In our interview with Dr. Gregory A. Wiener, he shared answers and advice on the subject he knows best.
(F) What’s your specialty?
(W) I am a Board Certified plastic surgeon. But you can’t be in this business without doing the injectables. Not every patient is ready for surgery. Some people come in expecting surgery and don’t need it.
(F) Do you screen for unrealistic expectations?
(W) Yes, and it has gotten easier for me. I was naive about people’s expectations at the beginning of my practice. Now I spend a lot more time consulting with the patient before doing surgery.
A red flag goes up when a patient has multiple complaints about multiple areas and has already seen 3 or 4 surgeons.
Some patients can’t be satisfied. There’s a fine line between people being overly obsessed, and people with body dysmorphic disorder (BDD), who dislike every aspect of their body. To operate on someone like that is a mistake.
(F) What’s new about new faces?
(W) As far as surgery goes, there’s been a big push for minimally invasive procedures using small incisions. We use cameras for precision in things like brow lifting. There is a mid-face lift where you lift just the cheeks.
There’s a superficial muscularaponeurotic system (SMAS) facelift. The SMAS is the muscular system of the face. It contains fat pads that tend to drop as we age and cause jowling and deep labial folds. We lift the skin to get at SMAS, and the work is done on the deepest (third) layer of skin.
(F) What is the most popular procedure for women in their 50s and 60s?
(W) I see a lot of women who want their upper and lower eyelids done. This includes removal of some skin around the eyes and a brow lift. I also do a combination lower eyelid lift and a cheek or mid-face lift. Neck lifts are very popular, and I do a lot of injectables.
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With all the potential side effects involved with life saving surgeries, I question why anyone would choose to have their face butchered and take a chance of dying on the table (you read the horror stories every day) just to look a few years younger. I think we have become a youth obsessed nation! It’s very sad but it is certainly making Doctors like Dr Wiener very rich!
Debi: I SO AGREE WITH YOU!!! Why can’t women just age gracefully? In my opinion older women (and men) look better and more beautiful as they age because it shows that they have lived life. I actually enjoy looking at older people as opposed to these so-called “beautiful people.” To me – plastic surgery is not worth the risk and I would NEVER want to look like the next person who’s had PS because I would then look like I came from the Planet Romulon.
Ditto, Debi.
I saw Jane Fonda on Larry King Live tonight and I barely recognized her. Though, I’ve got to admit she looked great.
I would never have PS. For one thing I am too much of a coward and I don’t like pain that much that I would involuntarily inflict it upon myself. I like the way I look now and I don’t want to look like I am trying to look 20. I admire looking at a lovely young woman who is herself. I like the looks of a dress showing a bit of a woman’s breast, but you can see that they are there but they are not rounded balls. That is just not natural looking. I feel sorry for young women who think they need to look all alike, long blonde hair, large rounded boobs that won’t ever lay down, and the rest of the body so skinny, they would probably never survive overnight on a desert island. These women are just not attractive in my mind, they are lost souls trying to be a copycat.
I can see why a woman who has no breasts and never will might consider breast implants or a cancer survivor might. I can see why some woman would want a breast reduction, if they have very heavy breasts that hurt or endanger their health. But come on…enough with the Barbie Syndrome.
Even if I find it scary, I would consider plastic surgery on my upper lids. They are getting so droopy they impair my vision.
That procedure is often covered by insurance if it impairs vision. Your doctor would be the one to consult about coverage.
Thank you for your passionate responses, as we appreciate your honest feedback! Cosmetic surgery is certainly a hot debate- could, should or would?