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LiftMagic: See How You Would Look Like After Cosmetic Surgery

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This fun online tool can take your photo, do some magic with it, and then show how you would look like after a massive plastic surgery face lift. While the result are questionable, it’s still an interesting app for those contemplating about plastic surgery on their face.

Users may apply a variety of face-lifting enhancements (forehead, eyebrow lift, mid-brow, around eyes, beside eyes, inner and outer cheek, cheek lift, nose reduction, lip lifting… etc) and quickly visualize the results.

Steps:

  1. Upload image from your computer or from the web.
  2. Align white face box to the face.
  3. Adjust image by rotation, zoom and colors.
  4. Apply face lift enhancements using the slidebars.

Features:

  • Upload profile photo from your computer and apply facelift enhancements.
  • Visualize results online.
  • View and compare before and after images side by side.
  • Forward image to any email address.
  • No registration required. Free and easy to use.

Check out LiftMagic @ www.liftmagic.com

Cosmetic Surgery Apps

This is written was contributed by Penny Cooper exclusively for healthcareglobal.com. Contents are for information purposes only.

Edited by Abbie Smith

10. iAugment – Free

For those considering breast augmentation this app is an ideal source for information. Designed by a doctor, it provides a comprehensive overview of breast surgery and educates users about tried and tested procedure and recovery methods. They can also upload and modify pictures to see simulated before and after results.

9. BodyPlastika – £1.49/$1.99

BodyPlastika allows users to virtually test cosmetic surgery procedures on their iPads, iPods and iPhones. Using uploaded photos, they can shape various parts of their body to simulate nose jobs, cheek implants, chin and lip augmentation, jawline contouring and a range of liposuction treatments. They can then share the results on Facebook or Twitter.

8. The Plastic Show – Free

With this before and after surgery app, users can watch videos about everything cosmetic surgery-related. In a collection of the best YouTube plastic surgery clips, patients share their personal experiences, results of their surgery and allow viewers to see their start-to-finish transformations. The app also explores the topic of body dysmorphic disorder.

7. iLipo – Free

The iLipo app can be used on Apple’s three main mobile devices and enables users liposuction to perform virtual procedures on themselves. They can also participate in live consultations with renowned New York cosmetic surgeon Dr Kevin Tehrani to learn more about liposuction and request a price quote from his Aristocrat Plastic Surgery clinics.

6. FaceDecide – £0.69/$2.99

The FaceDecide iPad app is the newest addition to the Decide series by Orca Health. With advice coming directly from physicians’, it details information about common conditions affecting the face and aims to educate people about facial conditions. The app also provides a list of cosmetic surgeons close to users’ current location.

5. RealSelf – Free

This app features a collection of 8,000 before and after surgery photos from the Board of Certified Plastic Surgeons, Dermatologists and Cosmetic Dentists and users can vote on which makeovers they think were worth it. The app also includes a link to the RealSelf website where they can read patient’s personal surgical experiences.

4. BuildMyBod – Free

BuildMyBod is one of the most comprehensive apps detailing the estimated costs of a wide range of procedures, including plastic surgery and IPL skin rejuvenation and hair removal procedures without the need for a consultation. The app also features a listing of plastic surgeons in the local areaand provides contact links to their clinics.

3. Cosmetic Facial and Rhinoplasty Surgery with Dr Solomon – Free

Dr Philip Solomon is one of Canada’s leading plastic surgeons and an expert in Rhinoplasty. The app features 50 pre and post surgery images of procedures carried out by Dr Solomon, as well as the Virtual Plastic Surgery tool. Users can also contact Dr Solomon directly for advice on which procedure would be the best for them.

2. Cosmetic Plastic Surgery – Free

Cosmetic Plastic Surgery is the American Society For Aesthetic Plastic Surgery’s own app. As well as offering advice on up-to-date advice on plastic surgery procedures and regulations on patient safety, users can also search a database of reputable surgeons and clarify the meanings of a number of cosmetic surgery-related medical terms

1. Plastic and Reconstructive Surgery – Free

This is the app for the American Society of Plastic Surgeons’ (ASPS) official journal, Plastic and Reconstructive Surgery (PRS). Almost everyone involved in the cosmetic surgery industry over the last 60 years has probably accessed this publication for the most up-to-date news, advancements and discoveries in the world of plastic surgery.

PRS subscribers benefit from unlimited access to its recently revamped website featuring podcasts, high quality cosmetic procedure videos and archives of journal material dating back to 1946. The multimedia materials of the journal are available through the app and other highlights include downloadable issues and email and social media article sharing.

In comparison to the other apps featured in this Top 10 list, PRS is very much aimed at the major players in the cosmetic surgery industry as opposed to the market masses, but its comprehensive information and renowned reputation has deservedly earned it its number one position.

