The essence of plastic surgery is to improve one’s quality of life. Surgeons have been satisfied with temporary results and patients have accepted the risks that come with surgery. However, that is not quality. Quality means not only giving patients the results they seek, but also providing long-lasting results without putting them at risk.
Patients are taking health risks by undergoing general anesthesia and intravenous sedation, as these can lead to life-threatening blood clots and respiratory distress (breathing difficulties). If a patient does not experience these immediate life-threatening complications, their surgery may be deemed without adverse events. However, research has also shown that general anesthesia and IV sedation induce memory loss and significantly increase the risk of dementia. The risk of developing any cognitive decline or early onset dementia is not worth receiving elective surgery.
An example of quality can be seen with food. Quality food has the most nutrients without the negatives such as pesticides and seed oils. Quality food is made with conscientious care when we think about what is best for others. Surgery, in a similar manner, can be performed by removing the toxic compounds (general anesthesia and IV sedation) that create negative sequelae. In addition, surgical precision takes surgery into new heights, offering superior safety with clear visualization.
My surgical method is designed to improve a patient’s quality of life without the anesthetic and surgical risks of standard surgery. My goal has been to deliver the best surgery possible – which is the safest surgery with long-lasting natural results.
The way surgeons perform surgery has not changed much in the last hundred years. Surgeons are subjecting patients to surgical risks when there is a superior alternative. Standard surgery involves altering the patient’s physiology. This includes putting patients to “sleep” and cutting unnecessary blood vessels. The human body function (physiology) is not meant to be altered, and doing so has severe consequences. Forcing the patient to be asleep (comatose state) and immobile (paralyzed) can induce memory loss and blood clot formation. Blood clots can be life-threatening and memory loss increases the risk of dementia as one ages. In addition, damaging blood vessels and blood loss in surgery also alter the natural human physiology. Yet, it is blindly accepted by surgeons as a part of surgery. Blood vessel damage and bleeding not only cause bruising, prolonged recovery, pain, and internal scarring, but it also accelerates cellular aging, as oxygen and nutrients cannot reach the surgical site through severed vessels. Furthermore, white blood cells are also obstructed from reaching the surgical site, leading to higher infection rates. All of these elements of surgery alter one’s natural physiologic state. My surgical philosophy is to operate while maintaining one’s physiologic state, and this involves keeping patients awake where they are mentally alert and their bodies are not paralyzed. This also involves preserving as many blood vessels as possible during surgery. Advanced Physiologic Surgery is what I consider plastic surgery in its most optimal and highest form.
To accomplish this ideal way of operating, it requires truth, goodness, and love. Surgeons should pursue truth – the harmful effects of anesthesia, limitations of standard surgery, and negative effects of bleeding and inflammation. Knowledge is not enough and the surgeon must act on it. Goodness means doing the right thing in the interest of others. Performing Advanced Physiologic Surgery requires a great deal of personal and physical sacrifice. It requires intense, prolonged training and decades of time commitment. Physical sacrifice involves the surgeon being in top physical shape to maintain peak mental acuity. The surgeon must be disciplined in their daily life, in and out of work, like a world-class athlete. The prolonged, continuous sacrifice and dedication are powered by love. Love fuels the fire to stay committed and deliver the optimal surgery. These three pillars allow a surgeon to create beauty. Reciprocally, it is the love of beauty that supports the three pillars. The four pillars are required to achieve Advanced Physiologic Surgery and provide the utmost care for my patients.