Top Countries for Plastic Surgery

August 11th, 2017 by

Top Countries for Plastic Surgery

Plastic surgery is a booming industry. In fact, Americans alone spent some $11 billion on these procedures in 2013 – including Botox and other nonsurgical procedures. Worldwide, the industry tops out near $100 billion annually. There are several countries where plastic surgery is incredibly popular, and the International Society of Aesthetic Plastic Surgeons can provide some insight.

#5 – Mexico

Mexico comes in at number five on the list of top countries for plastic surgery. In this country, there are 1,634 plastic surgeons, and the most popular procedures include eyelid surgery and facial fat grafting. While Mexico ranks rather low when it comes to the number of residents seeking breast augmentation, it comes in quite high for procedures performed on the body and extremities. In fact, it’s number three in the world in that category. Mexico also ranks highly in facial plastic surgeries, but falls behind again in terms of injectables, which aren’t as readily available in that country. More than 923,000 cosmetic procedures were performed in Mexico in 2016.

#4 – Italy

Italy ranks quite low when it comes to cosmetic head and facial procedures, even when compared to countries like Germany, and it only barely nudges ahead of Turkey in this category. However, people in Italy do seem to seek more breast augmentations than women in many other countries. Surprisingly, Italy’s booming plastic surgery economy is fed primarily with injectables like Botox and fillers; these are the most common procedures in that country, and Italy comes in third in this category behind the US and Brazil, respectively. However, there were more than 957,000 cosmetic procedures performed in this country overall in 2016.

#3 – Japan

Plastic surgery is growing in popularity in Japan; in 2016, some 1,137,000 procedures were performed in this country alone. Japan came in second when it came to non-surgical procedures like facial rejuvenation, but it seemed to fall behind in terms of injectables. Body and extremity surgery, which includes breast augmentation, is quite rare in Japan, and this country came in at the bottom of the list in this category – well behind countries like Turkey, Spain, Colombia, and even Iran.

#2 – Brazil

Brazil is one of the world’s plastic surgery meccas, and it’s the place where the coveted “Brazilian Butt Lift” was first developed. Women are very keen on both surgical and nonsurgical procedures in this country. Brazil comes in second in most categories, including breast augmentation, but it exceeds even the United States in the number of facial and head procedures carried out each year, which is surprising to many. This is true although there are roughly 1000 fewer plastic surgeons in Brazil than in the United States.

#1 – United States

As of 2016, there were 6600 plastic surgeons licensed and in practice in the United States – far more than any other country in the world. American surgeons performed some 4.2 million cosmetic procedures in that year alone, including procedures for patients who traveled from other countries for the best possible medical care. The US performs the most breast augmentations, the most injections, and the most nonsurgical procedures of any other country. It’s only outperformed in a couple of areas, and in this case, Brazil took the number one spot.

While it’s true that the United States is the apex of plastic surgery in the world with at least 1000 more plastic surgeons than any other country, Brazil, Japan, Italy, and Mexico are no strangers to cosmetic procedures – and they’re growing in popularity in these countries every day.

What to Look for in Before and After to Ensure Honest Photos

March 16th, 2017 by

Face & Neck Lift

Whether you’re considering a new haircut, a weight-loss program, or even plastic surgery, chances are good that you rely on before and after photos to help you decide which program or product to use. Unfortunately, you can only believe half of what you see since some of these photos aren’t exactly honest. Here’s what you should look for in a before and after photo to make sure you’re seeing the truth.


One of the first giveaways that you’re looking at a faked before and after photo is a lack of symmetry. Often, the “after” photo won’t have the same symmetry as the “before” photo. You may notice that one eye looks a tiny bit higher than the other, or that one nostril is marginally smaller than the other. These things may indicate that a photo has been retouched or fabricated, so be sure to use your discretion if you notice any asymmetry in the photos.


A real before and after photo will have the same lighting in each photo. In fact, many legitimate surgeons, weight loss companies, and product developers work hard to duplicate parameters – including lighting – for each photo. If one photo appears lighter or darker, or if the light seems to be coming from a different direction, there’s probably something to hide. Either the photographer shifted the light source to conceal a flaw, or the photo has been retouched.


