If you’re a smoker considering cosmetic surgery, your plastic surgeon will likely require you to stop smoking for at least two weeks before your procedure ( I actually sometimes ask my patients to quit for up to 3 months in advance if they are heavy smokers–D. Medalie). A long-term follow-up study finds that many patients receiving these instructions will quit smoking, or at least smoke less, in the years after cosmetic surgery, reports the September issue of Plastic and Reconstructive Surgery®, the official medical journal of theAmerican Society of Plastic Surgeons (ASPS).
“Our results show an association between cosmetic surgery and smoking cessation at long-term follow-up,” said lead author Aaron C. Van Slyke, MD, MSc, of University of British Columbia, Vancouver. “Surgeons who request preoperative smoking cessation may influence patients’ long-term smoking status.”
Many Cosmetic Surgery Patients Quit or Reduce Smoking
The follow-up study included 85 patients who were smokers when evaluated for cosmetic surgery. Like most plastic surgeons, senior author Nicholas J. Carr, MD, required all patients from his cosmetic surgery practice to refrain from smoking for at least two weeks before elective procedures. Those instructions reflect a well-demonstrated increase in wound healing problems and other negative outcomes among smokers after plastic surgery.
Five years after cosmetic surgery, 47 patients responded to a follow-up survey. Most of the patients were women; the average age was 40 years. The most common procedures were tummy tuck (abdominoplasty), breast lift (mastopexy), and facelift. After exclusion of five social smokers, the study included 42 patients who were daily smokers before cosmetic surgery.
In the follow-up survey, about 40 percent of patients said they no longer smoked cigarettes on a daily basis. Nearly one-fourth had not smoked at all since their cosmetic surgery procedure.
Most patients said they had reduced their cigarette use by any amount. Seventy percent agreed that discussing their increased surgical risks with the plastic surgeon influenced their ability to quit or reduce smoking.
However, one-half of patients admitted they did not follow the instructions to refrain from cigarette use before surgery. Nearly one-fourth continued to smoke up to the day of their procedure. Dr. Van Slyke and colleagues did not test to confirm whether patients had stopped smoking.
The complication rate after cosmetic surgery was higher in patients who continued to smoke: 24 percent versus 14 percent. (The difference was not statistically significant.) More serious wound-healing complications occurred in two patients, both of whom did not follow the instructions to stop smoking.
Due to the negative effects of smoking on wound healing, many plastic surgeons are unwilling to perform cosmetic surgery procedures in patients who smoke. Compared to studies in other groups, the new findings suggest that cosmetic surgery patients seem more likely to quit or cut back on smoking at long-term follow-up.
“This is consistent with previous research showing patients who seek to obtain cosmetic surgery are more motivated to sustain positive lifestyle changes,” Dr. Van Slyke said.
The results suggest that patients were more motivated to quit by targeted messaging with specific examples of the negative effects of smoking, rather than by a description of the general health benefits of smoking cessation. The authors conclude, “The dialogue between plastic surgeon and patient during the cosmetic surgery consultation serves as a unique moment to provide targeted smoking cessation counseling that may persist well beyond the surgical interaction.”
Dr Medalie is pleased to announce that once again he has been elected one of America’s top doctors. He is proud to serve Cleveland and Ohio as a premier plastic surgeon and will continue to strive for best results for his Cleveland plastic surgery patients.
Dr. Medalie of Cleveland Plastic Surgery is happy to announce that he has been selected for the 2013 Best of Cleveland Awards for Plastic Surgeons. He is proud to serve his community and will continue to strive for the optimal outcomes for all of his patients.
Dr. Medalie of Cleveland Plastic Surgery and Metrohealth medical center is pleased to announce that he has been given the “most compassionate doctor” award. Through multiple patient reviews he has been elected to this honor. He is gratified to have received this award and will continue to serve his Cleveland, Ohio patients and patients from all parts of the country with the utmost dedication, expertise and compassion.
It is with great pleasure that I announce my election again to Castle Connolly’s list of top doctors in America. I am proud to perform plastic surgery on my patients from Cleveland, the state of Ohio and all neighboring states. I encourage any interested patients to contact me through this web site for more information about cosmetic and reconstructive plastic surgery.
Dr. Daniel Medalie is recognized among Castle Connolly’s Top Doctors® for Cleveland, OH region in 2013.
A Cleveland, OH Board Certified physician specializing in Plastic Surgery, Dr. Daniel Medalie, is a Castle Connolly Top Doctor for 2013.
Cleveland, OH (PR Newswire) May 20, 2013 – Castle Connolly Medical Ltd., America’s trusted source for identifying Top Doctors, has selected Cleveland’s Plastic Surgery specialist Dr. Daniel Medalie for inclusion in its highly selective list of Regional Top Doctors this year.
Castle Connolly Medical Ltd. publishes its list of Castle Connolly Top Doctors® at www.castleconnolly.com, as well as in a wide variety of printed directories, partner publications and on partner/affiliate websites including US News and World Report’s annually updated list of “Top Doctors.” All told, fewer than 35,000 physicians – less than 5% of the nation’s licensed physicians – have been selected as Castle Connolly Top Doctors in their regions for their specialties.
