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Outpatient Surgery Magazine “Joan Rivers’ Clinic May Lose Certification”

Outpatient Surgery Magazine “Joan Rivers’ Clinic May Lose Certification”

October, 2014

Geoffrey Keyes, MD, president of the American Association for Accreditation of Ambulatory Surgery Facilities, cautions against overreaction, telling Crain's: "Joan Rivers's case is one in a million. She is in a spotlight, so the reaction is 'Oh my God, people are dying in outpatient surgery centers,' but the actual incidence is very, very low."

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Outpatient Surgery Magazine

logo header - Outpatient Surgery Magazine | Beverly Hills | Los Angeles

October, 2005

The study detailed the American Association for Accreditation of Ambulatory Surgery Facilities' ongoing Internet-based peer-review program, which has analyzed 872,115 procedures between 2001 and 2004. Patient deaths occurred in 16 of those procedures, says Geoffrey R. Keyes, MD, a Los Angeles-based plastic and reconstructive surgeon and AAAASF board member. Dr. Keyes presented the study results at last month's American Society of Plastic Surgeons meeting in Chicago.

Dr. Keyes notes that 10 of the 16 deaths were the result of pulmonary emboli. "Pulmonary emboli occur in inpatient as well as outpatient settings," notes Dr. Keyes. "It's a problem in all of surgery and we will be conducting studies to lessen its occurrence."

To this point, the most publicized study of office-based surgery was a damning one, the seminal Archives of Surgery study in which researchers found the risk of adverse incidents and death in Florida surgical offices was 10 times that of the state's ASCs.

Surgeons operating in the country's 1,250 AAAASF-accredited office surgery facilities must be board certified in the specialty for which they operate and must be credentialed to perform the same procedure in a hospital. They're required to report all unanticipated sequelae into the Internet program, and to enter random case reviews twice a year, says Dr. Keyes, who notes that unanticipated sequelae occurred in one of 299 cases studied. Last year, AAAASF required its accredited facilities that administer propofol to upgrade to Class C (general anesthesia facilities).

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Wall Street Journal’s Article “Seeking A Safer Surgery”

wallstreet journal logo 200 - Wall Street Journal's Article "Seeking A Safer Surgery" | Beverly Hills | Los Angeles

July 21, 2009

The American Association for Accreditation of Ambulatory Surgery Facilities, the leading accrediting group, studied data at accredited outpatient centers from January 2001 through June 2006 and found 23 deaths among 1.1 million procedures. The most common procedure associated with the deaths was abdominoplasty, or tummy tuck, followed by face-lift surgery. Risks increased when multiple procedures were performed during the same visit. The leading cause of death was a pulmonary embolism, in which a blood clot forms and travels to the lung. Other causes of death included heart attacks following surgery, heart and breathing problems related to anesthesia, and abuse of pain medications given after surgery.

Patients also had complications including hematoma, or internal bleeding, following breast-enlargement surgery, infection, the development of dead tissue known as necrosis, cardiac arrests, breathing problems, pulmonary embolism and other blood clots, and allergic reactions. “Complications occur even in the best of hands under the best of circumstances,” says Los Angeles plastic surgeon Geoffrey Keyes, who led the study. “But outpatient surgery is very safe for healthy patients in accredited facilities run by competent professionals.”

To read the full article, click here.

Complimentary Consultations

Complimentary consultations with Dr. Geoffrey Keyes now available in Bakersfield, CA!

San Dimas Med - Complimentary Consultations | Beverly Hills | Los Angeles

We will be seeing patients for complimentary consultations and follow up appointments on December 30th, 2014 at the San Dimas Medical Group Offices in Bakersfield, California. If you would like to take advantage of this opportunity to meet with Dr. Geoffrey Keyes, please give us a call at (310) 859-9388 to schedule an appointment.

The San Dimas Medical Group office is located at 100 Old River Rd. Bakersfield, CA 93311

Rhinoplasty to Improve Nasal Symmetry

165922019 xs - Rhinoplasty to Improve Nasal Symmetry | Beverly Hills | Los AngelesRhinoplasty can be performed for any number of reasons, whether the goal is to improve the aesthetics of the nose, the function of the nose, or both. Ultimately, what is most important is that the plastic surgeon performing the rhinoplasty has a keen artistic eye along with finely honed surgical skills. Dr. Geoffrey R. Keyes is precisely such a plastic surgeon.

Indeed, Dr. Keyes is among the rare surgeons who are certified by two prestigious medical boards: The American Board of Plastic Surgery and The American Board of Otolaryngology – Head and Neck Surgery. As a specialist in nasal surgery, Dr. Keyes is esteemed by his patients and his peers, alike. He has vast experience and a history of success in performing rhinoplasty surgeries of all types, including rhinoplasty to improve symmetry, both for purely cosmetic purposes and for the correction of injuries to the nose.

At his state-of-the-art office in Los Angeles, rhinoplasty to improve symmetry can be performed both as a first-time procedure and as a corrective procedure for patients who are dissatisfied with the results of a past rhinoplasty performed by another surgeon. Whatever your reason for wanting to undergo rhinoplasty to improve nasal symmetry, you can count on Dr. Keyes to produce results of the highest standard.

About Nasal Asymmetry

Many people are born with some degree of nasal asymmetry. For some, it is a charming trait, part of their natural beauty. Many of Dr. Keyes’ rhinoplasty patients request that he maintain some of their natural asymmetry, even as he, for example, widens the tip or flattens the bridge of a nose.

However, some people are dissatisfied with the appearance of their noses due to congenital asymmetry. Others suffer from asymmetry due to injury. Whatever the case, asymmetry of the nose often results from:

  • Deviation of the septum
  • Misshapen nasal bones
  • Misshapen cartilage

The rhinoplasty technique used to improve nasal symmetry depends on the cause of the asymmetry and the scope of the correction. Dr. Keyes always selects the most conservative approach that will produce the best results given the circumstances surrounding each individual case. Whenever possible, he uses the closed rhinoplasty technique, which allows all incisions to be made within the nose so that any resulting scars will be hidden from view. However, there are cases in which the open technique allows for better access and therefore more dramatic changes to be made to the shape of the nose.

During your initial consultation with Dr. Keyes, he will inform you of all of your options so that you can make the most confident and educated decisions possible regarding your care. He will also discuss the pre- and post-surgical instructions that you will have to follow to ensure the smoothest possible rhinoplasty experience.

Learn More about Rhinoplasty to Improve Symmetry

If you are dissatisfied with the appearance of your nose due to asymmetry, we can help. To find out more about rhinoplasty to improve nasal symmetry, please contact the plastic surgery practice of Dr. Geoffrey R. Keyes today.