Cosmetic Surgery Too Much of a Good Thing?
November 26th, 2012
When is cosmetic surgery too much of a good thing? I filmed a segment for the local Fox News Affiliate here in Minneapolis, hosted by Medical Correspondent, Dr. Archelle Georgiou. They filmed part of the segment while I was performing a lower blephaorplasty or lower eyelid surgery. My patient did have some other plastic surgery in the past and while gathering routine background information, Dr. Georgiou inquired whether I felt that the patient was perhaps choosing cosmetic surgery too often. In other words, did I think the patient suffered from a possible cosmetic surgery addiction? As with all my patients, I am careful to evaluate a patient’s motivations for surgery and attempt to uncover any unhealthy desires for seeking cosmetic surgery. In this case, I feel confident that my patient had legitimate concerns regarding the unsightly bags under her eyes and that she was an excellent candidate for eyelid surgery. She expressed realistic expectations from the surgery and in my opinion; she is certainly not a cosmetic surgery addict.
However, while we are on the topic, let me elaborate. There are several characteristics that are common among cosmetic surgery addicts and for the most part, they are not dissimilar to other addictions. Patients that have Body Dysmorphic Disorder are likely to seek cosmetic surgery to correct “perceived†physical flaws. This disorder has significant psychological components and it is unlikely that any amount of cosmetic surgery will correct feelings of having physical deformity that may not exist. This disorder leads some patients to have excessive cosmetic surgery. As a physician, I feel a professional and moral obligation to refer patients that exhibit these difficulties to the proper psychological care when it is appropriate.
Without a doubt there are patients who do suffer from this problem. The pop culture media machine is quick to point out the cosmetic surgery obsessions of Michael Jackson, New York’s “Cat Woman†and Joan Rivers, to name just a few.
4 Steps for Cosmetic Surgery: Let’s Begin
August 23rd, 2012
13.8 million people had surgery cosmetic plastic surgery procedures in the United States in 2011, according to he American Society of Plastic Surgeons (ASPS). For all of the procedures involving actual surgery, these four universal steps are followed. In this series, I will describe each of the steps in doing cosmetic surgery. Let’s start at the beginning.
Step 1: Skin Incision.
The first step in all cosmetic surgery is to cut the skin. Whenever the skin is incised through its full thickness, a permanent scar is left. By permanent, I mean the scar will never completely go away, but as cosmetic surgeons, we are trained in ways to minimize the appearance of scars. So, before the surgery starts, a surgical plan is designed and typically drawn on the skin, similar to the diagram of a football play you might have seen on TV. Careful placement and design of the incision are crucial steps to minimize leaving a visible scar, which will continue to fade substantially with time.
This initial surgical plan represents the aesthetic design aspect that is the cornerstone of all cosmetic plastic surgery. Of course, with purely elective cosmetic surgery, I have the luxury of time to plan and execute an aesthetic design. This is not always the case in a hospital setting when critical surgery is necessary.
Please check back next time for Part 2 of this series.
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