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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.  

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Is Teenage Breast Enlargement Appropriate

November 7th, 2012

Breast implants are approved for use in America by the FDA (Federal Drug Administration).     In fact, all medical implants are regulated by the FDA.  However, FDA approval comes with “use limitations” or guidelines for appropriate usage.  The trend toward younger and younger patients considering cosmetic surgery is troubling.  Unfortunately good judgement is sometimes lacking when teens consider having breast enlargement surgery.

The key limitation which impacts any young woman under the age of 18 and the decision to have breast enlargement surgery are the FDA age restrictions.   Saline breast implants can be used for cosmetic breast enlargement surgery at age 18.   Silicone gel breast implants on the other hand, can only be used for cosmetic breast enlargement surgery at the age of 22.   These age restrictions are in place based on the FDA’s evaluation of each implant type.   According to the FDA, “FDA restricts the marketing of breast implants for augmentation to women of a minimum age because young women’s breasts continue to develop through their late teens and early 20s and because there is a concern that young women may not be mature enough to make an informed decision about the potential risks.”   Johnson & Johnson (formerly Mentor) and Allergan (formerly Inamed) package inserts reflect the age limitations in their package inserts.   In addition, both the ASPS (American Society of Plastic Surgeons) and ASAPS (American Society for Aesthetic Plastic Surgery)  back the FDA’s age restrictions.

I believe that the age restriction is based on sound recommendations and as a Board Certified Plastic Surgeon and a member of the societies above, I follow these guidelines.

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