To Have A Private, State Licensed, Accredited Surgery Center AKA: Ambulatory Surgery Center
When Deciding To Have Surgical Procedures On Yourself Or A Loved One, It Is Important That You Feel Confident In Knowing That Patient Safety And The Facility Standards For Care Are Amongst The Main Priorities For Both The Surgeon As Well As The Surgical Facility
The founder of: Plastic & Cosmetic Surgery Center of Texas, Robert D. Wilcox, M.D. had our private Surgery Center “Plano Center for Surgical Arts” built from the ground up with the determination to ensure the facility would be built and constructed per state and federal licensing requirements. In order to construct a state-of-the-art Ambulatory Surgical Center, extensive work was done to follow requirements outlined by the Texas Department of Health and Human Services as well as the even more stringent regulations required by the Centers for Medicare Services. All aspects of patient care were addressed including the importance of a strict infection control program, close attention to patient and fire safety and ensuring an adequate and well-trained medical staff. Our Ambulatory Surgery Center meets all OSHA requirements and continues to research and implement all new and updated recommendations and requirements published by these regulatory agencies. This also includes updating, informing and training for all staff members involved in the care of our patients in accordance with the facility policies. Dr. Wilcox in conjunction with his Practice Administrator and Surgical Director work together to remain current and up to date on any elevated safety recommendations and standards. By exceeding the recommendations of the Texas Department of Health and Human Services in any implementations made, this allows our facility to meet the requirements of Medicare accreditation. The Medicare accreditation is a key component that sets our facility standards apart.
Environmental standards play an important role in patient safety. This includes terminal cleaning of our surgical facility each operational day. This process includes, removing all surgical equipment from the Operating Rooms, Recovery Room, and Pre-Operative holding areas, sanitizing every surface including ceilings, walls, flooring, any attached cabinets and counter tops. The equipment that is removed from these areas must also be sanitized from top to bottom (including electrical cords) prior to being placed back in to these patient care areas. This process is also completed on another level throughout the day after the completion of each procedure and prior to the next surgery. We have a team of Certified Environmental Specialists that have been providing us with their expert services to ensure every aspect of infection control is practiced in detail.
Another key component that was implemented into the construction of our onsite surgery center is possitive pressure air flow. What this means is the filtered air flow throughout the Surgery Center will only flow to the outside and is unable to recirculate back into the surgery center. This minimizes germ contamination that may be flowing through the HVAC system including the air flow that is created within the surgery center. In laymen’s terms, every sectioned area within the surgery center has only one-way travel “air flow”.
Fire safety was extremely important starting with architectural configuration of Plastic & Cosmetic Surgery Center of Texas as well as the onsite Ambulatory Surgery Center “Plano Center for Surgical Arts”. Dr. Wilcox worked closely with the fire departments prevention and inspection service departments to ensure the facility met the highest standards. This was a huge part of the construction process. Firewalls were built within and surrounding the surgery center in a strategic manner, meeting the regulations to prevent the spread of any fire situation. In the event of a fire, the fire would be contained within the area the fire was ignited. These same regulations hold true for any possible flammable items within the surgery center such as the patient divider curtains in recovery and the pre-operative holding rooms. All of our staff members that join our practice must complete a fire safety drill by performing live demonstrations and a written test. This is a requirement upon new hires. It is also a requirement to complete a yearly written test as well as a practiced fire drill.
Our Ambulatory Surgery Center “Plano Center for Surgical Arts” is also equipped with a backup generator. In the case of any weather conditions and environmental hazards that cause power failure, all surgical equipment and electrical services remain intact and will continue functioning as normal without interruption.
The “Gold” Standards of Our Ambulatory Surgery Center:
• All staff members have been trained and are current in advanced care life support certification. • Our Facility is a private facility that also offers the option for private aftercare if needed or requested. • Procedures performed at our surgery center are elective and have been chosen by the patient. Each patient’s health is pre-screened therefore, our surgery center is not exposed to sick patients or contamination found in acute care facilities.
Every aspect in a patient’s life, including stress, nourishment, environment, general health, and personal situations can be a contributor to the success of any surgery including the recovery process. The staff here at Plastic & Cosmetic Surgery Center of Texas and the onsite Ambulatory Surgery Center are experienced and well trained with the purpose of supporting our patient’s safety and desired outcomes. We want our patient’s to feel confident in knowing you are in the best facility and receiving the best care possible. Your safety comes first and it is our priority. Any stress we can relieve in making your surgical decision is a step towards a successful surgery and recovery process.
