Economic crisis torn Czech, but plastic surgeons as the weight. Clinics are still full, and only during the last year have carried out approximately 30 thousand operations. People apparently prefer to put the purchase of a new car or furnishings and give you a solution to the problem, which often suffers from a very long time already.
“We have a quarter increase against last year clients. And last year, we grow so that we thought that it not be more,” says co-director of a Department of Plastic and Aesthetic Surgery Medicom VIP Petr Toufar.
For comparison, in the United States probably in the context of crisis operations and other interventions last year fell by twelve percent. According to figures from the American Society for Plastic Surgery to last into the care of doctors assigned to about ten million people.
Mild concern about its business owners said the Czech clinics were last autumn. Repayment if the company considered that, because of the crisis revoke offer loans, which shall be paid, inter alia, the plastic surgery.
The clinic would be a major blow. Beauty is the operation with the help of loans from splátkových company pays about one fifth of Czech patients and most foreigners.
In the Czech specialized loans for aesthetic and plastic surgery provides the only company Home Credit. From the data shows that the average amount usually exceeds fourteen thousand crowns, and the length of repayment is seventeen months.
The danger has been avoided but, loans run away. Rather than a lack of clients concerned about the low number of clinics specialized doctors. It’s apparently a system of professional training.
“Plastik is low, they must undergo a long preparation. And, unfortunately, not available or sufficient training places,” describes the state of the field in the Czech Republic plastic surgeon and co-private Center Perfect Clinic Roman Kufa.
Total take doctors who decided on the path of plastic surgeon, training for twelve years. “And we are preparing for the recently reduced,” adds fellow townsman Jan, majority owner and chief physician of Department of Plastic and Aesthetic Surgery Esthé.
It is also leading the field of bourgeois plastic surgery at the Institute of Postgraduate Education, where the new adept educate the profession.
Living in the series?
Interest would be was, and no wonder. Foreign TV series presenting plastic surgeons as a young, successful and above all very rich men. And not far from the truth.
Research International Association of plastic surgeons indicates that almost one fifth of U.S. plastic surgeons annually earns more than two million dollars.
Colleagues have their way on such sumách could have appeared, but their income does not belong to the category of low.
The individual clinician is initially unwilling to talk about money too, but finally admitted that the leaders in the field you can really earn. “Surgeon usually takes 25 to 30 percent of the price per transaction,” says Lubomir Freedom of clinics and other Esthé only confirmed his words.
“In practice, this means that the excellent doctor, a whole month to really work, often on weekends, you can come to hundreds of thousands of crowns,” states Roman Kufa from Perfect Clinic. A specific sum? Doctors agree on the issue of 400 thousand.
The difference against Western Europe is appreciable. In Germany, the doctor said the operation could earn up to seven times more than in the Czech Republic.
But here I said as I earn more, depending mainly on the doctors. “They must also behave properly to their patients, need to go dress appropriately,” refers to Roman Šmucler, owner and director of Department of Plastic and Aesthetic Medicine Asklepion.
The pay is around the middle of the budget of individual clinics, a significant part of the cost of the medicine and payments for energy, medical materials, rent and of course, taxes.
As, however, believes Peter Toufar of clinics Medicom VIP, is plastic and aesthetic surgery is difficult to compare with the business in any other field. “It’s health, helping people who are long-term concerns because of their appearance. Sometimes we have to make concessions that would probably never be a financial investor did not,” he explains.
Competition do not
Why, therefore, despite the high salaries of doctors shortage?
“We are thinking, how they raise at least as to minimize competition between doctors,” complains the Šmucler.
This in turn means that apparently bears and other consequences. Few should be depends on whether the doctor is good or bad, because the work is due to a lack of other options.
“Don on placements abroad, are not new trends. All are convinced that we do best sculpture in the world, but in the world to do it completely different,” adds Šmucler.
The solution would be in accordance with the import of foreign experts who would field in the Czech Republic moved forward.
“But it is not. Could I bring top experts from Russia, but not making an examination of the participle in English, and not a license and can not operate. Even the German doctor can not operate in the Czech Germans,” highlights the pitfalls of the Czech legislation.
Business amatérismus
Similar ustrnutí addition applies to other areas. Most of the main physician clinics managed by the business does not have much time. The professional manager usually missing.
“Plastic surgery is a complete business in the Czech Republic dropped opportunity. It is led by an amateur, as indeed the whole Czech medicine,” says Šmucler. As an example of price list of plastic operations, which started in the 90 years of last century, with minimal variations in prices still apply to all clinics.
Professional management is important. The cost of building a clinic run into millions of crowns. Confirmed by the Roman Kufa, which will open in the autumn of new branch in Prague.
“Construction of the clinic with two operating rooms from scratch out in the tens of millions of crowns. Precious is especially medical equipment,” reveals one of the owners of Perfect Clinic.
Much of the cost is also attributable to high standards for hospitals. Operating room for the purpose of plastic must meet the same health conditions as the standard.
“There must be such as air conditioning, which makes bacteria to the floor and the ventilation off, or monitoring system for each patient in the post-operative,” lists Kufa. Return on investment is estimated to eight years.
