Editor's note: The following is a blog posted by plastic surgeon Dr. Micheal Gartner. To read more, go to

Within the field of plastic surgery, there are a lot of negative connotations that people associate with it. However, that’s a result of the non-licensed doctors and those seeking plastic surgery that go overboard and their psychological issues are not properly addressed. When someone chooses to undergo plastic surgery, it’s a big decision to make because you’re changing what you see in the mirror everyday and that can be overwhelming.

Recently on the E! Network, they have been airing a show called Botched, which is essentially a show that revolves around two plastic surgeons in the Hollywood Hills who repair “botched” plastic surgery repairs, but there’s a twist. While they do fix a majority of prior procedures gone wrong by other “doctors,” they also see a few patients who have already gone overboard and want more work done.

Remember when we wrote about the Justin Bieber super fan? Well, he made an appearance on this show, only to be told that he needs to stop for his own health, but he still continued to search for other doctors to finish his “ideal” image. These are the types of patients that any ethically sound doctor would turn away.

Questions to ask yourself before going under the knife:

Before you opt for plastic surgery, there are a few questions that you should ask yourself if you haven’t already. While this isn’t the most ideal comparison, it’s somewhat like getting a tattoo — when you tell someone you want a tattoo, the first thing they say is, “But this will be on your body forever.” Well, it’s kind of the same thing, except on a far larger scale. So, if you haven’t asked yourself these questions yet, now might be the time to do so:

  • Every medical procedure carries risks – are your chosen procedure complications worth the risk?
  • Are you dependent on external sources to boost your self-esteem? As in, you struggle to boost your self-confidence on your own?
  • What are your overall expectations of the surgery?
  • Have you considered and tried other solutions – i.e. diet and exercise?
  • Will this procedure help you reach realistic goals and expectations?

What many people don’t take into consideration with their first plastic surgery procedure is the overall outcome. For many procedures, such as Botox or other fillers, you’re setting yourself up for injections every few months. If you undergo a breast augmentation, you’ll most likely need to undergo another procedure every eight years or so to ensure they’re intact.

So, if you’re considering going under the knife for a plastic surgery procedure, really think about it. If you suffer from any type of body dysmorphic disorder, you need to understand plastic surgery is not the quick fix. Therefore, you really need to take the time, do your research, find a certified plastic surgeon who specializes in the procedure you’re leaning towards, and then really determine if this is something you want to do.