12 Things Plastic Surgeons Wish They Could Tell You

Mary-Kate and Ashley Olsen have made a career out of looking alike (although the famous twins are fraternal, not identical) but after the duo stepped out on a recent red carpet, it seems that era is over. Mary-Kate’s face looked remarkably different, making for an eerie “before and after” comparison. And Mary-Kate isn’t alone-several big-name stars appear to have radically altered their iconic faces with plastic surgery recently. Renee Zellwegger’s transformation was so drastic it caused a public outcry. “Sometimes you think, looking at stars, ‘They looked better before!’ and you have to wonder why they did it,” says Eugene Elliott, M.D., a board-certified plastic and reconstructive surgeon at Orange Coast Memorial Medical Center in Fountain Valley, CA. “Were they pushed to do it by an agent? Are they trying to fix unhappiness in life? You can’t judge other people from the outside but sometimes you do wish you could just talk to them about it.”

Getting plastic surgery can be amazing and life-changing, Elliott says, but only if you do it in the right way. Here are 12 things he wishes people would know before going under the knife.

A Plastic Surgeon Is Not a Fairy Godmother

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Have realistic expectations, both of what your body is capable of accepting and of what your surgeon is capable of doing. “It isn’t realistic to come in asking to look like a particular celebrity,” he says. “We can’t make you into a different person but what we can do is make you into a better version of you.” (Also, check out The Truth About “Holistic” Plastic Surgery.)

Get Surgery for You (Not Someone Else)

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“Pressure from friends or a boyfriend, a gift from parents, social recognition-none of these are good reasons to get surgery,” Elliott says. Rather, he looks for patients who want to get the procedures for themselves.

Getting Turned Down Could Be Good

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“I’ve absolutely told people no. Some people are just not good candidates for the plastic surgery they want. We’re not doing this to make you upset, we’re trying to protect you.”

Some Surgeons Will Operate on Anyone

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…But that doesn’t mean you should let them. “Everyone’s got to pay their bills, so you’ll be able to find someone willing to do the surgery you wan-but that still doesn’t make it a good idea,” he says, adding that the primary thing to look for in a good plastic surgeon, after making sure they’re board-certified, is communication. You have to be able to trust him or her. Having a trusting relationship with your doctor is important for your health. Check out 6 Things You’re Not Telling Your Doc But Should.

Getting Surgery Won’t Fix Your Life!

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Getting your breasts done won’t make an unfaithful boyfriend stop cheating. Getting a brow lift won’t make a husband with a wandering eye stop looking at younger women. Getting lipo won’t get you that job promotion you’ve been denied. “Surgery can absolutely enhance your life,” Elliott says, “but in the end, it’s just fixing something on the outside. It can’t fix your whole life.”

It Can Become a Vicious Cycle

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“Sometimes you see people who get surgery, hate the results, get more surgery to ‘fix’ it-or sometimes they love the results-but they get caught in this cycle of always trying to do one more thing, to try to look perfect,” Elliott says. But there is no “perfect” and even if there were, would it really be beautiful?

Don’t Do It to Feel More Beautiful

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Don’t think that having surgery will make you suddenly love yourself, Elliott cautions. People who are generally unhappy with their looks will still be unhappy with the way they look, no matter how well the surgery goes because at a certain point you have to learn to love yourself, imperfections included. Rather, he says the patients who are happiest get surgery to fix something specific like a hooked nose, scars from a childhood accident, or too-large breasts. “These surgeries are the ones I love doing the most because they can change change your whole life for the better,” he says.

See a Therapist Beforehand

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Elliott says it never hurts to talk to a therapist about why exactly you want surgery before you ever talk to a doctor. In fact, he’ll often recommend people see one if he thinks they haven’t thought it all through yet. “People will say, ‘I don’t like my face’ but then I ask, ‘Well what is it you don’t like? What are you hoping to achieve?’ and I know immediately from their answers if they’re ready,” he explains. (Also, here are 5 DIY Health Checks That Could Save Your Life.)

It Isn’t Easy to Fix Bad Plastic Surgery

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Despite what you may have seen on TV, corrective surgery is very difficult to do and the risks are amplified.

Know Your Pain Tolerance

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Any surgery entails risk and plastic surgery is no different-except the results are often even more visible than other surgeries. Even when everything goes right, there’s still a lot of pain involved in recovery. And no one wants to think they’ll be the person to have a complication, but you need to be prepared to handle it if something does go wrong.

It Isn’t Easy for Surgeons Either

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Plastic surgeons have to be both medical doctor and psychological guru-to a person they’ve only met a couple of times. “I’m always amazed at how easily people are willing to put their lives in my hands, it’s a great responsibility and sometimes we worry too,” he says.

