Top Countries for Plastic Surgery

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.

How the Plastic Surgery Industry Is Changing for The Better

Plastic Surgery Industry

More people than ever are getting plastic surgery done. It is a quickly growing industry that expert predictions say will only continue to multiply over the next few decades. In the past, it was primarily those of influence or great wealth who opted to have plastic surgery done, whereas now the largest group of patients consist of young moms. Why the sudden shift? It all boils down to three simple ways the plastic surgery industry is changing for the better.

Less Expensive

When plastic surgery first became the “it” thing for Hollywood starlets in the past, it consisted of operations and procedures which were incredibly expensive. Over time, the price has slowly but gradually decreased so that it is now affordable for the average person with a reasonable amount of time saving.

Also contributing to new affordability is the ability to finance options through programs like Care Credit, and private options offered through some surgeons. These options allow the average person to pay for the procedure of their choice slowly over time, versus having to come up with one considerable sum. For many patients, this is a much more realistic method of paying. They may have the funds necessary each month, but perhaps they have a hard time saving up the entire cost.

Less Stigma

In the past, plastic surgery was viewed as something to be hidden. People were not open about the procedures because it was deemed ‘unnatural.’ People viewed it as something akin to cheating on the challenging work necessary to stay looking your very best. But thanks to many people coming out about their own plastic surgery procedures (like Joan Rivers, Dolly Parton, etc.) the concept has become less stigmatized.

People now understand that in some cases, it is necessary to use both plastic surgery and hard work to achieve difficult fitness or beauty goals. Sometimes exercising, dieting, and over-the-counter beauty products simply aren’t enough. Most importantly, many people now realize plastic surgery is nothing to be ashamed of… which brings us to our last point.

More Awareness

Another crucial factor in the changing industry is the growth of public awareness on what it actually does. For example, many individuals did not know until recently that a substantial portion of plastic surgery is done for medical purposes, such as birth defects or scarring from accidents. Plastic surgery gives breast cancer patients the ability to ‘feel like a woman again.’ It can also be used by people who have lost considerable amounts of weight to help fix the folds of skin left afterwards.

Now people are realizing plastic surgery is not simply to make people look better, but is more about making people feel better. Young moms who have finished having their children are given the opportunity to reduce a little of the wear and tear they put on their bodies by giving birth. They can get back a little of that confidence they felt before their children.

How Nicotine Can Derail Your Plastic Surgery Efforts

No Smoking - Plastic Surgery

If you’ve talked to a surgeon about having plastic surgery, he or she probably told you not to smoke. This is amazing advice for many reasons. Many people may turn to smoking substitutes, such as nicotine patches, nicotine gum, or even electronic cigarettes to keep those cravings at bay. However, these can be just as harmful as smoking. Studies have shown that nicotine can impact your body’s ability to heal, and this may derail your efforts.

Plastic Surgery vs. Traditional Surgery

Before you can fully understand how and why nicotine can impact your ability to heal after a plastic surgery, it’s important to look at the differences between plastic and traditional surgery. When you have your gallbladder removed, for example, your surgeon can make a simple incision, remove your gallbladder, and then close that incision with stitches and/or staples (depending on the procedure). These incisions can heal quite simply because there’s minimal damage to the skin other than the incision itself.

When you have plastic surgery, it’s more traumatizing to your skin. Your doctor can’t simply make a small incision; he or she must cut through the top layer of your skin, then move it around, stretch it, pull it, and place it just so. This is quite traumatic, and it requires all your body’s healing capabilities.

It’s All About the Blood Vessels

During a traditional surgery, your doctor can work around blood vessels when necessary. With plastic surgery, there’s no way to avoid severing some of those blood vessels to provide you with the best possible results. Your surgeon works hard to leave some of the blood vessels intact, but he or she cannot preserve all of them. The ones left behind must have adequate blood flow. Otherwise, your skin will not heal properly. Nicotine can affect this by dilating the blood vessels, restricting the flow of blood, and compromising your body’s ability to heal properly.

Some of the Side Effects of Nicotine Use

Restricting the flow of blood inside your blood vessels can have some significant consequences. For example, it can result in:

  • Infections that may become severe, even with treatment;
  • Slow healing of wounds;
  • Potentially fatal blood clots;
  • Hard lumps caused by the death of fat cells;
  • Permanent damage to small blood vessels;
  • Loss of skin flaps following a surgery, including tummy skin, check skin, or even nipples;
  • Larger scars; and
  • Other potentially life-threatening complications such as pneumonia, heart attack, or stroke.

What to Do If You Smoke

If you’re a smoker – or if you use nicotine in any form – it is best to quit at least six weeks prior to your surgery and to stay away for at least six weeks after. This way, you can help your blood vessels remain as open and unrestricted as possible, which facilitates better, faster healing and helps ensure that you’ll get the results you wanted. Stay away from cigarettes, cigars, pipes, chewing tobacco, nicotine patches and gum, and even electronic cigarettes.

Nicotine is bad for your body in many ways, and while you might think that you’ll be okay if you don’t use nicotine during the healing process, this is often not the case. Nicotine affects your body for long after you stop using it, and that’s why you should quit weeks before your procedure.

