Patients come into my practice with different expectations. Some of them want less and some other more. Age, gender, pre-existing skin conditions, they all play a role in the final result. Patients express their wishes but they cannot evaluate the outcome. This is my call. I am responsible to know in advance if the final result of the treatment or surgery will look natural, harmonious, balanced or not. And for that, you can never do too much. In aesthetic medicine and surgery, the rule is one: Less is more.
I believe that I represent a new generation of cosmetic surgeons: A generation that had enough of the exaggerations and mistakes in cosmetic surgery of the past. We have though to give some credits to cosmetic surgeons of 30 years ago. They introduced a completely new field, the one of aesthetic surgery, which changed dramatically the life of a lot of people unhappy with their appearance. For that though, they had to experiment, do sometimes more than necessary or obey the patients’ wishes more that medicine and this is why we ended up with a lot of ugly, unsymmetrical, “plastic” faces and bodies, that we still see on the street.
A good cosmetic surgeon has to be able to say “no” to unnecessary aesthetic treatments or cosmetic surgeries. I catch myself quite often saying “no” to young women wishing for huge lips or very big breasts, when I know in advance how bad it will look. I believe, my role, as cosmetic surgeon is to consult and advise patients for a natural, aesthetic result, not just follow their wishes. And most of the times, it works. After all, this is why they come to you as an expert.
In general, I think that cosmetic surgery or aesthetic treatments can go wrong when the surgical goals are too aggressive. In my practice I typically advise patients to go for enhancement that are subtler and try to have a more natural appearance after the surgery or the treatment. I believe that this approach has been pretty successful and my patients have been pretty happy.