Thursday, July 24, 2008

Lipo new rules

I am intend to undergo liposuction in the future to remove some stubborn areas of fat.

But a GP? Frankly, the option is not that attractive when only one litre of fat can be removed per session.

I would rather pay a few hundred bucks more to consult with a licensed plastic surgeon and have a few more litres of fat pumped out.

I have consulted with a aesthetic doctor who is not a plastic surgeon. He charges $2500 - $3500 per area.

The tummy area is NOT considered one area. It is the middle section, the right abdomen and the left abdomen. So that is 3 areas! But then there is also the top abdomen and the bottom abdomen.

The range of prices for each area of lipo cost between $2,000 to $5000, depending on how experienced and famous is the doctor. Some doctors may even charge more.

Frankly, I would not advise anyone to see a plastic surgeon unless one is prepared to spend at least $10k -$30k!

Lipo can be a simple surgery of just pumping out the fats from parts of the body, but dun forget, complications can happen!

Can a GP handle all these complications of excessive bleedings, infections, nerve injury? Are they trained to do so?

Frankly, I am not that afraid of death, but I have seen pictures of lipo gone wrong. Gaping wounds, sagging skins, organs failure due to infections etc. And these sort of after effects of lipo are not really worth it!

Get a reputable doctor, preferably a plastic surgeon!

---------------------------------

The Straits Times
23 July 2008

Most GPs able to perform liposuction under new rules

Majority would clear key hurdle - a year's surgical training - when rules kick in

By Lim Wei Chean & Jermyn Chow

IT WILL likely be business as usual for most doctors who do liposuction when rules governing the now-unregulated surgery kick in this November. Most GPs would clear what many see as the main new hurdle - having one year of surgical training in fields ranging from urology to paediatric surgery.

Professor Foo Chee Liam, who is chairman of a new committee that will licence the surgery, said 'initial data' show that most GPs satisfy that requirement.

It was one of several rules unveiled over the weekend designed to regulate liposuction, which has led to deaths in other countries, but not here.

In November, doctors will also be required to have nurses on hand to monitor sedated patients. They are allowed to remove less than one litre of fat per session. Doctors who want to be accredited will also be assessed on their track record for liposuction.

The Society of Aesthetic Medicine, formed mainly by GPs, hailed the rules, which allow doctors to continue performing the procedure in their clinics.

Dr Benjamin Yim, a spokesman for the society, said the move requiring GPs to be accredited for liposuction by the new committee will benefit patients. The regulations will see the procedure performed in a safer and more professional manner, he added.

Doctors estimate that thousands of people have liposuction annually. A single session can cost $2,000 or more.

Some plastic surgeons, who for months had criticised the rules as being too lax, voiced their disappointment again on Monday. 'How is one year of surgical training in urology relevant to liposuction?' said Dr Colin Tham, spokesman for the Singapore Association of Plastic Surgeons. He said the new rules could sidetrack Singapore's goal of becoming a centre for medical excellence.

But others hailed the new rules as a move in the right direction.

'At least it will no longer be a cowboy industry where anyone can just buy the machine, watch a few DVDs and do the procedure,' said Dr J.J. Chua, a plastic surgeon. 'The onus lies on all doctors, including plastic surgeons, to show the authorities that everything they do is above board,' said the 42-year-old, who runs his own practice at Mount Elizabeth Hospital.

Madam Halimah Yacob, chairman of the Government Parliamentary Committee for Health, said the new rules will help protect the safety of patients. But she cautioned that liposuction should not be considered the only way to lose weight. 'Exercising regularly and maintaining a balanced diet are still the best ways to look good,' she said.

-------------------------

What you need to know about the procedure

What is liposuction?

It is an invasive surgical procedure in which solid fats are sucked out of the body. Performed under general anaesthesia, it typically takes a few hours and costs at $2,000 or more. Recovery follows in one to three weeks. Less invasive ways to remove fat include laser- or ultrasound-assisted liposuction.

How widely done is the procedure?

One of Singapore's most popular vanity procedures, liposuction is done here thousands of times every year, doctors say. No exact figures are available, though.

What can go wrong?

Botched jobs can result in infections, bleeding, skin ulcerations and nerve injury.

Who can perform liposuction now?

For now, liposuction is performed by a range of doctors - from plastic surgeons to general practitioners (GPs) in operating theatres or their clinics.

From Nov 1, however, only plastic surgeons and accredited GPs will be allowed to perform it.

To be accredited, GPs need to have spent at least a year in surgery, and they must acquire some training. They need to observe at least five such procedures being done by qualified medical practitioners and perform at least five procedures themselves under the supervision of these qualified practitioners.

Where can it be done?

From Nov 1, operations to remove more than a litre of fat have to be done in a hospital or surgical centre. Procedures involving less than this amount can be done in approved premises.

How is this procedure regulated overseas?

In Malaysia, private GPs have been barred from performing liposuction since last November, along with breast implants and laser- and light-based therapies. They also cannot use unapproved agents or inject products unsupported by evidence, such as growth hormones.

Britain, Australia and Canada have no specific regulations on cosmetic procedures. The British government encourages self-regulation, and independent bodies in Britain set recommended standards.

Doctors there are not required to undergo special training in aesthetic medicine, and no register of specialists in the field is kept.

Medical clinics in Canada are regulated, and they are required to administer anaesthesia.

France has a 15-day 'cooling-off' period, which forestalls liposuction practitioners who are hard-selling the procedure to their patients.

No comments: