Our Accredited Surgical Suite and Anesthesia Safety

Impersonal hospitals are sometimes unwitting breeding grounds for germs and infections. Whenever you have a choice, choose a facility designed specifically for your plastic surgery breast procedures. Visit New Your Breast Surgery Center in either Midtown Manhattan or Great Neck, Long Island to see the accredited surgical suite that meets and exceeds all industry standards. Have your procedure performed by the best surgeons in the area in an exclusive environment created for your safety and comfort. Call today for an appointment.

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    What Makes Our Accredited Surgical Suite Different from a Hospital?

    The accredited surgical suite at New York Breast Surgery Center was built around one clear standard — to maintain the highest level of patient safety, comfort and satisfaction. The standards here aren’t lower just because your surgery is elective. The environment where you have your breast procedure contributes to the overall success of your results.

    Your choice of facility matters as much as your choice of surgeon. Find the practice that puts the right tools in the right place, that ensures the best anesthesiologist is on hand and that your safety always comes first. That practice is New York Breast Surgery Center. This facility is perfect for every kind of breast surgery, from straightforward breast augmentations to complicated cases other practices turn away.

    Dr. David Shokrian and Dr. Mohamed Soliman Ahmed Elfar insist on a fully functioning, sterile environment before they make a single incision. Breast implant illness and other patient safety concerns can often be traced back to the operating room. Having a dedicated surgical suite is a clear advantage in a competitive New York market.

    “I consider the facility part of your treatment,” says Dr. Shokrian. “A skilled surgeon in the wrong room still has a safety problem. We built this space to make sure that problem doesn’t exist.”

    What Does AAAASF Accreditation Require?

    AAAASF stands for the American Association for Accreditation of Ambulatory Surgery Facilities. AAAASF has been the gold standard for outpatient surgical safety since 1980, and it holds that position because it’s hard to earn their accreditation. Trained inspectors walk through the facility in person, checking emergency equipment and verifying every protocol against a detailed checklist.

    The American Society of Plastic Surgeons (ASPS) requires its member surgeons to operate only in accredited facilities, and New York Breast Surgery Center meets that standard, which includes:

    • Sterilization and infection control protocols reviewed during every inspection cycle
    • Emergency preparedness requirements with life-saving equipment maintained and tested on-site
    • Anesthesia administration standards and continuous patient monitoring throughout every procedure
    • Staff training, medical records and quality assurance documentation reviewed for ongoing compliance

    Accreditation runs on a three-year cycle. The team doesn’t wait for an external review to catch problems. Standards get checked internally on a regular basis. When inspectors return, they review every facet from scratch.

    Who Is Actually in the Room with Me During My Surgery?

    On your surgery day, either Dr. Shokrian or Dr. Elfar performs your procedure. Your anesthesiologist, also in the room, doesn’t assist with the surgery. Instead, they focus solely on keeping you stable while your surgeon operates. It’s a vital role.

    Every procedure at New York Breast Surgery Center includes a board-certified anesthesiologist. This professional is a physician who completed medical school, a full residency in anesthesiology, and passed board examinations in anesthesia medicine. You won’t find a nurse anesthetist or a surgeon splitting his focus between your procedure and your vitals. You need this level of care to ensure your safety.

    What Happens If I Have Underlying Health Conditions before Surgery?

    Not everyone who walks in for a consultation is in perfect health, and that’s fine. What matters is that your surgical team knows your full picture before your surgery day. You must pass a pre-surgical evaluation, covering your medical history, current medications and any previous reactions to anesthesia. A board-certified anesthesiologist reviews all this information. Some health conditions may require a medical clearance from your primary care physician or a specialist first, such as:

    • A history of high blood pressure or cardiac events
    • Type 1 or Type 2 diabetes, especially if you’re actively managing blood sugar with medication
    • Sleep apnea, because a blocked airway while under general anesthesia is dangerous
    • A blood clotting disorder or previous deep vein thrombosis
    • Any abnormal reaction to anesthesia or surgical medications in the past, even if minor at the time

    “Depending on your medical history and lab work,” shares Dr. Shokrian, “other tests, like an EKG, may be requested before your procedure. Your anesthesiologist uses those results to build an anesthesia plan around your specific physiology. Individual preparation goes into every case here at New York Breast Surgery Center.”

    What Type of Anesthesia Will I Receive?

    The answer depends on your procedure and your health history. That conversation often happens in your consultation or shortly afterward. The three types of anesthesia used at New York Breast Surgery Center include:

    1. General anesthesia, where you’re fully asleep during the procedure. Your anesthesiologist manages your breathing throughout. This type of anesthesia is standard for surgeries like breast reconstruction, breast lift with implants and explant surgery.
    2. IV sedation, which you may know as twilight anesthesia. With this type of anesthesia, you’re deeply relaxed and unaware, but breathing independently. It’s used for procedures like male breast reduction, minor breast asymmetry correction and nipple correction.
    3. Local anesthesia, which numbs only the treatment area while you stay fully awake. This type of anesthesia is reserved for minor procedures only, like a scarless breast lift

    Some procedures depend on the level of work to be done. Your current medications, allergy history and previous anesthesia reactions all factor into which anesthesia is right for you. Nothing’s administered until you understand what’s being used and why.

    Why Is a Private Accredited Suite Safer Than a Hospital for My Procedure?

    A hospital operating room treats trauma cases, infected wounds and emergency procedures, sometimes back-to-back-to-back. As a breast surgery patient, you’re entering that same infrastructure, those same corridors, that same shared air. A dedicated surgical suite built specifically for breast procedures keeps your environment controlled from the moment you enter to the moment you leave.

    “Surgical site infection rates in hospital settings are a documented clinical concern” says Dr. Shokrian. “If you’re a healthy patient coming in for breast reduction surgery, for example, you don’t need that exposure. The same team that prepared for your procedure runs it. This level of quality and safety explains why out-of-town patients fly in from other states.”

    How Does My Surgery Day Progress?

    When you arrive, the nursing team brings you to a private pre-op area, confirms your chart and gets your IV started. Your anesthesiologist comes to see you before you go into the operating room. All your questions get answered before the surgery.

    Before your procedure begins, the surgical team goes through a safety checklist. Every person in that room confirms their role. Your identity, your procedure, your allergies and your anesthesia plan are all confirmed out loud with the full team present.

    After your procedure, you’re brought to a private recovery area where a licensed registered nurse monitors you while the anesthesia wears off. You leave when the clinical team says you’re ready. What happens to your incisions and scars week by week depends on the specific procedure and the technique used.

    What Keeps Me Safe During the Procedure Itself?

    Your anesthesiologist watches your vital signs the entire time you’re under anesthesia. If anything shifts, it gets caught immediately. Emergency equipment is on-site and gets tested on a regular schedule. If something goes wrong, the equipment to handle it is already in the room. Both Dr. Shokrian and Dr. Elfar hold surgical privileges at nearby accredited local hospitals, and a direct transfer pathway is already in place in case you need it.

    “There’s no optional version of safety,” says Dr. Shokrian. “Not on equipment, not on the team, not on the protocols. Every piece has to be right every time.”

    Your safety inside the accredited surgical suite at New York Breast Surgery Center is built in before the anesthesia starts and before your surgeon makes the first incision. This practice maintains that standard for every patient. Schedule your consultation in Midtown Manhattan or Great Neck, Long Island to visit this accredited surgical suite in today.

    Medically Reviewed on July 24, 2026 by Dr. Shokrian (Plastic Surgeon) of New York Breast Surgery Center of New York
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