Why you want to meet Dr. Edelstein - Toronto Plastic Surgeon

Dr Edelstein

It is the quality that characterizes the things you love in your life, and what sets them apart from the rest. Knowing this, Dr. Edelstein has forged his medical career with a single-minded focus on quality. Not only is he a panel member for the Quality Assurance Committee at the College of Physicians and Surgeons of Ontario, where he also writes case opinions, but his relentless pursuit to perfection has allowed him to achieve an average of 1% capsular contracture rate resulting from breast augmentation, bucking the industry trend of 10% to 25% (as reported by Health Canada).

As Head of the Division of Plastic Surgery at the Humber River Regional Hospital, Dr. Edelstein has over 15 years of experience as a Plastic Surgeon, with sub-speciality training in cosmetic surgery. He won't let you proceed with treatment unless it is in your best interest and medically advisable.

Read more about why you should meet Dr. Edelstein.


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Your Safety and Comfort Is Our Utmost Priority

Every surgical and non-surgical procedure performed at Edelstein Cosmetic is considered important. We want you to feel comfortable, secure, and well informed before proceeding with your treatment. As such, you will never feel rushed or ignored. Dr. Edelstein takes the time to understand your individual goals and expectations. You will receive an honest opinion about whether cosmetic surgery can help you reach your goals based on his professional medical expertise. If your expectations won’t be met, Dr. Edelstein will let you know. 

You will be informed about the procedure you are interested in  -  the benefits you can expect, the procedure itself, and the recovery period. Potential complications are always reviewed and never glossed over so that you may have a better understanding of the procedure and all of its related risks.

Throughout the entire process you will find Dr. J Edelstein and his staff accessible, accommodating and committed to making your experience at Edelstein Cosmetic both satisfying and safe.


14 Questions You Must Ask Your Cosmetic Plastic Surgeon.

Choosing to undergo a surgical procedure is a decision that requires preliminary research to help you understand what’s involved in your medical treatment. One of the most important decisions you’ll need to make is deciding which surgeon should perform your procedure. To ensure a higher level of satisfaction and significantly reduce complications, the most suitable surgeon for you should possess specific credentials, qualities and experience. The following is a list of questions you should ask your surgeon to see if they’re the right one for you:

1. According to the Royal College of Physicians and Surgeons, is your certified specialty designation Plastic Surgery? 

Plastic Surgery is a surgical specialty that involves lengthy study and training of a minimum of 5 years, after the completion of a medical degree. This period includes extensive surgical training at a more sophisticated level than, for example, a Family Doctor who only requires a minimum of 2 years of study. Areas that aspiring Plastic Surgeons are required to explore include complicated hand surgery, reconstruction following breast and skin cancer and microsurgery. Surgical complications are also examined so that they may be dealt with swiftly and efficiently to maximize patient safety.

Because your treatment is a surgical one, you’ll want a certified “surgeon” who is trained in all aspects of surgery, rather than a “physician” with little to no surgical training.

To check the status of a doctor or surgeon, please visit the directory of the Royal College of Physicians and Surgeons

2. Are you a Fellow of the Royal College of Physicians and Surgeons?

As a Royal College Fellow, your surgeon must:

  • Have completed a training program that is internationally respected
  • Have completed rigorous examination in Plastic Surgery
  • Participate, every year, in the Maintenance of Certification Program. This program ensures continuing professional development so that your surgeon better remains on the cusp of emerging trends.

According to the Royal College of Physicians and Surgeons, selecting a Fellow means that “you are working with an expert physician”.

3. Are you an active member of the College of Physicians and Surgeons of Ontario?

The College of Physicians and Surgeons of Ontario (CPSO) regulates the medical practice in the province. All medical doctors legally practicing in Ontario must be members of the CPSO. You can check your surgeon by visiting the College’s site at http://www.cpso.on.ca/docsearch/

4. Has any disciplinary action been taken against you by the College of Physicians and Surgeons of Ontario?

Every surgeon should possess the same values outlined by the CPSO.Disciplinary action is generally taken against a surgeon who has performed any activities that are deemed unethical, and may take the form of restrictions on their practice and suspension of their medical license. Disciplinary action is clearly detailed in the profile of any CPSO member, viewable online.

