PATIENT INFORMATION

Before Surgery Patient Care

Before surgery, prepare your life to be as simple as possible for two weeks. Purchase groceries and household supplies in advance. Prepare single serving meals and freezing them for easy use. Also consider stocking up on microwave dinners and juice boxes. This will be extremely helpful while you are healing and unable to cook.

Bring things you'll need down from shelves so you won't be killing yourself (this is especially important if you are having Breast Augmentation). Have plenty of pillows on hand, you will need to sleep in an elevated position for the first few days to avoid swelling. This is also important if you've just had Breast Augmentation. You want the implants to stay in a perfect position during the initial healing process. If you are "lucky" enough to have a husband with a recliner this may be a nice place to position yourself for the first few days, just have the remote control handy, and make sure that someone helps you get in and out of the chair. If you don't happen to have one you can always rent one at Recliner Rentals for around $40.oo/week - 1(800)880-6404.

Clean the house so you won't have to contend with it when you're feeling down. Most people feel better with pain medication which can bring out the cleaning bug in all of us. Remember this is your time to heal and is not a good time to clean. It is best if done before hand. Don't forget to water the plants.

You will need to arrange for transportation for the day of surgery and your follow-up appointment. Anticipate that you will not be able to drive for 4-5 days or while you are on pain medication.

You must have a friend or family member watch you during your first night after surgery (this is mandatory). This person should be able to refresh your ice packs as needed, give you fluids, and prepare your food, check on you throughout the night and most importantly recognize if there are any problems and contact your doctor in case of an emergency. If you don't have anyone available, you can always arrange for a nurse or tech to take care of you. Call our office and we will arrange for a care giver to take care of you at your house or hotel. Ask for Jennifer - 305-931-3338

If you have children, it would be a good idea to arrange for someone to take care of them for at least the first 24-48 hours. You will not be able to pick them up and care for them in the way they've become accustomed to.

DAY BEFORE SURGERY

Our office will be calling you between 4:30 p.m. - 5:30 p.m. to go over your surgery times and remind you of all the DO'S AND DON'T'S. Also, Dr. Livschutz, our Anesthesiologist, will be calling to go over a few things to prepare you for Anesthesia.

Don't bring your valuables or wear any jewelry (no rings, earrings, chains, toe rings, watches or other metal piercing, such as tongue and nose rings. This can interfere with anesthesia.

If you have a body piercing that cannot be removed, please contact the office to find out what your options are, it may be able to be taped.

If you wear contacts, remove them the morning of surgery. Wear your glasses instead, it's also a good idea to bring the eyeglasses case to store them while you're in surgery. Wear comfortable clothing. We suggest dark loose fitting clothes that you do not need to put over your head. The best things to wear are a button up or zip-up top and pull on pants. The velour pant and hooded sport suits from Victoria Secret or Juicy Couture suites are perfect.

Warm socks are also nice because the operating room is cold and most people feel chilly after the anesthesia.

If you have long hair, make sure you bring a hair clip or a scrunchie for after surgery. Scrunchies are not so fashionable but they work the best because they are soft and easy to use. Sunglasses and a big soft floppy hat are not a bad idea for patients that are having a face lift and/or eyelid surgery. Just make sure that the hat is loose fitting and made of soft materials (not straw). This is your chance to feel like a movie star.

FOR THE FIRST FEW DAYS

Stay away from foods that contain a lot of salt and MSG. This could upset your stomach and cause you to retain water.

It is normal to be afraid and concerned about having surgery. Here at Dr. Hochstein's office we encourage our patients to ask a lot of question until they feel confident not only in Dr. Hochstein but his staff as well. Emotional support is very important when having plastic surgery and often times family and friends have a hard time giving the support that's needed due to a lack of understanding. Often times people don't understand how important this surgery is to you and how to deal with your feelings about your upcoming surgery. Because plastic surgery is elective and it is cosmetic, friends and family can become complacent not realizing how important it is that you have their support at this time. Also friends and family may have your best intention in mind, but not have the right information to help you along your journey. Remember this may be the only surgery you ever have, but here at Dr. Hochstein office we go through this with patients every day so it is very important to us that you feel comfortable not only with the doctor but our entire team. With this in mind we will do our very best to make sure your journey is not only a success, but that you receive all the emotional support you need.

