What Works and What Doesn’t and How Physicians Choose ?

What follows are brief descriptions of the most popular cosmetic procedures. If you are seriously considering undergoing a cosmetic procedure, you can find more detailed information about it from many good sources, including those listed in Resources at the back of this book. Be wary of books, brochures, and Web sites that emphasize only the positives of procedures and downplay or ignore the negatives. My focus is on the too often under emphasized aspects of operations and procedures, whether they be the risks, outcomes, or simply inconveniences. These are the details doctors may not emphasize with their patients but will stress with their family members and friends.

The list of procedures is alphabetical by category

Specific Procedures

Body Contouring

  1. Lower Extremity Liposuction
  2. Upper Extremity Liposuction
  3. Back Liposuction and Fat Grafting
  • Tummy Tucks
  1. Abdominal Liposuction
  2. Abdominoplasty with Abdominal Wall Plication
  3. Mini-abdominoplasty Combined with Liposuction
  4.  Reverse Abdominoplasty
  5. Panniculectomy
  6. Massive Panniculectomy
  7. Ventral Hernia Repair and Abdominoplasty
  8. Umbilical Hernia Repair at the Time of Abdominoplasty
  • Trunk and Extremity Lifts
  1. Traditional Brachioplasty
  2. Extended Brachioplasty
  3. Minimal Incision Brachioplasty
  4. Upper Back Lift
  5. Lower Back Lift
  6. APEX (Proximal) Thigh Lift
  7. Extended Thigh Lift
  • Buttock, Thigh, Calf, Biceps, Triceps, and Pectoral Implants
  1. Upper Body Lift with Autologous Breast Augmentation
  2. Belt Lipectomy with Autologous Gluteal Augmentation
  • Mesotherapy
  • Safety in Body-Contouring Surgery
  • Presentation for Upper Extremity Contouring

Breast Surgery

  • Breast Augmentation
  1. Traditional Wise Pattern Mastopexy with Autoaugmentation
  2. Vertical Pattern Mastopexy (with Augmentation)
  • Breast Lift
  • Breast Reduction
  1.  Liposuction of the Breast
  2. Wise Pattern Breast Reduction with Inferior Pedicle
  3. Vertical Pattern Breast Reduction with Superior Pedicle
  4. Wise Pattern Superior Pedicle Breast Reduction with Nipple Grafting

Ear Surgery

  • Facial Rejuvenation/Reshaping
  • Eyelid Surgery


Jaw and Chin Surgery

Nose Reshaping

Skin Rejuvenation/Resurfacing

  • Chemical Peels
  • Dermabrasion and Microdermabrasion
  • Laser Resurfacing and Photorejuvenation
  • Radio Wave Treatments
  • Nitrogen Plasma
  • Hair Transplantation 
  • Laser Hair Removal
  • Skin Pigment Correction
  • Scar Revision
  • Stretch Marks Treatment
  • Micropigmentation
  • Destruction of Skin Blood Vessels
  • Vascular Lasers
  • Sclerotherapy
  • Drug Delivery Systems
  • A Few More Words about Lasers in Cosmetic Medicine

Dental Cosmetic

Skin Care and Products

The “We Just Don’t Know” Category

The “We Don’t Know AND It Could Be Dangerous” Category

The “Too Good to Be True” Category 

What They Don’t Always Tell You

Risk Factors

Early Wound Complications

  • Infection
  • Fat Necrosis
  • Skin Separation
  • Skin Necrosis
  • Bleeding, Hematoma, Seroma, and Bruising 

Early Breast Complications 

  • Nipple Loss
  • Chest Cords
  • Milk Drainage
  • Unanticipated Breast Cancer

Systemic Complications

  • Anesthesia complications 
  • Lungs
  • Heart Problems
  • Blood Clots
  • Urinary Retention/ Bladder Infection

Late Complications

  • Problem Scars
  • Skin Pigment Alterations
  • Numbness
  • Contour Problems and Asymmetries
  • Need for Further Surgery

Psychological Complications


  • Goals Versus Outcomes
  • Physical Results—Less May Be Better 

Patient Satisfaction

The Dissatisfied Patient 

Cosmetic Interventions for Men

Male Rhinoplasty

Male Facelift, Eyelid Lift, and Brow Lift

Hair Transplantation

Body Contouring For Men: Liposuction and Implants

Male Breast Reduction

  • Gynecomastia Presentation and Its Enormous Variability
  • Gynecomastia Liposuction
  • Gynecomastia—Excisional Technique
  • Mastectomy Through a Horizontal Approach
  • Gynecomastia—Wise Pattern Excision Technique
  • Gynecomastia—Vertical Excision Technique
  • Gynecomastia—Extended Technique with J Excision

Outcomes for Men

Cosmetic Medicine for Non-Caucasians

Cosmetic Interventions for the Very Young, Teens, and the Very Old Children

  • Children

Cosmetic Surgery for Teens

  • Statistics
  • Psychological Considerations
  • Eating Disorders
  • Marketing to Teens
  • Specific Cosmetic Procedures for Children and Teens 

             Breast Surgery for Teens

            -Ear Surgery for Teens

            – Liposuction for Teens

            – Rhinoplasty for Teens


Decision Making for the Parents of Teens 

Elderly Over- Seventy- Five