You Can Be Too Young

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“I’ve seen some very mature younger people,” Elliott says, “but often young people simply may not have the life experience to make a decision of this magnitude.”

  • By Charlotte Hilton Andersen

Breasts, nose, neck: Actress Kaley Cuoco has had all of these body parts surgically altered. The 31-year-old actress had no qualms about sharing her plastic surgery past with us recently, calling her boob job the best thing she’d ever done for herself. “I don’t think you should do it for a man or anyone else, but if it makes you feel confident, that’s amazing,” she says.

With an endorsement like that, we wouldn’t blame you if you wanted to take a page from her playbook and call a plastic surgeon right this second. But it’s important to remember that plastic surgery can be life changing (for better or worse), so it’s not a decision to make lightly. To help you decide, two top celebrity plastic surgeons share what critical questions you need to answer before going under the knife:

1. When was your last growth spurt?

“It doesn’t make sense to perform elective surgery on a body that’s still growing and changing,” says Ryan Neinstein, M.D., a New York City-based board-certified plastic surgeon. “Your body height, weight, and breast size should stay the same for at least a year before seriously considering anything.”

2. What exactly do you want the surgery to correct?

You should have a very specific idea of what you want fixed, says Eugene Elliott, M.D., a board-certified plastic surgeon at Orange Coast Memorial Medical Center in Fountain Valley, California. Neinstein says that the happiest plastic surgery patients are those who use it to fix a specific issue and who are doing it as a way to normalize their body, not necessarily enhance it.

So if you know you want rhinoplasty—a.k.a. a nose job—to balance your facial features and help you breathe better, or you want a breast reduction to help relieve discomfort, that’s fine. But if you’re just looking to make a change that will make you feel better, that’s a red flag. “You shouldn’t come in if you just have a broad sense of disliking yourself,” says Elliott. “Despite popular belief, plastic surgery isn’t a cure for a low self-image.” Really drill down into what issues you’re consistently dealing with, then look into whether plastic surgery can solve the problem and enhance your quality of life.

RELATED: THESE SNAPCHAT VIDEOS OF WOMEN GETTING PLASTIC SURGERY ARE REALLY POPULAR

3. Why do you want plastic surgery?

Your motivation for permanently changing your body can make the difference between a successful result and lifelong regret, says Neinstein. “You should never change yourself to keep a boyfriend, fit in your social circle, look like a celebrity, or in response to a major event (like a divorce or job loss),” he says. “The best reasons are because it’s something you’ve been thinking about for a long time and you want to do it for yourself.”

4. What are you expecting?

If you’re dreaming of Kaley’s abs or Angelina Jolie’s lips, you can forget it. The point, both doctors say, is to make you a better version of you. “Many women go into plastic surgery with very unrealistic expectations of both the effects it will have on their looks and on their life,” Neinstein says. “We can only work with your body, not give you a new one.” Elliott agrees. To make sure you’re on the same page, the doctors recommend looking at digital models of what you could look like (many surgeons offer this software in-house, or you can try Plastic Surgery Simulator or Discover Beauty) instead of relying on before and after pictures of other people.

Afterward, “Ask yourself, ‘How will I feel looking in the mirror and seeing this change?’ If the answer is, ‘I’m finally going to look on the outside how I feel on the inside,’ then you’re good,” says Dr. Neinstein. “ if you feel unsure at all then you should wait.”

RELATED: WHAT IT’S LIKE TO GET PLASTIC SURGERY ON YOUR VAGINA

5. Have you done everything you can to help yourself first?

Both doctors say they recommend their patients make healthy lifestyle changes like exercising, eating a nutritious diet, and resolving any ongoing mental or physical health issues before considering surgery. Plastic surgery should never be your first choice for things you can fix on your own, says Neinstein. Plus, at the very least, working with a nutritionist, a trainer, and a psychologist beforehand can help you establish healthy maintenance rituals and can increase the odds your surgery will be successful. And it may mean you need less work done, like, say, dropping liposuction because you shed the pounds on your own. As for specifics, Neinstein says you should ideally have a BMI of 30 or under for any form of plastic surgery. (Torch fat, get fit, and look and feel great with Women’s Health’s All in 18 DVD!)

6. Do you know the risks?

First and foremost, “you could die,” Neinstein says. “It’s very rare, but this is major surgery and has the same risks.” Other risks of plastic surgery include infection, bleeding, scarring, and blood clots (which can also be fatal). In addition, about 5 percent of patients will need or want more surgery because they’re not satisfied with the results or because there was a complication, he says. Corrective surgery can be costly and painful, and the results aren’t guaranteed. Also, if you’re a smoker, well, don’t even walk in the door until you’ve quit, says Neinstein. Nicotine interferes with blood supply, he says, making surgery a no-go.