DRINK PLENTY OF WATER AND GET BED REST.

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How to Choose A Plastic Surgeon

In today's day and age, when looking your best is important for your professional image, more and more people are turning to plastic surgery.

How should someone who is considering plastic surgery go about choosing the right cosmetic surgeon for their needs?

The most important thing, when selecting your plastic surgeon, is to make sure the doctor is board certified in plastic surgery. Many doctors are board certified, but they don't always advertise what they are board certified in. You should only trust those plastic surgeons which have been certified by the American Board of Plastic Surgery and are recognized by the American Board of Medical Specialties (ABMS). The AMBS is the only board recognized by the American Medical Association to certify people in over 24 medical specialties, one in which is plastic surgery.

The easiest way to check any doctor's credentials is to go to www.abms.org (American Board of Medical Specialties®). Be sure to check to see what they are board certified in. You can also call 866-275-2267 to find out what your doctor is certified in.

OFFICE SURGERY

Should I be concerned about where the surgery is performed - in a "private setting" vs. a "hospital"?

Many people prefer to have their plastic surgery performed in a surgeon's private office for the same reason you might prefer flying on a private jet vs. flying commercial. If you have your surgery in the doctor's private facility, you don't have to worry if you are running a few minutes late, or need to spend a little more time recuperating. However, you should always ask the doctor if they have privileges to perform the procedures in a hospital as this will ensure that the doctor has undergone peer review and is eligible to perform surgeries in a hospital's operating room.

Appropriate office surgery, carried out by a qualified surgeon in an ACCREDITED, well-run and maintained office surgical facility can be:

  • A positive, non-threatening experience for the patient
  • An effective surgical environment
  • Private
  • Economical for the patient
  • Convenient for patient and surgeon alike
  • Most importantly SAFE

Surgery once restricted to the hospital operating room is now being done more and more frequently in the physicians' offices. This is particularly true of cosmetic surgery, with self-pay. What's the difference where it is done?

Just as there is no regulation of who can call themselves cosmetic or plastic surgeons, there is little regulation of what surgery can and can't be done in an office. Unfortunately, there is an alarming indication that the public's safety is being compromised by this lack of regulation. The State of Florida Board of Medicine recently placed a moratorium on office surgery performed under general anesthesia and heavy sedation due to a high incidence of hospital admissions from complications of office procedures. And along with numerous other states, Florida has passed legislation regulating office surgery.

How can a patient protect his/her safety in regard to surgical facilities recommended for a cosmetic procedure?

Mal Practice Insurance:

It has become increasingly common for doctors not to carry malpractice Insurance due to the rising costs and hard economic times. Here at Dr. Hochstein's office we feel that it is important to the patient as well as the doctor to carry malpractice insurance. In spite of the fact that Dr. Hochstein has never been sued for malpractice we are committed to providing the safest environment with full accountability to our patients.


Is Your Doctor Safe?


" This may be the most important thing you do before you have surgery with any Doctor ".


* Click on the "Is Your Doctor Safe" button and follow the directions below to find out if your Doctor has any Medical Mal Practice claims.


* All you need to do is Enter the Doctor's first and last name under "Insured" (Doctor's/Physician's) and then click on "search" at the bottom of page.


(You do not need to fill out the rest of the fields) Just 2 simple steps to learn more about your Doctor.)

CHECK HERE TO SEE IF YOUR DOCTOR IS SAFE

To look up additional information about your Doctor, please click here.


