Friday Photo: Winery Work
December 15th, 2011
A look at our foggy day of work almost completed at Kitchak Cellars in Napa. It’s amazing how much physical labor is involved in making wine and I have the tired muscles to prove it! Check out our 2008 harvest documentary that Lindsay filmed at the winery. Click here.
Cosmetic Surgery: Unrealistic Expectations
December 14th, 2011
Who should have cosmetic surgery? So far, I have mentioned that physical health is a necessity before elective cosmetic surgery should be considered and that I require a current history and physical by an independent primary care physician before any patient is added to my schedule for surgery.
Let’s talk about patient expectations or why somebody is seeking cosmetic surgery to make a physical change. I evaluate patients on several levels. Patients with a good mental attitude, including healthy motivation are generally appropriate candidates for cosmetic surgery.
Unrealistic expectations or patients suffering from untreated body dysmorphic conditions do not make good surgical candidates and we can look to Michael Jackson to see why. They are frequently dissatisfied with the results, regardless of how they turn out and rarely see themselves in a realistic or accurate fashion.
A patient having surgery thinking it will save a personal relationship is never a good idea. Cosmetic surgery should not be done for someone else. The ideal motivation is driven by an internal sensitivity about a real physical feature, such as a hump on a nose or facial aging. Body changes or disfigurement may also be the result of illness, trauma, sun damage, pregnancy, genetics or birth deformity.
So healthy motivation and realistic expectations are the key factors in evaluating patients considering aesthetic surgery. Years of experience help me sort this out with prospective patients.
I find that healthy patients with appropriate motivation and realistic expectations make the happiest and most satisfied patients in my practice.
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