When you look at before and after photos, it’s vital to ensure that the poses are identical. When it comes to facial photos, the model should be holding his or her head in the very same position – looking directly forward without tilting his or her head up or down. If you notice any discrepancy in the poses, this is a dead giveaway that the photo has been manipulated in some way. For example, if the model holds her chin lower in the “before” photo, this may be done to decrease the appearance of wrinkles in the neck area, which makes the “after” photo look far more convincing.

Natural Flaws

The entire goal of plastic surgery (and other types of self-improvement) is to improve your overall appearance, and this should absolutely show in before-and-after photos. However, if the after photo looks too perfect, or if the flaws in the before photo look exaggerated, then there’s a good chance they’ve been edited. Even the “after” photo should show some flaws; after all, no one is perfect – not even after surgery. If things look flawless, you should question the truthfulness of the photos.


Finally, before and after photos should be simple. If you see an entire set of photographs taken from multiple angles, or if the lighting appears completely professional, then a photo crew probably used a variety of techniques to improve the quality of the photos and hide flaws. A professional photo crew can improve the “before” photo and downplay the quality of the “after” photo, making it appear that a procedure was far more successful than it actually was.

As you can see, there are several ways in which a photographer can make a before and after photo seem far more convincing than it should be. As such, pay attention to the five things above, and if your instinct says something is amiss, be sure you listen to it.

Four Countries You Never Want to Get Plastic Surgery In

August 11th, 2016 by

Bad Plastic Surgery

Unfortunately, plastic surgery tourism is on the rise and creating numerous problems for both patients and surgeons. Plastic surgeries gone wrong in foreign countries leave patients in unwanted conditions and plastic surgeons in the United States with the task of fixing them. It can be frustrating for everyone involved. It isn’t fair, but it’s a reality. If you’re thinking about participating is plastic surgery tourism, make sure you never get it in the following countries:


Mexico is one of the top plastic surgery tourism destinations, but that doesn’t mean it’s legitimate. Mexico doesn’t require its plastic surgeons to undergo any type of board certification. This means there’s no governing body that deems plastic surgeons to be qualified and competent. Patients who choose to go to Mexico for plastic surgery run the risk of having a surgeon who doesn’t know what they’re doing performing their operation.


Greece’s popularity as a plastic surgery destination is on the rise. More and more people are making the trip across the Atlantic to have their operation done there. Again, this doesn’t mean it’s legitimate. Just because Greece is in Europe doesn’t mean it’s the same as more developed countries like England, France, and Germany. Greece’s economy is one that has struggled for quite some time now. Poverty rates are high. There are numerous political problems with neighboring countries and within. Regardless of potential savings, it’s no place for patients to be going to to have an operation.


The Brazilian government offers tax deductions for citizens who want plastic surgery; however, it isn’t out of the kindness of their hearts. They see the high demand for plastic surgery in their country and want to increase income for practitioners. They believe that this will eventually boost medical tourism and bring the US dollar and European euro into their country. This an economical ploy that put patients at risk.

South Korea

South Korea is one of the cheapest countries in the world to have plastic surgery. They also have highly skilled surgeons. The combination doesn’t equate to it being a good plastic surgery tourism destination though. South Korea has problems with the volume of plastic surgery patients. There is an ever increasing number of plastic surgeries being performed in the country each year. This isn’t a good thing for medical tourists. As a patient in a foreign country, the last thing you want to be a part of is an overcrowded hospital system.

The idea of medical tourism might be appealing because of financial savings, but make no mistake about it: patients who participate in plastic surgery tourism are putting their lives at risk. Being in a foreign country is no place to voluntarily be while you’re in your most vulnerable condition. Always stay at home and always seek treatment from a plastic surgeon board certified by the American board of facial plastic and reconstructive surgery. In the end, you’ll be glad you did.

Five Reasons to Never Get Plastic Surgery

August 2nd, 2016 by

Plastic Surgery Reasons

Advancements in plastic surgery technology and techniques to reduce negative side effects have made the idea of having it seem quite attractive. More people than ever before are considering the idea of undergoing some form of plastic surgery.

