Bride and Groom Say I DO to Plastic Surgery by Dr. Wigoda in Fort Lauderdale

Wedding planning and plastic surgery is IN! It’s that time of year for brides and plastic surgery by Dr. Paul Wigoda. The bride gets a breast augmentation, the groom wants a nose job, the mother-of-the-bride will take a facelift and the father-of-the bride needs botox. The wedding registry calls for a secret list that might include plastic surgery, a growing trend reports Fort Lauderdale-based plastic surgeon Dr. Wigoda.

“First comes the bride, then comes the wedding entourage; this time of year I see dozens of wedding parties making their way to my office to see what they can sneak in cosmetic procedure-wise in time for their big day” says Dr. Paul Wigoda. “The good news is that Spring is the perfect time to do practically any cosmetic procedure and be good to go in time for wedding season.”

 Here are Dr. Wigoda’s top 5 most popular plastic surgery for soon to be brides to time it right:

  1. Painless Breast Implants – Say “I do” to that strapless gown that will knock ‘em dead when you come down that aisle! Plan at least 3-6 months in advance.

  2. Liposculpture – It’s a fact that most brides gain rather than lose weight in the months leading up to their weddings. All that stress, and the cake tasting! What’s a girl to do? One word – Liposculpture  Plan at least 3-6 months in advance.

  3. Botox and Fillers – Guys need this to! Despite tradition “something old” has no place at your perfect wedding! Make sure to book a double appointment so your groom can get in on this quick fix too! He’ll thank you when he sees how fabulous you both look. 3-4 weeks ahead and your smooth to go!

  4. Facelift – Gone are the days of 20 year old brides. At least brides that are actually in their 20’s (and don’t just look like they are)! Allow 3-6 months before lights, camera and wedding action.

  5. Browlift – All those sleepless nights you spent worrying about your wedding don’t need to leave you looking tired! Allow 3-6 months.

 If you are getting married and would like to see what you can achieve before your big day we invite you to come in for a free consultation. Remember, sure it’s just one day but those pictures are f-o-r-e-v-e-r!

Dr. Wigoda Reports Tummy Tuck and Weight Loss Results Post Surgery

Tummy Tuck surgery at Dr. Paul Wigoda’s Fort Lauderdale plastic surgery center is  a popular request. One concern for patients undergoing this procedure is that they will gain weight after the surgery. A recent study on Tummy Tuck and weight loss confirms that weight gain after surgery is not typical and that most patients not only lose weight but maintain the weight loss. The study by ASPS Member Surgeon Dr. Rex Edward Moulton-Barrett of Alameda Hospital and colleagues just released in the February issue of Plastic and Reconstructive Surgery, reveals that undergoing abdominoplasty (“Tummy Tuck”) may lead to significant and lasting weight loss for many patients.

“We’ve always seen outstanding long-term results with our abdominoplasty (or tummy tuck) patients but this new study proves what we have suspected for years. This is very exciting news,” says Dr. Paul Wigoda of Fort Lauderdale.

The Tummy Tuck Study

The Tummy Tuck study included 20 women and the average amount of abdominal tissue resected was approximately five pounds. A year later, the Tummy Tuck  study found that 14 of those women, a large majority, kept the weight off and had even achieved additional weight loss. In fact, their weight loss was greater than the weight of the tissue resected. Tummy Tuck patients with a preoperative body mass index (BMI) greater than or equal to 24.5, borderline overweight, maintained long-term weight loss after one year. In fact, their weight decreased an average of 4.5% of their original BMI. (Note that a normal BMI is between 18.5 and 25, between 25 and 30 is classified as overweight, and over 30 is obese).

The tummy tuck study found that long-term weight loss was more likely for women whose initial BMI was 24.5 or greater, that is, just under the borderline for overweight. Of the 14 women with sustained weight loss, just one had an initial BMI of less than 24.5. In addition, it was found that long-term weight loss was more likely for women with a greater amount of excess abdominal tissue removed at abdominoplasty. Twelve of the 14 women who enjoyed long-term weight loss had more than 4.5 pounds of tissue resected.

