non surgical nose job permanent

In this article, you will find Non plastic surgery before and after plastic surgery side effects, plastic surgery prices, types of plastic surgery for face, and most common types of cosmetic surgery

As you get older, the underlying layer of fat in your hands is depleted.This cause the veins, joints, tendons and bones in your hands to become more visible. The skin on your hands sag and develop wrinkles. They may also bruise easily.

Hand rejuvenation restores fullness to your hands. Dermal fillers like Restyling Lyft, Radiesse, and Juvederm can be used to accomplish this by hydrating the skin and stimulating collagen production


My goal as a facial plastic surgeon in Atlanta is to help people feel confident about how they look. I know that facial plastic surgery garners a great deal of attention because your face is the first thing people notice about you.

However, your hands are also visible for all to see. People often overlook how the appearance of their hands makes them feel until they are greeted with a handshake, go to try on a ring at the jewelry store or see their hands in a picture on Facebook.

Fortunately, there are many ways to effectively treat hands that are showing the signs of aging. Let me share some of the benefits of hand rejuvenation with you.

Nose Rejuvenation Restores Volume And Elasticity

As you get older, the underlying layer of fat in your hands is depleted.This cause the veins, joints, tendons and bones in your hands to become more visible. The skin on your hands sag and develop wrinkles. They may also bruise easily.

Hand rejuvenation restores fullness to your hands. Dermal fillers like Restylane Lyft, Radiesse, and Juvederm can be used to accomplish this by hydrating the skin and stimulating collagen production.

Hand Rejuvenation Removes Spots And Blemishes

As your hands age and interact with the environment they may develop spots and blemishes. Sun damage may cause your hands to look reddish or discolored. Laser treatments and chemical peels are hand rejuvenation techniques that remove the damaged top layer of skin. New collagen growth is encouraged by these procedures. As a result, the skin tone, color and texture of your hands will improve and appear more youthful

Hand Rejuvenation Compliments Facial Plastic Surgery

My patients travel to the Maloney Center from all over the metropolitan Atlanta area for Botox® treatments, facelifts and nose surgery. Once patients see the results that these procedures have on their appearance, it is not unusual for them to want the same restoration for hands.

Hand rejuvenation nicely complements other cosmetic surgery treatments you have undergone.

If you want to have youthful looking hands to match the revitalized look of your face, I encourage you to contact me for a consultation. We can discuss how hand rejuvenation fits in with your overall aesthetic goals and identify the procedure that is best for you.

I take great care to make sure hand rejuvenation treatments are customized to the needs of each individual patient. This is important because each patient’s cosmetic goals are different and each treatment product needs to be carefully targeted to specific areas of the hand.

There’s no time like the present to give your hands the gift of a youthful appearance. Contact the Maloney Center at 770-804-0007 to get started today.

Many people notice that signs of aging also show in their hands. Experts at the American Society of Plastic Surgeons say that your hands are similar to your face. Wrinkles and other signs of aging can appear on them. To bring back the youthful look of your hands, you can consider hand rejuvenation. If you want to understand the top benefits of hand rejuvenation procedures, here’s what you should know.

Restores Skin Tightness
Your specialist will use a laser to treat problem areas. The process will remove any imperfection and tighten your skin. The laser reduces fine lines and wrinkles. By the end of the procedure, your hands will look smoother and firmer because of the taut skin.

Brings Back Elasticity and Volume
As you age, you lose the layer of fat in your hands. When this happens, your veins, tendons, joints, and bones become more obvious. Your skin develops wrinkles and sags. This makes you prone to bruising because nothing cushions your hand anymore. With hand rejuvenation, you can get the volume back in your hands. Your doctor can use Juvéderm®, Restylane Lyft® or Radiesse® to make this happen. These products can stimulate the production of collagen and hydrate your skin.

Matches the Results of Surgical and Non-Surgical Facial Treatments
Touching your face is an activity that’s involuntary at times. That is why it is easy to see the difference between your facial skin and the skin on your hands. Most patients who had facial procedures like facelift or Botox® want to have the same youthful results on their hands. If you want the same, talk to your surgeon. Your doctor can discuss the treatments that can target specific areas of your hands. This will ensure that you get a tailor-fit hand rejuvenation treatment.