While plastic surgery can benefit numerous groups of people, it’s not for everyone. it’s important that you examine the psychological reasoning behind your thinking before making a decision to go ahead with plastic surgery. Examine all the driving forces behind your thought processes and take into account the following 5 reasons to never have plastic surgery.

To Look Like a Celebrity

Trying to look like a celebrity should never be a reason to get plastic surgery. Celebrities are polarizing figures that we all admire, but it’s important to realize that many of the physical characteristics that make them so attractive are actually artificially manufactured. Things like excessive makeup, camera angles, and photo shopping are all done to make celebrities appear more attractive than they actually are.

To Fight Depression

Any ill, unpleasant, or unhappy feelings you have toward yourself or life will not be changed by plastic surgery. Your outward appearance might effect your overall opinion of your self to a certain degree, but it will never be the determining factor in your overall happiness. People wishing to fight depression are advised to see a psychiatrist. In most cases, plastic surgery done on people who are depressed will actually worsen their symptoms.

To Please Your Significant Other

It’s quite common for partners to not be fully satisfied by the outward appearance of each other. This often occurs as people people change with age. Pressure by your partner to appear more physically attractive is not a reason to get plastic surgery. Should your partner not be pleased with the way you look before plastic surgery, his or her opinion will not change after.

To Get a Job

The job market is thin and the pressure to look attractive is high. Many believe increasing their level of physical attractiveness will put them in a better position to get a job or advance their career. This type of thinking is not logical. In the end, plastic surgery will never be the reason you get a job or advance your career and in some cases might have the opposite effect.

To Get Revenge or Make Others Jealous

Many people use plastic surgery to get revenge on people who made fun of them at some point in their life. They believe that making their abuser jealous will be the ultimate form of revenge. Being made fun of or mentally abused is a horrible thing that can cause a great deal of psychological pain. Dealing with the pain should never be dealt with by having plastic surgery. It can actually cause more damage than relief.

Should you go ahead with plastic surgery for the above mentioned reasons, you will be doing yourself a disservice. Any problems you had before surgery will surely get worse.

How Before and After Images Can Help you Choose the Right Plastic Surgeon

July 29th, 2016 by

Before & After

Dentists, surgeons, interior designers, architects, beauticians, and many other professionals are using technological platforms to show off their skills through before and after photos. Everyone loves them. Nothing is more visually appealing than seeing someone or something’s appearance improved. Keeping this in mind, it’s important that you have an understanding of how before and after photos pertain to plastic surgery. When they’re understood and used properly, they can be an important asset that will enable you to get the results you want. They should be used to help you:

Choose a Surgeon

Before and after photos are a direct reflection of a surgeon’s work. They should definitely be used to help you choose your surgeon; however, proper precaution must be taken into account. The internet is not the only place to look at a surgeon’s before and after photos. A good surgeon will always have photos on hand during an office visit. Don’t be afraid to ask to see them. Most surgeons will happily show them to you. More often than not, they’ll go into detail in explaining exactly what went into obtaining the given results. This can be an invaluable way to judge a surgeon’s skills, knowledge, and character.

Know What Results to Expect

One of the most important things to know is that you’ll never look exactly like the people you see in before and after photos. It’s impossible. Results are always individualized. Comparing your results to other patients’ is no win situation. Taking this into account, there are ways you can use photos to know what type of results you’ll get. Ask your surgeon if they have any photos that might accurately reflect your results. Usually a surgeon will show you a photo and explain the similarities and differences between the patient in photos results and your expected ones. Most surgeons will have you look into a mirror as they very specifically point out what they’ll be doing and what results you can expect.

Avoid a Mistake

It’s an unfortunate reality that non-qualified individuals use plastic surgery as a way to make money. Always take this into account when looking at photos. Realize that photos can be altered. The best way to go about not getting scammed is to link photos to accredited surgeons with strong testimonials. A board-certified plastic surgeon is the only surgeon you should ever consider consulting. If you’re comfortable doing so; you should ask family, friends, co-workers, and community members for recommendations. They usually can steer you in the right direction and might even be able to put you in direct contact with someone who has a testimonial.
When used properly, before and after photos can help you get the results you want. Don’t fall into the trap of thinking your results will be the same as people in photos. Be smart. Use the information in this article to guide you and your results will surely be ones you’re happy with.

