Earlier this month the Florida Board of Medicine made an unprecedented ruling that limits the variety of Brazilian Butt Lift procedures a surgeon can carry out to 3 per day and requires using ultrasound steerage whereas performing these surgical procedures. The ruling comes after a collection of BBL-related deaths occurred in Miami and plenty of surgeons within the state think about it to be a knee-jerk response that won’t enhance affected person security as the vast majority of surgeons within the state carry out the process safely. This week, a newly fashioned group known as Surgeons for Safety filed an enchantment to dam the brand new restrictions.
The ruling was made to assist forestall fatalities which might be brought about when the fats injected to reshape the butt enters the bloodstream, resulting in a fats embolism, which might happen in a short time in the course of the surgical procedure. Over the years, the process has come beneath hearth for the rising variety of affected person deaths, primarily occurring in South Florida. According to the Miami-Dade surgeons main the Surgeons for Safety group, a number of the numbers have been incorrectly attributed to BBLs and most of the fatalities occur at clinics that don’t use greatest practices and are typically known as “surgical mills.”
How Florida Surgeons Are Responding
“The message that we want to get across is that we’re all about safety,” says Miami plastic surgeon Constantino Mendieta, MD, who’s a member of the Surgeons for Safety group. “We always want to make any procedure that we do safer. That is our primary concern, however, the data used to make this decision is based off of media and not any evidence-based research. The board even admits that it’s not statistically significant.”
When the ruling got here down in early June, many South Florida surgeons got here collectively in response. Miami plastic surgeon Sergio Alvarez, MD says the Surgeons for Safety group was created as a grassroots motion in response. “This was spawned off of the idea that the Board of Medicine elected to call it emergency and implement emergency rules without input from the people on the ground, the surgeons who actually perform this procedure. We formed this organization because we are the ones who actually perform this procedure and we’ve never been part of the conversation. We believe this was the wrong approach.”
Reasons for the Appeal
While stressing their dedication to security, the group says they disagree with the board’s view that three BBL’s a day result in surgeon fatigue. “Last year, about 65 to 70 percent of BBL’s done around the country were done here,” provides Dr. Mendieta. “We have highly concentrated, super specialized surgeons that are extremely talented and true experts in this procedure. What is mind boggling to me and other surgeons was that they said, ‘Well, you can only do three because then you’re totally exhausted.’ This is not the case and it’s not based on any statistical data or evidence.”
The group can also be questioning the requirement to make use of ultrasound know-how, stating that plastic surgeons usually are not formally educated on the know-how and the gadgets usually are not available right now. “The problem is that 98 percent of us have never even seen the ultrasound, so this is like telling you overnight, ‘Listen, guys, we’re going to start driving on the left hand side of the road.’ We don’t even know what we’re looking at with the ultrasound and we’ve never used it before. Also, the ultrasound is on backorder for about two weeks.”
There are surgeons who’re adamant the ultrasound know-how makes the process safer, like Eugene, OR plastic surgeon Mark Jewell, MD, who believes surgeons ought to adapt to this new approach. “They are taking the wrong approach of complaining versus using this as an opportunity to differentiate themselves as safer because they are using sub-surface imaging to address safety concerns about fat embolism syndrom,” he explains. “We still keep hearing about BBL deaths from medical tourism.”
What Happens Next?
According to Colby Conforti, an lawyer consultant for Surgeons for Safety, the tip aim is to ascertain a dialogue with the Florida Board of Medicine to supply helpful suggestions and pointers that can promote affected person security. “We have a plan of action from a large group of physicians that have gotten together, including the board of Surgeons for Safety, to devise a solution that will actually address patient safety. That’s something that we’re looking forward to discussing with all of the appropriate individuals, organizations and regulatory agencies.”
Vero Beach, FL plastic surgeon Alan Durkin, MD, who just isn’t a member of Surgeons for Safety, echos the group’s issues and agrees with the choice to enchantment. “As a Florida plastic surgeon, I am eager to elevate patient safety standards across the board, as with every surgical procedure. However this one requires the greatest elevation in the shortest period of time,” he shares. “In my opinion the solution to increasing patient safety is not a blanket ruling that is widely punishing the surgeons who are doing it right, but to truly identify the surgeons, many of whom are not even real plastic surgeons, that are doing it wrong to prevent them from doing it wrong in the future, and to force them to join our elevations in safety.”
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