Cosmetic Surgery and Procedures

Choosing a Surgeon and Facility

Finding a cosmetic surgeon that you have confidence in and are comfortable talking to is extremely important when you are considering cosmetic surgery or procedures. You and your doctor can work together to develop a treatment plan that both meets your needs and is realistic.

No other factor may influence the results of cosmetic surgery as strongly as the doctor's level of experience. Don't be afraid to ask about the doctor's experience with the particular procedure you are considering. Request before-and-after photographs of other people who have had the procedure done, and ask to see the worst results as well as the typical and best results.

Doctors with special training in cosmetic surgery should be certified by the Royal College of Physicians and Surgeons of Canada. Doctors are usually also members of the Canadian Society of Plastic Surgeons and the Canadian Society for Aesthetic (Cosmetic) Plastic Surgery. Some doctors who perform cosmetic surgery are board-certified in a specialty other than plastic surgery, such as dermatology.

Take your time finding a cosmetic surgeon that you like and trust. Ask your family doctor or general practitioner for recommendations, and contact the Canadian Society of Plastic Surgeons and the Canadian Society for Aesthetic (Cosmetic) Plastic Surgery for a list of qualified surgeons in your area.

You will have a greater chance of being happy with the results of cosmetic surgery if you find a cosmetic surgeon who listens to you and understands what you want to achieve. People differ in what they consider an “ideal” face, nose, breast, or body type. Your and your doctor's vision of what is ideal may not be the same. Make sure that your doctor understands what you want. Also remember that cosmetic surgery is done to enhance your own appearance and not necessarily to duplicate that of someone whose physical appearance you admire.

It is important to understand and accept what can and cannot be achieved with cosmetic surgery, based on your skin or body type, age, medical history, the surgeon's experience, the limits of technology, and other factors. A good cosmetic surgeon can help you understand how these factors affect your cosmetic surgery options.

Any licensed medical doctor can legally perform cosmetic surgery, but the levels of training and experience in cosmetic surgery vary widely. For your own safety, avoid doctors who are not board-certified, and look for a cosmetic surgeon with a lot of experience. Doctors who most commonly perform cosmetic surgery and procedures include:

• Plastic and reconstructive surgeons. These doctors are board-certified specialists in plastic surgery and reconstructive surgery and have multiple years of training in these fields. All members of the Canadian Society of Plastic Surgeons and the Canadian Society for Aesthetic (Cosmetic) Plastic Surgery are board-certified in plastic surgery.
• Otolaryngologists, also called ear, nose, and throat (ENT) specialists. Many of these doctors have additional training in plastic surgery of the head and neck and may belong to the Canadian Society of Plastic Surgeons or the American Academy of Facial Plastic and Reconstructive Surgery.

You may also check the credentials of any outpatient surgery centre you are considering to make sure it is safe and reliable. Look for clinics that have a well-established track record for good results and high-quality service, and avoid those that do not. The facility should be licensed by the province in which it is located and accredited by a nationally recognized accrediting organization. To check a facility's accreditation status, contact the Canadian Association for Accreditation of Ambulatory Surgical Facilities (CAAASF) at (905) 831-5804.

Other sources of helpful information include consumer health groups, people who have had cosmetic surgery, other doctors, books and articles, and the Internet. However, do not put too much trust in before-and-after photos you may find on the Internet. Some may have been altered by computer or are likely to represent an extremely positive result, not necessarily a typical result. In either case, before-and-after photos on the Internet may give you a false impression of the results you can expect.

Cosmetic surgery is not an emergency procedure, so there is no reason to rush into it. Do not be pressured into making a quick decision. Get as much information as you need to feel comfortable about your decision. Don't be afraid to get a second and even a third opinion, especially if you are not completely comfortable with your first doctor visit.

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Author:	Kathe Gallagher, MSW Carrie Henley	Last Updated: October 31, 2006
Medical Review:	Patrice Burgess, MD - Family Medicine Martin Gabica, MD - Family Medicine James D. McMahan, MD, FACS - Plastic and Reconstructive Surgery Donald Sproule, MD, CM, CCFP, FCFP - Family Medicine
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