Why More Asian People Want to Look Like Westerners

July 12th, 2016 by

Asian Plastic Surgery

Plastic surgery is becoming quite popular in Asia. The United States remains the leader in total number of plastic surgeries performed, but many Asian countries, like China and Japan, are quickly gaining ground. In South Korea, the amount of plastic surgeries per capita has actually exceeded that of the United States. It’s become quite popular for many Asian women to have plastic surgery to gain a more “western” look. Many are curious as to why this is occurring. The following have been looked at as possible reasons:

Asian Value Systems

Asian cultures value many of the same things as western cultures. A strong emphasis is placed on success, wealth, and attractiveness. Moving up in social status is encouraged. Western and Asian cultures encourage a “whatever it takes” mentality to move up the social ladder. It’s hypothesized that plastic surgery is a new and popular way in which Asians are attempting to gain hierarchy.

A Shift to a Western View of Beauty

It’s believed that the Asian community has shifted its idea of beauty to a more western one. Facial features like longer noses and wider eyes are now looked at as the gold standard. In addition, a greater appreciation for larger breasts and buttocks has be seen. Perhaps this is due to an increase in the amount of exposure to western culture. The internet and social media now make western culture easily available to Asians. It’s easier than ever before for Asians to pick up a computer or phone and look at pictures of popular western celebrities and models. This can have a tremendous effect on how attractive Asians feel and be a driving force when contemplating plastic surgery.

An Increase on the Importance of an English Education

There’s been a strong push towards educating Asians in a western education model and in the English language. Many Asian governments hire westerners to live and teach in their countries. This has done two things. First, it’s caused the Asian community to view western culture as “better” than their own. Second, it’s made actual western exposure more available to Asian youth. More young Asians are meeting westerners and noticing the differences in the way the look. They believe that they will be more attractive and “better” if they look like westerners. While this thought process is neither healthy nor logical, it can cause some Asians to decide to have plastic surgery to alter their appearance.

In conclusion, the exact reason for the increase in plastic surgery to appear more western is not fully known. It’s something that is currently being investigated and is probably caused by multiple factors rather than just one. The above mentioned three reasons are supported and the most likely that we have to date. It’s important to realize that all Asians don’t want to look like westerners. Should you be interested in this topic, it might be worthwhile to discuss it with an Asian friend or physician.


How to Mentally Prepare the Night before your Plastic Surgery

June 15th, 2016 by

preparing for plastic surgery

Having plastic surgery performed is an exciting process for most patients. Being well-prepared beforehand in a mental and physical capacity though, will ensure that your procedure and recovery goes as smoothly as possible. Below are some tips to help you prepare mentally and emotionally right before having your procedure performed.

Ensure that you are Fully Educated

Although most forms of plastic surgery are minimally invasive nowadays, it is still surgery after all – which means that you could find yourself feeling a little stressed and pensive beforehand. However, the night before your surgery is not the time to be doing research about the procedure(s) you will be having done in the morning. This will only cause you to start second-guessing whether you should have surgery performed or not and thinking about every little thing that ‘could go wrong ‘– which will in turn cause even more stress. Rest assured that you already have all of the information you need from your surgeon and you will be well on your way to feeling calm.

Avoid Alcohol or Medication

While it may be tempting to have a drink before bed or use sleeping medication to relax you the night before your surgery, this is not recommended. The alcohol could cause your blood to thin out, which will in turn result in excessive bleeding occurring – many medications have the same effect. Some vitamins and supplements may need to be avoided beforehand as well – this should be discussed with your surgeon. Instead, opt for a more natural approach such as a glass of warm milk with a little honey or a cup of tea to help you relax your mind and body before drifting off into dreamland.

Consider Engaging in Relaxation Exercises

If you find that you are stressing out or struggling to fall asleep the night before having plastic surgery, engaging in meditation can be a fantastic way to relax and calm your mind. A few great ways to do this can include doing deep breathing exercises or meditation, having a massage or even opting for an acupuncture session. In many cases, performing activities like yoga or Tai Chi can provide a tremendous amount of relaxation before a stressful event like surgery as well.

