About Our Office
Dr. Bitner is a partner at the Tanner Clinic. Tanner is the largest multi-specialty clinic in Davis county and has over 80 physicians. The clinic was started in the early 1950′s when Noall Tanner, my grandfather, Robert F. Bitner, and several other physicians decided to work together. The original clinic was on Gentile just north of Layton Elementary School. The clinic moved to it’s current location west of Davis Hospital on Antelope Drive. Over the years, it has continued to grow with the community. Dr. Bitner joined Tanner in July of 2009 as the first fellowship trained Facial Plastic Surgeon and Hair Restoration Surgeon. Dr. Bitner takes his insurance covered cases to Davis Hospital. Cosmetic cases are performed at the in-office surgical suite using either local anesthesia or general anesthesia. The in-office surgical suite is certified by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities). This Association certifies outpatient surgical facilities for safety, sterility and quality. Click here for details of the benefits of having surgery in a AAAASF facility and information on the strict requirements for certification.
There are many benefits to having surgery performed in our in-office operating suite. First, both Drs. Bitner and his partner, Dr. Yates, have done everything to ensure that the operating room is equipped with the supplies and instruments necessary and specifically for cosmetic cases. So, it functions efficiently and safely. The risk of infection, especially those arising in a hospital setting, are minimized simply because the patients having surgery in the office are not sick. Most cases are accomplished with local anesthesia and IV sedation using medications that make the patient comfortable and relaxed but still breathing on their own, able to protect their airway and not completely “under”. A combination of medications are used and most of the operation itself is not remembered. For cases where a deeper plane of anesthesia is necessary, the anesthesia group from the Davis Surgical Center or an anesthetist (CRNA) from Davis Hospital is asked to come over to the clinic and administer the medications for general anesthesia. A cosmetic surgical procedure performed in the clinic’s suite allows for convenience and privacy.
Cases performed in the clinic operating suite are not assessed an additional charge for use of our facility. This helps keep ancillary costs of cosmetic cases to a minimum. Cost savings from use of our OR are passed directly on to you, the patient. Safety, convenience, privacy and cost savings are all reasons to have your cosmetic surgery procedure done in our surgical suite at the Tanner Clinic. Call or email questions you have about our facility. You may also come in and meet Dr. Bitner and his courteous staff. We would be happy take you on a tour around the clinic and let you see for yourself.
Frequently Asked Questions
What are the costs associated with a procedure?
Whenever a procedure is performed, either insurance covered or cosmetic, there are three or four separate charges associated with the procedure. The first is the surgeons fee. This fee is used to pay for the physicians salary, office overhead, office nursing staff, secretaries, malpractice insurance, and other costs of running a practice. The second is the facility fee. This is used to pay for the cost of the surgical building, the equipment, the surgical nursing staff and liability insurance. Third, the anesthesia charge. This is used to pay the anesthesiologist salary, malpractice insurance and costs of running their practice, etc. Finally, if implanted material (i.e. breast implants, nasal or facial implants) are used the cost is passed on to the patient, often including a small shipping, handling and storage fee markup.
At Tanner Clinic, the ancillary costs for procedures performed at our in-office surgical suite are far less than what would be charged if the surgery were performed in a hospital or surgery center facility. There is no facility fee charged here. Further, when IV sedation only is administered, the cost of anesthesia is that charged by the nurse administering the anesthesia and is usually $300 or less.
What is the AAAASF?
The AAAASF stands for the American Association for Accreditation of Ambulatory Surgery Facilities. This association is strongly endorsed by both the American Academy of Facial Plastic and Reconstructive Surgery, the American Society of Plastic Surgeons and the International Society of Hair Restoration Surgery. The AAAASF’s goal is to provide a standard that ensures safety for the patient having surgery in the facility. The rigorous application process requires that we demonstrate appropriate equipment, policies, procedures and space for administration of anesthesia and performance of surgery in a manner that ensures patient safety. A certified facility inspector visits our surgical suite periodically and makes sure we are staying abreast of updates and changes. Once again, this process helps to ensure that surgery is performed under only the highest of safety standards. These standards either equal or exceed those required to perform surgery in a hospital setting.