If disciplinary action has been taken, you should find out the complete details as they may help you determine whether that surgeon is suitable for you.

5.  Were you a distinguished member of your graduating class in medical school?

A solid foundation is key when considering a Plastic Surgeon’s background.  The receipt of awards and scholarships while in school is a good indication that they are well educated.

6. Did you pursue Cosmetic Surgery as a sub-specialty of your Plastic Surgery training?

While all Plastic Surgeons have intensive surgical training, only those who further pursue Cosmetic Surgery as a sub-specialty develop the suitable knowledge to perform such procedures as breast augmentation, tummy tuck and liposuction – surgeries that focus on aesthetic rather than functional improvement. Surgical facial and body contouring procedures require specific techniques and methods that require the appropriate training.

7. Do you have hospital privileges?

A Plastic Surgeon who has hospital privileges indicates that they are able to perform procedures at the issuing hospital. Hospital privileges are only granted to Plastic Surgeons who have the right license and training. To maintain their privileges, routine peer reviews are conducted to ensure a level of quality for the safety of patients.

If preferred, your Plastic Surgeon may also perform your surgery at the hospital.

8. Do you oversee the activities of other Plastic Surgeons? Do you have experience serving in a principal role at a hospital?

A certain level of accomplishment is required before a Plastic Surgeon may serve in a principal role, overseeing the activities of other Canadian Plastic Surgeons. A principal role, such as the Head of the Division of Plastic Surgery at a hospital, means that a Plastic Surgeon is recognized by their peers as possessing the necessary qualities and credentials to suitably serve in such a capacity.

9. Do you serve on any panels or boards governing quality?

This is another question that is designed to get an understanding of the level of accomplishment in their career.  

10. Do you perform your surgeries only at accredited facilities?

The surgical facilities at which your surgery is to be performed should be accredited by a nationally recognized organization. This ensures they meet standards that have been established for your safety. In order for a facility to be accredited, it must be appropriately equipped and staffed with medical professionals who have suitable qualifications.

11. Do you remain up-to-date with advancements in the field of Plastic and Cosmetic Surgery?

Cosmetic surgery is a medical science that is constantly evolving, with progressive techniques, sophisticated technology, and exciting new ideas. Make sure your Plastic Surgeon remains up-to-date by asking them if they complete additional training to complement their current knowledge. You may also want to find out whether they attend, on an annual basis, national and international Plastic Surgery conferences and symposiums that take place to enhance their professional development.

12. In addition to the question above, do you ensure that your techniques are current, modifying them as necessary to optimize their effectiveness and safety?

It is the responsibility of Plastic Surgeons to always remain up-to-date, so that you receive the safest and most effective treatment.

13. Has your research been published in peer reviewed national and international Plastic Surgery journals?

Conducting research allows Plastic Surgeons to obtain further understanding of a particular subject and share their findings with other doctors. When a Plastic Surgeon’s research has been published in a peer reviewed journal, it is good indication that the findings are insightful and are of interest to the medical field.

14. Do you have many patients who have referred their friends and family primarily because of the quality of treatment they received with you?

When you have a great family doctor or dentist, chances are you tell your friends or family to go to them, too. When a Plastic Surgeon has many patients who have referred their family and friends, it is safe to assume that it’s because of the service and treatment they’ve provided. 


Answers To The 7 Most Common Worries In Cosmetic Surgery

Dr. Edelstein has met with tens of thousands of patients in the 15+ years he has served as a Plastic Surgeon, both at Edelstein Cosmetic and the Humber River Regional Hospital, where he is Head of the Plastic Surgery Division. He understands that for most patients, deciding to undergo surgery is a serious decision. Undoubtedly, you may be worried about particular aspects of the experience.

Dr. Edelstein has compiled a list of the 7 most common worries of cosmetic surgery, and here he provides answers to them, in his own words:

1) I'm worried about the Anaesthesia:
This is one of the most common issues people worry about. Let's be clear right away: I have NEVER had a patient wake up in the middle of an operation, and have NEVER had a patient not wake up at the end of one. In fact, we wake up our patients right when the surgery is over, before you even leave the operating room.