Eliminates Blemishes and Spots
Aging is not the only factor that causes your hands to deteriorate. Exposure to ultraviolet (UV) rays, free radicals, and toxins over the years can also damage your skin. Without proper UV protection or moisturization, your hands can develop sun damage, spots, and blemishes. Your specialist can eliminate these problems through hand rejuvenation procedures. Chemical peels and laser treatments are techniques that can remove dead skin cells. They can also remove any damaged skin. The peeling of old skin triggers the production of collagen. This results in the renewal of your hand’s texture, skin tone, and color.13&ifi=4&uci=a!4&btvi=5&fsb=1&xpc=wNvpYq8Omi&p=https%3A//

Gives Back Your Confidence
Seeing blemishes, wrinkles, and dark spots on your hands can bring down your self-worth. You tend to wear gloves in the summer and separate yourself from other people. The ultimate benefit that you can get from hand rejuvenation is the rise in your self-esteem. After your treatment, you won’t have to hide your hands anymore or feel embarrassed whenever you look at them.

Hand rejuvenation can remove blemishes, wrinkles, or scarring on your hands. At Texas Plastic Surgery, we make sure that our clients get the most out of our quality treatments. For in-person consultations, please visit our clinic in San Antonio, Texas. You can also call us at (210) 981-4490 if you want to schedule an appointment or inquire about our hand rejuvenation packages.

10 of the Most Common Plastic Surgery Complications
Blood loss
Nerve damage
Blood clots
Organ damage
Dissatisfaction with appearance
Anesthesia complications
In 2017, Americans spent more than $6.5 billion on cosmetic surgery. From breast augmentation to eyelid surgery, procedures to change our appearance are becoming increasingly common. However, these surgeries don’t come without risks.

1. Hematoma
Hematoma is a pocket of blood that resembles a large, painful bruise. It occurs in 1 percent of breast augmentation procedures. It’s also the most common complication after a facelift, occurring in an average of 1 percent of patients. It occurs more commonly in males than females.
Hematoma is a risk in nearly all surgeries. Treatment sometimes includes additional operations to drain the blood if the collection of blood is large or growing rapidly. This may require another procedure in the operating room and sometimes additional anesthetic.
2. Seroma
Seroma is a condition that occurs when serum, or sterile body fluid, pools beneath the surface of the skin, resulting in swelling and sometimes pain. This can occur after any surgery, and it’s the most common complication following a tummy tuck, occurring in 15 to 30 percent of patients.
Because seromas can become infected, they’re often drained with a needle. This effectively removes them, although there’s a chance of recurrence.

3. Blood loss
As with any surgery, some blood loss is expected. However, uncontrolled blood loss can lead to a drop in blood pressure with potentially deadly outcomes.
Blood loss can happen while on the operating table, but also internally, after surgery.

4. Infection
Though postoperative care includes steps to reduce the risk of infection, it remains one of the more common complications of plastic surgery.
For instance, infections occur in 1.1 to 2.5 percentTrusted Source
 of people who undergo breast augmentation.
The skin infection cellulitis may occur after surgery. In some cases, infections can be internal and severe, requiring intravenous (IV) antibiotics

5. Nerve damage
The potential for nerve damage is present in many different types of surgical procedures. Numbness and tingling are common after plastic surgery and can be signs of nerve damage. Most often the nerve damage is temporary, but in some cases it can be permanent.
Most women experience a change in sensitivity after breast augmentation surgery, and 15 percent experience permanent changes in nipple sensation.
6. Deep vein thrombosis and pulmonary embolism
Deep vein thrombosis (DVT) is a condition where blood clots form in deep veins, usually in the leg. When these clots break off and travel to the lungs, it’s known as pulmonary embolism (PE).
These complications are relatively uncommon, affecting only 0.09 percent of all patients undergoing plastic surgery. However, these clots can be fatal.
Abdominoplasty procedures have a slightly higher rate of DVT and PE, affecting just under 1 percent of patients. The risk of clots is 5 times higher for people having multiple procedures than it is for people having only one procedure.
7. Organ damage
Liposuction can be traumatic for the internal organs.
Visceral perforations or punctures can occur when the surgical probe comes into contact with internal organs. Repairing these injuries can require additional surgery.
The perforations may also be fatal.

