Plastic Surgery 101

If you don’t need a nose job now, don’t get one

Q. I'm thinking of having a nose job because I don't want my nose to look like my mother’s. I went to see a few doctors and they told me I should do it now so it would prevent my nose from looking like it’s turned downward. Is that something I should really consider?

A. Would you buy a new car and keep it in your driveway in case the car you're driving now breaks down? If your answer to that question is yes, then there is no way what I'm about to tell you will make sense.

Over the years I have seen ads for preventive Botox, preventive facelifts, and other marketing tools to encourage patients to have procedures they don't need. I often wondered if doctors believed patients were that foolish. I have seen young women who don't need Botox use Botox to prevent wrinkles on their forehead. I have also seen patients who did not need a facelift undergo a facelift to prevent aging. So my answer to your question is this: Have you nose done if you don't like the way it looks now, not if you don't like the possibility of what it will look like in the future.

With the competition heating up for doctors who do cosmetic procedures, including all non-facial plastic surgery and non-plastic surgeons and non-dermatologists, marketing tools are being used to drive the market. These tools include ads making you feel completely unattractive and making the consumer feel unsure of their looks.

Surgery should be done for real cosmetic deformities and nonsurgical treatment should be done for real events occurring in the present. Some nonsurgical procedures may enhance your looks in order to prevent surgery but should not be done in order to prevent future cosmetic deformities. Naturally, skincare and sunscreens can help to prevent future surgeries and procedures, but these procedures are not what those ads are selling! When approaching a surgical or nonsurgical procedure, a level-headed, common sense approach should prevail. Get a few evaluations from well-qualified physicians and then discuss these with a close friend. Sanity will prevail, but not always.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at: