Is Psychotherapy Possible With a Scalpel?

Do not see plastic surgery as a solution to your psychological problems! 

Psychotherapy is not possible with a scalpel…

The psychological dimension of plastic surgery is too important to be overlooked.

If your nose, ears, or excess fat, which have never bothered you before, suddenly start bothering you, don't seek the solution in plastic surgery. Any problem in your inner world might be the cause of this desire. If you believe that your problems will be resolved with the aesthetic change you undergo, you might be disappointed and fall into a much worse psychological state.

When a person comes to me seeking an aesthetic transformation through plastic surgery, I first try to understand how ready they are for the operation. If the patient comes during a time when their psychological disorders are dominant, I do not find it appropriate to operate on that person. I explain that I cannot perform the surgery to protect the patient from themselves. Because sometimes I see that people who are psychologically unhappy turn to such operations. Their nose, breasts, or abdomen suddenly begin to bother them, and they believe that all their problems will end after the surgery. However, even if they are happy immediately after the surgery, they return to unhappiness three months later. This is because these individuals either have problems with their spouses, are troubled at work, or have another psychological problem that they cannot solve. I sit down with every person who comes to me seeking an aesthetic transformation and sometimes talk for over an hour, trying to get to know the patient and understand how much they want and are ready for this surgery.

People actually reveal their true desires or the reasons behind their desires, consciously or unconsciously, through their behaviors, their manner of expression, and their body language. I make my decisions by sensing these.

The only indicator of whether an aesthetic surgery is successful is whether the patient is happy with the result. No matter how surgically successful I have been with an operation, if the patient is not happy with the outcome of the surgery, it means I have not done some things correctly; most likely, I have operated on the wrong patient at the wrong time. This also means that I could not fully understand the patient's psychodynamics during the first consultation or that I could not correctly interpret the clues given by the patient's behavior and manner of expression. In my opinion, a good plastic surgeon should also have good psychological training.

For people undergoing aesthetic surgery to be happy, the most important thing is for the patient to be fully ready for the operation. The person should come of their own free will and with a clear understanding of the real reasons, without any question marks.

Another factor that causes patients to be unhappy with the results of aesthetic surgeries is disturbing the harmony. Deformities caused by aging, childbirth, weight gain and loss occur simultaneously throughout the body. If one of these deformities is corrected, the patient is initially very satisfied with their appearance. However, three months later, they start complaining. Untouched areas such as the abdomen and legs, which never bothered them before, become more prominent after surgery, making them feel uncomfortable. This situation needs to be explained to patients before the surgery.

To my patients who desire a facelift, I say, "if you feel young, vibrant, and dynamic, but when you look in the mirror, you see a tired, aged face, it is normal to want to eliminate this difference with surgery."

But usually, the patient wants to change their facial appearance, which reflects their mood during a bad time; in short, they think, "no one can see my inside, at least I can make my outside look good, and maybe my inside will also improve with this appearance." However, this is like repairing the walls of a building with a weak foundation. The strong appearance of the walls can lead to neglecting the building's foundation and eventually cause bigger problems.

Patients sometimes come with a photograph and say, "I want Nicole Kidman's nose." My answer is: "Is your face and eyes like Kidman's so that we can make your nose like that?" The harmony of the face is very important. If we make the nose like Nicole Kidman's, what will we do with the other parts? Otherwise, the patient will be unhappy with the result. It is necessary to create a nose that suits the patient's face.

I ask for old photos from my patients who want changes due to aging. Because what they actually want is their old self; there is no need to change or create another person.

One of the most important aspects of aesthetic surgery is that patients' sometimes limitless desires must be curbed. A "realistic treatment plan" should always be created in the patient's mind.

Beauty is seeing with the eyes and feeling with the heart. The "eye of the heart" is what sees beauty. This understanding must be very clearly accepted by individuals considering aesthetic surgery. Beauty is a completely psychological perspective that varies from person to person.

The concept of beauty does not only apply to the face, voice, body, or elegant appearance. People are also beautiful through their character, personality, their ability to feel and provide joy, and their capacity to love.

If we find a person's face pleasing, it indicates that we are pleased by the emotion that person expresses to us.

For me, the importance of the "first face-to-face meeting" with the patient is much greater than the actual surgery stage. A person going to a plastic surgeon should not have any doubts and should choose the time for surgery when their emotional and spiritual world is at its calmest and most balanced. Patients who are not fully decided on surgery and undergo it half-heartedly may feel the pain of the operation more intensely. Even if the plastic surgeon performs their duty perfectly, whether the patient is satisfied with the outcome of aesthetic surgery depends on the patient's motivation.

Surgeries should never be done secretly from family. If your spouse is strongly against the surgery, I recommend not having it.

Aesthetic treatments are not a necessity; they are a luxury that a person can afford within their means, without causing financial difficulties, and from which they can derive pleasure by improving their quality of life.

The beautiful appearance gained through aesthetic surgery will definitely affect a person's social and emotional life positively. Feelings of self-confidence and well-being will certainly increase. However, it is not correct to view this as a psychological treatment.

Feeling beautiful is about "love."

A woman who is loved feels like the most beautiful woman in the world.