The Cosmetic Surgery Clinic Nursing Achievement Award 

The Cosmetic Surgery Clinic has received incredible support from our community, and we are always looking for ways to give back. This year, the team has decided to focus on the next generation of healthcare professionals. We have created an award that will help to cover living and educational costs for a Conestoga nursing student, allowing them to focus more fully on their studies.
Dr. Shenker recently had the privilege of attending the McMaster University School of Nursing Awards Ceremony, where The Cosmetic Surgery Clinic Nursing Achievement Award was presented.
From the entire TCSC team, we want to congratulate Lile on her hard work, professional attitude, and dedication to enhancing patient safety! We can’t wait to see what comes next for you!

A few words from the desk of Dr. Shenker – What’s up with the long wait times?

November 1st, 2017 will mark the 10 year anniversary of the day I took over the Cosmetic Surgery Clinic from the great Dr. Peter Wyshynski. My goal since that day has been to continue to provide the outstanding service and excellent care that Dr. Wyshynski always provided his patients. The Cosmetic Surgery Clinic has been blessed with great success and rapid growth over these last 10 years. The diversity of services we offer is vastly greater than ever before. The number of staff we employ at the clinic is much greater than ever before. I have been blessed with the addition of Dr. Amy Chesney and Dr. Stephanie Ma, the most wonderful surgical colleagues a person could ask for. As a result of all of this change, the total number of very happy patients we have treated over the last 10 years far exceeds any scenario I could have anticipated back on November 1st 2007. But, as many of you are now discovering, along with all of this great success has come an unanticipated problem. Our patients are now experiencing much longer waiting times than they have in the past. This is particularly problematic for our non-surgical services with our Beauty Nurse team of Emily (Botox, dermal filler, skin care), Natalie (laser, peels, acne care, skin care), and Lauren (Botox, Coolsculpting, skin care). For those of you who are existing patients, I know there is frustration about how long you need to wait for follow-up visits or repeat treatments. For new patients, who are excited to join us at the Cosmetic Surgery Clinic, I know it is disappointing to call the clinic only to find out that you can’t get in for an appointment for several weeks or months. I promise you, we are not ignoring these issues. Over the last year, I have made it my highest priority to try to grow our team. The goal is to hire not just someone who is appropriately trained for the job, but someone who fits in with our family concept at the Cosmetic Surgery Clinic. We have reviewed hundreds of resumes. We have interviewed dozens of potential candidates. We have even trialed a few people on a probationary period. However, we haven’t quite found the right person yet. The search has proven to be more difficult than anticipated. However, the search continues!

So, while my team and I continue to search for our next Cosmetic Surgery Clinic team member, what can you do in the meantime?

The most effective way to avoid frustration with the schedule is to arrange several follow-up appointments at once. When you have your initial treatment, for whatever it is, schedule both your routine follow-up, as well as your next several treatment dates. That way, when your Botox starts to wear off, or it’s time for another microlaser peel, or any other treatment, you will already have your next several appointments scheduled. As you come for those next appointments, keep up that routine and you’ll always have appointments scheduled. We do keep an active cancellation list. Don’t hesitate to ask to be put on it. While cancellations are rare, they do happen, and we will call you. Keep an open mind, and a sense of humor. The reason the waiting list is long is because the services we provide, and the results we achieve are excellent. As a patient seeking these types of aesthetic services, I would be much more concerned if the clinic I called could accommodate my appointment request for the same day or the next day, then I would if I found out that there was a waiting list. Simply put, our waitlist is long because we’re great at what we do. And finally, if you know of any nurse who’s interested in working in the aesthetic industry, please tell them to send us a cover letter and a resume! Thank you for being so patient with us. We are working very hard to expand our capacity. We will always do our best to provide the best possible care and service to all of you. And in the meantime, sorry for the wait… Dr. Robert Shenker MD FRCSC Medical Director, The Cosmetic Surgery Clinic

An Important Message About Breast Implants

You may have read or heard recent news about the safety of certain types of breast implants. My partners and I perform numerous breast surgery procedures, including breast reconstruction and breast augmentation, for patients who travel from as far as Sarnia to our Waterloo, Ontario practice and Cambridge Memorial Hospital. Because of that, I wanted to address the news reports and clearly explain the facts involved. First, it’s important to know that breast augmentation with silicone gel breast implants is generally an extremely safe and predictable operation that produces results the overwhelming majority of patients find very satisfying, without complications. If you aren’t familiar with the recent news reports, the issue involves a process known as breast implant associated anaplastic large cell lymphoma (BIA-ALCL). This occurs when certain types of immune system cells, called lymphocytes, become cancerous and appear in a collection of swelling fluid surrounding a textured breast implant. This ALCL process is neither unique nor specific to breast implants. It has been seen surrounding other types of implantable devices, such as dental implants and joint replacement hardware. Only recently have textured breast implants been implicated. Even though researchers are in the early stages of studying ALCL as it relates to breast implants, certain facts we already know with certainty: Confirming the BIA-ALCL diagnosis involves collecting some of the swelling fluid and testing it for specific markers on the surface of the cells. Fortunately, nearly 100% of patients diagnosed with BIA-ALCL are cured when it is recognized early and treated appropriately. The most common treatment is removing the implant and the surrounding tissue capsule that contains the ALCL cells. It’s generally not necessary for a patient to undergo chemotherapy or radiation to cure BIA-ALCL. So, what if you have textured implants? The world’s leading authorities on the issue all agree that patients without swelling or any other symptoms don’t need to do anything other than to continue regular follow-up exams with their plastic surgeons. Experts agree that having surgery to remove textured implants poses more risk to someone with no symptoms than the extremely low risk of developing BIA-ALCL. We recommend our patients at The Cosmetic Surgery Clinic schedule routine follow-up appointments once a year, around the anniversaries of their surgeries. It is, and has always been, our policy at The Cosmetic Surgery Clinic to immediately see any patient who has a problem or concern, which ensures that none of our patients are ever left wondering who to call if they have a problem. Our door is always open if you have any worries about BIA-ALCL, or any other issues. That’s true not only of our patients with breast implants, but for anyone we treat. Call us at any time. If you’re not sure what type of breast implants you have, or you just have questions about cosmetic or reconstructive breast surgery, please don’t hesitate to call our practice at (519) 804-9822 or contact us online. We are always available for you.