Dr. Wigoda Shares it How it Works

The tummy tuck study points to Increased satiety or the “feeling of being full” as a important contributor to long-term weight loss. Three-fourths of women reported an increased feeling of satiety, either after eating or throughout the day, after undergoing their abdominoplasty. “We hypothesize that the increased satiety [experienced by] our patients is related to changes in the neuroendocrine system,” said Dr. Moulton-Barrett and his co-authors. The tummy tuck  theory is that removing fat cells from the abdomen could lead to reduced levels of hormones affecting appetite, which are secreted by fatty tissues.

“This is great news for women considering abdominoplasty but fear they are destined to regain weight immediately after the procedure,” says Dr. Wigoda. “I have seen incredible sustained results in my practice and look forward to the science continuing to prove them out.”

If you are interested in a “tummy tuck” we invite you to come in for a free consultation. With these results, there’s no longer a reason to put it off! Contact us at 954.463.7088 or http://www.drwigoda.com/ to schedule your appointment today.

Breast Implant Position – Over or Under the Pectoralis Muscle? Which is right for you?

“The placement of the breast implant is one of the key decisions to discuss with your plastic surgeon. While most patients in my practice have the implant placed under the muscle, there are cases where over the muscle may be beneficial,” says Dr. Paul Wigoda.

Take a moment to look at the diagram below to see the size and location of the muscles that make up your chest wall. You will notice that the pectoralis major muscle is a large fan-shaped muscle that does not cover the lower, outer aspect of your chest wall. Generally in breast augmentation surgery the pectoralis major muscle will be detached from its lower origin along the ribs and the implant will be placed under it leaving only about half the implant covered by the muscle. The bigger the implant, the less of it that is covered by the muscle.

 

The pectoralis minor muscle is much smaller and lies under the outer edge of the pectoralis major. The serratus muscle lies along the sides of your chest wall. The main sensory nerves to your breast come up between the slips of this muscle to enter the back of your breast tissue and from there to the rest of your breast. Generally surgeons place the implants on top of the pectoralis minor and serratus muscles, but below the pectoralis major muscles.

There are pro’s and con’s to having your implants placed over or below the muscle. Here are some things to consider:

Over the Muscle (Subglandular) Breast Implant Placement:

  • Pros: When textured implants are used, the capsular contracture rate is only 5–10%. If you have a moderate amount of breast tissue (a B cup or larger), this can be an excellent choice and produce very natural-looking breasts that age very well. Also, recovery is usually easier than when the implants are placed in a submuscular position.

  • Cons: The use of smooth implants in a subglandular position have an increased rate of capsular contracture compared to other options. Additionally, when textured implants are used in thinner women with small breasts rippling may be visible in the upper and inner areas. It is also easier to see the upper edges of the implants when they are placed over the muscle.

Under the Muscle (Subpectoral) Breast Implant Placement:

  • Pros: Using smooth implants under the pectoralis muscles reduces the capsular contracture rate to less than 10%. In thinner women, the added bulk of the muscle over the upper and inner aspects of the implants will make the edges less visible and the curve of the breast more natural. When textured implants are used, the rippling in the areas under the muscle is usually invisible.

  • Cons: The recovery is typically thought to be more uncomfortable. However, with Dr. Wigoda’s painless breast implant procedure, patients most often have implants placed below the muscle and have little or no pain. It can take several months to see your end results because the implant tends to start out high before it settles into its final position, lower on the chest. When the pectoralis muscle is contracted during exercise or in some daily movements, the muscle may flatten the implants and push them outward. This can change the shape of the breast. However, this does not happen in all patients. Occasionally, an indentation over the implant can be seen along the edge of the muscle but again, this is not typical. When there is a moderate amount of breast tissue that is lax or becomes lax in time, it may sag below the position of the implant that is held in place by the muscle.

Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers both subglandular and subpectoral procedures and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 to schedule your visit! www.drwigoda.com

[Study] Breast Augmentation Enhances Women’s Sexuality and Self-Esteem

Dr. Wigoda Answers the Question: How will breast implants change your life?

By her 18th birthday, Laura Kearney realized “the girls” weren’t growing — but she pushed aside thoughts of breast implants. For eight years, she resisted the pressures of society and the focus on female anatomy. “It’s everywhere in your face,” says Kearney, now 26, in a recent article entitled How Will Breast Implants Change Your Life? on WebMD by Jeanie Lerche Davis. “I felt like less of a woman.” In the end, Kearney finally did it. She tossed the padded bras, opted for silicone breast implants. “It may seem petty to some people, but felt I needed to do something about it. I didn’t get a drastic implant, just one that suited me.”