RELATED: I GOT INJECTABLE FILLERS—AND THEY DISFIGURED MY FACE

7. Have you done your homework?

Not all plastic surgeons are created equal and it’s important to find one that is board-certified, has a good reputation, and is willing to listen to you and answer questions, says Elliott. Then there’s the practical stuff: What type of procedure are you looking for? How much money will it cost? Do you have enough time off work? Do you have people who can help care for you after? Can you afford to fix it if something goes wrong? Make a checklist of all of the above, and make sure you have each and every question answered solidly before you book that surgery.

Watch Kaley Cuoco explain why she doesn’t regret her plastic surgeries here:

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Eight secrets plastic surgeons only tell their friends

– George Weston, MD

Experience and real results are critical when selecting a plastic surgeon

All plastic surgeons and practices are not created equal. We have different abilities and different levels of experience. Compare results by looking at before-and-after photos on their website and critique them carefully. Use resources like online reviews to read testimonials and seek referrals from former patients. Schedule a consultation and trust your intuition!

Choose a plastic surgeon who frequently performs the procedure you want to have done (this goes for any surgery). Again, use your common sense but be sure to do your homework too. Most people don’t realize that not all plastic surgeons specialize exclusively in cosmetic surgery. In fact, 90% do not.

Most plastic surgeons perform fewer than 15 facelifts per year. Wouldn’t you prefer to go to a plastic surgeon who performs 100 per year? In my professional opinion, with experience comes better results and more satisfied patients.

– George Weston, MD

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

FRIDAY, June 14, 2019 (HealthDay News) — A face-lift for Father’s Day, anyone?

It could happen: A new report finds many more men are taking advantage of the same plastic surgeries that have long been associated with women.

The midlife decision by men to try a face-lift or other procedure has been nicknamed the “Daddy-Do-Over” — referencing the “Mommy Makeover” for women.

Whatever it’s called, “men are embracing the idea of surgery more than before,” said Dr. Alan Matarasso, president of the American Society of Plastic Surgeons (ASPS).

He stressed that the average man approaching or in middle age might have different reasons for wanting a nip or a tuck, compared to his female peers.

“Obviously, men don’t go through the same physical changes that women experience during pregnancy and post-pregnancy, but their lifestyle does change, which can impact their appearance,” Matarasso said in a society news release.

“Diet and exercise patterns fluctuate, and they don’t sleep as much,” he added. “Men notice their body changes due to aging and parenting, and it starts to look completely different in their 30s and 40s. That is the point of a Daddy-Do-Over.”

In fact, according to the ASPS, more than 1 million men had cosmetic surgery in 2018, a 29% increase since 2000.

Like women, men are typically getting body contouring and facial procedures to enhance their physique and keep the dreaded “dad bod” at bay. The most popular procedure for men was rhinoplasty — a “nose job” — with 52,000 of the procedures performed on men in 2018, the ASPS said. That was followed by eyelid surgery, liposuction, breast reductions (24,000 cases) and hair transplants.

Botox injections are also popular with men, with nearly half a million procedures performed last year. Another 100,000 “filler” procedures were performed on men in 2018, the ASPS said.

One case in point is 57-year-old Scott, a restaurateur in New York City who said he couldn’t get rid of his spare tire.

“I realized I was never going to lose the weight on my own,” he said in the news release. “Plastic surgery is a personal decision, but I know guys my age who have done different cosmetic procedures. I think an open dialogue about plastic surgery is becoming more acceptable, especially for men.”

Men are increasingly getting plastic surgery to help them advance their careers and compete in the workplace, Matarasso said.

Dennis, 59, is a creative director working in the New York City fashion industry. He was lean and fit, but still struggled with fat accumulating in certain areas.

“I’ve been in fashion my entire career, and it makes me feel good when I walk in the room and I don’t feel as if I look 60 in a room of 25- to 30-year-olds,” Dennis said in the news release. “I always carried weight in my neck and chin, and my droopy eyelids made me look more tired than I actually was.”

He underwent an eye lift and chin surgery and says he’s “gained unexpected confidence from the small changes.”

Of course every surgery comes with risks, plastic surgery included, so Matarasso stressed that men consult at length with an accredited, experienced surgeon to maximize safety.

— Steven Reinberg

My Decision to Get a Nose Job Was About Much More Than Looks

As far back as I can remember, I’ve hated my nose. Despised it.

All of my body insecurity and self-confidence issues were tied in some way to this protruding lump in the middle of my face. It didn’t suit my face, it overwhelmed my other features. I felt like whenever I walked into a room, my nose was the first thing people noticed about me.

