Concierge Medicine Directory

The complete directory of Concierge Medicine in the United States is online. Concierge Medicine goes by many names, boutique medicine, retainer medicine, executive health, VIP medicine, and personalized medicine. Finding the right Concierge Doctor is the most important step for patient considering the best care. Concierge Doctor is a new style of practice with old roots, in which doctors limit their patient base in order to provide patients with personalized service, high quality care, 24-7 availability, and other amenities. In exchange for this enhanced personal attention, patients pay physicians an annual fee. This concierge fee enables physicians to increase their compensation while managing their workload. In addition to receiving an annual fee, most Concierge Medicine continue to receive reimbursements from health plans and private pay clients. Concierge Medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. This may or may not be in addition to other charges. In exchange for the retainer, doctors provide enhanced care. Other terms in use include boutique medicine, retainer-based medicine, and innovative medical practice design. The practice is also referred to as membership medicine, concierge health care, cash only practice, direct care, direct primary care, and direct practice medicine. While all Concierge Medicine practices share similarities, they vary widely in their structure, payment requirements, and form of operation. In particular, they differ in the level of service provided and the amount of the fee charged. There are an estimated 5,000 concierge, or membership medicine doctors throughout the U.S. Concierge Medicine care for fewer patients than in a conventional practice. All generally claim to be accessible via cell phone or email at any time of day or night or offer some other special service beyond the normal care provided. The annual fees vary widely, from $600 to $5,000 per year for an individual, with the lower annual fees being in addition to the usual fees for each service and the higher annual fees including most services. Some concierge practices do not accept insurance of any kind. These are as cash-only or direct primary care practices. By refusing to deal with insurance companies, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. They become concierge only if the practice assesses an annual or monthly fee instead of or in addition to a fee for each medical service. Other concierge practices do take insurance, even Medicare, but ask for an annual fee for additional services exclusive of insurance plans. This annual fee is not a substitute for medical insurance, and generally does not cover consultations outside the practice, laboratory procedures, medicines, hospitalizations, or emergency care from other providers.

Minimal Scar

Minimal scar surgery uses modern techniques to reduce scars and avoid visible scarring. Minimal-incision or endoscopic surgery is performed using a tiny fiber optic lens inserted through half-inch incisions placed inconspicuously in your skin. The camera lens is connected to a video screen, allowing for visualization of the surgery. The surgeon makes small incisions for the insertion of tiny scalpels, scissors and retractors. The surgeon performs the procedure while viewing the television monitor and manipulating the tiny instruments externally. Minimal-incision surgery is particularly useful with younger patients, where the removal of excess skin is not required. A minimal-incision facial surgery for patients in our region to make the face look as young as they feel. A forehead lift or brow lift can smooth out your wrinkles and correct drooping brows and heavy lids to provide a younger, friendlier appearance. A mid-facelift or cheek lift can remove facial wrinkles and lift sagging cheeks, while a neck lift can tighten loose, sagging skin under your chin. Benelli made a major contribution to the reduction of breast lift scars. He eliminated the anchor and lollipop scar patterns used for breast lift and breast reduction. At first he developed a new skin procedure, he called the "round block," that he followed with two glandular techniques which were quite innovative. His technique leaves a scar around the areola only, coined the "doughnut pattern."

Fake v. Real

The question of the difference between real vs. fake breasts has become common in celebrity media. The quality of the surgery results in much of the difference between real looking and fake looking breasts. A poor boob job can introduce an unnatural looks. Breast implants are silicone rubber sacs filled with either saline solution or silicone, which increase the size of the breasts. Saline implants are the most commonly used form of implants in the United States. Implants come in different sizes, shapes and textures and a surgeon may place them under or over the chest muscles. Breast implants often sit higher on the chest than real breasts, and they appear fuller and rounder on top than real breasts. Breast implants often have a noticeable gap between the breasts, while real breasts tend to be closer together. Real breasts also fill out more at the bottom and not at the top. When in motion, breast implants often do not move much and will appear to keep their round shape, whereas real breasts will jiggle, bounce or shift depending on movement. There is mostly fat in real breast tissues and is therefore soft, whereas breast implants are more firm and less pliable. Silicone breast implants are generally softer than saline implants because they are made of a thick, gel-like substance that feels similar to fat. Saline implants feel more like muscle instead of fat. When women with breast implants do not wear bras, their breasts tend to stay firm and round. Natural breasts will hang lower and will not jut out much without a bra. Real breasts are mostly fat, which gives them a jiggle quality, if breasts look more like solid muscle, they may fake. One often can identify if breasts are fake by comparing them to the rest of the body. Although there is the rare woman who has a hot body and unusually large natural breasts, more than a few women make the mistake of going too large and getting very big fake breasts. Fortunately, these women are easy to spot: if she has the body of a dancer and breasts like a porn star. Check breast shape and alignment with her movement. Fake breast do not follow body movements as well. Many people associate breast implants with a large cup size, such as a D or DD. However, many women who opt for breast implants choose more natural-looking sizes such as a C or B cup. It can be harder to determine whether a woman has natural or implants at these sizes. In addition, padded bras create a similar effect to breast implants by lifting the breasts and making them appear larger. It can be hard to tell the difference between real breasts and implants when a woman wears a bra.

Pimple

A pimple is a result of a blockage of the pores. A pimple can be a pustule or papule. Inside a pore are sebaceous glands that produce sebum. When the outer layers of skin shed (as they do continuously), the sebum secretion causes dead skin cells left behind to stick together. This causes a blockage in the pore, especially when the skin becomes thicker at puberty. The sebaceous glands produce more sebum, which builds up behind the blockage, and this sebum harbors various bacteria including the species Propionibacterium acnes. Stress often causes pimples.