The 5 Biggest Secrets Plastic Surgeons Don't Want You to Know

I have so much respect for plastic surgeons. They study for so many years to get to where they are.  A Specialist Plastic Surgeon who undergoes an additional eight to 12 years of surgical training in addition to their basic medical degree. 

However, I wanted to write the blog post because many women and men I meet are not aware of some of the big secrets in the plastic surgery industry.

There are many amazing plastic surgeons who have high ethical standards and will take care of you - but you should arm yourself with this knowledge to make sure you are as informed as possible before considering plastic surgery.

1. The surgeon may have never done the surgery before.

For example, a plastic surgeon may have only done none or a couple of Brazilian but lift surgeries (BBL) - yet he or she still performs it for a patient without disclosing this lack of experience. 

Make sure you enquire about the experience of the surgeon before going with him or her for your plastic surgery. I for sure would not want to be a guinea pig for a surgeon!

Many surgeons become specialised in an area of plastic surgery such as facelifts or liposuction and they can show you this portfolio of experience in their specialised area of interest.

2. If it's cheap, it may be done when you are awake

This is called twilight sedation. 

During surgery, the patient is under what is known as a 'twilight state', where the patient is relaxed and 'sleepy', but able to follow simple directions by the doctor, and is responsive.

Personally this sounds really traumatising to me, especially for a large invasive surgery. 

A big reason as to why some, I repeat some (not all) doctors perform surgery with twilight sedation is because it enables them to do it in an office without the same regulations constraints as they would in a hospitals or day surgery. In some cases, the surgeon will be doing the sedation, as well as, the surgery - in place of having a licensed anaesthesiologist present.

“We have always been concerned about conscious sedation and the fact it allows quite large and invasive procedures like facelifts and breast augmentation and liposuction to be done in places that aren’t licensed,” – Hugh Bartholomeusz, former president, ASPS

3. They might not be a plastic surgeon - they might be a General Practitioner.

In Australia, around eight years of specialist plastic surgery training is required to become a Plastic Surgeon - however, other specialties are dabbling in cosmetic surgery.

Plastic surgery procedures are not limited to Royal Australasian College of Surgeons (RACS) accredited surgeons and, in many instances, a doctor from another discipline (such as a General Practitioner) may do the surgery for you. 

This is completely legal in Australia - but not without its controversies.

Many of these non-plastic surgeons label themself as a cosmetic surgeon.

4. Some surgeons market surgeries to make money - not based on what you need. 

Some surgeons may push you to do a surgery that you may not need. Of course 'need' is a very subjective word but let me give you an example.

A surgeon may recommend for you to get a revision breast augmentation (breast implant surgery) because your breasts have experienced a little bit of ptosis (falling of the breasts). Of course, some women may be unhappy with the ptosis and elect to get a revision surgery - however, I have heard of surgeons telling patients that they really need a ptosis when there is very little change in the aesthetics of the breast. 

So make sure you really want a surgery and that no one is 'influencing' you to change your body. 

 5. You might need more than one surgery 

If you're getting breast implants and you think this is a one time investment of $10,000. You’re wrong. Highly highly likely you’ll need another operation - even if all goes well. Breast implants are not lifetime devices.

Due to the nature of implants, some secondary surgery is virtually given at some point in the patient’s lifetime. In Australia, Government statistics report a 20% revision rate for Breast Augmentation. So when you’re getting any procedure discuss what the doctors policy is on revision surgery.

This raises the issue of going overseas for surgery. Even if you see an amazing plastic surgeon who is very reputable - things can go wrong. If they are not in your jurisdiction - how are they going to fix the issue or do the revision surgery.

Patients can incur additional costs for revision surgeries and complications. You’re not protected by your home country’s legal system: there may be no legal recourse if surgical negligence occurs.

 Be careful!

Thank you so much for reading our blog! There are amazing ethical and technically brilliant plastic surgeons, however, we thought we should share the secrets of the plastic surgery industry so you are empowered to make the best decisions for you!

Love The Patara Skin Team X

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