There’s this saying that goes, “Great skin doesn’t happen by chance. It happens by appointment.” The truth is, beauty has its price, whether it refers to face or figure. Nowadays, with the pervasive celebrity culture, the 24/7 media cycle, the skyrocketing popularity and acceptance of plastic surgery procedures, more and more women want to change something about their physical appearance and the plastic surgeon becomes the go-to person to do just that. Plastic surgeons from all over the world have noticed that plastic surgery interventions are more and more in demand each year. In the US alone, the 2016 national plastic surgery statistics on cosmetic & reconstructive procedure trends show that some 1,780,987 plastic procedures were performed, which is up by 4% compared to 2015. Whether the patients really need them or not, a small improvement is always welcomed. It seems that we are living in a world governed by emotional complexes. Many women nowadays are not satisfied and want to improve one feature or the other or to correct certain, perceived imperfections. We can also see the changing face of plastic surgery with more men turning to plastic surgery for minor or even major changes. Sometimes, it could be that the nose is too big or there are unsightly fat deposits at the flanks that make the silhouette look less than appealing. With women, it is mostly sagging or small breasts and the sagging skin on the abdomen. The success of your plastic surgery intervention starts at home Preparing for the plastic surgery intervention should start at home for the patient. First, it is recommended that thorough research should be done on the intervention desired as well as the plastic surgeon that will perform the procedure. After the initial meeting with the surgeon, you will also need to prepare yourself for the surgery. Eat healthy, do exercises, avoid smoking and drinking before the intervention and also stop taking birth control pills, anti-inflammatory medications and other natural supplements. Women go to the plastic surgeon for various reasons such as breast augmentation or reduction, body sculpting and tightening of the abdominal area, breast lift and many more. One may ask what plastic surgery procedure is the most difficult for the patient? From a patient’s perspective, no plastic surgery is ever easy. For the patient, all interventions are complex. From a doctor’s viewpoint, the advantage is that a pre-requisite for all candidates for plastic surgery is overall good health before undergoing any procedure. The patient is not sick, which makes plastic surgery very different from other medical specializations wherein the patients are sick and the doctor needs to treat them to restore health or save a life. However, some interventions are more difficult and complex than others. Usually it is the long interventions that are the most complex and demanding ones. The plastic surgeon needs to be on top of his game for many hours, fully concentrated, focused, and patient while performing certain types of plastic surgery interventions and this is not an easy task. An intervention performed on multiple areas can keep the surgeon occupied for half a day or even a day. Of course, the results of these types of interventions that combine multiple procedures or are performed on more areas of the body provide the most spectacular results. Top 5 most complex plastic surgery interventions 1. The tummy tuck The tummy tuck is becoming one of the most commonly performed procedures for new mothers, along with breast augmentation or breast lift. This procedure is also recommended for people who lost a lot of weight and want to get rid of the excess skin at the abdominal wall. During the tummy tuck, the plastic surgeon can also correct loose and weakened abdominal muscles by suturing them together as well as get rid of umbilical hernia. The tummy tuck is a complex intervention because it can last up to four hours, varying from patient to patient, or if the amount of skin and tissue to be removed is considerable. The tummy tuck is also a delicate procedure. The patients want to get a tighter and flatter abdomen, with the least amount of scarring. Again, this is not an easy job to do. 2. Lower body lift For mature patients affected by aging or bariatric surgery patients, the lower body lift can offer miraculous results. The lower part of the body will look rejuvenated, the excess skin and tissue will be removed, the buttocks, hips and thighs remodeled. Because the procedure is performed on multiple areas of the body and on a wide surface, the procedure can take up to 5 hours. It is a complex and demanding procedure because it requires large incisions in areas of the body where it will be less visible. 3. The breast lift While it is another frequently performed plastic surgery procedure, the breast lift can be a complex surgery. When performing plastic surgery on the breasts, the surgeon needs to be very careful in order to achieve symmetry, not only in size and shape, but also position. The breast lift is a delicate intervention that can offer remarkable results when performed by an experienced, board-certified plastic surgeon that can combine the discipline of medicine with an artistic eye for harmony to create, pretty much perfect proportions. 4. The Brazilian butt lift Just like with breast lift, asymmetries are an all too real risk in a Brazilian butt lift and this would mean a very unsatisfactory result for the patient. 5. Buttock augmentation with implants We have seen so many botched butt implants that we believe patients should very carefully research and choose the plastic surgeon that will perform the intervention. If performed by an inexperienced surgeon, the buttock augmentation with implants can beget terrible results. We have seen patients who came to us for revision surgery complaining that their butt was ok before the intervention but after the augmentation, it looked awful. Buttock augmentation with implants is a complex surgery because it can take up to 3 hours and the plastic surgeon must be very careful with the placement of the implants as asymmetries can easily occur. Preparing for your complex surgery intervention As mentioned earlier, the preparation doesn’t start at the medical facility or at the plastic surgeon’s practice, but at home. Each patient should be mentally and emotionally prepared before seeing the plastic surgeon and should accept the fact that after the procedure, something will change forever. The patient must also clearly understand and accept that each surgery is a trauma inflicted on the body and comes with associated risks and possible complications. Aside from the anesthesia and its risks, there is the pain, swelling and bruising that are common side effects of plastic surgery interventions. Of course, they are just temporary, but patience is needed as the body will need time to heal properly. The final results of any complex plastic surgery procedures are not immediately visible. There are also no absolutes in surgery. The patient might also be disappointed with the initial outcome. To cite an example, a patient who had breast implants surgery will be able to see that her breasts are bigger when she wakes up after surgery. On the other hand, it takes a while to see any marked improvement in the breasts after a breast lift. This is why the patient needs to be patient and prepared to accept the changes in the body, along with the risks and complications that are associated with the surgical intervention. It cannot be stressed enough that when it comes to medicine, there are no guarantees. We work with the patient’s material, which is the body. Some patients heal fast and well. Others can take more time or suffer complications like hideous scarring that couldn’t have been avoided or prevented. By and large, we can say that when it comes to complex plastic surgery interventions, patience is the key to success. If you were able to live with your imperfections for the better part of your life, do not expect a perfect body in 3 hours. Conclusion The advantages gained from complex plastic surgery procedure are related to self- esteem. Some patients have struggled with emotional complexes and even physical pain, in some cases. They reached a point where the only solution was going through plastic surgery. A complex plastic surgery intervention can correct and improve one or multiple features of the body. The interventions usually last between 3 to 5 hours. As stated, perfection and beauty comes with a price. It boils down to the time, money and patience required to achieve a satisfactory result that can greatly improve quality of life and boost confidence. The Brazilian butt lift, breast lift, lower body lift, tummy tuck and buttock augmentation with implants are among the most complex plastic surgery interventions. Some of these procedures are complex because of the length of the intervention, the extent of surface area treated or the combination of procedures such as the case of a lower body lift. It is important to keep in mind that the results can be very satisfactory, dramatic, and even impressive after a complex plastic surgery intervention, but it can take some time for the final results to be fully visible. You are advised to be patient and allow your body enough time to heal. More often than not, it will be worth the wait.