Non-Surgical Vs. Surgical Body Contouring and Liposuction Procedures The Myths And The Myth Busters
• What Is Coolsculpting / Non-Surgical The Myth: The makers of CoolSculpting State That This Procedure Freezes & Eliminates Stubborn Fat. The information provided by the company states that this procedure will safely deliver precise, controlled cooling to gently target the fat cells underneath the skin. The information also states that the treated fat cells will crystalize (freeze), then die. Over time, your body is to process the cells and eventually eliminate the dead cells, leaving a more sculpted you. It is stated that while some patients may see results as early as 3 weeks following the first treatment, the most dramatic results are usually seen between 1 and 3 months following a series of treatments along with diet and exercise. Myth Buster: Anyone that is committed to following a diet and exercise program for 3 months, will likely lose weight and contour their body naturally. This can also be the case for those who are 3 weeks into their diet an exercise program.
• What Is Liposonix / Non-Surgical The Myth: Liposonix states that this procedure reduces fat using ultrasound technologies. Like Coolsculpting, Liposonix is also marketed as a non-invasive fat reduction procedure. They state that Ultrasound energy can be used to penetrate through layers of skin to target fat tissue without harming the skin or other surrounding tissues. Fat is then naturally processed through the body. The Liposonix system informs consumers that the procedure uses high-intensity focused ultrasound wave of energy that can destroy targeted subcutaneous fat therefore delivering a more precise result. It is stated that results can typically be seen within 8 to 12 weeks with a healthy diet and exercise. Myth Buster: Liposonix states that results can be seen with only one treatment. However, it is more often recommended that the patient may receive 2 to 3 treatments to achieve desired results. Again, like Coolsculpting, anyone that is committed to following a diet and exercise program for 8 to 12 weeks, will likely lose weight and contour their body naturally.
• What Is SmartLipo / Non-Surgical The Myth:
The makers of Smartlipo state that this procedure is a minimally invasive, laser-assisted procedure that will target troubled areas like the abdomen, arms, buttocks, thighs, and neck, and will permanently eliminate fat. The manufacturer states that for the stubborn areas of your body that does not respond to diet and exercise, this procedure will provide dramatic improvements. They state minimal downtime with less pain than traditional liposuction. Per the information provided, the technique has three wavelengths to provide targeted treatments that will disrupt the fat, coagulate blood vessels as well as stimulate collagen to improve the elasticity and texture of the skin. This procedure is performed using local anesthetic to numb only the specific areas that are being treated. What this means, is that you are awake during the procedure. The Smartlipo laser cannula is inserted through a small incision in the skin, the laser will then rupture fat cell membranes and destroy fat cells permanently. It is stated the fat will liquefy and then gently suction out.
The Myth Buster: Be careful of fancy marketing words such as “Laser” Liposuction and “minimally invasive”. Fact, the only fat that is responsive to any liposuction procedure is the fat directly beneath the fascia. This is the fat that can be pinched directly underneath the skin. The procedure is performed to address the fat just beneath the skin. Having said that, all liposuction procedures can be considered “minimally invasive”. What this means is, the procedure is performed just below the surface of the skin through a small incision (approx. size of a pencil eraser). Over the years, the word “laser” has become somewhat of a great marketing word. There are always factors to consider prior to having this procedure, as well as any procedure (surgical or non-surgical). Lasers in any form, produce heat, therefore can burn its surroundings. Complications that are often seen with this procedure, can range from cosmetic dissatisfaction to permanent internal damage. These complications are often due to heat from the laser, combined with friction of the technique. This combination can burn the underneath portions of the skin causing a visually wavy/lumpy appearance at the treatment site. Other complications from lasers can also be as severe as an internal burn or injury. ***Lasers have become a great option for external resurfacing such as scar treatments, and hair removal. Lasers have also evolved in technology for anti-aging purposes. When lasers are used in this capacity, the provider can be much more precise in the treatment as well as visibly see how the individual is reacting to the heat. ***
