. Splitting time between two practices in different states poses some challenges. Name: Dr. Wilfred Brown Location: Middlebury. CT and New York, NY Website: thenyac.com; drwilfredbrown.com That's Interesting: Dr. Brown completed his medical training at the University of Witwatersrand in Johannesburg, South Africa then six years of General Surgery training through Yale University, followed by a fellowship in Plastic and Reconstructive Surgery and Pennsylvania State University. You received your medical education in South Africa. How did you end up as a plastic surgeon in New York? I was a very artistic child who loved to paint and construct various creations. As I grew older, I was fluctuating between a career in medicine or architecture. I applied to medical school at the age of sixteen. It was very competitive to get into medical school in South Africa, and was not something that one turned down if accepted. So, at that young age of sixteen, I was committed to becoming a doctor. The South African medical school system varies from the American system, in that there is no undergraduate study but rather, there are six years of medical school. During this time, I was innately fascinated by the aesthetics of the human form and focused on developing an eye for ‘normal’ proportions of the body and face .I knew wholeheartedly that I would pursue surgery, specifically plastic surgery, where I could apply my artistic tendencies to my work. I began my plastic surgery training with internships in Johannesburg upon graduation from medical school. However, the political climate and safety concerns of my homeland led me to emigrate from South Africa to the States, where I began the arduous journey of training to reach my professional goals. Throughout this demanding time, I not only honed my surgical techniques, but also paid close attention to developing strong listening skills which I knew were paramount in order to provide each unique patient with the individual outcome for which they were striving. I began practicing in 1999, focusing mainly hand surgery, breast cancer reconstruction, treatment of severe wounds, and treatment of skin cancers. I opened a medispa one year after the opening of my surgical practice, which attracted an aesthetic clientele. Over time, my practice began to evolve into an aesthetic one through word of mouth and cross-referral from the medispa. Today, my practice is nearly completely aesthetic. Can you tell us more about your own clinic in Conneticut and your group practice NY? I am currently working on two locations. Post-graduation, I opened my practice in Connecticut where I have a large office and spa/ skincare clinic. I offer an array of non- surgical rejuvenation procedures to complement surgical options. Minor procedures are performed under local anesthesia and/or minimal oral sedation in the office, and major procedures are performed at a local surgery center. Patients also have the option of having their operations performed at a local hospital. My Connecticut practice is led by my wife, Carolyn, who is a Registered Nurse with an MBA, giving her the perfect combination of training to understand and implement both the clinical and business aspects of the practice. Our team consists of a wonderful team of women who are very dedicated to the success of my practice who have been with me for many years. We have become an extended family who works very hard and assists each other whenever the need arises. While we are very diligent and busy, we also have fun and even get together socially. I never have to deal with sick calls or interpersonal issues. The staff genuinely likes being there. They are all extremely knowledgeable about the procedures we offer and can provide a personal perspective to prospe | 10/5/12 | Gratis | Ver en iTunes |
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Planning Ahead For Equipment Failures | It's inevitable. At some point your cosmetic laser or IPL will go on the fritz. Then what? About half of the people I speak to every day are medical spa owners. The nature of my job pretty much implies that most people calling me are in some type of situation they would consider an emergency. Most have just one cosmetic laser or IPL, a schedule full of customers, and no time. A week of searching for a repair company or technician can put a medical spa in a very bad situation. Unexpected service expenses are not so... they should be expected, but they are ignored. How does one prepare for such unforeseen expenses as the need for a laser cavity rebuild, a power supply repair, or laser rod resurface- all repairs that can result in at least a week of downtime? This problem can best be remedied at the time of purchase, but most of you are far beyond this point. There are few options, but there are options. The very best option in contingency planning for unexpected repairs is to warranty your devices. This is best done when purchasing your new or used laser- new lasers should come with a minimum 