Frequently Asked Questions
Dr. Daniel Morello
Do you have questions about the surgical procedures, treatments or services that we offer?
Below is a list of some frequently asked questions, but please feel free to call our office if you need additional information. We are always pleased to assist you.
- Why are credentials important in plastic surgery?
- Will I look natural?
- Am I being vain?
- What's the best age to have cosmetic surgery?
- How long will results last?
- If I have it done now, won't I need it again in a few years?
- What does surgery cost?
- What is the Mini- face lift?
- What is the "weekend face lift"?
- My breasts sag but are not overly large. What can be done?
The words "caveat emptor" which mean "let the buyer beware" have never been more relevant for patients seeking cosmetic surgery. In most states it is legal for any physician who has a medical license to "promote" and "perform" cosmetic surgery. Their training varies from a weekend course to a year, and many have been given "certificates" which can be of dubious value.
However, the American Board of Plastic Surgery is the only plastic surgery board recognized by the American Medical Association and the American Board of Medical Specialties. Certification by the American Board of Plastic Surgery requires completion of a minimum of five years of residency after medical school, several years of post-residency practice, and passing comprehensive oral and written examinations given by experienced plastic surgeons.
There are 7,000 plastic surgeons who are certified by the American Board of Plastic Surgery, and 45,000 others that call themselves plastic surgeons but who are not ABPS certified.
Thus only about 10% of physicians claiming to be plastic surgeons are really certified by the American Board of Plastic Surgery.
Most patients have seen facial cosmetic surgery that was obvious. It is a truism that you can spot all of the bad results and few of the good ones. Dr. Morello avoids the tightly pulled, unnatural look, and concentrates on producing a nonsurgical, natural look, with hidden incisions. The pull is placed on the deeper tissues, fat is sculpted, and the skin is redraped without being pulled tightly.
No. Vanity is an excessive preoccupation with appearance, whereas my patient's concerns are usually very appropriate. Most people agree that what's on the inside of a person is more important than the outside. But we are coming to know that the outside is important also. How you look has a direct impact on how you feel about yourself. People who are pleased with their looks tend to be more confidant, energetic and outgoing.
Many patients say they don't look as young as they feel. The best age to have cosmetic surgery is when the aging process bothers you enough to correct it - when you don't look like you any more. Many patients say "when I look in the mirror, I see my mother..."
Ask yourself the magic question: "Will I gain enough (improved appearance and increased self-esteem) to outweigh the cost (time, money, risk)? If your answer is, "yes", then do it now. If it is "no", then wait until the answer becomes "yes".if it ever does.
Another question to ask is: "When do I want to look the best I can look? Now? .or some other time?" One thing is certain: the earlier cosmetic surgery is done, the longer a patient can enjoy its rewards.
There is no precise answer since this is about perception. The best answer is forever: you will always look better than if you did not have surgery. While cosmetic surgery turns back the clock, aging is continuous, and depends on genetics, sun exposure, and other factors. Most patients will perceive the need for a "tune-up" 7-10 years after face lift surgery, whereas eyelid plasty may last 10-12 years.
Not necessarily. While many patients choose to have touchups as they continue to age, cosmetic surgery itself does not accelerate aging. We have many lesser procedures to help maintain your looks. Again the answer depends on perception. Many patients continue to be fastidious about their appearance and wish to maintain it with more frequent touch-ups.
Costs vary considerable depending on the amount of work needed. At the time of your consultation, a fee quote will be provided, and will include a charge for surgery, the anesthesia, and the operating facility.
Some patients, usually those in their late 30's and early 40s, may show early aging changes primarily in the lower third of the face. They are good candidates to have a less extensive "mini-lift" that fixes jowls and restores a nice, youthful contour of their neck and jawline. The extent of the incisions is limited and recovery is about 5 days.
This is actually a misnomer, since no one can really look perfectly well in only 1-2 days. This procedure is aimed at improving the area under the chin ("double chin") and jawline. It is done through only a one inch incision under the chin, and a chin implant is used when needed. A microliposuction of the jowls is often done at the same time.
If the sagging is not severe, a "nipple lift" or "crescent mastopexy" can be performed. The excess skin is removed after making an incision around the outside of the areola (the pigmented skin around the nipple). The resulting scar is confined to the area where the pigmented skin meets the normal skin at the edge of the areola.
In cases of more severe sagging, a procedure similar to breast reduction may be performed by removing skin only - not breast tissue - to result in a more youthful shape. Breast lifting is an excellent alternative to breast implants for many patients.