CREDENTIALS: The Importance of Credentials

Board Certification Means That A Surgeon Has...

Completed at least five years of residency in which two to three years are plastic surgery specific.

Successfully completed rigorous comprehensive written and oral exams.

PROMISES

One should expect that a physician has the proper training, credentials and experience to provide the service you are seeking. One would expect a board-certified plastic surgeon to have gone through a broad and rigorous training program, to have adequate surgical experience, and to have passed both written and oral objective testing. Further, one would expect that the surgeon has met certain ethical standards as required by the particular specialty.

PITFALLS

  • Any physician may call himself/herself a plastic surgeon or cosmetic surgeon with training.
  • Physician may perform any procedure in his/her office without peer scrutiny. There are no training requirements. And, in fact, there is no requirement that the physician is a trained surgeon.
  • A physician may claim to be board-certified simply by joining a sound-a-like organization.

OVERVIEW: BOARD CERTIFICATION EXPLAINED

The one medical board-certifying agency that you can rely upon is the American Board of Medical Specialties (ABMS) and its sub-boards. This is the board that OVERSEES the certification of physicians in all specialties.

"The intent of the certification of physicians is to provide assurance to the public that a physician specialist certified by a member board of the American Board of Medical Specialties (ABMS) has successfully completed an approved educational program and an evaluation process which includes an examination designed to assess the knowledge, skills, and experience required to provide quality patient care in that specialty." Quoted from the ABMS Assembly

The American Board of Plastic Surgery (ABPS) is the specialty board accredited by the American Board of Medical Specialties (ABMS) that certifies plastic surgeons. The ABPS is the only one of the 24 boards approved by the ABMS that certifies surgeons in plastic surgery of the face and all areas of the body. The American Society of Plastic Surgeons (ASPS) requires ABPS certification for membership. ASPS oversees continuing medical education, practice standards and ethics.

Medical specialty certification must be differentiated from a physician's ability to designate a special area of interest. This practice, used by the American Medical Association and many local medical societies, is known as a "self-designated specialty."

How do you find out which doctor is board certified?

You can check on specific physicians through the American Board of Medical Specialties Website at http://www.abms.org/ and then click on "Who's Certified." Verbal verification is available through the ABMS toll-free telephone service by calling 866 ASK-ABMS (275-2267). Verification is available in The Official ABMS Directory of Board Certified Medical Specialists, published annually. The directory can be found in many medical and public libraries. Written verification is available by contacting the individual specialty board in the physician's field of practice.

To see if your doctor has any Mal Practice suits filed against him/her please check here

Hospital Privileges

Major hospitals are very diligent in credentialing surgeons for privileges to perform specific procedures. Furthermore, in a hospital setting, surgeons are subject to peer review (case reviews), which enforces acceptable standards. Any hospital medical staff office can provide this information.

Aventura Hospital and Medical Center
20900 Biscayne Boulevard.
Aventura, Florida 33180

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Questions to Ask Your Surgeon About Breast Augmentation

Breast Augmentation & Breast Implant

Consultation Checklist

Please print this checklist and bring it to your plastic surgeon at the time of your consultation.