12 month warranty, and you should never purchase a used laser from a company that cannot offer at least a 6 month warranty after purchase. Many dealers and third party service companies now offer warranties on a wide variety of laser makes and models, but to know who offers what you may have to ask around. Some of these third party warranties offer more for the money than the original equipment manufacturer warranty, but come with the caveat that there are parts that may not be readily available at all times. Another option to consider, even if you have a warranty, is a backup unit or rental. If you can only afford one laser, teaming up with local colleagues is one way to alleviate this problem. If you have a Cutera Xeo, for example, you can seek out colleagues in your area who also use the Cutera Xeo and together purchase a standby unit that is only used in case of emergencies. You might also ask your warranty company if they are capable of providing loaner units while yours is in repair. The third option to consider is leasing your unit. Under a lease, you are not directly responsible for all the maintenance. In case of emergency, the leasing company should be able to provide a loaner or temporary unit. I am not referring to a lease as in taking out a loan from a bank to pay for what will be your laser- I mean leasing the laser from an owner who will handle all the maintenance should anything go wrong. These kinds of arrangements do include clauses where you may be responsible for negligence, equipment abuse, and misuse, but most lasers fail because of normal wear and tear. Of course, none of these options will alleviate every emergency situation. The best course of action may be a combination of these options, or all three. Even though there is no catch all, HAVING a plan, or at least being aware of the possibility of an unforeseen expense is more than ignoring the possibility in it's entirety. Have a question? Please leave a comment. Click here to play | 8/5/12 | Gratis | Ver en iTunes |
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Top 5 Cosmetic Surgery Treatments In 2011 | According to the American Society of Plastic Surgeons cosmetic surgical procedures increased 2 percent, with nearly 1.6 million procedures in 2011. The top five surgical procedures were: • Breast augmentation (307,000 procedures, up 4 percent) • Nose reshaping (244,000 procedures, down 3 percent) • Liposuction (205,000 procedures, up 1 percent) • Eyelid surgery (196,000 procedures, down 6 percent) • Facelift (119,000 procedures, up 5 percent) Click here to play | 6/5/12 | Gratis | Ver en iTunes |
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Interview With Barbara Strafella: Permanent Makeup & Medical Spas | Permanent makeup has made an appearance in a number of medical spas and clinics. Does it have a place in your practice? Permanent makeup spans a gamut from cosmetic eyeliner to aesthetic treatments like areola repigmentation after mastectomies. While not a medical treatment, there's always some interest about adding aesthetic treatments that patients may be interested in. In this interview we wanted to find out more about what permanent makeups offer, and where (if anywhere) they may fit inside a clinic. Name: Barbara Strafella, DAAM, CPCT, LMTA Location: Staten Island, NY Website: iwakeupwithmakeup.com Can you tell us a little bit of background about how you started working with permanent makeup in a medical setting? The first medical procedure I performed was an areola re-pigmentation after a double mastectomy. When I completed the procedure the surgeon spoke about my creativity to her colleagues. That moment was the beginning of my career as a medical tattoo artist. I usually meet with the patient prior to discuss the treatment that will be needed after breast reconstruction. As my knowledge broadened regarding the effect of tattooing on skin I learned that I am able to get positive results with scar revisions including surgical scars, burned skin and collagen induction. In the beginning we were a day spa. Training became a priority in the late 80’s and early 90’s with all the developments in the spa industry, which led us into the medical spa field. Being affiliated with 6 doctors, including Cosmetic Surgeons, a Cosmetic Dermatologist, an Ocular Plastic Surgeon, Breast Reconstructive Surgeon, and a Pediatrician keeps us up on the latest treatments available. I am proud of my spa and the services I offer knowing that many of my clients have been coming to me for more then 20 years. I have treated them, their children and grandchildren. At I Wake Up With MakeUp we have a fund where gratuities are deposited and used to pay for the supplies and products needed to treat those who are medically in need and are not able to afford the services or services which the insurance companies will not cover. We offer skin care, peels, micordermabrasion, IPL treatments, electrolysis, lymphatic drainage, Infrared Sauna, eyelash and eyebrow tint, false