When You Select Your Cosmetic Surgeon
TV's not the same animal it was just a few short decades ago. Do you remember the days described by comedian Jeff Foxworthy
, when there were only three television channels? "And if the president was on, your night was shot"? It isn't just the number of stations that has exploded. The content those stations carry has expanded as well. Maybe it has more to do with where and when I was raised than I give it credit for, but what I recall of plastic surgery in the '80s had more to do with tut-tutting the latest changes to Michael Jackson's nose than any amount of TV coverage. There's a Plastic Surgery Channel, today. In the '90s there was the flap over whether silicone breast implants spelled Armageddon. Today, the proudly-augmented go on Oprah (and shows like it) where we learn that we, too, may be surgically immortalized.Television and reality never have kept much company, least of all on "reality shows." In my experience, reality usually falls into the bland middle-ground between the highs and lows that producers see fit to broadcast. It's true that there have been exciting surgical advances, with greater promise ahead. However informative or even unbiased a media article (or blog post) may be, however, it can't provide the whole story because surgery, whatever its purpose or practitioner, is as dependent on physiology as it is on science. The only way to get the whole story as it applies to you is by getting in a room with a surgeon who can match up where you are with where you want to go. Preparation helps, too: bring along a list of specific questions to ask of your doctor. Listen carefully to and honestly consider his recommendations, especially the ones you did not anticipate. Remember that doctors are people, and if you consult with more than one, you may hear more than one recommendation, which isn't necessarily a bad thing. And don't be too insistent upon a particular procedure. As Michigan plastic surgeon, Dr. John Sampson, M.D., explains, "If you ask enough doctors to perform a cosmetic procedure that may be detrimental to you, eventually you will find one who will do it."
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general anesthesia. An implant (prosthesis) is placed through an incision, under the breast tissue or under the muscle. The incision can be made under the breast, around the nipple or under the arm. A breast implant is composed of an outer silicone shell filled with saline or silicone gel. The outer surface may be smooth or textured, and implants come in various shapes to meet the individual woman’s needs.
and with enough leaping and contortion of one's logic, one might imagine a two-faced patient. In reality, of course, primary rhinoplasty simply refers to a particular patient's first nose surgery, and secondary rhinoplasty is any nose surgery performed later.
augmentation consistently ranks high, statistically. Abdominoplasty, or
it's a wonder we don't all look 75. Sunlight, gravity, age, weather, illness, trauma, and even simple day-to-day use are all circling us like sharks looking to gobble up our youth. Plastic surgery may not be for everyone, and it won't make you look 20 forever, but it can turn the clock back a bit. Looking younger is a benefit in itself, but can lead to additional positives. Self confidence is so often closely tied to appearance, and both have an effect on interaction with others.
performed in the United States. According to the American Society for Aesthetic Plastic Surgery, over 10 million surgical and non-surgical cosmetic procedures were performed in the U.S. in 2008, compared to just over 2 million in 1997. Does this mean that plastic surgery has become as routine as pulling through the drive-up window at your kids' favorite fast food establishment?
reached mostly with hard work and discipline.
we remain mortal. What can be done to turn the clock back a bit is pretty impressive, nevertheless. What time, sunlight, gravity, and every other enemy of a youthful appearance stretches, wrinkles, swells, deflates, or in whatever way "ages," surgeons like Nevada's Dr. Kent Gabriel can often restore. Dr. Gabriel performs
augmentation surgery? Some things will differ from one doctor to another. It is probably safe to say that your doctor will recommend against any heavy lifting for a while, and since smoking can cause problems with excess bleeding, that's probably out as well. One area of divergence is recuperation time. Some doctors say several days. Dr. William P. Adams, who provides
that no two are quite the same. Usually it's said in terms of personality or belief, but it's true of our bodies as well. For example, two women seeking the same goal of fuller, youthfully-positioned breasts, seeing the same surgeon, may need to approach their goals differently. If her existing breast tissue is still pointed the right direction and merely lacking in volume, she may simply require implants to reach her goal.
but there's truth in his words. Some things can be bought based on price. Some cannot. Car repairs get lumped into that price-conscious group at the peril of driver and passenger alike. Although cost still must be considered, the quality of the workmanship must take precedence.
saline or silicone, or whether a periareolar, inframammary, or transaxillary incision most appeals to you. One of the more important decisions to make before getting
and size that span most every category but gender. The face is more complex and subtle, and each ethnic group has its own unique features that need to be accounted for and respected. A Middle Eastern nose or an Asian nose, for example, requires a different approach than a Caucasian nose to look natural and attractive. As a result, a surgeon with experience in 


are risks to be considered. Some may be rare, whereas scarring is merely a matter of keeping it inconspicuous. Whatever benefits one hopes to gain from a surgical procedure, there are potential complications and disadvantages one may acquire in the exchange. It's important to know what you want, and it is equally important to share your goals with a qualified, conscientious surgeon who will help you navigate the prizes and pitfalls of the improvements you intend to make. A doctor who will candidly inform you about every aspect of your procedure is invaluable. For a 


A normal part of the aging process is that wrinkles and puffiness around the eyes contribute to an older, tired appearance. The eyes are among the first things noticed about a person, so it stands to reason that whether old and tired or young and energetic, judgments about the eyes will extend to the person. Eyelid surgery (officially called blepharoplasty) is a procedure performed to give the eyes a visual pick-me-up.
"They merely take sagging tissue and stretch it over the cheeks." Dr. Palmer's approach is to combine artistic judgment and skill with technical expertise to produce "a more natural, youthful and refined version of yourself," instead of "tight and unnatural."
