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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 it Too Soon for a Facelift?

August 30th, 2011

When is the right time for a facelift?

In an article for Vogue Magazine,  Contributing Editor, Dodie Kazanjian writes an article titled “About Face” where she discusses the personal decision whether she is ready for a facelift.   Conventional thinking is to consider having a facelift when changes in your face begin to bother you.   The author quotes Dr. Patricia Wexler, the New York dermatologist to the stars as saying, “If you do a facelift in your 40’s, you are thrilled.   If you do it in your 50’s, you wonder why you waited.   But if you have a facelift in your 60’s, you say, ‘Why did I bother?’

There is actually some science behind those comments.   Patients that opt to have a facelift to address facial aging in their 40’s are generally very pleased with the subtle change, often described as looking refreshed.   Facial anatomy responds well to the surgery and healing requires minimal downtime at this age.   Many of my patients seem to fall into this category lately.

Some of my patients choose to go the filler and Botox route to buy some extra time before considering a facelift.   Most of these patients quickly tire of the repeat injections and consider a more permanent fix after a couple cycles, but some patients are quite satisfied with the routine.

Bottom line: It’s really never too late to consider a little Nipntuck.

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