1. Ten Misconceptions About Plastic Surgery
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The most common misconceptions about plastic surgery are addressed in the context of Life Stage
Personal Enhancement.
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1. Women shouldn't get plastic surgery until they're at least 60: Waiting until a woman is post-
menopausal can dramatically - and negatively - change the nature of the surgical result. The older
patient too often winds up with an "overdone" look in which the skin needs to be pulled extremely tight
in order to achieve contour improvements that could have been more easily maintained if the
procedure had been done at a younger age. Undertaking less-drastic procedures pre-menopause allows
results to be maintained longer and, in many circumstances, to appear more natural and in line with a
woman's overall appearance.
2. Plastic surgery is only for the rich: Statistics from the American Society of Plastic Surgery show that
the vast majority of patients undergoing plastic surgery are middle-class patients who use their own
disposable income. In fact, the median income for patients who undergo plastic surgery is approximately
$80,000. Many plastic surgeons offer a variety of flexible financing options, and non-surgical procedures
like the injection of Botox and use of fillers like Juv�derm is surprisingly cost-effective -- in many cases
costing little more than what a woman can expect to pay for hair coloring or salon treatment.
3. Plastic surgery is only for women: Men currently represent 15 percent of the total number of patients
undergoing cosmetic surgery, a number that has been steadily increasing over the past decade. It's not
surprising: Men need to look their best in a competitive job market. As a result, more men entering their
40s and 50s are seeking access to non-surgical procedures like the use of Botox, neurotoxin or fillers to
rejuvenate their appearance. Men are also growing more comfortable with other surgical procedures
including treatment of enlarged congenital breasts (gynecomastia), liposuction to address "love
handles" and rhinoplasty or nasal surgery.
4. Plastic surgery is only for the vain: Many patient satisfaction surveys and quality of life outcome
studies have shown that patients enjoy genuine improvements in body image and a greater satisfaction
with one's position in life after cosmetic surgery. It's a clich�, but I often say that plastic surgery doesn't

2. add years to your life, but it can add life to your years. Quality of life, not vanity, is the main decision-
making factor for the vast majority of plastic surgery patients.
5. It takes a long time to recover from plastic surgery: Advances in surgical technique, anesthesia
methods and pain control mean that, in many cases, patients no longer have the downtime associated
with recovering from general anesthesia. The incidence of nausea and vomiting after surgery is markedly
decreased and patients are often able to get back into their daily routines more quickly. While surgical
healing does take time, most patients can expect to return to normal activities in just a few weeks.
6. Breast augmentation is dangerous: Breast implants have probably been the most thoroughly studied
device in the history of American medicine. While no operation is without risks, the risks and potential
complications of breast augmentation surgery have been very clearly defined. Patients are getting the
message: Since 2008, breast augmentation surgery has been the most common cosmetic operation in
the United States.
7. Botox is a dangerous toxin: Botox is derived from the toxin secreted by particular bacteria. While
massive doses of this toxin can cause disease to develop, the dose level of Botox treatments is minimal,
and the onset of disease has never been seen after the administration of Botox. Indeed, Botox has one
of the best safety profiles of any medicine that has ever been developed.
8. All esthetic or cosmetic surgeons are plastic surgeons: Many specialties offer plastic or cosmetic
surgery services, but not all of these surgeons have undergone the same level of training as Board
Certified plastic surgeons. Patients are always advised to check the credentials and qualifications of their
surgeon and should check to see (a) whether that surgeon is Board Certified by the American Board of
Plastic Surgery, and (b) whether the surgeon has privileges to perform cosmetic surgical procedures in a
hospital setting. Having hospital privileges subjects the plastic surgeon to peer review, ongoing
credentialing, medical education and other monitoring that does not exist if the plastic surgeon operates
in a non-hospital facility.
9. Having plastic surgery in a private residence or ambulatory surgery center is better than in an
accredited hospital: Statistics from the American Association for Accreditation of Ambulatory Surgery
Facilities show that when accredited facilities are used (whether that be an ambulatory surgery center
or a certified accredited office), patient outcomes are the same as if the procedure was done in an
accredited hospital. Certain conveniences and amenities exist in private ambulatory centers and offices
that hospitals cannot replicate. On the other hand, hospitals have access to a broad range of specialists

3. should complications develop. If you're considering surgery in an accredited office or facility, ask
whether the facility has an agreement with a nearby hospital for immediate transport should any
complications arise.
10. Hard work and improving one's nutrition can deliver surgical-type results: Attention to diet, exercise,
sun avoidance and nutrition are all important areas to have integrated into one's personal lifestyle
before elective cosmetic surgery is considered. There will be times when, despite a patient's best efforts
to remain true to the highest ideals of nutrition and exercise, areas of contour deformity will develop
that can only be addressed with plastic surgery. It should be pointed out, though, that patients are often
better served by working with a nutritionist and personal trainer prior to undergoing plastic surgery
rather than having the plastic surgery first and then reaching out to a trainer or nutritionist.