The American Society of Plastic Surgeons reports that some major cosmetic surgery procedures, such as breast augmentation and liposuction, declined between 2007 and 2008—the most recent figures available. But minimally invasive procedures grew in popularity during the same period. That includes treatments with Botox, laser skin resurfacing, and laser treatment of veins in the legs.
Question: What's the first thing one should do when choosing a plastic surgeon?
Answer: Make sure your plastic surgeon is ... certified by the American Board of Plastic Surgery. You would want to ask your plastic surgeon what do they specialize in and "Have you done these procedures often?" You would want to ask for before-and-after photos. You would want to ask for some patient references and testimonials, to get a sense of how comfortable your plastic surgeon is with his or her results.
Q: Who are some of the best candidates for plastic surgery?
A: You want people to have reasonable expectations. You want to agree and confirm that the problem or the concern of theirs is real and something that is fixable. You want to look out for people whose expectations are unreal or [who are] seeking out plastic surgery to correct other social or emotional issues. Of course everybody knows of celebrities that have had extreme plastic surgery. As a responsible plastic surgeon, you really want to resist the temptation to get involved with treating patients who have had multiple procedures performed on the same area and are never satisfied.
Q: How many procedures is too many?
A: There is no fixed number. It varies by patient. Some people will take the opportunity to combine a few procedures together. What it does is that it actually allows the recovery to be lumped into one. It's cost effective because they're only undergoing one anesthetic. And they're sort of creating more improvement in more areas to make them happier. But most people usually ask about one or two procedures, and then occasionally people ask for a little bit more; but if they're good candidates, it's not unreasonable.
Q: What are some of the risks associated with procedures?
A: We're usually operating on fairly healthy, active, fit people. So the complications and the risks are actually rather low. But like with any surgery, there are risks for bleeding and infection and other more catastrophic occurrences, but they're very, very infrequent.
Q: How realistic are plastic-surgery shows like "Nip and Tuck"?
A: Well, I've only seen that show once, just out of curiosity, and it is so far from reality on so many different levels. Plastic surgeons are some of the most highly trained and experienced physicians and surgeons in the country. To become a plastic surgeon, you have to go through, typically, general surgery training, plastic-surgery training and many, many years of residency. So plastic surgeons take their craft and their art very, very seriously and typically don't involve themselves in interpersonal relationships with patients and all the sort of silliness. Not every plastic surgeon drives expensive cars, and so on.