March 5, 2014

The “Dove Real Beauty Sketches”  is an absolutely wonderful video.  Women describe themselves to a police sketch artist who does a rendering.  Then someone who met the woman describes her to the artist.  Lo and behold, the women look much more beautiful in the photo in which they were described by the stranger.

Maybe the strangers were being unduly kind in their descriptions. And of course the sketch artist is in on this, so the project proves nothing.

But it certainly is very thought provoking and fun.

March 5, 2014

The California Society of Plastic Surgeons has been valiantly fighting for protections for plastic surgery patients, such as requiring surgery in accredited operating rooms, requiring insurers to cover breast cancer reconstruction, orthodontic treatment for cleft lip children, etc. 

In recent years we have been battling efforts to extend the licenses of relatively untrained personnel to perform more and more treatments with lasers, injections, and so forth.  We even lost a battle to protect patients from dentists doing facelifts.

The clear trend in California is to loosen training requirements and allow more people with inadequate training to dabble with lasers and fillers and botox.

In the meantime, regulators in the UK have recognized that they have a problem and are reducing what these unqualified people are allowed to do.

So while they are going in one direction, we are going in the other.

But plastic surgeons are but a small group.  There are more dentists than plastic surgeons, and far more nurses and cosmetologists in the state than plastic surgeons.  What does that mean? More votes.

So unless people speak up, things are going to get worse and worse until we have well-publicized disasters.  And those disasters will occur.  But just like the blind street corner that doesn’t get a stop sign until several people are killed, we are going to have to wait for more disasters until legislators to do the right thing.

March 5, 2014


The plastic surgery social site, RealSelf, has reported a large increase in the number of people researching butt lift.  More interesting is that the number of searches for it vary profoundly across the country.  And since these numbers are in the hundreds of thousands, the data is probably quite reliable.


The operation would probably be more common but I think many patients havfe been scared away.  Most of the before and after photos on the internet show women who ended up with buttocks much larger than anyone would ever want.   It hmany of the available before and after photos and interviews with women who have had the procedure make it seem as if those who get this want disproportionately large buttocks.


But the patients I see for this procedure are generally of normal weight or even thin, whose buttock is just a bit deflated or laying flat.  The procedure is more of one to refill it a bit and make it look less empty and fuller.  While it is undoubtedly a bit bigger, the procedure is much more about reshaping than augmenting per se.

March 5, 2014

I think the image of plastic surgery as being Hollywood is over…or at least it should be.  Even in conservative Edinburgh, plastic surgery is on the rise.  This article mentioned that it is not just for the rich or for the “Hollywood type.”  As we here in Hollywood have known for a long time, patients are typically neither rich nor famous.  If they didn’t’ tell you that they had something done, you wouldn’t know.  They just look like themself, only better.

March 5, 2014


This is an amazing story:  one licensed doctor had physician’s assistants working for him, and allowed them to do the surgery.  These physician’s assistants were supposedly licensed as actual doctors in Colombia, but not here in Florida.


One board certified plastic surgeon saw so many disasters coming from the one clinic that he alerted authorities.


A neighbor interviewed said that people are always looking to do things cheaply and that’s why he thinks this happened. I know awesome plastic surgeons who are not expensive.  And I know unqualified doctors performing plastic surgery who are expensive.  Cost isn’t the answer.


The answer is simple:  be sure that your plastic surgeon is certified by the American Board of Plastic Surgery.  It is the ONLY board recognized to credential plastic surgeons.


Perhaps the easiest way to check is to go to the website of ASAPS.  To be a member, board certification, continuing medical education, and medical license must be current.  They also had to demonstrate a significant part of their practice as being devoted to aesthetic surgery.


One thing that struck me about this was how beautiful the office looked in the video:  I could have been fooled!


And their website is so nice it could easily fool anyone:


But the website misses one important thing:  no doctor is listed.  It just says, “our doctors.”  If you ever see that you don’t want to go there for your surgery.  Even the big chain surgery shops still put up the names of their doctors.


Just be sure that the surgeon is certified by the ABPS.