you are [REAL SELF] and what you want to be [IDEAL
SELF] is the root cause of unrest in mind. Those
who are happy with what ever they have, and clearly
understand what they want are the CONFIDENT persons.
On the contrary, those who see others better than
themselves, want to be like them, are people with
low self esteem.
who are happy with their self image are more likely
to be self confident, effective in work and social
situations, and comfortable in their relationships.
Those who are dissatisfied tend to be self conscious,
inhibited, and less effective in activities. They
helps in the understanding the psychological aspect
of the patient. It helps the patient in alleviating
their apprehensions and understanding the achievable
benefits of cosmetic surgery.
Real self to Ideal self transformation is possible
with cosmetic surgery; which encourages and promotes
a strong, positive self image. Even a small change
on the outside can create an extraordinary change
inside, allowing an individual's self-confidence
resulting from cosmetic surgery procedures are usually
permanent, it's importance that patient have a clear
understanding of how surgery might make you feel
long before your appointment is fixed for an cosmetic
surgery procedure. Counselling is all about this.
must read details provided here regarding the psychological
aspects of the patients considering cosmetic surgery
to improve their real self. All issues involved
in the cosmetic surgery may not be addressed here
considering individual circumstances and their SELF.
You are advised to feel free to ask Dr.B.P.Singh
MD, FACCS, FAMS, FIACS Board Certified Cosmetic
Surgeon, if there is any thing you do not understand
about the possible psychological aspects and effects
of your planned procedure.
candidates for Cosmetic Surgery.
who are honest to themselves are the best candidates
for cosmetic surgery. By saying this I mean if they
know exactly WHY and WHAT they want out of cosmetic
surgery, their goals and objective are well achieved.
see two types of good candidates :
a. patients with strong self image, but, are bothered
by a physical presentation that they will like to
change, improve or enhance. Such patients feel good
about the results of cosmetic surgery and maintain
a positive image about themselves.
b. Patients who have a physical defect or flaw that
has diminished their self esteem over a period of
time. After surgery, these patients take some time
to adjust, slowly, but steadily, their confidence
is rebuild and strengthened. Some times, a dramatic
change is also seen.
surgery helps improve YOUR outer self and inner
self. But, if you are aiming to improve some one
other than your self image about you, after you
get cosmetic surgery, you may be disappointed; meaning
thereby, surgery on you may not help change what
others think about you. You should not go for cosmetic
surgery so that others will improve their perception
be, [or may not be] your Friends and near ones will
respond positively to your change in appearance
and self-confidence, however, you must understand
that cosmetic surgery will not cause any dramatic
change in people other than YOU.
Candidates [ Problem patients !]
consultation with Dr.B.P.Singh MD, FACCS, FAMS,
FIACS Board Certified Cosmetic Surgeon, candidates
considered unsuitable are refused for surgery.
1. Patients with unrealistic expectations - such
as those who insist on face change like an actor
of their choice, having a celebrity's nose or lip
shaping to match particular style or those who wants
to become as they use to look 20 years earlier etc
Impossible to please patients - those who keep
seeking different surgeons opinion willing to
listen the answer they want to hear, and hope
for cure of a problem which is not primary or
3. Obsessed patients - patient obsessed with a
very minor defect and feel once the problem is
corrected with cosmetic surgery will dramatically
improve his life style. Born perfectionist may
be suitable candidates for surgery, so long they
are realistic enough to understand that surgical
results may not precisely match their expected
4. Mentally ill patients - are unsuitable for
5. Mental Stress or patients in crises- such as
those who are going through divorce or the death
partner, or have job loss. Such patients must be
allowed to pass though stressful phase and may be
considered when they are adjusted to new situation.
Counselling will help them understand that cosmetic
surgery will not help in overcoming your crises.
be honest to yourself and with your surgeon, what
you want and what your goals or objective are. Be
precise and clear what embarrasses you or what features
of a particular part looks awkward to you.
must honestly answer how you feel about your self,
how others feel about you and how you wish or prefer
to be seen by others. You must feel confident that
your problem/s are well understood by the surgeon
and you are satisfied by his answers. Do not ask
your surgeon to tell you how you should look like.
your objective of surgery are not clearly conveyed
to Dr.B.P.Singh MD, FACCS, FAMS, FIACS Board Certified
Cosmetic Surgeon, you may not be satisfied with
the final outcome…..!
