The Surgeon Minute

The Proactive Surgeon

The Proactive Surgeon

While up-selling is great for many businesses, it doesn’t have any place in a plastic surgery office. Cosmetic surgery is all about understanding and addressing a patient’s desires to improve their physical appearance. “We were trained in our classical training, and I believe rightfully so, that when a patient comes in with a question in one body part or portion of their face, not to volunteer and prompt them into doing something else,” explains board certified plastic surgeon Dr. Peter Fodor. There are, however, a few cases where it may be necessary for a surgeon to recommend something other than the procedure a patient came in asking for, in order to provide them with a good surgical outcome.

by Anne Meyer
and Peter Fodor, MD

Rhinoplasty: Balancing the Nose & Chin

When a patient consults with Dr. Fodor about a rhinoplasty, he often educates the patient on the importance of balance in the upper, middle and lower thirds of the face. “If you have, for example, an underdeveloped chin and a very large nose – and this is not uncommon – bringing the nose down to the level of the chin would almost destroy that face,” says Fodor. Rather than overdoing the nose to match the weak chin, in those cases he will instead discuss the option of bringing the chin out at the same time he reduces the nose, creating a balance between the two.

Fodor - The Proactive Surgeon.00_00_41_23.Still001

Bodysculpting: Focusing on Overall Contour Instead of Trouble Areas

“Another example is when patients come for bodysculpting,” adds Dr. Fodor. “When patients come in for saddlebags, and they have major saddlebags, but they also have fairly significant hip rolls or love handles. If you only reduced the saddlebags, and left the hip rolls full, you would end up with a square-ish looking backside.” In cases like this, Dr. Fodor will point out the added benefit of reducing the hip rolls to provide the patient with a more overall aesthetically pleasing and curved contour.

Breast Augmentation & Axillary (Armpit) Liposuction

When a patient has very little breast tissue to begin with, it is not uncommon for them to also have an area of fatty tissue or a small fat roll in the armpit area, which surgeons call the axillary roll. While it may not be very noticeable prior to breast augmentation when the chest is flat, it can become a sharper transition and more noticeable after an implant is added. “It’s smart to talk about that, to recognize that pre-operatively,” explains Fodor. “Many patients don’t even realize it, but once you show them pictures of other patients who also have it, then have augmentation, they see that the roll is more like a sausage.” Removing the extra fatty tissue from the armpit area with liposuction during the augmentation surgery adds very little time, cost or risk to surgery and can provide the patient with a much better outcome in the long run.

Fodor - The Proactive Surgeon.00_01_04_04.Still003

Liposuction & a Flat Buttocks

When surgeons perform liposuction, fat removed from one part of the body can be very useful in another area. “Many patients who come in for liposuction have somewhat flat buttocks. I think it’s a mistake not to mention to patients that since we’ve got this fatty tissue we’re going to be removing with the liposuction, we could utilize it to enlarge the buttocks,” says Fodor. He views the fat as ‘money in the bank’ which should not be thrown away before first consulting with the patient about its value and the options it presents. “Patients very quickly understand this,” says Fodor. “They are not offended, and if anything they are thankful more times than they are not.”

Click to add a comment

Leave a Reply

Your email address will not be published. Required fields are marked *

The Surgeon Minute

More in The Surgeon Minute

Direct neck lift - the best neck fix for men.

Direct Neck Lift – The Best Neck Fix for Men

Anne MeyerMay 21, 2018
The power (and necessity) of modern skin care.

The Power (and Necessity) of Modern Skin Care

Dawn TongishMay 18, 2018
Extreme weight loss creates surge in plastic surgery.

Extreme Weight Loss Creates Surge in Plastic Surgery

Dawn TongishMay 17, 2018
Choosing the right breast implants.

Choosing the Right Breast Implants

Dawn TongishMay 16, 2018
Using platelet-rich plasma to counteract hair loss.

Using Platelet-Rich Plasma To Counteract Hair Loss

Dawn TongishMay 15, 2018
Playing it safe during the big butt boom.

Playing it Safe During the Big Butt Boom

Anne MeyerMay 14, 2018
Improving The Mid Face With Fillers and Fat.

Improving The Mid Face With Fillers and Fat

Dawn TongishMay 9, 2018
Moderation is Good for Your Diet AND Plastic Surgery.

Moderation is Good for Your Diet AND Plastic Surgery

John HammarleyMay 8, 2018
Combined Procedures - How Much is Too Much?

Combined Procedures – How Much is Too Much?

Anne MeyerMay 4, 2018