Show aired (2/1/14)

Because this is so crucial we wanted to briefly mention again the importance of board certification by the American Board of Plastic Surgery – which ensures you the doctor has had training in all aspects of plastic, reconstructive and cosmetic surgery and that he complies with a strict code of ethics.  There are other boards – the American Board of Facial & Reconstructive Plastic Surgery or the American Society of Opthalmic Plastic Surgery (doctors trained and certified in procedures related to the eyes).  It gets confusing so go to our website and check out the resource page for a comprehensive listing. Be  careful of directories that list names & websites of doctors –  (American Academy of Cosmetic Surgery) they are not medical boards – just a listing of people who do cosmetic surgery – can be any type of doctor.

And now our new topic:

TOP COSMETIC SURGERIES FOR WOMEN IN 2012. It really depends on who you survey. For our intention and purpose on this show we use standards set by the ASAPS or the American Society of Plastic Surgeons who claim

  • Over 10.1  Million Cosmetic procedures in 2012;

  • Women still comprised the largest group , 9.1 million procedures 90%

  • $11 Billion Dollars on Cosmetic Procedures  alone in 2012


  1. Breast Augmentation

  2. Liposuction

  3. Abdominoplasty or Tummy Tuck

  4. Eyelid Surgery or Blepharoplasty

  5. Nose Shaping or Rhinoplasty

Men had almost 1 million cosmetic procedures or 10% of the total.


  1. Liposuction

  2. Nose Shaping or Rhinoplasty

  3. Eyelid Surgery with

  4. Male Breast Reduction to treat enlarged breasts in men running close behind

  5. Ear Shaping or Otoplasty

Interestingly the American Society of Plastic Surgeons agreed on the top 3 but not necessarily in the same order

Most common procedures for Women  in the category of  non- invasive (meaning, generally speaking, when there is no break or cut in the skin) was:

  1. Botox (Botulinum Toxic Type A)   or Dysport 8.5 million reported and of course that doesn’t represent the total number of other types of docs doing this procedure.

  2. Soft Tissue Fillers -Juvederm, Restalyne

  3. Chemical Peel

The top most common Male non- invasive procedures:

  1. Botox (Botulinum Toxic Type A) cosmetically minimally invasive procedure

  2. Laser Hair Removal

  3. Microdermabrasion

More on the Top 3 Common Procedures:

Breast Augmentation: a surgical procedure done to increase the size, shape or fullness of the breast. Restores breast size & shape after pregnancy, or breast feeding or weight loss and is sought out by woman with natural small breasts. The surgeon places either a silicone or saline implant under the pectoral muscle or breast tissue. It is estimated that between 5 & 10 million women have had this procedure worldwide. In 2013, according to an article in Plastic & Reconstructive Surgery, 98% said the results met their expectations and Improves quality of life & self esteem. We will dedicate an entire show to this subject.  Implants can be placed:

  • Submuscular placement – under the pectoral muscle

  • Submammary or Subglandular – placed behind the breast tissue, in front of the muscle

Incisions can be made in:

  • Inframmary incision – the crease under the breasts

  • Transaxillary – armpit or axilla

  • Periareolar – around the nipple

Complications include:

  • Leakage
  • Movement
  • Capsular Contracture – scar tissue forms around the implant

Second most common cosmetic procedure is Liposuction. Liposuction is also known as lipoplasty and is designed to get rid of stubborn, localized areas of  fat deposits that typically won’t respond to diet and/ or exercise.  This is not a weight loss procedure but is designed to contour the body, giving the patient better proportions. It is not a treatment for obesity and it will not get rid of cellulite- the dimpled, cottage cheese like appearance on the thighs,hips, buttocks. Anyone could have it done but not everyone is a good  candidate.

  • Not designed for people that are really overweight

  • Should be within 30% of your ideal weight with good muscle tone

  • People who exercise regularly and have a balanced diet are the best candidate

Lipo is commonly done with Abdominoplasty – designed to remove excess skin and tighten muscles. This is very popular with post bariatric patients who have large amounts of skin following massive weight loss.

The final most popular cosmetic procedure is Eyelid Surgery, also knows as Blepharoplasty – surgery to remove excess skin and fat around the eyes. This can include the  upper and lower in same setting. Upper eyelid surgery is hidden in the crease or the natural fold and the lower lids are performed with an incision in lash line or can be done without a visible scar going through the subconjunctiva to remove fat. This is usually considered cosmetic but may be medically indicated if it improves the peripheral field of vision. Eyelid surgery is usually low risk and high patient satisfaction.

A common emotional outcome with plastic surgery is depression. This can be a general emotion after surgery or may develop as you heal. If the expectations have been discussed and are realistic you’ll have a happy outcome unless you suffer from body dysmorphic disorder. This is more common if a  patient is depressed or uncertain about what they want. A person suffering from this disorder tends to exaggerate a flaw to the point they become obssessed & fixated on something very small – they see this minor thing as a disfigurement; make a mountain out of a molehill and there is no reasoning with them. They are seeking perfection – not just an improvement and have unreasonable expectations. This patient is considered high risk –  cannot see the change and will be unhappy with the results. Ethical surgeons are trained to recognize these patients and will usually weed them out.

  • There are patients who buy plastic surgery & don’t like the results – but in the larger scheme of things that number is relatively low with well trained and experienced.


By and large most people who do their homework will find the right doctor and have a happy outcome.  But this is serious business so take your time.  Get your questions and concerns answered.  You will be glad you did! Our next show is titled,   “Breast Reconstruction -What women need to know” and will include include Dr. Rafi Bidros,  a double board certified plastic surgeon and a compelling story of Kim who discovered she had breast cancer and her journey through breast reconstruction. Don’t forget to tune in to #RealTalk.