In general, only elderly patients or those with significant medical problems (like heart, lung, or liver disease) are at increased risk with anaesthesia. Younger, healthy patients virtually never have issues with anaesthesia, so much so that I often do not discuss anaesthesia in-depth during the consultation compared to other risks. It is one of the reasons we always have a trusted anaesthesiologist present, most of whom I have known for years.

Another concern is whether a tube will be put down one's throat. While this type of tube is commonly used for other types of surgery, many cosmetic surgical procedures can be done using something called a laryngeal mask. This mask covers your windpipe, but doesn't actually pass through it, decreasing the chance of having a sore throat after the surgery.

2) I'm worried about Pain:
While everyone has different levels of pain tolerance, we strive to make everyone's experience comfortable. This begins with the surgery itself. During the operation, which is usually performed under general anaesthesia (ie asleep), you will not feel any pain at all. I use a delicate handling technique to minimize tissue bruising, and put in a long-acting local anaesthetic that will allow you to wake up from surgery pain-free and remain that way until later that day, or even into the next. As the freezing wears off, excellent pain medication is prescribed to keep you comfortable.

Most of my patients are pleasantly surprised that they had less pain after their operation than they thought they would have.

Despite the above, if you are still very concerned about the pain, we offer the Pain Pump. This smartphone sized device is worn on a belt, and delivers a long-acting local anaesethetic into the surgical site by a very thin, hair-like tube, for 24 to 48 hours, keeping you pain-free.

3) I'm worried about Scars:
Whenever an incision is made on the skin, it will leave a mark, which is a scar. This is unavoidable. I promise, however, to always do the best suture job possible. As a Plastic Surgeon, I employ techniques that leave the least-noticeable scars possible. There are also ways to hide incisions in locations that are difficult to see.

Scars will initially be red and a little raised, but over 3-6 months they usually get lighter in colour and flatten out, becoming a fine white line that is often difficult to see.

After your surgery, you will get an instruction sheet on how to properly look after the incisions in order to get the best-looking scars. You will learn about proper incision care, sun protection, as well as the use of scar gels and / or silicone sheeting.

4) I'm worried about Complications:
Fortunately, complications in plastic surgery are not common. At Edelstein Cosmetic, we try to do everything possible to avoid complications in the first place. If a complication does rarely occur, however, rest assured that you are in excellent hands. One of the most important reasons you should choose a board certified plastic surgeon is that they have been specifically trained to deal with problems that may arise.

Many patients want to know what would happen if they need additional surgery to deal with an issue. At Edelstein Cosmetic, if you have a problem that we feel can be repaired with additional surgery, the surgery would be done at no additional cost to you (this does not apply to normal changes that happen with aging, weight changes, and pregnancy, as well as requests to change implant size).

5) I'm worried that I'm going to Look Fake or Unrecognizable:
This is something that I understand. I get it. I don't want you to look fake or unrecognizable either (unless you actually want to, which is rare).

As such, I try to perform procedures so that you will get proportional and / or natural results. For example, I know that 85% of my breast augmentation patients want to be "proportional", and all of my facelift patients want to look "natural". These results are achieved by calculating a suitable level of improvement that is based on your pre-operative measurements to maintain overall harmony with your other features.

6) I'm worried about the amount of time I'll have to take off from work:
I understand that your time is valuable. For that reason, any procedure you undergo is designed to minimize the amount of time you'll need to take off from work.

For surgery, it depends on the type of procedure you are having, as well as what type of work you do. We always think it's a better idea that you take off more time than you may need and go back to work early, rather than not taking enough time off and going back to work when you don't feel up to it.

As a result, I usually recommend people take off at least one week. For tummy tucks and most facial procedures (facelift, eyelid surgery, browlift etc.), we recommend two weeks off. Taking two weeks off after a facial procedure is mainly related to swelling and bruising, but you could work from home. I may also recommend two weeks off if you have a particularly strenuous type of job. For non-surgical procedures, no time off work is usually required.

7) I'm worried that I won't be able to exercise or be physically active for a long time after surgery:
I usually recommend that you stay out of the gym for 2-3 weeks after your surgery to allow everything to settle down. If you start exercising too soon, it will usually aggravate swelling and bruising. For patients having procedures that involve muscle (for example, breast implants placed under the muscle or a tummy tuck), I recommend that those particular muscle groups not be exercised until 6 weeks after the surgery. After 6 weeks, you should be able to get back to your usual exercise routine.