I desperately tried to accept my nose as a part of me. I’d even make jokes about it. But I couldn’t help but feel my life would be so different if I didn’t have this one facial feature that completely took over. I’d go on holidays with my friends and family and have a fabulous time — but seeing photos from the trip that captured me in profile would bring me to tears.

So by 21, I’d had enough. But I’d also resigned myself to the fact that surgery was out of the question. Surely that was something only celebrities or wealthy people did? It was bound to go wrong on a “normal” person, right? Still, I couldn’t help at least looking into it. And in the end, I actually spent a large part of my second year of university getting quotes from private surgeons from all over the world. But they all came back at over $9,000, which my student budget couldn’t afford. And I didn’t want to haggle a bargain when it was something on my face that I’d have to live with forever.

But then one evening, everything changed.

I spotted a post from a fellow blogger friend who had undergone a rhinoplasty procedure with a London-based cosmetic surgery clinic, Transform. Her results looked extremely natural and there were several finance options available. I booked an appointment.

Six months later, a week after I’d finished my exams, I was undergoing surgery.

Walking myself to the operating table knowing that I’d wake up with a different nose was the most surreal experience ever. Anxiousness, anticipation, excitement.

Will I look like a different person?

Will anyone notice?

Will I still be me?

Will anything change?

Well, actually — everything changed. Within the first month of having the procedure, I felt confident enough to experiment with makeup, and I landed a huge work opportunity! I also cut my hair for the first time in six years. (I’d wanted to grow it as long as possible to detract attention from my nose.) And, having experienced a breakup, I tried dating again. For the first time, I took a chance dating someone I’d never met before —previously, I’d only go on dates with people I’d met through friends.

In hindsight, I can’t quite believe how different I am as a person and how much of my self-confidence I attached to my nose. After the surgery, my confidence skyrocketed. I felt like I could throw myself into the career I wanted to chase after, without being held back by the stigma I had tied to my nose.

I felt like I finally had the face I was always supposed to have, with all of my features working with one another rather than one overwhelming the rest.

I was free from my confidence-withholding burden. No longer hiding behind it.

My advice when it comes to cosmetic surgery

Cosmetic surgery is obviously a huge decision and one that certainly shouldn’t be taken lightly. You are altering your body — permanently. And the effects aren’t just physical, they’re emotional, too. If you are thinking about any kind of surgery yourself, I implore you to read this first:

1. Manage your expectations

I think the single most important thing when undergoing any kind of cosmetic surgery is to manage your expectations, because this is where surgery can go very wrong. One thing I really appreciated about my surgeon was that he assured me that his key vision was to ensure my nose still suited my face. It’s dangerous to go in and ask for “Angelina Jolie’s nose,” for example, or to expect to emulate someone else. Surgery is about enhancing what you already have, not giving you something new altogether. For the most natural look, you want something that is going to be in proportion with your other features and work in harmony with them — so your surgeon should make that their goal, too.

2. There is no such thing as ‘perfect’

Striving for perfection is another common mishap when it comes to cosmetic surgery, and that’s dangerous. Because, quite frankly, perfection doesn’t exist. If you strive for a “perfect nose” you’re unfortunately going to be setting yourself up for disappointment. Aim for a nose (or feature) that works in better harmony with the rest of you. Remember, it’s not about emulating anyone else — it’s about YOU!

3. Do your research

I can’t stress this enough. In order to feel reassured that you’re in good hands and are going to get the natural result you want, you need to make sure you’ve conducted plenty of research. A personal recommendation always helps, because you can see the living, breathing, walking, talking result for yourself. And if that’s not an option, Google. Many surgeons have reviews online with before and after pictures, and if you can’t find them, be sure to ask the surgeon’s assistant. Don’t be afraid to ask questions and don’t feel pressured to rush into anything. Remember, this is a big decision and it has to feel right for you. I waited 10 years before going ahead with my operation, which gave me plenty of time to really think about whether it was something I truly wanted to do.

4. Give yourself time to recover

Here’s another very important piece of advice. While cosmetic surgery is elective, you still may be in a lot of pain, and you may have swelling and bruising. I gave myself two weeks off before returning to my usual activities, and this was more than enough time to start feeling more human again.

5. Give your results time

It takes time to really heal properly. While the results of cosmetic surgery are instant, swelling and bruising can mask the final result. For example, a rhinoplasty procedure carries a lot of swelling and bruising with it (especially if you’re having your nose broken to correct a deviated septum, like I was). While a lot of the swelling went down by the one-month mark, I’d say it was around six months later before I started to see the final result that I have now. Residual swelling can even continue up until the 18-month mark, so be patient!

