Out of Town Patients

Our practice is privileged to treat many patients who come from outside our geographic area. The process begins by contacting our office and supplying photographs of the area of interest. Facial photographs should include front and side views as well as a close-up view of the eyes. Breast photographs should include a front view and both sides. Oblique views are not essential but helpful. Abdominal views (front and side) should include the entire abdomen from the bottom of the breasts to the upper thighs. Liposuction views should extend from the navel to the knees and include front and back views. Examples of the different views preferred are found in the Gallery section for each procedure.

Lighting is important. It should be neither too dark nor harsh, and the subject area should be evenly lit. Phone pictures will produced distorted images when taken too close.  This is particularly true for the nose. Facial photographs should be taken with a completely neutral expression. Breast, abdomen, and lower body photographs should be taken with the arms at the sides.

After Dr. Hidalgo has evaluated the photographs, our patient coordinator will arrange a virtual consultation.Following this, surgery can be scheduled and our staff will assist with local accommodations. Lab work, and an EKG, if necessary, can be performed at home prior to travel.  The results should be sent well beforehand though, should any results require further study. Our nurses will coordinate your preoperative care and provide you with detailed procedure specific information beforehand.

Dr. Hidalgo will see you the day before surgery. This live consultation is important to review your goals and examine you prior to surgery. It also provides time to contemplate any adjustments in the surgical plan proposed at this meeting.

If you arrive alone we will recommend a nurse to stay with you at least overnight for most procedures, but up to 48 hours for facelifts and abdominoplasties. Travel home often can often take place 10 days after surgery but two weeks provides a greater safety cushion for more extensive procedures.

International Patients

Our practice treats patients from all over the world, including Europe, South America, India, Africa, the Far East, and Australia. The process is much the same as that described above. Due to differences in time zones it is most convenient to first communicate by e-mail to obtain preliminary information. Although we can make a surgical recommendation based on digital images sent, a supplementary virtual consultation is preferred to best define goals and formulate a customized plan.

Travel from afar has safety implications due to the propensity for blood clot formation in the legs associated with long flight times. Our practice recommends 12 hours on the ground in New York for every hour of flight time. This enhances safety by establishing an appropriate mitigating time interval prior to undergoing anesthesia. Travel home two weeks after surgery is generally recommended.

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    Our patient is seen here 6 months after rhinoplasty. The AI transition video shows the elegant nasal contour on the oblique view. One of the many challenges in rhinoplasty is that the nose has to look good on both the front and side views.  Surgical maneuvers that affect one view will also impact the other.  In this case it’s not just removing the bump but also making the nose wider on the front view than it was before, refining the tip, and raising it slightly. There is just a bit of tip swelling at 6 months. This can take another 6 months to resolve completely.  So far she is thrilled and so are we! 

#nose #rhinoplasty #surgery

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    Breast augmentation can be accomplished in many ways based on four variables: incision location, implant position above or below muscle, implant type (saline or silicone), and implant size.  The method should be individualized based on anatomy and patient preferences.  While many surgeons prefer one main formula, versatility is important to achieve best results because each patient scenario is unique. Our patient here had one of the most common approaches which is described in the still images at the end of the video. 

#breast #implant #surgery

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    Of course it’s never as simple as “just the bump” from a technical point of view. The nose still has to be completely taken apart in these cases.  All of the structural elements within have to be modified so that optimal aesthetics are established on both the front and side views. There were no breathing issues to address in this case, but they commonly co-exist. 

For the surgeons:  A narrow midvault required thin spreader grafts and an SEG was needed to preserve tip position. Subtle lateral crura modification with conservative  cephalic excision and transdomal sutures was performed as well. 

#nose #bump #surgery

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    The future is here!  This AI assisted imaging app has gotten quite varied reactions, ranging from “creepy” to amazing!  There is the obvious concern that the results are AI enhanced too. Therefore we will always show the static before and after images at the end to address this concern.  Please comment on what you think about this new tool!

#AI #image #truth

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