eyelashes, permanent makeup, scar revision, spray tanning, fillers, Botox and retail products. Since you are affiliated with other clinics, can you tell us how you are compensated? In the past I was compensated, but since we all refer clients to each other on a regular basis no one keeps track any longer. What challenges did you face when you started your clinic? The only challenge was getting my clients to follow my move from a doctor's office to my own location. When each of my clients came in for their first treatment at my new location I performed the procedure complimentary, but they didn't know until after I was done. I must say everyone was pleased, and most made a donation to my "fund" which benefits any cancer patient that can't afford to pay for a procedure that I offer. What have you learned in managing your employees? Containing staff in a spa environment was a costly lesson learned the hard way. Working in a spa before starting my own business I thought I knew how to keep employees happy. Shortly after employing estheticians and massage therapists I discovered that it is not uncommon for a spa employee to have another business either in their own home or their client's home. When I began to treat my staff as if they were operating their own small business within my business the spa had changed for the better and was a benefit to all of us in the spa. This change included commissions, salary and compensations for retail. I personally train my staff and require everyone to perform random treatments on me as a follow up. I have them apprentice with me until I feel that they are capable of doing the procedure on their own. I also have them work on me from | 6/5/12 | Gratis | Ver en iTunes |
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Thomas Lamperti, MD: Lamperti Facial Plastic Surgery In Seattle, Washington | Dr. Thomas Lamperti specializes in facial plastic surgery with clinics in Seattle and Bothell Washington. Physician: Dr. Thomas Lamperti Clinic: Lamperti Facial Plastic Surgery Location: Seattle and Bothell, WA Website: drlamperti.com That's interesting: Dr. Lamperti participates in "FACE TO FACE: The National Domestic Violence Project". Formed as a partnership between the American Academy of Facial Plastic and Reconstructive Surgery Foundation and the National Coalition Against Domestic Violence, FACE TO FACE surgeons offer consultation and surgery, pro-bono, to eligible victims of domestic violence. Have you always had your eye on a plastic surgery practice? I’ve always had an interest in facial plastic surgery and that is what drew me to Otolaryngology while I was in medical school. I really enjoy combining my visual, artistic sensibilities with science and medicine. At the same time I continually find great satisfaction from the positive changes that I see in my patients. My clinic consists of a practice manager, patient care coordinator and medical assistant. My practice exists within a larger multispecialty group (Pacific Medical Centers). I have a clinic in downtown Seattle and another suburban based clinic in the Canyon Park area of Bothell, Washington. Each practice location has two to three exam rooms and a photography room. My practice is wide ranging from reconstructive procedures to cosmetic procedures. I offer a range of facial plastic surgery procedures including rhinoplasty, facelift, facial fat grafting, blepharoplasty and Botox and injectable facial fillers. I also work closing with my group’s dermatologists in treating facial skin cancers and performing scar revisions. I don’t perform in office laser treatment. I do perform superficial and medium depth chemical peels and offer ablative laser resurfacing in the operating room. Surgical treatments are the most profitable for my practice. That being said, what’s important is that the treatment plan best fits my patients’ desires and concerns, not that it’s the most profitable. How are you marketing your practice? I mainly market using the internet. This includes being quite active on Facebook and Twitter and forums like RealSelf.com. Working as part of a larger multi-specialty organization internal marketing has also proven very important as well. I also enjoy blogging via my website. This has the benefit of educating potential patients and also allowing potential patients to better find me. Which technologies do you see being developed that might impact a plastic surgeon? What do you think of them? There’s been a lot of growth in methods to combat facial volume loss. This includes various methods to process fat during facial fat grafting. I don’t use any of these systems myself as I’ve been happy with the consistency in results I obtain with my current methods. We’ve already seen how cosmetic surgery has been affected by the increased availability in non-surgical treatment modalities. This has allowed patients to have less extensive treatments with less downtime and at a lower cost. What have you learned about practicing cosmetic medicine? If