Surgery on Minors and Teenagers :
must understand that priorities and feelings about
self image changes with the age. Parents should
never force kids to undergo surgery so long he/she
is prepared. Teenagers or minors should not be taken
for surgery unless accompanied by their parents/guardians.
may face considerable confusion and anguish in making
decisions for their children who are keen for cosmetic
surgery procedures to correct a particular feature,
or wants to go for a change. Counselling helps them
n alleviating their apprehensions.
Preparations for Cosmetic Surgery:
the time of surgery patient should be mentally relaxed.
If he is undergoing any mental trauma or stress
surgery should be postponed. Patient who is to go
into surgery feeling preoccupied or pressurized
with other matters may face longer and more difficult
to See you CHANGE Postoperative :
Changes seen in immediate post operative period
makes some patient visibly upset. Role of Counsellor
during this period of transition is greatly understood.
cosmetic surgery on face, nose, eyelids, chin or
lips etc there appears swelling which stay for first
times patients gives a frightened and scary look.
He/she may feel depressed - why had they undergone
surgery? Counselling preoperatively is important
to prepare the patient for this change, and post
operatively to relax them and make them understand
that your desired outcome of cosmetic surgery is
shortly to be seen, as told to you by the surgeon
before hand. Let the swelling/ bruising pass away.
procedures give immediate dramatic changes in your
body shape. Your redefined body image may seem somewhat
unfamiliar. It may take some time to adjust for
this redefined body image as your own reflection.
of patient to Liposuction done on a larger area
is usually of the feeling of 'why I got this unnecessary
surgery' or feeling of unhappiness, 'when I will
see my cherished / desired figure'. Expression of
dissatisfaction and doubt is commonly observed that
immediate reduction is not appreciated.
should be better prepared preoperatively for the
post operative swelling and bruising. Reassurance
that "Yes you have reduced"; usually helps the patient
to overcome this transient phase. Use of pressure
garment should be understood by the patient before
Support After Surgery :
and mental support during post operative phase is
essential . Even very confident, very independent
and bold looking patient also need some emotional
support. You must understand and remember that during
first week of recovery some days you will feel
depressed and look swollen, bruised, unhappy and
unpleasant. Carefully, you must select a support
person who will be just that 'SUPPORTIVE'.
gently and graciously decline offers of help from
those who may be critical of your decision to have
surgery or may be overly troubled by your temporarily
bruised and swollen appearance.
keep in mind that it is not unusual for a good well
meaning friend or relative to say 'I liked the way
you were before, or 'you did not really need surgery'.
Feeling of regret or self-doubt, particularly during
early recovery period may appear after such comments.
You must rely on your Surgeon, Counsellor and your
support person to help you through these difficult
times. Try to talk to your self on the reasons you
decided for cosmetic surgery in its first place.
To Deal With Post Operative Depression
patients experience mild feeling of unhappiness
after surgery. However for some this may be severe.
Post operative letdowns usually sets in about three
days after surgery, at a point when you may be regaining
some of your physical stamina, but your post operative
appearance has not yet begun to improve. It may
last few days to few weeks.
emotional let down may be caused by stress, exhaustion,
metabolic changes, or the frustration of waiting
for the result to appear. Depression may be especially
stressful for patients undergoing staged procedures.
They must be taught to cope up with an unfinished
transient image until the final stage of recovery
is complete. Patient who are already suffering from
depression or who had history of depression before
surgery, are more prone for post operative depression.
must discuss in detail with cosmetic surgeon what
to expect in the post operative period.
must understand that depression is, most of the
times, lifted naturally; and/or by engaging your
mind elsewhere like exercise, sports, social activity,
outing and back to work.
To Handle The Critics :
and comments are uninvited but pour in automatically.
Most of the family members and friends will react
'NOT POSITIVLY'. Pure cosmetic surgery is quite
often criticized for being foolish or frivolous.
You must be ready for some surprised or disapproving
glances. Your improved appearance will not be digested
by your close ones who will feel threatened and
jealous; hence NEGATIVE remarks, reactions and responses.
your best reply to them is "This is what I needed,
I did for myself, and, I am happy with my results".
If you feel happy, remember it is indeed, the success
of you procedure.
You must…FEEL POSITIVE…Think