8. Scarring
Surgery typically results in some scarring. Since cosmetic surgery seeks to improve the way you look, scars can be particularly troubling.
Hypertrophic scarring, for instance, is an abnormally red and thick raised scar. Along with smooth, hard keloid scars, it occurs in 1.0 to 3.7 percent of tummy tucks.
9. General appearance dissatisfaction
Most people are satisfied with their postoperative outcomes, and research suggests most women are satisfied with breast augmentation surgery. But disappointment with the results is a real possibility. People who undergo breast surgery may experience contouring or asymmetry problems, while those undergoing facial surgeries could simply not like the result.
10. Complications of anesthesia
Anesthesia is the use of medication to make you unconscious. It allows patients to undergo surgery without feeling the procedure.
General anesthesia can sometimes lead to complications. These include lung infections, strokeheart attacks, and death. Anesthesia awareness, or waking up in the middle of surgery, is very rare but also possible.
More common anesthesia risks include:
nausea and vomiting
waking up confused and disoriented
The takeaway
On the whole, plastic surgery complications are rare. According to a 2018 review of over 25,000 cases, complications occur in fewer than 1 percent of outpatient surgeries.
As with most surgeries, plastic surgery complications are more common in certain people. For example, smokers, older adults, and people who are obese are more prone to complications.
You can reduce your risk of unwanted side effects by fully vetting your doctor and their credentials. You should also investigate the facility where your surgery will take place.
Educating yourself about the procedure and possible risks, and discussing your concerns with your doctor, will also help you manage your expectations and reduce the risk of complications.


Cosmetic surgery is a type of plastic surgery that aims to improve a person’s appearance, but it should be approached with caution.

Cosmetic surgery continues to grow in popularity, with 15.1 million cosmetic procedures carried out in the United States in 2013, an increase of 3 percent on the previous year.

Procedures are available for almost any part of the body, but the choice to undergo cosmetic surgery should not be taken lightly. The results are often permanent, so it is important to be sure about the decision, to use an appropriate practitioner, and to have the right motivation

A surgeon may refer a patient for counseling before surgery if they believe there is an underlying problem that cannot be solved by the surgery, or if the patient shows signs of Body Dysmorphic Disorder (BDD).

BDD can cause a person to perceive that there is something seriously wrong with their appearance, when objective evidence suggests otherwise.

Reconstructive surgery is another type of plastic surgery. It aims to improve function and to give a normal appearance to a part of the person’s body that has been damaged, for example, after a mastectomy. This article will focus on cosmetic surgery only.

A variety of aesthetic procedures is available for different parts of the body.

Breast Surgery

Breast implants
Breast implants can be used to increase breast size or in reconstruction after surgery.

Women may seek breast surgery to improve their body shape. Mammoplasty procedures may include:

Breast augmentation, or enlargement, traditionally performed using saline or silicone gel prosthetics, and now occasionally with fat grafting.

It may be carried out if the woman feels her breasts are too small, if one breast is larger than the other, or if the breasts have changed after pregnancy or breastfeeding. Some older women opt for this treatment when the breasts being to droop due to the skin losing elasticity.

In some women, a breast enlargement can boost self-esteem and improve their feelings about their sexuality. In some, however, existing problems remain. This is why women are encouraged to undergo counseling first.

Breast reduction can help provide relief from physical discomfort, while the aim of augmentation more often relates to appearance. Breast reduction may also reduceTrusted Source the risk of breast cancer in women who are at high risk of the disease.

Mastopexy, or a breast lift, involves removing skin and glandular tissue to make the breasts smaller and rearranging the remaining tissue to make the breast appear lifted.

Depending on how much volume a patient has lost or desires, mastopexy can be combined with an implant. While it is similar to a breast reduction, which removes a much greater amount of tissue, mastopexy is not usually covered by major insurance carriers as it is not deemed medically necessary.

Male breast reduction treats gynecomastia, an enlargement of the mammary tissue in men. It may be done by liposuction or with various scar patterns, often hidden around the nipple and areola.


Liposuction, or suction-assisted lipectomy, uses thin cannulas, or hollow metal tubes, to vacuum fat from various parts of the body, usually the abdomen, thighs, buttocks, hips, backs of the arms, and neck. Liposuction may also be used for male breast reduction.

Tools used in liposuction include standard, ultrasound, mechanical, and laser devices. They all tend to involve suction of fat through a tube.

