What Plastic Surgery Can (and Can’t) Do

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Plastic surgery can achieve remarkable enhancements, but it’s not a magic wand – there are limits to what it can and can’t do. In this article, Dr Dèhan Strüwig debunks some of the most common myths surrounding plastic surgery, from misconceptions about recovery time and scarring to unrealistic expectations of instant results. Whether you’re considering a procedure or simply curious about the process, this article will provide a realistic understanding of what plastic surgery entails. 

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The recovery time myth: Patience is a virtue 

One of the biggest missteps I see is that patients underestimate recovery time. I get it – life is busy, and no one wants to be sidelined for too long. But plastic surgery isn’t like getting a haircut, where you look fantastic and ready to go. It’s more like planting a garden. You must nurture it, give it time, and be patient before seeing it fully bloom. Trying to rush back to work or the gym too soon can be like trampling over your freshly planted flowers – something you’ll regret later! 

The scar-free fantasy 

Another common assumption? That plastic surgeons have some magical, scar-free scalpels. I wish! While we use advanced techniques to minimise scarring, the reality is that surgery involves incisions, and incisions leave scars. It’s a bit like getting a paper cut – it will heal and fade, but it won’t simply vanish into thin air.  

The good news? With proper care and time, scars become barely noticeable. But expecting to be completely mark-free is a fairytale that, sadly, has no happy ending. 

Wound care: The overlooked essential 

Now, let’s talk about wound care. This one baffles me. Some patients think the job is done once they’re stitched up – like sealing an envelope and sending it off. But wound care is crucial! It’s the difference between a smooth recovery and a rocky road filled with infection and prolonged healing. Following post-operative instructions isn’t optional – it’s your golden ticket to the best results. 

The instant gratification trap 

I also must address the instant gratification myth. It’s expected to be excited about the new you, but expecting to wake up looking like a movie star immediately after surgery is like expecting to bake a cake in two minutes. Swelling and bruising need time to subside, and the results often take weeks or months to settle fully.  

The same is true for reconstructive surgery – whether it’s skin grafting, scar revision, or breast reconstruction, the healing process unfolds in stages. It’s like sculpting a masterpiece – you wouldn’t expect Michelangelo’s David to be carved overnight! Patience is key to seeing the best possible outcome. 

The “minor surgery means no risk” myth 

Speaking of fairy tales, there’s also the myth that outpatient surgeries are as risk-free as a casual trip to the spa. Just because you go home the same day doesn’t mean you should treat it like a quick errand! Any surgery, no matter how “minor”, carries risks and requires thoughtful planning. If I had a dollar for every time someone downplayed their outpatient surgery, I’d have a second career as a finance guru.  

Even the most straightforward procedures require precision, skill, and careful recovery. Think of it like assembling furniture – you may have all the right tools, but rushing the process or skipping steps can leave you with a wobbly, disappointing result. 

The “forever young” illusion 

Before we wrap up, I must throw in a few of the classic cosmetic myths that still run rampant. First, plastic surgery results are not permanent. You’ll see significant improvements, but your body still ages, and lifestyle choices play a role in maintaining results. Think of it like buying a brand-new car – it looks incredible, but without regular maintenance, it won’t stay that way forever. 

The “risk-free” non-surgical procedures myth 

Then, there’s the notion that non-surgical procedures are entirely risk-free. Just because a treatment doesn’t involve a scalpel doesn’t mean it can’t go wrong. Injectables, like botulinum toxin and fillers, require expertise to ensure safe and natural-looking results. A poorly placed filler can distinguish between a refreshed look and an “Oops, what happened?” situation. 

The “men don’t get plastic surgery” myth 

Another classic? The belief is that men don’t get plastic surgery. Spoiler alert: They do! More men are seeking procedures than ever before, whether for anti-ageing treatments or body contouring. This isn’t just a ladies-only club – self-improvement is for everyone. 

So, until next time: If you’re considering plastic surgery, remember that patience is your best friend, post-operative care is non-negotiable, and myths belong in storybooks, not the surgical suite.