From head to toe
And what clinics earn? English version of Internet search engine Google identifies as masterfully top phrases from the aesthetic medicine word “botox”, “sculpture pain”, “Facelift” and “liposuction”.
Dozens of the most popular complementary sculptures breast, ear, knee, vagina and lobar sculpture or so-called “minilift”. Selection of the most popular treatments is illustrated by the Czechs after the practitioner requires.
And more precisely: English. Their counterparts in the surgery are still at significant minority.
“I can walk, although more and more, but their share is still small, in our clinic is around five percent,” notes Peter Toufar. Data is weight, according to the number of major operations is the Department’s largest center of plastic surgery in the Czech Republic.
Precise data on the number of “plastic patients” but are not available.
“Plastic and aesthetic operations are covered by direct payment of the patient, and we have no chance to keep statistics on this type of operation,” said Health Ministry spokesman Ekonom Vlastimil Sršeň.
More recently also formed a large part of foreign visitors to clinics, but now everything is different. Medicínští tourists appear more European countries and the Czech operating tables are slowly but surely declining.
Together with the reduced prices, which pays for treatments. While the sculpture was previously breast of another State, two to three times more than the Czech Republic, now the prices are almost balanced.
Promarněná chances
“Czech Republic in the battle of the medical destination number one lost. Now flying Hungary, while a few years ago we had to beat to one of us became a medical power,” notes Šmucler.
Czech medicine after the revolution to build on the work of emigrants who have returned home and abroad reputation. But then převálcovalo Poland. Local entrepreneurs began to recruit patients directly abroad and drive it to Poland for the operation.
Currently, the best to Hungary, where klinikai and helps local government. “Understand that medical tourism is the most lucrative tourism at all. To be awarded in London advertising the Hungarian dentists, while we must not let our ambasádách even a couple of leaflets,” complain Šmucler.
In Turkey, in turn, grow the entire city hospital dedicated solely to medical tourism. In addition to plastic surgery patients may need to undergo orthopedic operation or testing of Neurosurgery.
Czech clinics to recruit foreign patients in a systematic work rarely. One exception is Šmuclerův Asklepion that is because in the Czech Republic and statistical exception. On its domestic one patient, by one foreign.
From the latest available studies, which last year carried Hilcom company, Internet portal operator physicians online, suggests that the average Czech plastic surgeon, the proportion of patients from abroad, around ten.
“We speak to the five to six thousand patients a year,” says the study, the Executive Director of the company Paul Hilbert.
Most candidates for surgical enhancements zevnějšku come from Germany, Austria, Great Britain and Slovakia. Most, 87 of the whole, women who requested breast enlargement, or liposuction surgery lids.
But the question is the extent to which domestic klinikai paid zkrášlovat foreigners.
“Often patients travel here, which nobody wants to operate at home, so it may be risky practices,” warns manager Esthé clinics Lubomír Svoboda.
Roman Šmucler points in addition to other risks. Foreigners often said operating surgeon, for whom it is difficult to obtain Czech clients. The local customers you do not have a good reputation.
“Experience with such spoils the reputation of our doctors abroad. And thus we get back to the top of the circle, let us know why foreigners travel less,” refers to Šmucler.
The market is becoming just
It has been stated that plastic chirurgům in the Czech Republic – at least for now – doing. But, as it seems in recent years, rising to new competitors.
Plastic surgery require considerable investment and, moreover, years of study. Substantially cheaper and less time consuming option represent emerging laser and ultrasound centers that also offer aesthetic medicine and cosmetics.
While plastic surgeons atestovaných is spread according to the Czech Society of Aesthetic Surgery data total 101, a variety of cosmetic and dermatologických center using both the technology keeps a database of companies in the Internet portal Seznam.cz 180th A number of them still.
“Small practices for cosmetic laser comes with the tens of thousands of crowns, laser dermatology is for three million,” estimates Šmucler.
About how competitors operate, he knows his. Its center Asklepion, in addition to its own dedicated medical and sales of lasers for therapeutic purposes and other equipment for similar aesthetic center.
Only in the Czech Republic have already been equipped with seventeen laser center, then at various other locations abroad. And sometimes even the very exotic places. Six such centers are located, for example, in Kazakhstan Alma-Ata.
Many of them said to him, but programmed reporting. They go to them, the people who would “Šmucler to” never nešli.
Similarly, with the centers, which offer painless liposuction using ultrasound. Their construction and operation is significantly cheaper and are not tied to strict rules of hygiene such as plastic surgery.
People from foch “are skeptical to this method, however, can not deny that moving them to patients.
“In some countries this method is even prohibited due to possible health risks,” warns Toufar.
The traditional plastic surgery but has a big advantage. It is an outpatient procedure, after the client can immediately go home and nevypadne of employment.
“Few today can afford několikatýdenní recovery from severe surgical interventions. Therefore, the clients divert from conventional plastic operations and seeking aesthetic medicine that performs less and less radical surgery,” described Šmucler.
I, therefore, the share of income Asklepion plastic operations continuously reduces the benefit of various interventions dermatologických.
“People today do not want to have a long life in terms of long age. They want a long youth, they are sexually desirable and when they look at work as a promising man, but someone is needed to get rid of two months,” outlines the motivation of their clients Smucler .