Be Well-Rested

Getting enough sleep the night before having plastic surgery done will not only help calm your mind; a well-rested body will be one that responds well to surgery and any anesthesia that may be required. If possible, go to bed a little earlier so that you can get enough sleep and wake up feeling refreshed and ready to have your surgery performed. Aim to get at least 7 to 8 hours’ sleep – any less and you will feel tired and irritable, and much more than that will cause you to feel groggy.

Most importantly, it is essential to maintain a positive attitude from the time you have decided to have surgery performed to the time you wake up afterwards. Feel free to schedule an appointment with our surgeons if you would like to obtain further information on having plastic surgery performed.

How Plastic Surgeons are Incorporating Snapchat Into their Procedures

May 10th, 2016 by

Plastic Surgeons & Snapchat

While many patients may feel afraid before undergoing their first plastic surgery procedure, this was not the case for Jessica Wilson. The 29-year-old had already experienced numerous breast augmentations for months beforehand – by means of her surgeon’s Snapchat. Wilson told Fox News afterwards, “I would do it again. If I had another surgery, I’d definitely let him Snapchat it.”

Internet Fame for Surgeons

Recently, Fortune estimated that more than 7 billion videos are being uploaded and shared through this app each day. Dr. Matthew Schulman, the surgeon who performed the operation on Wilson, is part of an increasing amount of internet-famous surgeons who are making use of Snapchat. Schulman, who is based in New York said, “I was always looking for a way to broadcast my surgeries and get it out there, and interact with patients and future patients. I started [using Snapchat] about a year ago. I think that’s what revolutionized things for me as a plastic surgeon.”

Although Snapchat is known for enabling users to share brief video clips or photos that disappear 10 seconds or sooner after being opened, the site introduced its “stories” feature, which allows videos and photos to be posted for as long as 24 hours after originally being posted.

A Growing Trend

Schulman said that he performed between 35 and 40 surgeries per month, and up to 90% of patients permit him to broadcast their procedures via Snapchat. He mentioned that he has “several hundred thousand” followers and receives more than 450,000 views per day. In most cases, his medical assistant or nurse films while he is operating. “Any surgeries that I do I will broadcast. I traditionally do breast and body surgeries. We also broadcast non-surgical procedures like Botox fillers, facials and chemical peels. I’d say about 80 to 85% of the people who come in for a consultation are [sic] active followers on Snapchat,” he added. His Snapchat handle is nycplasticsurg.

Consent is given

Beforehand, Schulman’s patients sign a consent form detailing whether he can use footage from their procedure or not. While most give permission, they usually request that any identifying features such as faces or tattoos be concealed. However, Wilson gave him full permission to use media from her procedure in any way he wished. Being able to watch Schulman’s Snapchat while looking for a surgeon is what helped Wilson choose him, and she then agreed to have her photos shared so she could in turn help others to choose the right surgeon. Wilson’s family even followed the surgery and she was impressed with the fact that she got to watch it afterwards as well.

Schulman thinks that the trend of sharing surgeries on Snapchat will increase in future. “I think plastic surgeons are recognizing it’s an important social media platform, but I don’t think every plastic surgeon has the patience or the desire to do this because it does take some effort. I’m educational, but we’re not over the top,” he said. Wilson said, “I think with the trend, it’s something that’s gonna [sic] keep growing because obviously people are interested.”

How the Selfie Craze is Fueling the Plastic Surgery Industry

April 26th, 2016 by

Selfie Plastic Surgery

Survey results have shown that the rise of selfie photos has played a significant role in the increasing amount of plastic and cosmetic surgery procedures being performed each year. It’s been suggested that this could be due to the fact that patients have become hyper aware of even the smallest flaws in their looks thanks to increasing social media usage.

Sharp Rise in Procedures being performed

A poll compiled by the American Academy of Facial Plastic and Reconstructive Surgery noted that one out of three respondents out of a pool of 2,700 of its members noted a sharp increase in the amount of procedure requests being logged due to patients’ social-media awareness. Procedures like hair transplants, rhinoplasty and eyelid surgery were among more popular options, rising by 10%, 7% and 6% respectively. Dr. Sam Rizk, a plastic surgeon in New York, said in a Reuter’s interview, “There has been a 25% increase over the past year and a half to two years. That is very significant. They come in with their iPhones and show me pictures. Selfies are just getting to be so crazy.”