To prevent complications, there is a limit to the amount of fat that the surgeon can safely remove, depending on whether the patient will be discharged immediately after surgery or admitted to the hospital

Liposuction should not be intended as a weight-loss procedure. When performed in the right patient, the goal is to improve contour and decrease limited areas of fat deposits.

Complications are rare but possible. They include the accumulation of blood under the skin, known as hematoma, infection, changes in sensation, allergic reactions, damage to underyling structures, and unsatisfactory results. The doctor must discuss these with the patient beforehand.

Liposuction does not reduce the riskTrusted Source of developing diabetesheart disease, or high blood pressure.

Vulvovaginal Surgery

Labiaplasty, labioplasty, labia minor reduction, or labial reduction involves surgery of the labia majora or labia minora of the vulva, a part of the female genitalia. It aims to reduce elongated labia, usually as part of a vaginoplasty.

There is a lack of clinical or scientific evidence to guide gynecological surgeons as to the safety and effectiveness of cosmetic vaginal procedures.

Body Procedures

Abdominoplasty, or “tummy tuck” reshapes and firms the abdomen. Excess skin and fat is removed from the middle and lower abdomen, with the aim of tightening the muscle and fascia of the abdominal wall.

This may be suitable after pregnancy or after losing a great deal of weight.

Other Body Contouring Procedures

Buttock augmentation enhances the appearance of the buttocks by making them larger. The surgeon will either graft fat from another part of the patient’s body using liposuction. This is known as the “Brazilian Butt lift.” Silicone implants may also occasionally be used in the buttocks.

buttock lift, or lower body lift involves removing excess skin from the hips, buttocks, and thighs in order to tighten and lift them. These procedures are often combined with abdominoplasty in patients who have lost a considerable amount of weight after bariatric, or weight loss, surgery, for example.

Facial Cosmetic Surgery

In rhinoplasty, also known as a “nose job,” the surgeon reshapes the patient’s nose to improve the appearance and often breathing, too. It may involve reshaping the tip and reducing the bony hump at the upper aspect of the nose.

It can be performed with small incisions that are well hidden, often inside the nostrils. Surgeons do not recommend rhinoplasty until the patient is at least 15 years old, to allow for full growth of the cartilage and bone of the nose.

Otoplasty, or ear surgery, treats prominent or misshapen ears by surgically “pinning” the ear closer to the head with sutures, reshaping the cartilage, or both.

One or both ears may be treated. It is most commonly performed in children after of 5 or 6 years as the ears have essentially reached adult size by that age

Rhytidectomy, also known as a facelift, aims to surgically remove wrinkles and tighten facial skin in order to achieve a more youthful appearance.

Typically, the incision is placed in front of and behind the ears, extending into the hairline in the temple area. The skin is lifted off the deeper facial tissue, redraped more tightly, and the excess skin is removed. The incisions are then closed with sutures.

The deeper tissues of the face and neck may also be tightened. Blepharoplasty, or eyelid surgery may be done at the same time.

brow lift, browplasty, or forehead lift aims to remove signs of aging by raising drooping eyebrows and removing forehead wrinkles, or worry lines. It is often done alongside other cosmetic procedures to achieve a more harmonious facial appearance.

Chin augmentation aims to make the chin more prominent and provide a better balance of facial features. It may be done at the same time as rhinoplasty, depending on the measurements taken before surgery. It can be performed with either a prosthetic implant or through manipulation of the chin bone.

Malar, or cheek, augmentation can make the cheekbones more prominent. The surgeon may place an implant at the top of the cheekbones.

Peels, Fillers, Grafts, And Laser Treatment

Less invasive treatments may include peels, fillers, injections, grafting, and laser treatment.

Fillers can be used to iron out wrinkles and to make the lips look plumper.

Chemical peels may help treat acne, pock marks, scars, or wrinkles. A number of active agents may be used.

A light or superficial peel uses Alpha Hydroxy Acids (AHAs) such as glycolic, lactic, or fruit acids to treat the outermost layers of the skin. The treatment is not as deep as with some peels, so the recovery time is minimal.

It acts by blocking the signal from nerves to the muscles that are injected. The injected muscle can no longer contract, or tighten, as forcefully as before, and this leads to a controlled relaxation of the muscles.

It is approved for treatment of frown lines on the forehead, crow’s feet, or lines around the eye, and axillary hyperhidrosis, or increased sweating of the armpits.