  1. What are your credentials? Are you Board Certified by the American Board of Plastic Surgery? How long have you been practicing plastic surgery?
  2. Does your doctor use a doctor anesthesiologist or a nurse anesthetist?
  3. How many procedures do you perform like this each year?
  4. Are there any exceptions to your license I need to know about? Are there any malpractice claims against you?
  5. What Hospitals do you have privileges at?
  6. Can you give me references of past patients?
  7. May I see before and after photos of your work?
  8. Will surgery be performed in the hospital or a surgical Facility, and only by you or will another surgeon assist you?
  9. Is the Surgical Facility Accredited by the American Association for the Accreditation of Ambulatory Surgical Facilities, or others such as AAAHC or JCAHO?
  10. May I see the surgical suite? Or if in a hospital, can I tour?
  11. Explain the type of anesthesia that you will be using. Who will be administering it and what are his or her credentials?
  12. How are emergencies handled if problems occur?
  13. What type of implant do you use and what would you recommend for me?
  14. Does the FDA approve that particular implant or will I be part of a study?
  15. Can you explain the different types of implants and why you feel one will work better than the other in my case, for instance the differences between smooth, textured, round, shaped, high profile, low profile, adjustable, silicone or saline.
  16. Does a warrantee cover the implants, and can you explain what that is? Will my surgery be covered by that warrantee given the methods you will be using?
  17. Is the breast size I wish to be after surgery attainable and how do you determine how many cc's will get me to that desired size? Do you use photos, sizers, or just your eye to determine this size?
  18. What about nipple size? Is nipple reduction possible after surgery if I choose to do that?
  19. Will I also need a lift to get my desired result? If so, what type of lift and where will my incisions be?
  20. What type of visible scaring will I expect to have after my surgery?
  21. What type of incision do you prefer to use, Inframammary, Periaerealor (also known as the Areola Incision), Armpit (axillary or transaxillary), or Navel (transumbilical or TUBA) and why?
  22. Do you use drains after surgery - if so, why? If not, why?
  23. How long will the surgery take?
  24. How will I feel when I awake?
  25. How much pain can I expect during the days and weeks after surgery and what medication do you use to control this? Do you recommend a pain pump?
  26. What will I need to buy for recovery, sports bra, ice packs, etc or is there any special garment I will need to wear during recovery such as a strap?
  27. Will I need assistance the first day or so after surgery or will I be able to care for myself?
  28. How long will it take for me to return to my normal activities such as driving, lifting, sex, returning to work, exercise?
  29. How long will it take for me to see the desired result? Will they look unnatural until then?
  30. How will the surgery affect existing stretch marks?
  31. Will the implants interfere with future mammograms?
  32. Will they interfere with pregnancy or nursing?
  33. What will be the long-term result of implants on my breast tissue? Will I have sagging like natural breasts?
  34. What about possible Implant Displacement-Bottoming out? Are you responsible for this and will you correct it and at what cost?
  35. Also address the issue of synmastia or bread loafing. Are you responsible for this? Will you correct it and again at what cost to me?
  36. I am currently taking _____________ (medication) Will there be any problems with the medication? Will my medications interact with anything I will need to take during recovery?
  37. Do you recommend massage after surgery? How is it done, and why?
  38. What are the risks of this surgery that I need to be aware of, such as loss of feeling in breasts or nipple sensitivity?
  39. Please explain capsular contracture to me and how common it is. How is it treated if it happens to me? Can it be avoided and, if so, how?
  40. What is rippling? Do you "overfill" or take other steps to avoid this?
  41. What about Hematoma (accumulation of blood at surgical site after skin incision is closed) or Seroma (collection of clear fluid that weeps into wound several days following surgery) are these common?
  42. How about more serious risks such as infection or skin death (necrosis)? Is this a common problem you see with your patients?
  43. What about granulomas (non-cancerous lumps)? Is this a concern?
  44. I've read that my period cycle may be thrown off a month or two? True?
  45. What about deflation and rupture rate? Knowing they will not last forever how long can I realistically expect them to last before needing to replace them?
  46. How much is the surgery and does that include your fee, implants, anesthesia, hospital charges and follow up visits?
  47. When is payment due, at pre-op visit? What is your policy if I chicken out? Refund?
  48. What happens if I am dissatisfied with the results in terms of appearance? Size? Is there a cost to fix or redo? What is your revision policy?
  49. How soon can we do surgery and will my consultation fee be deducted from the cost?

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Breast Implants Warranty

NatrelleAllergan: The Natrelle® ConfidencePlus® Warranty

  1. Automatically applies to all recipients of certain NATRELLET style saline and silicone filled breast implant products
  2. Regardless of the age of the implant, Allergan provides product replacement in the event of a deflation or rupture due to loss of shell integrity.
  3. At the request of your surgeon, any size or style* may be selected to replace your current NATRELLET style breast implant.

