Plastic Surgery - Initial Consultation "Free Consultation" with Jon D'Agostino Dr Kenneth Testa - Plastic Surgery
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Plastic Surgery – Overview Male1: Well, I mean I would assume that most of your new patients come from word of mouth, having seen your work it done with some friend or family member. So they have already seen your work. I guess we call it your work, I guess and I would assume that they are coming in and they want something comfortable. Male2: And then what you need to do is to explain to those people, if they bring up the example of the patient that they were referred by, you can talk a little bit about body types and—because everyone is different. Everyone, I mean, you bring a hammer into a body shop and you tell somebody that you want to make it a Corvette. Well let us __ over that because now, you know, you have people who are going through a significant weight loss. You see those shows now with the celebrities and someone is losing a 100 pounds and now if they loose all of this weight, their body is left in a condition that requires a lot of surgery. Male1: Do you get involve with that? Male2: Yes, that by far is probably one of the biggest procedures that I do. It is the post-bariatric or the post major weight lost skin excision, to give people more of the body contour rather than hanging skin and it is a relatively new phenomena. Bariatric surgery is in the last 10 years and it is really taking off, probably less seven and it is very important that you find somebody who is trained in all the aspects of that surgery because scar placement is very, very critical. Male1: So you have to specifically ask questions about what sort of training, specifically with that. Male2: Somebody with that, somebody who have trained 15 or 20 years ago may not have all the modalities or the knowledge of what we have learned today and when I trained, Bariatric surgery was huge and so we had a lot of influx to those patients into the fellowship program and so, and the fellowship is so important because you get to see preoperative, post operative, and complications. The more complications you deal with, the better up you are to deal with anything that happens in your own private practice. So if you have seen a lot of these patients and you have understand the complications and you understand what causes these complications, you cannot stay away from that area or those situations while you are doing the surgery. And that is why the fellowship is important. Male1: What do you think about this shows, I mean you are looking on cable, a satellite, you see, you know, the celebrity, you know, or the swan was the show? Male2: Both good and bad. Male1: Okay. What is that one in Beverly Hills? Male2: Yes, you know what I am talking about and it is supposed to be good and bad. It is good because it allows people to understand what is available. What can be done. How things are done because p[people have a little basis of knowledge at the same time you have to be aware that this is entertainment. I mean, it would not sell if it was cut and dry--- Male1: It is edited to entertain. Male2: And a lot of the physicians are characters, you know. They have personalities. Male1: Well I bring that personal lives into like the show that you are mentioning, I can not remember the name of that either (voice overlap). But anyway, yes, but they bring the doctors personal lives, the wife, the kids, you know, this one is into karate, this one is trying to reunite with his father. It is entertaining. Male2: Yes, it meant to be a total entertainment. Male1: And then they go to the doctor examining the patient and try to find out what he could be taught about those expectations. Male2: I think the show is going bad, good because as what I say before, it allows people to see what is available and bad because if you hang on every word, you are not getting the full extent of it. Use the recovery periods within a half hour of the show, there are people who (voice overlap). Male1: Yes, there was a show, you know, six weeks later and here she is at the unveiling. What about the u
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