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MD Expertise: The Science of Anti-Aging

How To Keep Your Plastic Surgery Discreet

Published September 10, 2009 3:58 PM by Richard A. Baxter, MD

People are more open about having "a little work done" than they used to be, no doubt about it. But there are still those who feel the need to share only with friends and co-workers on their own terms and not have it broadcasted through the gossip grapevine. Unfortunately, you can't always count on others to be discreet and respect your privacy. So is there a middle ground?

You will be helped by choosing a plastic surgeon who emphasizes a natural look. There are specific techniques that can be employed to this end, such as emphasizing volume correction more than pulling, and more of a "vertical vector" with facelifting. But there are always trade-offs: If the result is too subtle, it may not be worth it, but no one wants the overdone look either. You should return from your "vacation" appearing rested and refreshed, not stretched and spackled.

Here's my advice: First, you need a good cover story. This shouldn't be an outright lie, but if the story includes some spa services then right away there is something to explain the rested appearance. Second, like a good stage magician, you need a diversionary tactic. For women, a change of hair color and style works magnificently for this. Amazing how a new hairdo can improve one's appearance! New makeup helps too, which you may want anyway if you need to conceal some residual bruising. And for those who know your leave was "medical" and feel the need to pry, there is always the benign explanation of some "female surgery" which is technically correct for anyone with two X chromosomes, regardless of the actual procedure. Sure, it's a stretch, and I don't suggest that you use it routinely, but it's there just in case.

Fortunately, aesthetic procedures are getting less invasive and more sophisticated, yielding faster recovery and more natural appearing results. There are still no shortcuts however, so the smart consumer is an educated consumer. And more people than ever take a positive view of plastic surgery.

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