*A charge may apply on products with a higher list price.

As a recipient of certain NATRELLE™ style saline and silicone filled breast implants you are automatically enrolled in our ConfidencePlus® warranty program at no charge!

  • 10 years of guaranteed financial assistance
  • Up to $1200 in out-of-pocket expenses for surgical fees, operating room and anesthesia expenses not covered by insurance
  • Silicone filled and saline filled breast implants covered
  • Lifetime product replacement
  • Automatic enrollment
  • Non cancellable terms

Also available for certain NATRELLE™ style saline and silicone filled breast implants when purchased for the low enrollment fee of $100 within 45 days of surgery

  • 10 years of guaranteed financial assistance
  • Up to $2400 in out-of-pocket expenses for surgical fees, operating room and anesthesia expenses not covered by insurance
  • Contralateral implant replacement. At the surgeons request, Allergan will also provide a replacement for the contralateral breast.
  • Silicone filled and saline filled breast implant covered
  • Lifetime product replacement
  • Automatic renewal to ConfidencePlus® at no charge
  • Non cancellable terms

Instructions for Out of town Patients

For patients who are traveling from out of town to see Dr. Hochstein, our staff will make every effort to accommodate you.

Our office is conveniently located 20 minutes South from Fort Lauderdale International Airport and 20 minutes North from Miami International Airport. We recommend that you call our office to find out about the availability of specific dates for your consultation or procedure. You can email Dr. Hochstein at Jennifer@lhochsteinmd.com, or complete an on-line-consultation request detailing the changes that you desire and include photographs of the areas of concern. It is most beneficial to send both front and side views as well as a back view when necessary.

Please include whether or not you have any medical conditions, and also list any medications, vitamins or supplements that you may be taking. Once these have been reviewed, our staff will set up a personal phone consultation to discuss your surgery.

Our office can also assist you with making local arrangements if needed. Dr. Hochstein has arrangements with several local hotels that are comfortable for recovery. For patients that may require post operative care, our office can arrange for private assistance during the time of your recovery. (Hotels in the Area)

Dr. Hochstein prefers that patients arrive at least one day prior to surgery. This will allow Dr. Hochstein and our staff to meet with you in person and go over any questions or concerns that you may have.

You should allow sufficient time in South Florida for your recovery. Recovery time duration, of course, depends on the extent of surgery you have. In general, most patients are able to travel one week following surgery.

Our goal is to make your experience as comfortable and rewarding as possible.

Please feel free to call or e-mail the office if you should have further questions.

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Blood Work & Mammogram Centers

Below are some available blood work/mammogram centers in the area and around the country

The HEALTH TESTING CENTER

Local- For an appointment, please call: (954) 485-3366

2760 W. Oakland Park Blvd.
Ft. Lauderdale, FL 33162

Electrocardiogram-EKG Potassium Alkaline Phosphates
Blood Pressure  Chloride  GGTP
Audio Scan Calcium LDH
Vision Check Phosphorus  SGOT
Urinalysis/Microscopic  Triglycerides     Iron
Glucose Cholesterol Differential
Blood Urea Nitrogen  Total Protein    White Blood Count
Creatinine  Albumin Red Blood Count
Uric Acid     Globulin Hemoglobin
Sodium Total Bilirubin  Hematocrit

“Health screening tests may or may not alert you and your doctor to serious medical problems and are not intended to be a substitute for a physician’s exam.”



QUEST DIAGNOSTICS
National- Please visit www.questdiagnostics.com, or Call 1-800-800-1749 for the nearest location.

LAB CORP
National - Please visit www.labcorp.com, or Call 1-800-877-5227 for the nearest location.