Apart from “botox,” several other brand names of botulinum toxin are now commercially available.

Soft tissue fillers, or dermal fillers, are medical device implants approved by the FDA for use in helping to create a smoother, fuller appearance in the face.

They can be used to treat nasolabial folds, cheeks, and lips, and to increase the volume of the back of the hand.

They can also reduce wrinkles, lines and scars, and augment soft tissue contours. They are not permanent, but they are degraded by the body, so repeat treatments may be necessary to maintain the effect.

Commercially available products include hyaluronic acid, poly-L-lactic acid (PLLA), calcium hydroxyapetite, and polymethylmethacrylate beads (PMMA).

These products normally come in a gel formulation that fine needles can inject into the deeper layers of the skin and underlying soft tissue of the face. Collagen injections are no longer performed because some patients experienced allergic reactions, some of them serious.

Complications can occur with facial fillers, and especially permanent fillers. Clinicians and patients are urged to check the contents of a filler and discuss all the implications of surgery before going ahead with a procedure.


Fat injections and fat grafting have broad applications in cosmetic surgery.

The patient’s own fat is collected from one part of the body using liposuction, and it is injected into areas requiring volume enhancement. It is usually applied to the face, including the lips, the hands, and depressions in skin contour.

The results are generally safe and long lasting, and it can have the additional benefit of removing fat from a place where it is not wanted. The fat is removed, washed, and purified and then carefully re-injected with specially designed needles. Sometimes the procedure needs to be repeated several times for best results.

Stem-cell enriched fat grafts have been trialed for reconstructive surgery, with promising results, suggesting that the procedure is reliable, safe, and effective. However, tumor growth may be an adverse effectTrusted Source, so further research is needed before stem cells can become central to plastic and reconstructive surgery.

Lasers and light-based facial treatment, also known as facial laser resurfacing or laser skin treatment, can help reduce fine lines, wrinkles, and abnormal pigmentation, such as sunspots. Treatment utilizes concentrated, pulsating beams of light.

A variety of laser types are used, and these vary in aggressiveness and downtime. It may take several sessions to see results.

Hair Transplantation

Surgery can return hair growth to those with hair loss.


Hair transplantation is a kind of cosmetic surgery. can help renew hair growth.

Tiny hair follicle grafts are obtained from the back of the scalp, where hair tends to be denser. It is then transplanted with minute incisions to the areas of the scalp that are affected by hair loss.

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People who are considering cosmetic surgery need to weigh up the options carefully before going ahead.

Here are some tips:

  • Choose a reputable surgeon and checking their credentials.
  • After obtaining the surgeon’s opinion, make your own decisions, and resist being persuaded to opt for something you did not previously want.
  • Get full information about the procedure and weigh up all the pros and cons beforehand.
  • Be aware of any risks and limitations, for example, will this need redoing in 6 months?
  • Choose the right moment, avoiding, for example, the time around a stressful event, such as changing jobs, bereavement, having a baby, or moving house.
  • Never seek cosmetic surgery to please or impress anyone else.
  • Do not travel too far for treatment, or if travel is necessary, ensure the arrangements are reliable, especially if opting for surgery abroad.
  • Beware of non-refundable deposits, and be prepared to change your mind.

Any surgery has a risk of complications

The American Society of Plastic Surgeons urges people to seek medical attention at once if they notice any of the following symptoms during or shortly after surgery:

  • unusual pain
  • visual disturbances
  • white skin near an injection site
  • signs of stroke

Any decision to go ahead with cosmetic surgery should first be discussed with a primary health care provider, such as a family doctor.ADVERTISEMENT

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Plastic surgery is growing in popularity each year, with almost 18 million surgical procedures taking place in the United States annually.1 Women are no longer the only people having cosmetic surgery. Men are contributing to the boom in procedures. The following are the 10 most common plastic surgery procedures.

Liposuction is a surgical procedure that suctions fat from specific areas of the body to provide a slimmer and shapelier silhouette. There are several types of liposuction.

In tumescent liposuction, the most popular type, a solution of saline, a drug to constrict blood vessels and a numbing agent are infused into the area to be treated.2

This liquid, along with fat, is suctioned out of the body using small hollow metal instruments called cannulas. The infusion of liquid can cause short-term fluid retention that diminishes over the next few days.

