Our Summary

This paper discusses the dilemma faced by doctors when asked to perform cosmetic surgery that goes against their personal beliefs or values. The author explores four scenarios where this might happen: (1) when the desired outcome of the surgery does not align with traditional cosmetic surgery goals; (2) when the patient’s reason for wanting the surgery seems unimportant; (3) when the surgery is intended to promote moral or political values that the doctor doesn’t agree with; and (4) when the surgery may benefit the individual patient but harm society as a whole.

FAQs

  1. What are some situations where a doctor might refuse to perform a cosmetic surgery due to personal beliefs or values?
  2. Can a doctor refuse to perform a surgery if they disagree with the patient’s reasons for wanting it?
  3. How might a cosmetic surgery potentially harm society as a whole, even if it benefits the individual patient?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cosmetic surgery is to have realistic expectations. It’s important for patients to understand that cosmetic surgery can improve their appearance, but it may not always deliver the exact results they envision. It’s important to have open and honest conversations with your doctor about what is possible and what is not, so you have a clear understanding of what to expect post-surgery. Additionally, following all pre and post-operative instructions provided by your doctor can help ensure the best possible outcome.

Suitable For

In general, cosmetic surgery is typically recommended for patients who are in good physical and mental health, have realistic expectations about the outcome of the surgery, and are motivated by their own personal desire to enhance their appearance. However, there are certain types of patients who may be recommended for cosmetic surgery for specific reasons:

  1. Patients with congenital or acquired physical deformities: Patients who have physical deformities that affect their appearance and quality of life may be recommended for cosmetic surgery to improve their overall well-being and self-esteem.

  2. Patients with physical injuries: Patients who have suffered physical injuries, such as burns or trauma, may be recommended for cosmetic surgery to reconstruct and restore their appearance.

  3. Patients with age-related changes: Patients who are experiencing age-related changes, such as wrinkles, sagging skin, or loss of facial volume, may be recommended for cosmetic surgery to rejuvenate their appearance and boost their confidence.

  4. Patients with asymmetry or disproportion: Patients who have asymmetrical or disproportionate features, such as uneven breasts or a crooked nose, may be recommended for cosmetic surgery to achieve a more balanced and harmonious appearance.

  5. Patients with significant weight loss: Patients who have lost a significant amount of weight and are left with excess skin and tissue may be recommended for cosmetic surgery to remove the excess skin and achieve a more contoured and toned appearance.

Ultimately, the decision to undergo cosmetic surgery should be based on individual needs and desires, as well as a thorough evaluation by a qualified and experienced plastic surgeon. It is important for patients to have realistic expectations about the outcome of the surgery and to understand the potential risks and benefits before proceeding with any cosmetic procedure.

Timeline

Before cosmetic surgery:

  • Patient researches and decides on a specific procedure
  • Patient schedules consultation with a plastic surgeon
  • Surgeon evaluates patient’s medical history and discusses goals and expectations
  • Patient undergoes pre-operative tests and evaluations
  • Surgical date is scheduled
  • Patient receives pre-operative instructions and prepares for surgery

After cosmetic surgery:

  • Patient undergoes surgery and is monitored post-operatively
  • Patient experiences pain, swelling, bruising, and possible complications
  • Patient follows post-operative care instructions, including taking medications and attending follow-up appointments
  • Patient gradually sees the results of the surgery as swelling subsides
  • Patient may experience emotional ups and downs as they adjust to their new appearance
  • Patient may require additional procedures or touch-ups to achieve desired results
  • Patient enjoys improved self-confidence and satisfaction with their appearance.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the cosmetic surgery procedure I am considering?
  2. How many times have you performed this specific cosmetic surgery procedure?
  3. What is the recovery process like and how long can I expect it to take?
  4. Can you show me before and after photos of previous patients who have undergone the same cosmetic surgery procedure?
  5. What are the realistic expectations I should have for the outcome of the cosmetic surgery?
  6. What type of anesthesia will be used during the cosmetic surgery procedure?
  7. Are there any alternative treatments or procedures that could achieve similar results?
  8. How long will the results of the cosmetic surgery last?
  9. What is the cost of the cosmetic surgery procedure and are there any financing options available?
  10. What is your policy on follow-up care and revisions if needed after the cosmetic surgery?

Reference

Authors: Minerva F. Journal: J Med Ethics. 2017 Apr;43(4):230-233. doi: 10.1136/medethics-2016-103804. Epub 2017 Mar 2. PMID: 28255024