The results? “I can’t believe how real, how natural they look. I can’t even describe how happy I am.” In fact, Kearny explained that the preparation for breast implant surgery caused her to pursue a healthier lifestyle. “I got into the vitamin regimen, quit smoking. It was a big opportunity for me to be a healthier person. It felt like everything was going in the right direction. It was so exciting.”  This story is not uncommon, the anecdotal evidence is extensive.

“I have seen countless women who start off a bit reserved when I first meet them, come back with big smiles. more confidence, and more outgoing personalities, just a few weeks after their breast implant surgery,” say Dr. Paul Wigoda. “Most patients, and for the most part, the general public, only think about the physical enhancement that implants provide. The fact is, there is a tremendous psychological boost for most patients that is very gratifying to see.”

And now, a study published in Plastic Surgical Nursing by Cynthia Figueroa-Haas, PhD, clinical assistant professor at the University of Florida College of Nursing confirms improvements in the women’s self-esteem and sexual satisfaction can be directly correlated with breast augmentation surgery. Figueroa-Haas used two widely accepted scientific scales to measure self-esteem and sexuality, the Rosenberg Self-Esteem Scale and the Female Sexual Function Index, which assesses domains of sexual function, such as sexual arousal, satisfaction, experience and attitudes.

Figueroa-Haas studied 84 women who were 21 to 57 years old, assessing their perceptions of self-esteem and sexuality before and after cosmetic breast augmentation. Here are the results:

– The participants’ average self-esteem score increased from 20.7 to 24.9 on the

30-point Rosenberg scale

– Their average female sexual function score increased from 27.2 to 31.4 on the

36-point index

– Participants reported an average 78.6% increase in sexual desire, an 81% increase in arousal and a 57% increase in sexual satisfaction.

The participants studied did not have particularly low self-esteem or particularly poor sexual function prior to surgery but both aspects of their lives significantly improved after they got breast implants. “They were already OK with self-esteem and sexuality — they just wanted larger breasts,” Figueroa-Haas told WebMD. “They got increased levels of self-esteem and sexuality.”

Figueroa-Haas warned that “women should not view plastic surgery as a cure-all for their self-esteem and sexuality woes but ethical plastic surgeons screen for this type of behavior and rule out potential patients who may have more serious psychological issues.”

If you think your self esteem could use a boost, Dr. Wigoda’s Fort Lauderdale-based plastic surgery center offers both breast augmentation and non-surgical services such as Botox and fillers that could help you to enhance your image and feel younger and rejuvenated.Dr. Wigoda is the Chief of Plastic Surgery of Broward General Medical Center, the primary trauma center for Fort Lauderdale and Broward County. For more information, visit http://www.drwigoda.com.

Ringing in the New Year for a New You with Plastic Surgery from Ft Lauderdale’s Dr. Wigoda

Deck the halls with plastic surgery in South Florida – another year in the books and time to start formulating our New Year’s resolutions. Where did the time go? It’s 2013…and counting! Another year passes, so the inevitable aging process continues to be a damper on our Champagne toasts, if we can even stay up past midnight to be with friends or watch the ball drop on TV (R.I.P.  to the ageless Dick Clark, presumably a loyal cosmetic surgery enthusiast).
Every January, we hear it’s time to start focusing on a New Year, a New You. These days, it’s become commonplace to develop a “New You” through plastic surgery. Will we enroll in a gym membership? Start that infamous diet? Quit smoking? Well, whatever the case, we are seeking ways to improve our look and feel better and younger in the New Year.  Locally in South Florida, hundreds of patients are turning to the personal care and professionalism of Dr. Paul Wigoda.
http://www.drwigoda.com/

Whether we have the time and wherewithal to undergo a surgery like breast augmentation, facelifts or liposuction or we opt for non-invasive procedures like Botox or laser hair removal, there are numerous safe and affordable options to give us a better look and freshen up for another year ahead.

The holidays are ideal for undergoing cosmetic surgery for several reasons. Many have vacation time from work and thus can afford to take a few weeks for the procedure and recovery. People like to heal outside the public eye and often undergo plastic surgery over the holidays to fly under the radar. People spend money in December on friends and family, yet oftentimes, opt to treat themselves. In the short term, we strive to look good for that New Year’s Party or kick off the New Year fresh and rejuvenated; therefore, plastic surgery and self-improvement procedures often double or triple around the holidays.

