How to Choose Your Aesthetic Surgeon?

When undergoing treatment for aesthetic problems, ask the doctor you are entrusting yourself and your well-being to if they are a specialist in plastic surgery, where they received their specialization training, and about their experience. Don't worry; a confident physician will be pleased by your interest, rather than offended or uncomfortable by these questions.

Avoid physicians who are ready or promise to do everything you desire. This is because such a physician either cannot fully assess their own capabilities or is unaware of the limits of treatment possibilities in plastic surgery.

A person desiring aesthetic procedures is much more privileged than other patients. This is because others have a disease whose cause and treatment they do not know; therefore, they are forced to see a doctor. There is no such compulsion in aesthetic surgery. Our patients come to us with desire, curiosity, and excitement. They know their complaints, which areas need correction, and how they want to look.

The complaints of people with aesthetic problems are not always objective, and the person may desire any kind of treatment or change. It is their natural right to have this desire. One of the most important qualities of an aesthetic surgeon should be the ability to restrain some of their patient's wishes. They should be able to set limits on patients' sometimes boundless desires and always create a "realistic treatment picture" in the patient's mind.

Even if you have decided to have surgery with great enthusiasm after a consultation, do not rush into surgery the very next day. This is because, when it comes to such operations, decisions made too quickly often arise from non-objective emotions. It is not correct to decide immediately at the first consultation. In this regard, associations in Europe that protect patient rights have a classic warning: "The doctor saying, 'I only have tomorrow free, I am fully booked for other weeks and months' is an alarm sign."

This is because your decision was made in a moment of enthusiasm; therefore, it is difficult for you to fully understand and interpret the risks and complications of the surgeries at that moment. Furthermore, you would have been filled with so much information that you should calmly reconsider the positive and negative aspects. You would have received enough information as a result of your discussion with your doctor. You can also address any questions that come to mind later by phone or another consultation. If, after these evaluations, both parties decide against surgery, it means both parties have avoided many potential problems. If your initial enthusiasm and trust in your doctor persist long after the consultation; and if you have a realistic approach to your expectations and possible complications, then your decision timing and your doctor are correct.

I have always found it appropriate for the surgery appointment period to be long, and for me not to be able to give an immediate appointment even if the patient wants one, in terms of the patient making the right decision. This is because my patients have the opportunity to consult with other colleagues until the surgery date, which I usually recommend to them. I know that when a patient receives the same treatment recommendation or finds the treatment method that suits them, they will choose the doctor with whom they have a synergy of positive feelings and a sense of trust. This choice is the patient's own truth. In the end, they are more at ease with the decision they have made. If the patient has unresolved feelings and questions, including on the day of surgery, I believe it is much better to cancel or postpone the surgery rather than proceed with it.

Avoid a physician who does not provide enough information about the treatment to be performed or who does not allocate enough time to you during the consultation. On the other hand, do not curb the physician's desire to give you detailed information by saying, "you know what to do." Of course, we know what we will do and we must take full responsibility for the treatments we perform. But as a patient, you also have to take responsibility for the decision you make, and you can only take this responsibility when you know what will be done and what could happen. Saying "I didn't know these problems could occur, I wouldn't have done it if I had known" may sometimes seem easy; but sometimes you should also think to yourself, "why didn't I ask?"

You should never have surgery without your family's knowledge. I have many patients who come to me for an initial consultation with their spouses and life partners, and in my opinion, this is how it should be. Patients need the support of those closest to them when making decisions.

Spouses usually say, "It doesn't bother me, but if you'll feel better, go ahead." If your spouse is strongly against the surgery, I recommend not having it. If you have it despite your spouse's opposition, a great deal of pressure will be placed on you, and you will want everything to be perfect, with no problems during the recovery period. This is because you know that even with the smallest problem that may arise, you won't be able to escape your spouse's negative comments. Consequently, you will constantly call your doctor with anxiety and experience even expected post-operative issues dramatically. The worst are patients who undergo treatment without telling their spouses at all. For example, a patient who had surgery while their spouse was on vacation or a business trip has conditioned themselves for a complication-free recovery. Unfortunately, all problems befall these patients. We all know that pushing boundaries this much usually leads to trouble.

Throughout my thirty-year professional life, I have tried not to make the same mistake twice. Although we surgeons may not like to admit mistakes, it is certain that we must be impartial and fair in this regard. I retrospectively review the scenario of every problematic case and try to reason it with an impartial eye. Each time, I have later seen very clearly the psychodynamics that I couldn't perceive beforehand, which caused the patient's problems.

In meetings with a psychoanalyst who supports my team, I learned the role of all kinds of psychological factors in the emergence of problems and began to perceive them more carefully. I have observed that patients who are not fully decided on surgery and have it half-heartedly (who are usually those who were previously against aesthetic surgeries) feel more post-operative pain, and the patients themselves have eventually confirmed this. A patient for whom I only performed liposuction in one area suffered greatly for weeks after the surgery due to excessive pain complaints, and so did I. While I was constantly looking for medical reasons, my patient, seeing my distress, found the real reason for the pain herself and expressed the situation as, "I actually didn't want this surgery and I was always against these kinds of surgeries. While all my friends were having surgery, I felt I had to do something, and I'm very angry with myself for having such surgery; as I get angrier, my pain increases." Another common example I encounter shows the exact opposite. When I asked my patient after a tummy tuck, which we describe as the most painful surgery, whether she was in pain, the answer "All my pain goes away when I gently run my hand over my abdomen" should not be very surprising…

The greater the distress a person feels from body dysmorphism and the more eagerly they await correction through surgery, the more problem-free their surgery and recovery will be.

I know some of you might say, "I really wanted the surgery, everything was exactly as you said, but I still had problems after the surgery." Feeling very uncomfortable with one's body shape and therefore strongly desiring an aesthetic intervention is just one of the necessary factors for achieving a good result. If you review what I have written before and re-evaluate, you will see some deficiencies.

Only with the right combinations (the right patient, the right time, the right method, the right doctor) can you achieve a result that will make you happy…