San Joaquin County, California
Stockton has a population of over 300,000.
There are two full time plastic surgeons including myself. There are two part-time plastic surgeons, one in Folsom and Stockton, and the other in Sacramento and Stockton. There is a large medical center – St. Joseph’s Medical Center, which is part of Dignity Health Systems. There is also Dameron Hospital, with about 100 beds, and which is being incorporated into the UC Davis medical system. There is a County Hospital nearby at French Camp. There is a significant Kaiser outpatient presence in Stockton with a hospital in Manteca.
There are reportedly about 20 mastectomies a month in the Stockton area and almost no reconstructions. If every reconstruction requires on average 3 procedures and you reconstruct 50% of them, that translates into 30 procedures a month. That might bring in over $2m a year to the facility where they are performed. Based on that it should be attractive to the facility to help recruit you and give you income guarantees to get you started.
I have a beautifully appointed plastic surgery office completely renovated in 2010. I am willing to quickly transition all my patients to you. I have a great local reputation stretching back to 1979.
THE MOST AFFORDABLE HOUSING IN CALIFORNIA
My wife and I have moved recently from a beautiful 5,000 sq ft home on 1.5 manicured acres in Morada, which is a rural area only 3 miles from central Stockton. The quiet country streets have trees meeting overhead and there is virtually no crime. We enjoyed a large pool and spa, an outdoor entertaining area with fireplace and outside complete kitchen. Morada is quiet with a great middle school and there are excellent private schools for all age groups in Stockton. My wife and I now live in Lodi, surrounded by 53 wineries and numerous tasting rooms, and countless vineyards. My wife walks her dogs in the vineyards every day.
Plastic Surgery Office
My office is in the best part of Stockton on March Lane within the Brookside area. It is beautifully decorated and was completely renovated in 2010. It used to house a surgical suite, but I closed it and converted it into an office and an aesthetician’s room. It can easily be converted back if desired. The office has a nice waiting room and a large business area for the receptionist. There are also three exam rooms, a room for the office manager and another large room for the patient coordinator, and another for the plastic surgeon’s office. This is a turnkey facility ready made for a new plastic surgeon.
If you are interested, I also have a second office currently available with its own custom built plastic surgery surgical suite. I was very busy there for over 10 years, but moved to my other smaller office when I decided to slow down in preparation for retirement. It is currently available and looking for a tenant. So, it may not be available for long. It is also in the best part of Stockton, in the Brookside area on March Lane. Please see here for the attached floor plan. I am happy to help you with expenses by sharing it with you for a limited time if that helps.
Living in Stockton/Lodi
Stockton is in the California Central Valley, just 45 minutes south of Sacramento and 90 minutes from beautiful, vibrant San Francisco. It is the home of University of the Pacific – a very select small private university with a great reputation. It hosts the annual Asparagus Festival and is the location of the Haggin Museum. It is located at the head of the Delta – over 1200 miles of navigable waterways and a boater’s paradise. The Port of Stockton boasts ocean going cargo ships, and it is possible to travel to San Francisco and Sacramento by boat. Stockton has the best water for competition and recreational rowing in California. Stockton has its own ballpark, and an arena for sporting events and celebrity performances.
Although we never get snow here we are just 3 hours from beautiful Lake Tahoe and some of the best snow skiing in the world with many resorts close by. The gold country is very close and Yosemite National Park is relatively close. Although Napa Valley is not far away, the best Zinfandel in the world can now be found in Lodi, bordering Stockton to the north, where vineyards and wineries abound. Lodi hosts the annual grape festival. There are plans to boost tourism in Lodi to rival that of Napa Valley. There is talk of a future theme park of the size of Disneyland close to Tracy and a new Amazon Fulfillment Center is being built near Tracy.
Dr. Silverton’s Practice
I trained in the UK and did my plastic surgery residency at Emory University in Atlanta. I was on the faculty of UC Davis for two years before establishing my practice in Stockton in 1979. I have been in solo practice ever since. Over the years as the practice grew certain procedures were dropped. Early on it was hand surgery, then cleft lip and palate, then burns and then facial fractures and in 1995 all insurance was dropped. Even as the practice became 100% cosmetic rhinoplasty was selectively dropped. The practice now concentrates on aesthetic surgery of the breast, and trunk. Overhead has been minimized and the office staff have been extensively trained in handling the cosmetic surgery patient. Extensive forms, procedures, statistics and software are available for the new plastic surgeon. The practice has developed a thriving injectable clientele and I devote one week a month to injectables.
We use TouchMD, and have a vibrant marketing program and SEO management, but advertise minimally. Significant income is also derived from Ultherapy, TruSculpt3D and Verju Laser. We have an aesthetician and we carry Obagi, Teoxane, skIN3 products.
It is time to think retirement and all possibilities are on the table.
Dr. Silverton’s Practice Evolution
The practice was started on January 1, 1979 by Dr. Silverton. It has been a solo practice ever since. It started as 90% reconstructive, 10% cosmetic. As the practice evolved hand surgery was soon dropped. Dr. Silverton remained on a cleft lip and palate panel for a while, but soon dropped it because of lack of volume. Burns were discontinued after a few years. In the early 1990s Dr. Silverton dropped repair of facial fractures, and eventually dropped the reconstruction of major trauma.
Dr. Silverton severed all relationships with insurance companies in 1995. Breast reconstruction was not available after that and the numbers of breast reductions was reduced. During the cosmetic phase as the practice grew further, Dr. Silverton stopped doing rhinoplasty and severely reduced all cosmetic surgery of the head and neck. With the introduction of liposuction abdominoplasty to the practice in 2009, this procedure has increased in number.Breast augmentation and Mastopexy and Liposuction has also remained very strong. The surgical practice is mainly aesthetic surgery of the breast and trunk.
Although Dr. Silverton injected collagen in the 1980s and 1990s and did minor peels, the non-invasive cosmetic procedures, such as Botox® and Hyaluronic acid injectables started slowly in the early 2000s. It was managed by his OR supervisor. This changed when the nurse left and Dr. Silverton took over in 2007. The cosmetic injectable practice has grown from barely half a day a month to a full 5 day week a month densely packed with injectables.
He has had an aesthetician since about 2005. He has offered the full Obagi line to his patients since then.
He operates 3 days a week except during injectable weeks. The surgery schedule is full.
He purchased an Ultherapy machine and a Verju laser in 2014 and also recently added TruSculpt3D. He added Teoxane, Skin3 lines at this time. He also added TouchMD and creates monthly videos highlighting the monthly specials. He uses Insched and Inform and contracts out all dictation to an internet provider. The practice is all cash pay with no external billing.
John Silverton MD FRCS