• What Is The Ultrasonic Liposuction Procedure / Surgical Procedure • What Is Traditional Liposuction Procedure / Surgical Procedure Ultrasonic Liposuction: The ultrasonic liposuction procedure is very similar to a traditional liposuction procedure, with one major exception. A sound generator is connected to the cannula, which then generates ultrasonic waves through the tip of the cannula. These waves cause fat cells to dissolve and liquefy, and the liquefied fat is then easily suctioned from the body. Ultrasonic liposuction can greatly benefit patients that are not the perfect candidate for traditional liposuction. Ultrasonic liposuction uses sound waves to first break up and liquefy fat, which is then removed via suction. Because the fat is liquefied before removal, there is far less blood loss than with traditional liposuction, and can also be effective in areas that tend to be more fibrous. Depending on the individual needs of each person, a more traditional liposuction may be performed directly after the ultrasound procedure in order to better shape the body. Having a Board Certified Plastic Surgeon perform the Liposuction procedure is the safest way of having ANY procedure done. When having a Board Certified Plastic Surgeon perform the procedure, you will have options available that will deliver the best results for you and your body type. Traditional Liposuction: During liposuction, a cannula is inserted – or surgical metal tube – through surgically created entrances in your skin. Fat is then sucked through the cannula into a container by the power of a vacuum pump. The experience and skills of our board certified plastic surgeons allows them to act as body sculptor, leading to more proportional and attractive results. Although liposuction is not intended as a weight-loss technique, this procedure is commonly used to remove fatty areas for body contouring and sculpting. Suction-assisted lipectomy, or lipoplasty, more commonly referred to as liposuction, can be used to improve various areas of the body. Individuals who choose to have liposuction often target their abdomen, hips, thighs, and knees. Men generally target love handles, lower abdomen and enlarged male breasts. Following any Liposuction procedure, you will be fitted with elastic bandages or compression garments while your skin shrinks to fit your new body. Your Safety: *** FOR YOUR SAFETY, IT IS HIGHLY RECOMMENDED THAT WHEN HAVING ANY PROCEDURES PERFORMED, THAT THE PROVIDER BE LISENCED IN THE SPECIALTY AND THE PROCEDURES ARE PERFORMED IN A STERILE ENVIRONMENT AT A LISENCED SURGICAL FACILITY. *** Do extensive research on the provider as well as the facility itself. Your life and your body are not worth bargaining. Note: In most cases, if a procedure is not being performed in an Operating Room setting, this will often mean that the provider performing the service does NOT have Operating Room privileges. This can mean that the provider is not licensed to perform the procedure.
Breast asymmetry is unevenness of the breasts, meaning one breast is larger than the other breast. In men, gynecomastia may present in one breast known as unilateral, or gynecomastia may be present in both breast, known as bilateral. The most common gynecomastia diagnosis is when it occurs in both breast at different degrees, this is known as bilateral asymmetry. Glandular tissue can affect the appearance of the size and shape of the breast. The glandular tissue in combination with the breast tissue can change the appearance of the breast, including larger areola in diameter as well as protrusion. In many cases, men that are suffering with gynecomastia develop insecurities. The insecurities can often lead to low Self Esteem, Depression and social anxiety. This can often interfere with their personal relationships, or in some cases, their day to day relationships. No two breast are the same. In both men and women, breast will differ in size and shape. In most cases difference is slight and not noticeable to the eye. The degree of the asymmetry can vary in each individual. Our Board Certified Plastic Surgeons will do an exam on the patient to determine if they are a candidate as well as determine the asymmetry of the gynecomastia. A procedure plan must be discussed between the individual and the surgeon prior to having surgery. The asymmetry conditions can often be corrected to some degree in surgery. It is important to be informed of the realistic expectations from the surgery. Individuals should feel that they have been fully informed and educated by their Plastic Surgeon. Gynecomastia Correction surgery includes removing both the glandular tissue as well as the fatty breast tissue. When removing the breast tissue, this gives the surgeon the opportunity to equal out the symmetry of the breast. This may include removing more tissue from the larger breast to create the same measurements as the smaller breast. This will give an overall appearance of even and symmetric breast. Do your research on your surgeon, inquire on how many procedures they have performed and look at before and after photos. Realistic expectations are important. However, the most important thing is patient safety and satisfaction. It is highly recommended that you have a “Board Certified Plastic Surgeon”.
A condition little talked about but widely apparent is Gynecomastia, the overdevelopment of a male breast. A reaction to too much estrogen or too little testosterone, gynecomastia can occur in newborns, teenagers, and adult men.