For instance, Botox can take years off your life in a matter of days.  Some patients have confessed to scheduling procedures in December due to their health insurance policy’s deductible being met and if a particular elective procedure is covered, what a great way to round out the year! Besides, some of those “run of the mill” New Year’s resolutions are all good preparation for cosmetic surgery procedures. Excess weight loss is a common goal, but skin can only be stretched so far or we can only control so much, so liposuction or facelifts have optimal results if weight loss is already underway. The sooner one weans down on the cigarettes, the less dehydration to the skin and the safer and better the outcome and the faster healing and less scarring from a cosmetic procedure.

Surgical procedures can change one’s life and transform a whole new you, but a facelift or tummy tuck takes time to heal so the holiday season avails a couple weeks away from co-workers or the social scene. Anti-aging skincare regimens are a less-invasive popular trend, especially given today’s stress of the economy, raising a family and trying to maintain an active lifestyle. “Beauty is in the details” and with today’s technology, it makes sense to minimize our wrinkles and rejuvenate our skin with image-enhancing fillers, Botox and dermabrasion. Then give those lips a boost just in time for that kiss under the mistletoe with Injectable fillers.

Interested in taking the first step and finding out more ways to look and feel younger, consult board-certified Dr. Paul Wigoda for a professional, South Florida plastic surgeon you can trust. For more information, visit http://www.drwigoda.com/.

Ft Lauderdale Plastic Surgeon Says Botox in Men Up 258% Over Ten Years

The frown lines of the economy are showing and causing men on Wall Street to do more shots, of Botox that is, notes Fort Lauderdale plastic surgeon Dr. Paul Wigoda.

Botox injections in men were up 8% last year, accounting for over 363,000 procedures and up a staggering 258% over ten years. Men feel Botox not only helps them appeal younger and refreshed, but can also remove forehead wrinkles to appear friendlier and less angry. Most common surgical procedures among men are gynecomastia, liposuction and face lifts.

When we hear Wall Street today, we think of a society of hectic jobs and high stress. Our faces are visible evidence of the stress lines and worry wrinkles that coincide with an intense, fast-paced work environment. So it’s no surprise more and more men on Wall Street are using Botox.

Forced to work in a time of major financial crisis in Europe and a weak economy at home, men are aging, frustrated and stressed…and it shows. So who can blame them for wanting a little work done so they feel younger, fresher and ready for tomorrow?

Cosmetic surgery as a whole has been on the rise for decades, up 5% overall last year, according to The Guardian. Men accounted for 9% of plastic surgery last year. Botox is the most popular choice for men since it has minimal pain and complications and would not lead to long-term regret; however, surgical cosmetic procedures in men have increased year after year as well.

Not all men are ready to admit it, however. Although this may not come as a surprise, it indeed may be kept a secret among these men seeking facial enhancements. In an atmosphere flooded with scandal and bailouts, would cosmetic surgery really be frowned upon? A majority of the male workforce never would want their colleagues, clients or even friends and family to know they get Botox. Perhaps it’s an ego issue, a paranoid insecurity or a misled belief in the connotation that facial injections are only for women.

But it’s becoming quite the trend for these financiers and day traders to take a pit stop on their commute home for a visit to their plastic surgeon.

Emotions play a huge factor in our everyday world. It’s stressful enough trying to provide for a family and secure a good paying job. And since appearance is what we see in the mirror and express to those around us everyday, we strive for a refreshed look with Botox or a dermal filler. So although it may be hush-hush at home or around the workplace, cosmetic surgery is a quick, affordable way for these white-collar breadwinners to loosen up that collar, go under the knife or needle and freshen up for another day at the office.

Men across the country are working harder and aging faster. These men may be apprehensive at first and will want to consult a board-certified plastic surgeon they feel comfortable with and who will evaluate and recommend the optimal cosmetic procedures.

Interested in taking the first step and finding out more ways to look and feel younger, consult Dr. Wigoda for a professional, South Florida plastic surgeon you can trust. For more information, visit http://www.drwigoda.com/.

Social Media Influences Cosmetic Surgery, Florida TV Station Reports

Have you ever obsessed over an online photo update?

