I am a board certified plastic surgeon with 20 years of experience in private practice. I do exclusively cosmetic plastic surgery, and derive all of my income from this. I love performing the procedures, and think that I am quite good at it, achieving excellent results. Why would I want you to NOT have plastic surgery?
Plastic surgery is not for everyone. Some people are not healthy enough for elective surgery, even if the need for cosmetic improvement is there. Primun non nocere- first do no harm. Beauty is not worth your life.
Others do not really need the surgeries. If the degree of concern far outweighs the level of the deformity, it might not be a plastic surgeon you need to see. Body Dysmorphic Disorder, anorexia, and even low self esteem can lead to seeking procedures you do not need.
Your motivation may be wrong. The only reason to do elective plastic surgery is for you. It should enhance who you are, not make you somebody else. Do not change for any other person. If they do not see how beautiful and special you are right now, you are better off without them.
So, to those who fit into the categories above, please do not have plastic surgery. I would rather earn less than take money for the wrong reasons.
As some of you may know, I am the drummer in an alt rock band, Used Karmas. If you are interested, you can take a listen on Spotify, and hear our first album. What does this have to do with plastic surgery? Absolutely nothing.
As I have practiced and played the drums more, I have improved. It is no longer just keeping time and fearing a miss hit, it is a sense of rhythm, time, and what is called “the pocket.” Being in the pocket means that you are in rhythm, but you feel the whole song revolve around the time signature you set. This is a musical way of saying you are comfortable with the beat and can dance around it without losing it. It is sort of what happens with a great dancer who is really feeling it.
As I operate, I am in a zone where time, hunger, and the outside world do not exist. I am so focused on the case at hand that I literally do not look at anything but the field I am operating in. I reach my hand out for whatever I need, and it is placed in my palm.
As my drumming has gotten better, I have thought of operating in “the pocket” as a different way to experience surgery. I am still dead focused on what I am doing, but enjoy and feel the rhythm of the operation as if it were a piece of music. Having this time signature in my head has made my favorite thing even more enjoyable.
I guess I dance to the beat of my own drummer. Fortunately for my patients, I have never lost my groove.
It is said in Spanish that cheap shoes can be costly. This is a phrase that is applied to buying something inexpensively that ends up costing you much more in the long run. Unfortunately, it applies to cosmetic plastic surgery as well.
Being in Washington Heights since 1988, and in my private practice, Yager Esthetics, since 1997, I have seen my share of poorly performed plastic surgery, as well as procedures done by unlicensed people resulting in often irreparable damage.
The procedure that irks me the most is silicone injections. Sometimes, as in the lips or cheeks, it simply results in a disfigured shape. Surgery can sometimes debulk and assist in correction.
Injections in the buttocks are more common. Some patients develop abscesses or infections, others get hard balls, others create a rock hard contour that can be painful and change color. There are cases that I prescribe steroids for comfort, others I inject, and others where I can simply use a liposuction technique to reduce the silicone load. Some, I can offer no help, as the cure is virtually an amputation of the skin and tissue which I do not feel comfortable doing.
I recently had a woman who had silicone injected into her breasts. She had red damaged skin, hard masses, and a disfigured appearance. She was devastated, and it ruined her self esteem and relationships. I was able to perform a partial mastectomy with implant reconstruction and a lift which miraculously even preserved nipple sensation. She was lucky, but it cost her 10 times what the injection did.
Be smart with your health and body. There are places to save money, but plastic surgery is not where I would suggest.
So, you have carefully vetted your Plastic Surgeon, insuring he/she is Board Certified by the American Board of Plastic Surgery, and that he does plenty of the procedure you want with great photos of results you like. He/she is a good fit emotionally and trust wise, and has the experience to make you feel confident. You have gotten great patient recommendations, and are ready to go.
The office looks great, the Operating Facility is accredited, and the staff seems warm and professional. All goes according to schedule on their end, so no problems, right? Um, what about your situation at home or wherever you will be recovering? Who will be helping you?
Oftentimes, people think about things like walking up stairs, or where they can be comfortable sleeping. They make arrangements for child care and coverage at work, and make sure they have the house stocked with the food they will need. What they do not always choose wisely is the escort.
The patient escort has to get you to the office on time, and have the means and abilities to take you home safely and care for you. They will be given all the instructions, as you are just out of anesthesia, and may not remember or be able to do it all on your own.
You need to choose someone smart and capable who can deal with medical situations without panicking, and that can make you feel safe and calm so that your recovery is uneventful. People who annoy you or get under your skin should be avoided. Jealous people who will try to knock you or your decision to have surgery can be toxic as well.
Your patient escort should be positive, supportive, and caring, and want you to look and feel your best. My office and I do everything in our power to take the best care of you, but it is up to you to select the best patient escort.
While most brides choose June or another warm month to get married, the preparations start much earlier. In some cases, years in advance. What is dangerous is when it is March, and the wedding is less than 3 months away, and the diet and exercise plans are failing.
Sometimes, the brides turn to a plastic surgeon to help the magic moment of their nuptials come off like the fairytale they have imagined since they were 5. Other times, it is the mother of the bride either pushing their daughter into it, or trying to do something for themselves.
The problem is that when a woman comes in a few months before their biggest day ever to date, by the time all the testing and scheduling is completed, there is zero margin for error. Flights have to be safe, dresses have to fit, swelling has to be gone. Heaven forbid a complication occurs and there is no time to revise a result.
I choose my Brides of March carefully, as my reputation depends on my results. Ruining a wedding is something I hope never to do. I must, therefore, insure that expectations are realistic, that the timeline is safely doable, and that the motivations and health of the woman are both sound.
If you are planning a wedding, and part of your happiness depends upon cosmetic plastic surgery, start waaaay in advance, at least 6 months. The stress of getting married is high enough. Let me help you achieve your goal in a relaxed and peaceful way.