Why Before and After Images are Important when Picking a Plastic Surgeon

Before & After Images

Many people think choosing a plastic surgeon is as easy as performing an online search and then shopping around to see which one of them can perform the services they require at the best prices possible. However, this could not be further from the truth. Before choosing a surgeon, it’s not only important to verify that they are certified by the American Board of Plastic Surgery; it’s also crucial that you see as many of their ‘before and after’ photos as possible.

Check out our before and after images here.

“The Proof is in the Pudding”

When having plastic surgery, the proof is literally in any before and after photos that are available, which is why it’s crucial that you see as many of these as possible from your chosen surgeon before going under the knife. The photos provided by the surgeon should also be of patients who have had exactly the same procedure that you are going to have performed, as this will provide you with an idea of how the end results will look.

View as Many Relevant Photos as Possible

Surgeons will not make any mediocre photos available for viewing by potential patients, which is why it is essential to insist on seeing at least a dozen or so sets of before and after photos before allowing them to perform any procedures on you. In addition, your chosen surgeon should have performed your chosen procedure on patients who are approximately the same age, weight, height, build, gender and even ethnicity as you, as this will provide you with the most accurate information possible.

Check for Consistency in Photos

Over the years, too many plastic surgeons have been caught out trying to share fake photos with potential patients in an effort to win them over. As a result, all before and after photos that are provided by your surgeon should be carefully inspected to ensure that the same patients are being used in each set. Patients should also exhibit the same pose in both photos to ensure that you are able to see the full effects of procedures that were performed.

Carefully Check Scarring

As with all other procedures performed, plastic surgery will leave scars in most cases. However, an experienced and knowledgeable surgeon will know how to minimize the appearance of scars as much as possible. When scarring is visible in the after photos, it’s essential that you ask how long after surgery the after photos were taken. This will give you a clearer indication of what to expect afterwards in this regard. If scarring is still highly noticeable after 3 to 6 months, you may be better off approaching a different surgeon.

While viewing before and after photo sets is an important part of the process of choosing a plastic surgeon, you should also base your choice on their reputation. This will help ensure that you are choosing the right surgeon to perform your chosen procedures. Contact our team at Mardirossian Facial Aesthetics today to find out more about choosing the right plastic surgeon.

Four Countries You Never Want to Get Plastic Surgery In

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

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 is Machine Learning Changing Plastic Surgery?

Machine Learning

As more and more data is being collected by the country’s healthcare system, researchers are exploring the option of using a subfield of artificial intelligence (AI), namely machine learning to help improve the quality of medical care and patient outcomes. An overview of some of the ways in which machine learning has the potential to contribute to advancements in plastic surgery were published in Plastic and Reconstructive Surgery recently.

Potentially a Powerful Tool

Dr. Jonathan Kanevsky from the McGill University in Montreal and his colleagues wrote, “Machine learning has the potential to become a powerful tool in plastic surgery, allowing surgeons to harness complex clinical data to help guide key clinical decision-making.” A few key areas were highlighted, all of which showed how machine learning and “Big Data” would be able to contribute to progress in the fields of reconstructive and plastic surgery.

Machine learning analyzes historical data to develop algorithms that are capable of knowledge acquisition. Dr. Kanevsky and his co-authors wrote, “Machine learning has already been applied, with great success, to process large amounts of complex data in medicine and surgery.”

The doctor has his colleagues believe that plastic surgery will be able to benefit from similar approaches, especially with the availability of the American Society of Plastic Surgeons ‘Tracking Operations and Outcomes for Plastic Surgeons’ (TOPS) database. Five specific areas that would be able to benefit from machine learning include:


A post-operative microsurgery application has been created to monitor blood perfusion of tissue flaps, and it works by analyzing information on smartphone photos. In the future though, algorithms may be developed to help provide suggestions regarding what the best approach would be regarding reconstructive surgery for a patient.

Peripheral Nerve and Hand Surgery

Machine learning could be useful in helping to predict how successful tissue-engineered nerve grafts will be, as well as for developing automated controllers that could be used by patients suffering from neuro-prostheses.

Burn Surgery

Machine learning has already been used to help predict healing times of burns, while also providing an effective tool for assessing the depth of them. In time, algorithms could also be developed to allow for faster prediction of percentage of a patient’s body area that has been burned, which is critical during patient resuscitation and surgical planning.

Aesthetic Surgery

This technology could also be used in cosmetic surgery, such as when predicting and stimulating potential outcomes of cosmetic facial surgery and reconstructive breast surgery.

Craniofacial Surgery

Machine learning has already been implemented for automated diagnosis of infant skull growth defects. In future though, the technology could be enhanced to identify the genes responsible for cleft lip and palate.

While this technology is extremely useful, Kanevsky stresses the point that measures would need to be implemented to ensure the safety and clinical relevance of results obtained by these means. He also mentioned that computer-generated algorithms are not yet able to replace the trained human eye, which is why human intervention would still be required to ensure the best possible outcomes.

How Plastic Surgeons are Incorporating Snapchat Into their Procedures

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.”

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

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.