5 Tips for Natural Looking Breast Augmentation Recovery

While we perform a whole range of facial and body contouring treatments to enhance your appearance, we have to say that our most requested is breast augmentation (with tummy tuck and liposuction a close second). As a result, Dr. Jerome Edelstein, one of Canada's top Plastic Surgeons, has invested his surgical expertise and artistry in designing techniques that help make your experience with Edelstein Cosmetic safe and comfortable, achieving the beautiful and natural breast improvement you want.

One of the keys to your successful transformation is a fast breast augmentation recovery. Here are 5 tips to help you achieve this.

1. Choose the right size of breast implants for your body with Dimensional Breast Augmentation. This unique technique is performed by Dr. Edelstein to help you select a breast implant size that will achieve an improvement that is harmoniously proportionate with your overall body contour. Our patients often report less pre-surgery hesitation and highly satisfying results.

2. Choose Dr. Edelstein, because he performs Rapid Recovery Breast Augmentation. This method minimizes the use of strong pain medications, medical devices (like drainage tubes or pain pumps) and surgical trauma to your body by making meticulous incisions rather than blunt dissection (a common practice that may shorten surgery length, but increases injury to your body).

3. Follow the pre and post surgical care instructions provided to you by Dr. Edelstein closely. These instructions have been designed to help you make the entire surgical experience more comfortable and less traumatic, reducing the complications that delay recovery.

4. Wear the right bra after surgery. You will be given a support bra that you will be wearing day and night for the first eight weeks, and in some cases, a tensor band around the upper part of the breasts for the first two weeks. Your breasts will need the support! Do not wear anything with underwire, as doing so can compromise your recovery by increasing risks such as permanent indentations and skin irritations.

5. Don’t forget to properly take care of your scars. Scarring is an inevitable fact, and it’s one of the biggest concerns for patients since it’s a telltale sign of your surgery. While Dr. Edelstein will minimize incisions and place them in inconspicuous areas, you can help the scarring process by following post-surgical care instructions and keeping the area well protected from the sun (tanning will make them more visible). You can also use products that help incisions heal. Proper care will allow your scars to heal well, until them become a faint, thin line that’s barely noticeable. If you look at breast augmentation pictures of patients who have fully recovered from surgery, you’ll notice that you can hardly see their scars!

A Note On Fat Grafting and Fat Transfer Breast Augmentation

Edelstein Cosmetic prefers to use breast implants for augmentation, rather than the fat grafting breast augmentation technique. This is because research and the professional experience of Dr. Edelstein has consistently proven that breast implants achieve beautiful results that are much more predictable, reliable and sustainable. There are many limitations to fat grafting for breast augmentation:

- The procedure tends to take much longer because first, fat needs to be taken from your body, processed (or “purified”), then re-injected into your breasts in several areas to create the desired enhancement. More than one surgery is often required to do this.

- More than half of the transferred fat can get reabsorbed by your body, which means your breasts may shrink gradually following your surgery.

- Enhancement of up to only half a cup size can be achieved.

- Research still needs to be done to create a technique that achieves results that are as reliable and effective as enlargement with breast implants.


Memberships and qualifications held by Dr. Jerome Edelstein

dr edelstein certifications

Dr. Jerome Edelstein is an active member of the American Society For Aesthetic Plastic Surgery (ASAPS), American Society of Plastic Surgeons (ASPS), Canadian Society For Aesthetic Plastic Surgery (CSAPS), Canadian Society of Plastic Surgeons (CSPS) and the International Confederation of Plastic, Reconstructive, and Aesthetic Surgery (ICPRAS). He is a Fellow of the Royal College of Physicians and Surgeons of Canada (FRCPSC) as well as is in good standing with The College of Physicians and Surgeons of Ontario.

Ongoing medical education is mandated as a condition of membership to the ASAPS, ASPS and as a Fellow of the RCPSC. This means that Dr. Edelstein always remains at the forefront of the Plastic Surgery field.

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