In ultrasonic-assisted liposuction (UAL), the cannula releases ultrasonic energy to melt fat so that it can be suctioned out of the body.3 UAL has more risks than tumescent liposuction, including the risk of internal and external burns and a lengthier surgery.

Other options include laser liposuction, power-assisted, air-assisted, and suction-assisted

The average patient is able to return to work within a few days, depending on the area(s) selected for the treatment.4

Breast Augmentation
The surgical enlargement of women’s breasts has become enormously popular with over 300,000 procedures done every year in America.1

Surgery is done for many reasons, to enlarge both breasts, to replace a breast that is absent, or to make asymmetrical breasts equal in size. Other women opt for surgery when their breasts do not develop during puberty, a condition called congenital micromastia.5

Silicone implants, once banned as a health risk, are increasing in popularity. According to the American Society of Plastic Surgeons, 12% of women opted for silicone implants in 2018.1

Most patients have one or two weeks of recovery before they can return to normal activities. High impact activity, such as running, may require additional healing time.

Eyelid reshaping surgery is can be done for cosmetic reasons or to improve vision in patients where the eyelids obstruct vision. Too much skin or sagging skin can cause vision to be impaired and contributes to the appearance of aging.6

Lower eyelids with chronic puffiness or wrinkling are often reduced during the procedure for a more youthful appearance. Fat pads under the eyes causing the appearance of “bags” are removed as necessary in the lower lid procedure.

Most people can go out in public in 10 to 14 days, with swelling becoming less noticeable for weeks or months.7

Commonly known as a tummy tuck or a lower body lift, abdominoplasty removes excess skin from the abdominal area and tightens the skin that remains. This surgery is often performed on people who have excess skin after being pregnant or after losing significant weight after bariatric surgery.

The ideal candidate does not have excess fat deposits in the abdomen to remove but too much skin hanging from the abdomen.8 Most patients are able to resume normal activities in two to three weeks but may have limits on physical activity for a longer period of time.
A nose job, or rhinoplasty, reshape the nose, bringing it into balance with the rest of the face. The surgeon may reduce the overall size of the nose or refine areas of the nose for a more pleasing appearance

In some cases where breathing is can be improved through surgery, as in the case of a deviated septum, insurance will pay for some or all of the surgery.10 Bruising can be obvious after surgery but should fade over the next ten days, when most patients return to work.

A rhytidectomy, or facelift, is a surgical solution to the wrinkles and sagging that accompany aging. A facelift tightens the skin of the face to give a more youthful appearance by gently pulling skin tighter, smoothing deep lines, and minimizing sagging.

A facelift is frequently combined with another procedure, forehead lift, eyelid shaping or skin peels, to enhance the youthful appearance of the patient. Sutures are often removed five to 10 days after the procedure, but recovery will take several weeks.

Breast Lift
A treatment for sagging or poorly shaped breasts, a breast lift repositions the breast for a perkier appearance. A typical patient will have this procedure after significant weight loss or pregnancy leaves the breasts looking deflated.

Some women opt to have a lift and an implant procedure if the breasts are notably smaller than before weight loss or pregnancy.12 Most women are able to return to work within two weeks and resume full physical activity within a month.
Forehead Lift
Similar to a facelift, a forehead lift pulls the skin of the forehead tighter to remove wrinkles and smooth creases. This corrects drooping eyebrows, “hooded” eyelids, forehead furrows, and frown lines.13 The eyebrows are also elevated for a more alert and youthful appearance.

Patients with deep furrows between the eyebrows also benefit from a forehead lift as the lines are minimized as the eyebrows are raised. Most patients are able to resume normal activity within ten days of surgery, but recovery can be significantly longer if combined with other facial surgeries.

Gynecomastia Treatment
Surgery to reduce excessive amounts of male breast tissue and fat, a condition known as gynecomastia, is a permanent treatment for most men, as long as the increased amount of tissue is due to the person’s genetics. However, the majority of men don’t require treatment.14

Some men experience growth of their breasts after using steroids or marijuana habitually. For these men, breast size will increase if the use of the drug that caused the growth continues. It is essential that men who know that drugs are the cause of their gynecomastia stop using the drug prior to the surgery or the outcome may not be ideal.

