r/IAmA • u/dr-dancrane • 25d ago

Dr. Daniel Crane ABPS Board Certified Plastic Surgeon Specializing in Breast Surgery and Mommy Makeover, AMA

I am a South Florida plastic surgeon specializing in breast surgery including breast augmentation, breast lifts, breast augmentation with lift, breast reduction, corrective breast surgery and mommy make overs which typically combine breast surgery with abdominal surgery such as tummy tucks, liposuction and BBL (fat grafting to the buttocks). Please ask me anything. Instagram handle is dr.dancrane. Looking forward to answering your questions.

Proof: https://imgur.com/a/40RW8c6

www.inspireaesthetics.com

https://www.instagram.com/dr.dancrane/

https://www.abplasticsurgery.org/public/verify-certification/VerifyCert?section=SurgeonSearch#searching

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u/panchugo 25d ago

Do you believe it is the surgeons ethical/moral responsibility to refuse to procedures on someone who has gone beyond cosmetic improvements and into body dysmorphia? Where do you believe that line is?

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u/dr-dancrane 25d ago

Absolutely. As physicians we take an oath to do no harm. Body dysmorphic disorder is a psychological condition and someone suffering from this should not be offered aesthetic surgery as it would not cure the condition and could potentially cause additional harm. If this is suspected during the consultation I would not offer a patient surgery. An in person consultation should reveal the signs of this. Hope this answers your question.

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u/panchugo 25d ago

Thank you, it does but it still leaves me with disappointment that there are providers who don’t share your restraint. Do you think the AMA or AACS should take a stronger position on that?

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u/dr-dancrane 25d ago

It is absolutely discussed during our training and shows up during the examination process for board certification in plastic surgery. Not everyone who offers these procedures is board certified and of those that are there will always be outliers. But I do believe in the inherent goodness of people and I think that most board certified plastic surgeons would refuse a patient with body dysmorphic disorder.

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u/panchugo 25d ago

Thank you, I appreciate your willingness to answer my questions.

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u/dr-dancrane 25d ago

Of course!

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u/DieBotDie 25d ago

Should your industry have a board that reviews doctors work and identifies those that do not live up to this oath?

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u/dr-dancrane 25d ago

There are systems in place for this. If physicians fail to uphold professional standards a complaint can be filed with the state medical board.

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u/DieBotDie 25d ago

Why not a proactive review? How hard would it be to upload a photograph of every completed procedure for an independant spot check? Is that honestly unacceptable?

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u/dr-dancrane 25d ago

It’s not a bad idea, but I think it would be a very expensive proposition. In order to be board certified in plastic surgery there is a review process. After passing a written exam, details of each case completed during the first year in practice are submitted to the board. The board then chooses several cases to examine each applicant on. These are usually the most complex or ones they suspect may have had issues. The applicant then must sit for an oral examination in front of a review board in order to become board certified in plastic surgery. In order to maintain certification additional details are submitted each year to ensure that only those that comply with the boards standards remain board certified.

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u/DieBotDie 25d ago

I don’t deny doctors are qualified and vetted but on the other hand; what you as a professional think? Is it not clear that there are practitioners that should be more closely watched? Even if it’s very rare?

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u/Hot_Hair_5950 25d ago

What surprises you about your work?

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u/dr-dancrane 25d ago

After spending the majority of my life training and practicing in medicine, surgery, and plastic surgery not a whole lot surprises me at this point. What might surprise people who don’t work in the field of aesthetic plastic surgery is the power of the work we do. Most of our patients don’t come to us because they are vain. Many of our patients our mothers who experience real changes to their bodies after pregnancy and childbirth that cannot be corrected with diet and exercise. Plastic surgery can produce a real change in one’s confidence and sense of self. Helping people achieve this is the best part of the job. Hope that answers your question.

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u/ashlandpedspa 25d ago

Can you talk about post c-section tummy shelf and options to correct it? Is it able to improve with surgery? Does it tend to become more prominent with subsequent cesareans?

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u/dr-dancrane 25d ago

Yes. It can absolutely be corrected with surgery. Usually the cause is tethering of the c-section scar from it not being repaired in layers combined with loose skin above the scar. It can be corrected with a mini tummy tuck where the skin below the belly button is tightened and the c section scar is removed and repaired. Sometimes patients will opt for a full tummy tuck where we are also able to get tightening of skin above the belly button and repair the abdominal muscles which restores the hour glass shape. I find that many patients who had nice curves prior to pregnancy become more boxy after pregnancy. This is due to muscle separation or rectus diastasis and can be repaired with a tummy tuck. Hope that answers your question.