Castle Connolly Top Doctors® are selected by Castle Connolly Medical Ltd. after being nominated by peer physicians in an online nomination process. Nominations are open to all board certified MDs and DOs and each year tens of thousands of doctors cast many tens of thousands of nominations. Honorees are selected from the nominees by the Castle Connolly physician-led research team based on criteria including their medical education, training, hospital appointments, disciplinary histories and more.
For more information on this Castle Connolly Top Doctor, please visit Daniel Medalie’s profile on www.castleconnolly.com.
Castle Connolly Medical Ltd.’s President and CEO Dr. John Connolly has this to say about Dr. Medalie’s recognition: “Only a small percent of physicians are selected to be Castle Connolly Top Doctors. Our goal is to make it easier for an average person to find the right doctor for them in what can be an overwhelming process at a difficult time in a person’s life. Dr. Medalie was nominated by Board Certified peers and selected by our research team at Castle Connolly Medical Ltd. Selection is an impressive accomplishment worthy of recognition. My congratulations to Dr. Medalie.”
To find out more or to contact Dr. Daniel Medalie of Cleveland, OH, please call 216-778-4450. or visit www. ClevelandPlasticSurgery.com
Castle Connolly Medical Ltd. identifies top doctors in America and provides consumers with detailed information about their education, training and special expertise in printed guides and online directories. It is important to note that doctors do not and cannot pay to be included in any Castle Connolly guide or online directory. Learn more at www.castleconnolly.com.
Patients Honor Dr. Daniel Medalie for Compassion
Dr. Daniel Medalie of Cleveland, OH is ranked among the top physicians in the nation based on patient reviews.
Cleveland, OH (PR Newswire) month] 11, 2013 – Patients’ Choice has announced that Dr. Daniel Medalie was one of a select few physicians honored with the prestigious 2012 Compassionate Doctor Certification.
Each year, nearly 100 million patients across the U.S. access websites like Vitals, UCompareHealthCare, and Patients’ Choice to provide feedback about experiences with their physicians.
Only those physicians with near perfect overall and bedside manner scores, as voted by their patients, are selected for the Compassionate Doctor recognition. Of the nation’s 870,000 active physicians, only 3% were accorded this honor in 2012.
The Compassionate Doctor certification is part of the Patients’ Choice recognition program, where patients rate and vote for their favorite doctors.
Dr. Daniel Medalie commented on the recognition: “This is quite an honor for me. I am very pleased to have been selected and grateful to my patients who went out of their way to rate me and give me positive reviews.”
For more information on this Compassionate Doctor, please visit Dr. Daniel Medalie’s profile on Vitals.com.
Following the publication of Dr. Daniel Medalie’s selection for the Patients’ Choice Award, American Registry seconded the honor and added Dr. Medalie to The Registry™ of Business Excellence. An exclusive recognition plaque has been designed to commemorate the honor. The doctor’s custom wall plaque is shown here.
For more information on Dr. Daniel Medalie, located in Cleveland, OH call 216-778-4450. or visit www.ClevelandPlasticSurgery.com
This press release was written by American Registry, LLC with approval by and/or contributions from Dr. Medalie and was distributed by PR Newswire, a subsidiary of UBM plc.
Patients’ Choice provides in depth information on doctors in your area who have been recognized and awarded for outstanding patient care and expertise. The Compassionate Doctor certification is the honor role of physicians who have received the highest overall and bedside manner ratings by their patients. American Registry, LLC, recognizes excellence in top businesses and professionals. The Registry™ includes over 2 million significant business and professional recognitions. For more information, search The Registry at https://www.americanregistry.com.
Dr. Daniel Medalie
Dr. Daniel Medalie Selected For “Compassionate Doctor Award 2012.” Source: American Registry and Patients’ Choice on behalf of Dr. Daniel Medalie
New Survey: Women Want to See Breast Reconstruction Results Before Cancer Surgery
A new survey released today by the American Society of Plastic Surgeons (ASPS) shows 89 percent of women want to see what breast reconstruction surgery results would look like before undergoing treatment for breast cancer,* prompting the world’s largest group of board-certified plastic surgeons to launch a landmark show-and-tell event as part of Breast Reconstruction Awareness (BRA) Day USA, October 17, 2012 in New Orleans.
Dr. Medalie has been working hard for the last few months to completely redesign his web site. He hopes that you enjoy the new look and find the site easier to navigate. He also hopes that you find it the most informative web site of plastic surgeons in Cleveland, Ohio. Please note the expanded transgender sections (especially for FtM top surgery). He has also added multiple before and after pictures for labiaplasty and vaginoplasty. Over the next several weeks he will be adding multiple informational forms to the patient information section so that any and all questions will be answered by the site. If you have any questions or comments please e-mail him by clicking on the contact section of the site.
I just wanted to let some of my patients know that I have uploaded a new video about “top” surgery. This video shows an entire operation from marking to dressing. The operation performed is a double incision mastectomy with nipple/areolar grafting to hep a female to male patient begin their transition.The link is below.