Not Limited to Young Patients

It’s important to note as well, that the selfie trend that is causing plastic surgery figures to escalate is not limited to the younger generation. In fact, an increasing number of parents and grandparents are now snapping selfies to send to friends and family all over the world via Facebook, Twitter, Instagram and even Snapchat. A 50-something woman who only identified herself as Hannah stated, “There’s a lot of pressure to look good at my age.” This further confirms that age has nothing to do with feeling self-conscious these days.

Not Everyone is a Suitable Candidate

Rizk also mentioned that not everyone who passes through his office requesting surgery actually needs it because selfies can in fact produce a distorted image that doesn’t truly represent how someone looks. “We all will have something wrong with us on a selfie image. I refuse a significant proportion of patients with selfies because I believe it is not a real image of what they actually look like in person,” he said.

He further mentioned that some patients get extremely upset when he informs them that surgery isn’t necessary, and he knows that they will just approach another surgeon. He stated, “Too many selfies indicate a self-obsession and a certain level of insecurity that most teenagers have. It just makes it worse. Now they can see themselves in 100 images a day on Facebook and Instagram.”

Although there are a few unscrupulous plastic surgeons out there who will perform any procedures that patients ask them to, it doesn’t mean that plastic surgery is suitable for everyone. However, in cases where a patient has a genuine concern about one of more aspects of their appearance, they need to speak with a surgeon who is highly experienced and qualified so they can find out more about the options that may be available to them.

5 Subtle Facial Treatments if You Don’t Want the “Plastic” Look

April 21st, 2016 by

Subtle Facial Treatments

Although many people want to make a few improvements to their faces by means of plastic or cosmetic surgery, they normally want it done in such a way that it looks as natural as possible. Below are a few examples of procedures that can help improve a patient’s appearance without looking unnatural in any way.

Liquid-based Procedures

These are a great way for patients to improve various aspects of their facial features without having to fully commit to any end results and without looking unnatural in any way. Examples of liquid procedures can include Botox injections, Dysport, Restylane, Juvederm and Radiesse, all of which provide tremendous end results for patients. These treatments are able to reduce the appearance of fine lines, life sagging brow lines, erase smile lines or even fill in minor facial depressions as well.

Laser Resurfacing

This option works well for patients who want to improve the overall appearance of their faces, but who aren’t keen to have full on surgery performed. Laser resurfacing works by removing the uppermost layer of skin, which can help stimulate the production of collagen and help tighten the underlying skin at the same time. It can be instrumental in removing minor blemishes, reducing the appearance of fine wrinkles or dealing with sun-related damage.

Eyelid Lifts

Blepharoplasty has become extremely popular over the past few years because it enables patients to look a lot younger relatively quickly. It can help improve vision in some cases as well. This is an ideal option for patients who have droopy or sagging eyelids, because it involves the removal of excess skin and fat in the eyelids as well as the immediate surrounding areas. All incisions that need to be made are done so in the natural eyelid creases, as this prevents any visible scarring afterwards.

Ear Surgery

Many patients are self-conscious about their ears, either because they think they stick out too far or are too big. Otoplasty can involve a full reconstruction of the ear to help reduce the size, or in cases where they are simply sticking out too far, be pinned back to the desired level. Incisions will be made behind the ears to reduce their appearance and excess skin is removed so that they can be flattened as discreetly as possible.


When this procedure is performed to reduce the size of the nose or make minor alterations to its overall appearance, it can be almost impossible for anyone to tell that a patient has had rhinoplasty performed. Although incisions will need to be made to perform this procedure, they are either done at the base of the nose or along the inside of the nasal passages to prevent visible scarring.

Another way for patients to ensure that their chosen procedures don’t leave them with an artificial appearance is to ensure that they are performed by an experienced and qualified surgeon. To find out more about these procedures, patients can schedule an appointment at our practice today.