If so, you’re not alone. Cell phone cameras and social networking sites are blurring the boundaries of geography, communication, image and reality.

We’ve all have searched for the perfect image, but Facebook has sent some after more than just better photo angles.
In Miami, breast augmentation, liposuction, face lifts and other procedures aren’t out of the question, the local CBS affiliate reported last month.  The women interviewed said they wanted to look good online.
Dr. Paul Wigoda, Chief of Plastic Surgery at Broward General Medical Center, said people have always contacted him in conjunction with big life events, such as class reunions, at his private practice in South Florida. Cosmetic surgery, he emphasized, isn’t to be taken lightly, however.

“You can’t just walk into the office and say you’d like to look good for Facebook, or you have an important meeting on the horizon, and get a tummy tuck. Miami and South Florida are image-conscious places, but we won’t perform a procedure that isn’t well thought through for the patient. This must be something you’re absolutely sure about, and you must be a good surgical candidate.”
People today are documenting their lives more than ever, but many still aren’t comfortable with the way they look on-camera. How many times have you been tagged in a photo online and wondered, “Is that just a bad picture, or is that how everyone else actually sees me?”

Patients often report a boost in self-confidence from cosmetic surgery.  Miami CBS viewers were told by one patient that she underwent the procedures to coax out more “likes” on her Facebook wall. Another said she had family abroad, and she wanted them to see her in the best possible light. She also said knowing that ex-boyfriends have the ability to look her up online provided additional motivation to look her best.
Dr. Wigoda, who operates his own accredited Fort Lauderdale plastic surgery center, said he isn’t surprised to hear more people are interested in undergoing procedures. South Florida, where he grew up, is in one of the country’s most popular metropolitan areas for cosmetic procedures.

“People have always been invested in their appearance,” Dr. Wigoda said. “Self-confidence is incredibly important. But it is equally important to set realistic expectations and select the most qualified surgeon you can find.
“Check your doctor’s credentials. A number of South Florida physicians in practice were trained for a different specialty, so they only got a few hours of instruction. You want a board-certified plastic surgeon handling your surgery to minimize the risk of scarring and complications.”

Health Study: Increased Quality of Life for Breast Augmentation Patients

The results are in; breast augmentation makes women happy. A study published in the American Society of Plastic Surgeons’ magazine Plastic and Reconstructive Surgery found that women experienced substantial improvements in several key areas related to their quality of life. Approximately 41 women participated in the Breast-Q survey that asked questions about six relevant areas:

  • Overall satisfaction with outcome
  • Satisfaction with breasts
  • Physical well-being
  • Psychosocial
  • Sexual
  • Satisfaction with level of care received

The women were polled six months before and after their surgeries. Researchers found in three of the six areas – sexual – scoring increased 30 or more points (on a scale of 0 to 100) post-surgery for about 80% of the women.

The dramatic change may be related to the surge in self-esteem and self-confidence many women feel after having their breasts increased or reshaped. Though the reasons for getting breast implants vary, the most commonly cited motivation behind a woman’s quest for new breasts is because they are unhappy with the size, shape, or look of the set they were born with. This dejection can bleed into other areas of the women’s life, particularly her perceived attractiveness and acceptance by others.

The U.S. Food and Drug Administration have been encouraging those in the industry to monitor patient satisfaction in addition to safety. The Breast-Q survey is the first such tool that seems to be able to capture how a patient thinks and feels after she has the procedure. Having this information is the first step towards developing benchmarks for patient satisfaction that may improve the overall quality of care women receive.

In the meantime, women who want to ensure they get the best care should have their breast enhancement done by a knowledgeable and experienced plastic surgeon.

Florida Medical Alert: The High Price of Cheap Cosmetic Surgery

the high cost of cheap surgeryDr. Paul Wigoda’s Fort Lauderdale plastic surgery center sees one too many nip and tuck disaster cases, many falling to the category of patients that pay the high price of cheap cosmetic surgery and how much it really costs your health.

Several beauty-gone-wrong cases made the national headlines over the last few months. In New Jersey, six women were injected with silicone used for caulking tubs after seeking out butt enhancement procedures from unlicensed providers. Florida, the cosmetic procedure capital of the nation, has seen its fair share of scandals including one where a transgendered man posing as a fake doctor injected cement and superglue into women’s buttocks.