Men with very large breasts may require a longer surgery with an additional procedure to decrease excess skin; otherwise sagging skin may be noticeable.
Surgeons typically make an incision around the nipple line so that the scar is not noticeable to the casual observer, allowing patients to go shirtless after recovery. Most men are able to return to work within a week and are able to return to normal activity within weeks.


While both cosmetic surgery and plastic surgery deal with improving a patient’s body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different.

What Is Cosmetic Surgery?

Cosmetic Surgery: Focused on Enhancing Appearance

The procedures, techniques, and principles of cosmetic surgery are entirely focused on enhancing a patient’s appearance. Improving aesthetic appeal, symmetry, and proportion are the key goals. An aesthetic surgery can be performed on all areas of the head, neck, and body. Since cosmetic procedures treat areas that function properly, cosmetic surgery is designated as elective. Cosmetic elective procedures are performed by doctors from a variety of medical fields, including plastic surgeons.

Types of Cosmetic Surgery Procedures:

What Is Plastic Surgery?

Plastic Surgery: Focused on Repairing Defects to Reconstruct a Normal Function & Appearance

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is, by definition, reconstructive in nature. While many plastic surgeons choose to complete additional training and perform cosmetic surgery as well, the basis of their surgical training remains reconstructive plastic surgery. In fact, in 1999, the American Society of Plastic and Reconstructive Surgeons changed its name to the American Society of Plastic Surgeons to more strongly communicate the message that “plastic and reconstructive surgeons are one in the same.”¹

Types Plastic Surgery Procedures:
  • Breast Reconstruction
  • Burn Repair Surgery
  • Congenital Defect Repair: Cleft Palate, Extremity Defect Repair
  • Lower Extremity Reconstruction
  • Hand Surgery
  • Scar Revision Surgery

2. Cosmetic Surgery Training Is Obtained Separately From Plastic Surgery Training

As cosmetic surgery and plastic surgery each have distinct practice goals built around a specific procedure set, it only follows that the training and certification process for a board certified cosmetic surgeon will look very different from that of a board certified plastic surgeon.

Plastic Surgery Training vs. Cosmetic Surgery Training

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Plastic Surgery Training Is Completed Through A Post-Graduate Residency Program

Physicians who become board certified in plastic surgery are required to complete one of two routes of training:

  1. An integrated residency training that combines three years of general surgery and three years of plastic surgery or;
  2. An independent, five-year residency program in general surgery followed by the three-year plastic surgery residency program.

Residency programs in plastic surgery may include cosmetic surgery as a portion of a surgeon’s training, but typically do not include training on every cosmetic procedure.

Therefore the title “board certified plastic surgeon” indicates a certain level training and experience with respect to plastic surgery, but it does not indicate the same thing with respect to cosmetic surgery, as the residency training required to become board certified in plastic surgery may not include training with respect to many common cosmetic procedures.² Nor does it tell you that the doctor has more or less cosmetic surgery training than a physician board certified in another specialty.

Cosmetic Surgery Training Is Completed Primarily After Residency Training

There are currently no residency programs in the United States devoted exclusively to cosmetic surgery. Because of this, cosmetic surgeons primarily obtain training and experience after completing their residency training. This is done by completing a post-residency fellowship training program in cosmetic surgery.

American Board of Cosmetic Surgery Education Timeline

Board Certified Cosmetic Surgeons Are Residency Trained + Fellowship Trained In Cosmetic Surgery

The training, experience, and knowledge required to become a board certified cosmetic surgeon reflects specialization above and beyond what it takes to become board certified in a related discipline, such as plastic surgery. Each surgeon who is board certified by the American Board of Cosmetic Surgery has completed a 1 year, American Academy of Cosmetic Surgery certified fellowship training exclusively in cosmetic surgery. During this fellowship, surgeons receive thorough training in all cosmetic surgery procedures of the face, breast, and body, plus non-surgical cosmetic treatments, performing a minimum of 300 individual cosmetic surgery procedures. This fellowship training is in addition to completing a 3-5 year residency program in a related discipline.

Because any licensed physician can legally perform cosmetic surgery, regardless of how they received cosmetic surgery training, it is extremely important to do your research when choosing a cosmetic surgeon. To find the most qualified doctor for a specific cosmetic procedure, you must compare doctors’ overall (residency and post-residency) training, experience, and proven competence with respect to that specific cosmetic procedure.Open document settingsOpen publish panel

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