My new nose is right for me, and gave me the confidence to be myself. I spent years thinking about what it was about my appearance that I felt was holding me back. I researched procedures and took every facet of my life into consideration. A body-altering surgery is not something anyone should just dive into, and I’m glad I took the time to truly think about my own.

Because a nose — or any feature — isn’t just something that’s attached to the rest of your body. It’s is part of your very being.

Scarlett Dixon is a U.K.–based journalist, lifestyle blogger, and YouTuber who runs networking events in London for bloggers and social media experts. She has a keen interest in speaking out about anything that might be deemed taboo, and a lengthy bucket list. She’s also a keen traveler and is passionate about sharing the message that IBS doesn’t have to hold you back in life! Visit her website and tweet her @Scarlett_London.

8. Your vision. Do you have a clear idea of what you want? “We ask patients to bring in noses they like,” says Powell. “Also, computer imaging helps; then there won’t be miscommunication.” But the surgeon may be hesitant to give a guarantee, he adds. “Some things that are possible in computer imaging are not possible in the operating room. The surgeon also has to have realistic expectations.”

9. Your surgeon. Have you found one you like and trust? There are three professional associations: The American Society of Plastic Surgeons (the oldest group); the American Academy of Facial Plastic Surgery; and the American Academy of Dermatology (they do smaller procedures like chemical peels, dermabrasion, eyelid surgery.)

Each association can provide names of surgeons in your area.

“Look for experience in the specific procedure and reputation,” Powell advises. “Don’t believe advertising. Word of mouth from other satisfied patients works best.”

Make an appointment for a consultation/interview. Interview two, maybe three surgeons, before you make your decision. Check out the doctor’s waiting room. Perhaps there are brochures the surgeon has written. There may be before-and-after pictures. Talk to patients while you’re there; ask how things are going. Consider how you feel while talking with the surgeon. Are you comfortable talking with this person? Are you getting candid answers to your questions?

Ask about computer imaging, about photographs of patients with features like yours. “You’re always going to see the best, but some are honest enough to show you their ‘80%’ pictures,” says Powell. “Otherwise, there’s an implied guarantee. Some even supply you with former patients to talk to. Even then, sometimes you get just the ‘wow’ patients.”

10. Teen surgery. “Lots of kids feel shy, feel self-conscious about themselves,” says Powell. “We have to be very careful. Once we talk to them, realize they’re socially and emotionally stable — and if they have a real problem, we will fix it. Sometimes fixing the nose or something that makes a teenager stand out can really help their self-image.”

“Liposuction is a little bit iffy for teenagers,” he says. “But we do a fair number of noses — that’s an obvious deformity and something that can be corrected at that age with very good results. Pinning ears back if they’re very self-conscious can help. We can also correct acne scarring, once the acne process stops.”

What is the difference between a Plastic Surgeon and Cosmetic Surgeon or Doctor?

You must do your research as a patient and ask the right questions which I will help you ask in this blog. What you get with a Plastic Surgeon is a minimal amount of training and expertise, everytihng else is a chance only.

What to ask your doctor or surgeon?

Does you a surgeon have a FRACS?

Is your surgeon qualified by the Royal Australian College of Surgeons, if so they will have FRACS by there name. Note all surgeons have a FRACS. A cardiac or orthopaedic surgeon should not be doing your facelift or breast augmentation. Now a general surgeon or ENT surgeon may perform breast surgery and Rhinoplasty/Septoplasty surgery, respectiveley. If your surgeon does not have a FRACS then they are NOT a surgeon and don’t have the minimal qualifications to perform surgery.

Does your cosmetic surgeon have a FRACS (Plast)?

If your surgeon performs cosmetic plastic surgery then they have to be a Plastic Surgeon. Ask if they have a FRACS (Plast), if they do great. If they don’t then there qualification is simply not recognised by any reputable formal body.

Does your surgeon have admitting rights in a major public hospital?

All FRACS surgeons have worked as Consultant Plastic Surgeons at some stage in there career. Surgeons who perform breast surgery or Rhinoplasty also have FRACS that have admitting rights in a public hospital. If your surgeon or doctor does not have admitting rights in a public hospital or cannot obtain them has not got the necessary minimum qualifications.

Does your surgeon intent to undertake the procedure in an accredited facilty?

Is the place where the proposed surgery registered as a day surgery or real hospital.

Will there is an anaesthetist present?

Who is making you feel no pain? Will there be an anaesthetist administering anaesthetic and pain releif or is the doctor proposing to do this.

What can be done under Local Anaesthetic Alone in a Medical Clinic?

