Author Archives: Dr. Traci Temmen

What is a Board Certified Plastic Surgeon

As a patient deciding to have plastic surgery for the first time, it can be overwhelming and confusing when trying to find the right surgeon. A variety of factors contribute to a patient’s decision on who to trust to perform their surgery. Although surgical experience, personality, training, and reliable references are all important factors to consider, board certification by the American Board of Plastic Surgery may be the most important of all. This is often times where patients are misled as there is a significant difference in the meaning of a physician who is “board certified” versus one who is board certified by the American Board of Plastic Surgery.

Plastic surgery is focused on achieving a more desirable appearance and therefore procedures can create a life-long impact. In order to make an informed decision regarding the right plastic surgeon based on your needs and desires, it is important to understand what it truly means to be a board-certified plastic surgeon. The United States has very few legal limitations regarding  the types of procedures a physician can perform as well as how these procedures can be advertised. This legal loop hole allows for any kind of doctor to perform plastic surgery procedures without any formal training!  Furthermore, if a doctor is certified in their respective field (i.e. Ob-Gyn, Emergency Medicine, Internal Medicine, etc…), that doctor can “truthfully” say that they are “board-certified.”  Granted, that doctor is not board certified in Plastic Surgery, but they conveniently leave that part out!  Finally, there are many “made-up,” legitimate-sounding boards that allow any practitioner to be a member for a fee (of course) and intentionally mislead patients into thinking they are being treated by a board-certified plastic surgeon.  California has recently taken legal action against one of these “made up” boards and their false advertising:

Wednesday, December 19, 2018- Taken from the American Society of Plastic Surgeons Website

Today, the Medical Board of California (MBC) took a major step to protect patients in the state when it unanimously voted against allowing members of the American Board of Cosmetic Surgery (ABCS) to advertise as “board certified” cosmetic surgeons. ASPS is proud to have worked in advance of this vote to educate the MBC and show that ABCS certifications are not backed by a level of training that puts them on par with American Board of Medical Specialties (ABMS) member boards.

“This is, frankly, a tremendous relief. California has a large number of cosmetic surgery patients and the most ABCS members of any state, which means it holds the greatest potential for those patients to be misled by advertisements that a doctor is a ‘board certified cosmetic surgeon’,” says ASPS President Alan Matarasso, MD, FACS. “Today’s ruling means those patients are less likely to choose a particular provider because they were exposed to a confusing ad. That’s going to make patients safer. Our specialty owes a huge debt of gratitude to all the plastic surgeons who invested their time and talents to help protect our patients.”

Today’s ruling closes the book on a two-decades-long story. In 1996, California law was changed so that the state’s physicians could only advertise ABMS certifications, unless a non-ABMS board was specifically reviewed and deemed equivalent to an ABMS member board by the MBC. ABCS has applied for equivalency under this process multiple times, and the MBC has repeatedly found that ABCS falls short of the state’s standard that requires their training programs to be equivalent in scope, content, and duration to training accredited by the Accreditation Council for Graduate Medical Education (ACGME).

While ABCS has previously had the option to re-apply, that is no longer the case. In 2018, California changed its board certification law and eliminated the MBC’s equivalency review process as of Jan. 1, 2019. As a result, ABCS cannot apply again and force the MBC to reconsider today’s decision.

The American Board of Medical Specialties (ABMS) is the national agency that regulates sub-specialty boards. Only those that have completed a residency in plastic surgery, underwent at least five to six years of rigorous training, and have taken a written and oral plastic surgery board examination are qualified to obtain plastic surgery board certification. The American Board of Plastic Surgery is the only plastic surgery board recognized by the ABMS that has the ability to evaluate the level of skill and training of plastic surgeons. Every surgeon that completes a plastic surgery residency and becomes board certified is trained to perform a full range of reconstructive and aesthetic procedures. Due to the high level of education and extensive training required to achieve board certification in a sub-specialty, board certified plastic surgeons are more qualified and more likely to provide you with optimal results.

Dr. Traci Temmen in Tampa, Florida went to medical school for four years at the University of Pennsylvania School of Medicine. Following graduation, she moved to Tampa, Florida to continue her training in an integrated plastic surgery residency for six years. She has been in private practice since 2011 and is a proud member of the American Board of Plastic Surgery.

 

Brazilian Butt Lift Safety

If you follow many plastic surgeons on social media or listen to the news, you will have heard recent safety concerns about the Brazilian butt lift surgery, also known as the BBL.  A Brazilian butt lift generally refers to liposuction of the trunk with transfer of the harvested fat to the buttocks and hips to create a curvier, more voluminous buttocks.  Unfortunately, if not performed correctly by an experienced, board certified plastic surgeon, the fat transfer portion of the Brazilian butt lift can be deadly.  Fat injected deep into the gluteal muscle can inadvertently enter the deep veins of the pelvis.  Once in this large vasculature system, fat globules can cause fat emboli in the lungs and even death.

Many surgeons and patients are now asking then, “Is the BBL safe?”  The answer is yes.  the Brazilian butt lift is a safe surgery if performed by a safe plastic surgeon.    So, what do plastic surgeons do to make the BBL a safe surgery and take the best care of their patients?  Most importantly, fat should not be injected deep into the buttocks and is only transferred into the subcutaneous layer above the gluteus muscles.  Additionally, the fat should be injected with blunt cannulas with constant attention paid to exactly where the injecting instrument is located.  Finally, proper patient positioning, tactile control of the instruments, and transferring the fat under low pressure all ensure optimal patient safety.

Because of this concern over the safety of the Brazilian butt lift surgery (and the fact that the BBL neither originated in Brazil nor actually “lifts” the buttocks), some plastic surgeons have started to refer to this procedure as Safe Subcutaneous Buttock Augmentation, or SSBA.  This name highlights the fact that when performed correctly, with fat transferred only in the subcutaneous layer, this surgery can safely and efficiently augment the buttocks and hips.

Dr. Traci Temmen in Tampa, Florida is just as concerned about her patients’ safety as they are.  She performs each Brazilian butt lift with meticulous attention to detail, safety, and aesthetics.  She monitors everything in the operating room, right down to the thermostat setting, to guarantee her patients the safest, most beautiful result possible.  Dr. Temmen routinely attends plastic surgery conferences where BBL safety is a core topic and stays up to date on the most recent BBL literature to ensure she is at the forefront of this evolving surgery.  If you are interested in a safe Brazilian butt lift, call Dr. Traci Temmen today at 813-771-6393.