there’s one thing I’ve learn about practicing cosmetic medicine it is to treat every patient with respect. I take great pride in the level of personalized attention I have with my patients as I try to spend as much time as I can answering their questions, taking their medical photos, removing sutures, etc. Patients definitely appreciate this face to face time with their doctor. What advice would you give to other physicians based upon your experiences? In the field of cosmetic medicine I think that specializing as much as possible has been very beneficial. It has allowed me to focus on a small subset of procedures and gain an excellent level of expertise. Patients understand the benefits of being treated by a specialist rather than a jack of all trades. Abo | 6/5/12 | Gratis | Ver en iTunes |
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Dr. William H. Truswell: Aesthetic Laser & Cosmetic Surgery Center In Massachusetts | William H. Truswell MD, FACS, limits his practice to facial plastic surgery. A Massachusetts plastic surgeon who's also running a medical spa? We got together to see what Dr. Truswell has learned in 30+ years in practice. Name: William H. Truswell MD, FACS Location: Northampton, MA Clinic: Truswell Aesthetic Laser & Cosmetic Surgery Center Website: truswellplasticsurg.com That's interesting: Dr. Truswell is the author and co-author of several books including: Your Complete Guide To Nose Reshaping, Your Complete Guide To Facial Rejuvenation, Your Complete Guide To Facial Cosmetic Surgery, The Non-Surgical Facelift, and Surgical Facial Rejuvenation. A believer in returning something to the community, Dr. Truswell participates in Face to Face, the pro bono domestic violence program of the American Academy of Facial Plastic and Reconstructive Surgery. He has performed numerous reconstructive procedures for victims of domestic violence. These women are referred in from recovery programs, are completely separated from their batterers and are working to restore their self esteem. That recovery is helped by erasing the physical evidence of beatings such as scars, deformed noses and unset facial fractures. Can you tell us a little bit about your history as a plastic surgeon? I did a double residency in Otolaryngology and Facial Plastic and Reconstructive Surgery at the University of Connecticut School of Medicine. I performed the first facelift ever done in Northampton, Massachusetts in 1977. Twenty years ago I limited my practice to Facial Plastic Surgery. Facial cosmetic surgery is the perfect blend of art and science. I come from a family of artistically talented people. My mother was an artist as is my son. I just have a different medium – the human face. What kind of services do your Aesthetic Laser & Cosmetic Surgery Center offer? My office is over 4500 square feet and designed to look like a private club in the reception area. This is a good-sized room with a vaulted ceiling and a glass wall. We have an accredited operating suite and I perform all of my cases in this private setting. I perform facelifts, endoscopic forehead lifts, blepharoplasties, rhinoplasties, otoplasties, facial skeletal implants, soft tissue facial implants, and fractional CO2 laser resurfacing as well as Juvederm, Restylane, Radiesse, Botox, Xeomin, and Sculptra. We have our own medical spa called Syzygy (syzygy is when the Earth, sun, and moon lie in a straight line – or the perfect alignment of heavenly bodies). Our medspa offers light and medium chemical peels, microdermabrasion, make-up services, massage, laser hair removal, laser treatment of broken blood vessels and dyschromias, and Thermage. My office manager is my wife, Lynn Truswell, J.D. We are in Northampton, Massachusetts. My patient population is predominantly from New England and the Northeast, but after 35 years in practice, I have patients from all over the U.S. and from as far away as Europe, The Middle East, and Australia. Most of our employees have been with us for many years. Even the ones who have left to start a family or move to another state stay in touch and say it was the best job ever! In many ways we are a small family, and pull together under caring but demanding leadership. It is important to treat your employees with respect and reward loyalty and excellence. An appreciated perk for our staff was to close on Friday’s at noon (no more missed time for appointments), and we provide lunch daily. Our esthetician does receive commission on peels and products as well as a base hourly, but the rest of the staff is on competitive salary. How have you incorporated new technolgies and cosmetic lasers into your practice? Lasers have been an integral part of my practice for almost 20 years. I have been using the Lumenis Ultrapulse Encore CO2 laser for two years and the Ultrapulse 5000c for the preceding 17 years. This laser I use as a cutting instrument i | 4/5/12 | Gratis | Ver en iTunes |
| Total: 15 episodios |
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