Upper eyelid skin only blepharoplasty, skin excisions and minor liposuction can be performed under LA in the office. Some lower eyelid kin only and mini face lifts may also be done under LA. A plastic surgeon will assess the patient and always use a safe dose of LA if undertaking anything in the office. There is never a need to push the boundaries as all Plastic Surgeons can operate in a day surgery hospital or fully licensed private hospital.

What cant be done in the office?

Major liposuction, facelifts, breast augmentation and tummy tucks need to be done in accredited day surgery’s or private hospitals. All Plastic surgeons undertake such procedures in these facilities, because they can and beleive it is the safest thing to do.

Do Plastic Surgeons cost more?

Yes they do because of there training and expertise, but the extra cost is largely because you are paying for the cost of the surgical bed, nursing care and of course another doctor to administer anaesthetic. You pay for what you get. If is is too cheap it is probably unsafe.

What about Dr Jack Zoumaras

Dr Jack Zoumaras has a FRACS (Plast) and has undertaken further training in cosmetic plastic surgery in New York and Paris. He undertakes only minor procedures in the office and the majority of Plastic Surgery and Cosmetic procedures in major private hospitals. “I call myself a Plastic Surgeon an occasionally a Cosmetic Plastic Surgeon or Plastic and Cosmetic Surgeon, because the name Plastic Surgeon has a lot of prestige and denotes a minimum standard of training” “Most doctors in the cosmetic medicine industry at one stage or the other wanted to be Plastic Surgeons” “It takes a lot of extra training, patience and skill to be a Plastic Surgeon”.

What is the difference between cosmetic and plastic surgery?

Cosmetic surgery is a unique discipline of medicine focused on enhancing appearance through surgical and medical techniques. Cosmetic surgery can be performed on all areas of the head, neck and body. Because treated areas function properly but lack aesthetic appeal, cosmetic surgery is elective.

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is reconstructive in nature.

How does the education differ between a plastic surgeon and a cosmetic surgeon?

Because the procedures and outcomes of each are quite different, the training of cosmetic surgeons and plastic surgeons is also very different. As there are no residency programs specifically focused on cosmetic surgery, physicians pursuing cosmetic surgery have backgrounds that include medical school, a residency and/or fellowship program, preferably in a surgical specialty, usually followed by attaining board certification in that specialty, and post-residency training specifically in cosmetic surgery. This can be done through a cosmetic surgery fellowship program, as well as through workshops, seminars and lectures. Physicians with significant experience in cosmetic surgery become certified by the American Board of Cosmetic Surgery (ABCS), which has established a strict set of criteria to ensure experience and proficiency specifically in cosmetic surgery.

Plastic surgeons follow a similar path as many cosmetic surgeons. However, after finishing medical school they complete a residency and/or fellowship in plastic surgery, and then may become certified by the American Board of Plastic Surgery. At this point, a plastic surgeons additional training in cosmetic surgery is optional. If they choose, they may take steps to gain experience in cosmetic surgery through a fellowship training program, workshops, seminars and lectures, and then become certified by the American Board of Cosmetic Surgery after having completed the necessary requirements.

Board certification is extremely important in determining a surgeon’s qualifications. Each of the aforementioned certifying boards has very different requirements and measures a physician’s education and experience in different fields. It is important that the public as well as healthcare professionals understand these differences so patients can make informed decisions when choosing a surgeon for a specific procedure, whether it is a cosmetic or plastic surgeon. Education and patient safety are at the very core of the American Academy of Cosmetic Surgery (AACS) mission to advance the specialty of cosmetic surgery and quality patient care. As the only Academy for providing continuing medical education to cosmetic surgeons, AACS believes adhering to these principles provides the public with reassurance of the formal training and advanced education of cosmetic surgeons.

What does it mean to be “Board Certified”?

Board certification is one of the many yardsticks in determining a surgeon’s qualifications. It is important to ask your doctor about his or her credentials and study them carefully. Each certifying board has different requirements and measures a physician’s education and experience in different fields. Check your doctor’s board certification and professional society affiliation(s) and call the board or society to find out what the requirements are for membership.

All diplomates of the American Board of Cosmetic Surgery are certified by one of the member boards of the American Board of Medical Specialties (ABMS) such as the American Boards of Dermatology, Otolaryngology, Ophthalmology, Oral and Maxillofacial Surgery and Plastic Surgery. This provides some assurance of formal training in the fundamentals of cosmetic surgery. All of these specialty boards require at least four years of residency training in plastic and/or cosmetic surgical procedures and provide a solid base for the doctor’s skills.

Many of these board-certified physicians will then go on to complete the requirements to undergo the rigorous oral and written testing and scrutiny to become board-certified by the American Board of Cosmetic Surgery, which has established a strict set of criteria to ensure experience and proficiency specifically in cosmetic surgery.