Breast Cancer AwarenessCOMPREHENSIVE BREAST CARE CENTER
Local- 20601 East Dixie Highway, #310 Aventura, FL 33180 Call 305-931-1344 www.cbccmiami.com

Ultrasound without implants: $150.00 Mammogram without implants: $150.00
Ultrasound with implants: $200.00 Mammogram with implants: $200.00

MEMORIAL OUTPATIENT CENTER
Local-1750 E. Hallandale Beach Blvd. Hallandale, FL 33009 Call 954-985-5885 www.mhs.net

RADIOLOGY INSTITUTE
De la Pedraja Radiology Associates, P.A.
General Radiology, Mammography, Ultrasound, CAT Scan
4776 SW 8th St. Coral Gables, FL 33162 305-447-1415 Mammography Center

DR. ROSKIN- INTERNAL MEDICINE/FAMILY PRACTICE
Local- Total pre-op Clearance
21150 Biscayne Blvd, Suite 302 Aventura, FL 33180 305-931-0504

FAST CARE COMPREHENSIVE OCCUPATIONAL MEDICINE & URGENT CARE
Local- Total pre-op clearance without chest x-ray for only $265.00!
Open Monday-Friday 8:30am to 9:00pm and Saturday, Sunday, & holidays 10:00am to 4:00pm
20601 E. Dixie Highway, Suite 340 Aventura, FL 33180 Call 786-923-4000
www.myfastcare.com


The Stages of Breast Implants

Before Breast Implant Surgery 1 Week After Breast Implant Surgery 3 Months After Breast Implant Surgery

Before Surgery

1 Week after Surgery

3 months after Surgery

While patients will of course see results immediately after surgery, there is always swelling that develops. During the first week after surgery, the breasts and surrounding area are swollen, the implants appear high and your nipples point downwards, (this is all very normal). Over the course of several weeks the swelling subsides and the tissues stretch to accommodate the implant creating a more natural appearance. Also it is very common for the areola to stretch along with the rest of the breast so your areolas will be a little bigger after surgery.

 

 


Vectra 3D Imaging




VECTRA-XT

Welcome to the new age of Plastic Surgery where you can now more accurately pick your breast implant size and shape, making the process easier for patient and doctor, which increases patient satisfaction! Where patients can visualize their dreams and expectations so Dr. Hochstein can quickly reach a common understanding of each person’s goals before surgery.


  • Plan 3D-Imaging solution works for Body, Breast and Face.


  • Standardized pre & post op 3D-imaging


  • Simulation of breast augmentation with all implant size and shapes


  • Simulation of chin augmentation and rhinoplasty

Click here for more information

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Breast Augmentation Special. Media Page Vectra

Financing Options

Welcome to Breast Implants Specialist Miami

Miami Florida is home to world renown and board certified plastic surgeon Leonard M. Hochstein. Specializing in all forms of breast augmentation, breast reduction, breast lifts, and breast revision, Dr. Hochstein also specializes in delivering the service and quality you deserve.

Conveniently located 20 minutes South from Fort Lauderdale International Airport and 20 minutes North from Miami International Airport, Dr. Hochstein welcomes patients from as far away as Australia, Europe, Canada , South America, and the Caribbean.

This website was designed to keep patients up to date with the latest information and techniques regarding breast implants. Feel free to explore the site and return to see updates as they are made.

We also encourage you to visit Dr. Hochstein's other website www.lhochsteinmd.com for information concerning other procedures you may have interest in.

Our Location and Address

Leonard M. Hochstein, M.D.
585 NW 161st Street
Miami, FL 33169

Tel: (305) 931-3338
Fax: (305) 931-3324


Get Directions

Email Us

Office Hours

Monday 9:30 - 5:30
Tuesday 9:30 - 5:30
Wednesday 9:30 - 5:30
Thursday 9:30 - 5:30
Friday 9:30 - 4:00

Dr. Hochstein is on call 24 Hrs a day.


Office Building