Plastic surgeon reveals his innermost thoughts to New York Magazine

February 6, 2012

Liposuction is an operation for thin people with pockets of fat.
Liposuction is an operation for thin people with pockets of fat.

Liposuction is my least favorite procedure. It’s boring. I hate it.” These are the words of a plastic surgeon reporting anonymously to New York Magazine on January 8, 2012. Further, he says, “It’s also totally oversold. It’s not a cure for obesity…..it’s an operation for people who have pockets of fat that are stubborn and don’t go away.”

He advises 50 percent of people who come in for liposuction that they do not need it. But if you’re determined to get lipo, you will find it. Many practitioners out there, who are not plastic-surgery trained, are eager for customers. Some are overaggressive, creating rippled or wavy-looking skin, which is very difficult to correct.

His favorite surgery to perform is a nose job because it is closest to sculpting and is such a challenge to do well. “A millimeter or two millimeters more or less is a vast, vast difference.” But, he advises, if you were to actually see a rhinoplasty performed, you would hesitate to undergo it. “You fracture the nose with your hand, and you’ll hear it when you’re in the OR – I mean, it cracks just as if you punch someone in the face. You use all the primitive tools like a hammer a chisel and a rasp. And you can completely botch it.” There are surgeons who specialize solely in redoing rhinoplasties.

As far as breast augmentation, he says, “it’s a relatively quick and simple operation,” but most people don’t know that breast implants are not a lifetime device and will need replacement. The thing about doing breast augmentation that can make a surgeon sweat is when the patient is unhappy with her implant size. For example, when you make somebody a C-cup, “…and they’re like, I’m a small C. I wanted to be a large C.”

On the subject of who’s to blame, doctor or patient, in cases when patients like Michael Jackson and others like him keep coming back for more surgeries until it becomes clear that the results look like a disaster, he says, “You’re in a gray area. My personal opinion is, it’s always on you. You did it.”

He admits that when he walks down the street and looks at people, he often thinks, “I can do this, I can do that. You become hypercritical.” That becomes a problem at home. Sometimes when he looks at his wife too long without saying anything, she’s sure he’s thinking about the procedures he can do improve her looks. Although he tells her, “No, I’m not,” he secretly is. 


The mission of the American Society for Aesthetic Plastic Surgery (ASAPS) includes medical education, public education and patient advocacy. Plastic Surgery News Briefs are summaries of current stories found through various news and magazine outlets that relate to or mention plastic surgery and cosmetic procedures. The views expressed in these news articles do not necessarily reflect the opinions of ASAPS, but are merely published as an educational service to our members and the general public. For additional information on these subjects and other plastic surgery related topics, please go to www.surgery.org

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About ASAPS
The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world’s leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body.  ASAPS is comprised of over 2,600 Plastic Surgeons; active members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and non-surgical aesthetic procedures. International active members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.

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