The American Board of Cosmetic Surgery is the only certifying board exam devoted to examining a surgeon’s skill in cosmetic surgery of the face and body. It is an independent subspecialty board that examines and certifies physicians in general, facial and dermatological cosmetic surgery.

Eligibility requirements include:

  • Spend a full year training exclusively and comprehensively in cosmetic surgery
  • Perform a minimum of 300 individual cosmetic surgery procedures of the face, breast and body (recommended minimum requirement for plastic surgery residencies is only 55 cases)
  • Receive additional in-depth training in non-surgical cosmetic procedures, including Botox & fillers, laser resurfacing, and skin care (plastic surgery residencies currently have no training requirements for these treatments)
  • Perform and document an additional minimum set of cosmetic procedures following completion of 1-year fellowship
  • Pass a comprehensive, rigorous 2-day oral and written exam covering all aspects of cosmetic surgery

For more information on the American Board of Cosmetic Surgery, consult their web site at www.americanboardcosmeticsurgery.org.

It was only seven months of my life, but a year on I still find myself unsettled by the experience of working for a plastic surgeon.

We were a strange alliance from the outset – a midlife career change had left me with few employment options, and I’m certain my naturally lined face was not in keeping with his clinic’s aesthetic. But I had a background in digital marketing, and this plastic surgeon wanted in on the action online.

Snapchat, Instagram and Facebook were giving audiences unprecedented access to the world of plastic surgery. We could watch surgeons operating in real time, see before and after shots of their patients, and if we were lucky get a sneak peek into the private lives of these scalpel-wielding denizens of the OR.

In truth, when I applied for the job I knew little about plastic surgery. It seemed obvious that the rise of the selfie, the ubiquity of celebrity culture, and the explosion of social media in general were driving us to obsess over our looks like never before. I was intrigued, however, as to how this would translate into marketing strategy.

As I scrolled through the Instagram and Facebook feeds of some of Sydney’s most prominent plastic surgeons, I was inundated with photos of breasts and cleavage. The sales tactics turned out to be relatively simple: post highly sexualised images of your patients showcasing their newly acquired breast implants – on the beach, in bed, at the gym, or in the shower.

What struck me was the uniformity of the breasts and bodies. This was no celebration of the diversity of the female shape, this was a fetishisation of one particular body type – big breasted, long limbed, cellulite free perfection. The sort obtained with the help of a surgeon’s scalpel; a fact not lost, but rather reinforced by the use of hashtags.

I couldn’t help but wonder if our feminist foremothers had fought for this?

So I tried to take an ethical approach to this plastic surgeon’s social media presence. I wanted his feeds to be genuinely informative, and his brand, amid questionable industry standards, to be synonymous with safety.

It didn’t take me long to realise I wasn’t selling a Volvo. While the sensationalist Instagram feeds were attracting thousands of likes, the feeds I was curating were languishing.

All too soon, I found myself posting images of toned butts and tummies and asking our followers whether they had “stubborn diet and exercise-resistant fat”. Hint, hint, nudge nudge, liposuction may be the answer. One day I was told the “thigh gap” was “in” and I should “do a post on that”; as though having fat suctioned from an inner thigh was akin to buying the latest fashion accessory.

I was now complicit in an industry built on the exploitation of people’s insecurities. As feelings of guilt surfaced, I tuned into the stories and emotional states of our patients. Many had booked in for surgical procedures following a breakup, divorce or retrenchment; and a good many more were on medication for depression and anxiety.

Although I have no qualifications in mental health, it wasn’t hard to sense some of our patients were more in need of emotional care than expensive and painful body altering surgery. I thought of the psychological questionnaire we required patients to fill out on arrival. Who looked at it? What purpose did it serve if we were operating on mentally fragile patients? Did anyone care?

Still, I watched as one patient sold her car to pay for breast augmentation surgery, and others reached into superannuation funds, or took out expensive lines of credit to pay for procedures they could ill afford.

Six months into my contract I was called into the plastic surgeon’s office, and asked whether I truly believed in the “product”. I wondered what I would have to do to prove it. I knew in that moment it was time to leave.

Despite the job being a poor personal fit, I’m not categorically against cosmetic surgery. I am, however, deeply troubled by some of the sales tactics being used within the industry, as well as a lack of adequate preoperative screening procedures.

For those of you considering surgery for cosmetic reasons, I urge you to make sure it’s at the right time of life and for the right reasons. Don’t shy away from a session with a psychologist or a counsellor to discuss your motivations and expectations. If you have an underlying mental health condition plastic surgery will not fix it, but ongoing therapy just might.

• Jacqui Carter is a freelance writer based in Sydney

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