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1) Plastic surgery is becoming very popular. Why?

To my mind here are several main reasons.

Firstly with a growing population there are more plastic surgeons in the world. For example, when I graduated as a specialist in Plastic Surgery in Brazil there was …. in my year and…. members of the Brazilian Society. Today the membership of the SBCP is…., there is a great deal of competition in the market place a consequently plastic surgery has become for affordable.

secondly, over the past 30 years’ people find themselves with more disposable income and with the increasing number of women in the work place they now have purchasing power they might not have had before. Not forgetting the power of social media and the misguided quest for physical perfection empowered by the exchange of touched up photographs. Also the availability and instant accessibility to surgical information and a peek into Dr’s practice.

2) Is it possible a patient become a “slave” of (obsessed by) plastic surgery?

Yes this happens, it comes from a certain personality trait and can only be controlled by the patient herself along with advice from a caring respectful surgeon. Sadly these patients move on when their doctor refuses one more unnecessary procedure. They will always find someone to fulfill their surgical demands.

3) who can and who should undergo plastic surgery?

Who are the people who can undergo a plastic surgery procedure?  Firstly and importantly expectations for elected aesthetic procedures need to be carefully managed during the consultation. The patient needs to understand the scope of the surgeries possibilities. Once the pre surgery examination, the blood work and another exams are in order, pre operative photographs taken and relevant paper work filled out surgery can be scheduled.

Who should undergo plastic surgery? This is more relevant to reconstructive surgery patients. Considering aesthetic surgery patients we could include the patients with a very large heavy breast needing a reduction to help with spine and posture problems caused over time by carrying the extra weight. Post bariatric surgery with an excess of skin needing to be removed for daily hygiene reasons.

4) Can plastic surgery be reconstructive? In which cases?

Yes, Plastic Surgery training for board certification includes reconstructive surgery. A fully trained Plastic Surgeon will usually opt to concentrate their practice on either aesthetic or reconstructive surgery. Otoplasty (pinning back ears) large breast reduction and bariatric skin removal could be seen as reconstructive surgery within an aesthetic practice. Apart from these examples there are countless reconstructive procedures to help tighten birth defects, burn,war and accident victims.

5) Should plastic surgery be paid by the government?

As aesthetic surgery is a surgery of choice rather than necessity I believe the Government has no responsibility here.

There may be some reconstructive cases, such as serious birth defects where the government could help, of course any injuries caused by going to war would come, I imagine, under the responsibility of the government.

6) With regard to the activity of Dr. Luiz Toledo, why did you choose this area of medicine to exercise and what is most challenging your work?

My uncle was a very well know pediatrician in Sao Paulo and very likely influence by him, I can remember wanting to be a doctor from 5 years old. During the years of university and the understudy periods spent in diverse specialties  I was very fortunate to win a place with Dr William Callia, one of a handful of “society” plastic surgeons in Sao Paulo at the time. The training period with Callia was fascinating, exciting and extremely challenging. I decided to specialize in Plastic Surgery thanks to him and his encouragement, teaching and lecturing for the last 30 years being a natural extension of my practice.

This is a demanding and challenging profession and success requires impeccable bedside manners, constant updating of surgical skills and options, a calm and controlled demeanor in the operating room and honed people skills that develop over years of interaction. Most days have their challenges.