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seoulsister

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Posts posted by seoulsister

  1. Personally I would look for Dr Seo until you find him. Then report back here where's he's gone. He is that good.
    He is a PS surgeon. That's what he does. I think he will set up on his own or join another clinic. Be patient and thorough and you'll find him. Good luck.

     
  2. I am glad you are happy with your results. Well done!
    Here are MissOrange's thoughts on the subject which I have copied below for your convenience:

    @MissOrange

    >>Dr Hong at Fresh is excellent at facial fat graft and I have often named him and Dr Seo at MVP as the best in korea but was alarmed Dr Hong has no anaesthesiologist. You are comfortable with accepting this risk but many, especially those in the medical field in Western countries, are not as the risk of death is unacceptable and unnecessary. I wonder how much an anaesthesiologist would cost but surely if paying 4.4 million won to Fresh for breast fat transfer as I did it should include an anaesthesiologist to administer and monitor the effects of propofol, ketamine and midazolam (the same cocktail of drugs that were used in the HK heiress who died from the same operation, breast fat transfer)? In the UK, all anaesthesia for operations even iv sedation is administered by an anaesthesiologist. I was not prepared to risk death so cancelled 10 minutes before my surgery. Fortunately this only cost me loss of the deposit, ie 400,000 won or £280. Breast FT in the uk costs £4-5k or 7 million won but undertaken in a fully equipped private hospital full of anaesthesiologists, resuscitation equipment, ventilator, etc. ie first class service and the anaesthesiologist monitors and charts vital signs constantly during the operation and would immediately switch to intubation if the patient's oxygen sats started dropping. Breast FT in the US costs $9-11k.

    I wonder why her sats dropped during lipo of the left arm? Did the surgeon injure the brachial artery? Did she suffer a fat embolism? Why did she bleed out from her nose and mouth? Why were there 2 doctors? Was one a junior doctor being supervised?

    But at Fresh you sign a separate English consent form agreeing for Dr Hong to administer the IV cocktail of propofol, ketamine and midazolam, which raised alarm bells for me and that is why I asked the consultant whether there was an anaesthesiologist and she replied no, Dr Hong injects himself. I asked myself how could the doctor operating monitor my vital signs while concentrating on the surgery itself? What if I needed intubation? I thought I was already taking a risk with a doctor who was not a board certified plastic surgeon (ie one of the 9/10 doctors in Korea doing plastic surgery without plastic surgery board certification) but to take on another risk of no anaesthesiologist in the theatre or clinic, was one too many. Even Dr O in Belgium has a qualified anaesthesiologist who saw me before my arm lipo for a medical history and I was able to request ondansetron iv antiemetic, administered and monitored me during twilight sedation and Dr O can still offer competitively low prices for similar procedures.

    In the U.K., you can either have private plastic surgery in a private hospital under GA or cheaper private plastic surgery in the basement of a one surgeon clinic, a bit like Korea but the stark difference is that the twilight IV sedation in the basement is administered by a qualified anaesthesiologist in the U.K. who is often also a consultant anaesthetist in a NHS hospital. It is unheard of for the surgeon to be both surgeon and anaesthesiologist and for a nurse or surgeon to administer the twilight iv sedation. The only time a surgeon administers is if it is local anaesthesia.

    It means asking at each consult whether a board certified anaesthesiologist will be administering the anaesthesia. Often if it is facial contouring or rhinoplasty, it will be as this requires general anaesthesia but for procedures done under twilight sedation, I wonder if some clinics use nurse anaesthetists instead? It never occurred to me to ask until the experience with Fresh and we have been noticing more plastic surgery deaths in Korea of late. I have not heard of a plastic surgery death in the U.K. but have heard of postop stroke as a complication of surgery with general anaesthesia. I guess all operations come with risks which is why you should only get surgery if you really need it and not for a minor improvement.
     
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