Candidates: In babies, preteen, teenage boys, and young adult men gynecomastia is a reaction to estrogen from the mother or changes in hormones caused by puberty. It usually resolves within 18 months and is not a cause for concern. In older adult males, however, gynecomastia is usually caused by the natural decline in testosterone production or being overweight provides more fat cells which convert testosterone to estrogen. Of course, screening for much less common conditions such as liver or lung cancer, thyroid or hormone problems, or drug use can cause gynecomastia as well as certain medicines. • Steroids • Medicines to treat ulcers or epilepsy • Digitalis and other heart medicines • Chemotherapy drugs, especially alkylating agents • Antriandrogen drugs (such as flutamide, cyproterone, and spironolactone) • Antianxiety and antidepressant medicines • Products containing tea tree or lavender oil
Diagnosis: Luckily, gynecomastia is not harmful and easily treated. If caused by hormonal imbalances, it will usually go away on its own. If caused by a medicine or disease, discontinuation of the medicine or treatment of the disease will usually cure gynecomastia. If you find a one-sided breast lump, it is extremely important to consult a physician, particularly if you have had any close relatives that have had breast cancer. A Doctor can check the lump with a biopsy or surgery.
Procedure: In extreme cases, surgery may be necessary. After surgery, patients usually notice some discomfort and pain which can be alleviated with prescribed medication. Typically a week recovery period is recommended. The patient will wear a compression vest beneath cloths for two or three weeks to control swelling and help shrink the skin. Patients should refrain from physical activity for two weeks. They may notice some slight scarring, but results will be visible within the first two weeks after the swelling goes down, with continued improvements for six months. Gynecomastia can cause some men to feel insecure. If you notice an enlargement of your breast, and diet, exercise, and discontinuation of medicines have failed to produce results, male breast reduction surgery can give you a flatter, firmer, and more masculine chest and profile.
Board Certified Plastic Surgeons: Robert D. Wilcox, M.D. and J. Michael Morrissey, M.D. :
Our Doctors at Plastic and Cosmetic Surgery Center of Texas are certified by the American Board of Plastic Surgery (ABPS). They have a deep interest in gynecomastia surgery and have developed a Unique Gynecomastia Technique that is only performed here at Plastic and Cosmetic Surgery Center of Texas. This technique was developed over 15 years ago with no scar/incision on the front of the chest. In most cases drain tubes are not necessary. The procedure is done through a small incision strategically placed on the chest laterally (on the sides). Our Doctors have treated over a 1,500 patients with this technique – more information can be found on our website.
Liposuction surgery is one of the most common operative procedures performed nationwide. Liposuction surgery is frequently performed simultaneously with other procedures.
Who is a good candidate for liposuction surgery? The ideal candidate for liposuction surgery is a patient who is at or close to ideal or long-term, stable weight who has a disproportionate amount of fat that are resistant to diet and exercise. Many patients find that there are certain areas of the body that are “preferred storage sites”. That is to say, these areas are the first places weight gain shows up and the last place for it to leave. This often genetically determined and may even run in families. From about the age of five or six on, the number of distribution of fat cells in the body are determined for life. Weight loss and weight gain cause these fat cells to get larger or smaller, not increase in number. Therefore, when the fat cells are removed by liposuction from an area, they are not coming back, and the patient’s contour is now more proportionately sculpted. In the future, weight gain and weight loss will be more diffuse and proportioned across the body rather than going to these “preferred storage areas”.
What areas of the body are commonly treated with liposuction surgery? In women the most common areas are the inner and outer thighs, knees, abdomen, and hips as well as the upper back, arms and under the neckline. For men, the most common areas are the abdomen, love handles and often times the chest as part of the treatment for gynecomastia. Multiple areas of liposuction done simultaneously are more the rule than the exception.
Can anyone have liposuction surgery? The skill and the integrity of the surgeon can help you decide whether liposuction surgery is suitable for you. Some patients for loose skin, and liposuction surgery may make the appearance of loose skin worsen. Other patients may not have enough fat to make the liposuction surgery worthwhile, and it is up to your surgeon to set realistic expectations with patients beforehand. Some patients may in fact be more of a candidate for a tummy tuck or thigh lift surgery rather than liposuction surgery. It is also important to recognize that liposuction surgery does not in general help with cellulite.
Do you have to put me asleep for liposuction surgery? In general it is safer to simply let the patient go to sleep and not feel or remember anything about the procedure and wake up in the recovery room with everything already completed. This is the advantage of using a board-certified plastic surgeon well versed in all aspects of surgical and anesthetic care.
Who should perform liposuction surgery? The most important factor is finding a surgeon board certified by the American Society of Plastic Surgery. Ideally, they should be members of the American Society of Plastic Surgery and the American Society of Aesthetic Plastic Surgery – the premier organization for plastic surgeons. There are many physicians who are untrained in plastic surgery residency programs who take weekend courses and perform these operations. Patients need to be clear on the qualifications of the surgeon they select. In addition, it is important that the facility where the surgery is performed is state licensed.