They say hindsight is 20/20 and many wonder how the victims could fall for such scams. The allure of the cheap price and lack of education are the two primary reasons bad cosmetic procedures happen to good people. If you are thinking of getting some work done, here are three tips for avoiding landing in the hospital:

For Injections, Know the Product –
The U.S. Food and Drug Administration (FDA) is pretty strict about cosmetics that are injected into the body. Only certain products, such as Juvederm, Radiesse, and Botox – are approved for injection into certain body parts. Ask the practitioner what product he or she is using and do your research. Consider it a red flag if the product is not FDA approved (or came from your local hardware store). Walk away from the procedure if the person isn’t able or willing to tell you about the materials he or she is using.

Know the Place
Cosmetic procedures should be performed in a sterile environment such as a doctor’s office or hospital to reduce the risk of infection. Additionally, the practitioner should have access to resources that will help him or her deal with an emergency if something goes wrong. No matter how cheap the price, avoid going to a salon and definitely do not have the procedure done in someone’s home.

Know the Doctor
Anyone performing cosmetic procedures of any kind must be appropriately licensed. Licensing and credentialing means the person has obtained the knowledge and experience required to perform the procedure correctly. The person should be a doctor and preferably, a plastic surgeon. Other medical professionals such as physician’s assistants, registered nurses with appropriate training, or nurse practitioners may have experience with some injectable procedures as well, although they do not perform surgery. Before booking your appointment, ask the practitioner about his or her education and training.

Do your research
Even doctors or nurses with the correct credentials may not be well trained or may have a high rate of complications. In South Florida, discount plastic surgery centers are notorious for hiring doctors who may be qualified on paper, but who have had many patients with severe complications or even deaths. Check out the doctor, and if he or she works at a center as a subcontractor (meaning the doctor doesn’t own the center), check out the center as well. A simple internet search can yield a lot of useful information.

The Top Plastic Surgery Myths Busted by Dr. Wigoda

Bigfoot, UFOs, the Loch Ness monster; there are a lot of myths floating around and the cosmetic surgery industry is not immune. Cosmetic surgery has been around for quite a few decades, and it is only natural that it should accumulate a number of myths in that time. Here’s the truth behind the top five plastic surgery myths.

 

Plastic Surgery is for the 1%

Although a lot of the rich and famous get plastic surgery, the vast majority of people having procedures done are average folk. Most people have a little nip and tuck done to restore confidence, boost self-esteem, and reclaim a few lost years.

Cosmetic Procedures are Only for Women

For whatever reason, women are always the focal point when people talk about plastic surgery. The reality is that men also have cosmetic procedures done, though they typically go for less invasive ones like Botox and dermal fillers. Men get these procedures for the same reasons as women, but the #1 reason was to remain competitive in the workforce.

Plastic Surgery is Only for Improving Looks

There is no use denying that people get cosmetic procedures to improve their looks. Facelifts, liposuction, breast augmentations, and many others procedures are strictly done to improve a person’s appearance. However, plastic surgery is also used to correct birth defects, injuries, facial or bodily deformations (e.g. after-mastectomy breast reconstruction), and many other medical issues.

You’ll Look Young Forever

The results from plastic surgery can last for a long time. However, your body will still be subjected to environmental factors that caused you to seek out treatment in the first place. There are many things you can do to extend your results including taking care of your health, practicing good eating habits, and getting surgical touch-ups.
On a similar note, all surgical procedures leave scars. A skilled plastic surgeon can minimize scarring, hide it, and provide tips on ways to make them less noticeable. However, this aspect of plastic surgery is inescapable.

Plastic Surgeon is Just Another Term for Cosmetic Surgeon

Out of all the myths talked about in this article, this one is perhaps the most insidious and dangerous. Although the terms are used interchangeably, a plastic surgeon is not the same as a cosmetic surgeon. Plastic surgeons spend years in a plastic surgery residency, perfecting their surgical skills in cosmetic and reconstructive surgery. Cosmetic surgeons, on the other hand, often train in another field of medicine or surgery and enter the cosmetic industry often with as little as taking a short training course. When undergoing the knife, you want to make sure the person knows what he or she is doing. Always ask the doctor about his or her education and training, and make sure he or she is certified by the American Society of Plastic Surgeons (ASPS).