We are pleased to welcome back Michelle Skelly as Ticadoc’s guest blogger. Michelle is an Anti-Aging Skincare Specialist – Helping people achieve healthy, youthful-looking skin through safe & effective skincare.


Michelle’s original article briefly mentioned the issue of appropriate surgical qualifications with particular reference to the U.S.A. Given that Ticadoc readers have a particular interest in this issue, we have expanded on the issue of qualifications here and given some international context.

Surgeons qualifications are different in every country. Always make sure that your plastic surgeon is appropriately qualified for the work they will undertake.

So what does appropriate mean?

Well, while in some countries the term ‘cosmetic surgeon’ is often used as a marketing term, ‘cosmetic surgery’ is often not a recognised specialty. In countries such as the U.K , the U.S.A and Australia any doctor with a medical degree can call themselves a cosmetic surgeon.

What you really want is a doctor that has not only completed a medical degree, but also the appropriate post graduate surgical qualifications. In Taiwan it takes at least 11 years of study and practical experience, including 4 years of specialist surgical study, to be a recognised and certified as a Plastic Surgeon (in Malaysia it’s 8 years while in the UK and the USA it is 10 years).

If you would like more information on what the appropriate qualifications and accreditations are in your country for a Plastic Surgeon – just drop us a line!

Now enjoy Michelle’s article!

Important Pre-Plastic Surgery Questions to Ask Your Doctor

Are you considering plastic surgery but have some concerns? What happens if you undergo a procedure that your body can’t handle? Believe it or not, when declaring a patient suitable for surgery, health is the deciding factor and not necessarily age. In some cases, older patients may be better candidates than those who are younger based on their medical history. From nose jobs to face lifts and eyelid surgery to tummy tucks, if you are considering going under the knife, do your research and make sure you are a good candidate for it. Plastic surgery shouldn’t be taken lightly as it is a life altering decision. If you are considering a procedure, make sure you do it for the right reasons.


How Do You Know if You’re Healthy Enough?

You should have a good idea about your health status, but in case you don’t, your plastic surgeon can request a full medical checkup to assess where you stand. Hiding health conditions from your doctor will only hurt you.

Age is not the determining factor when it comes to plastic surgery. Before you get anything done, it’s imperative that you schedule a consultation with your surgeon to make sure you meet the pre-surgery checklist to minimize the risk of complications and ensure a healthy recovery. For example, if you’re a smoker, your plastic surgeon may not operate on you until you’ve quit because smoking increases problems with healing and can leave bad scars. All patients should stop smoking at least 4 weeks before surgery and not resume until at least 4 weeks after surgery. Always check with your doctor for specific recommendations based on your individual health status.

Make sure that your surgeon is board certified. Problems can arise when non-board certified doctors perform procedures because they are less likely to check you out. They may not take your health as seriously as they should. If your health isn’t in good standing, you can compromise your results and possibly your life.

Pre-Plastic Surgery Checklist and Questions

Potential complications that should be discussed with your plastic surgeon prior to any surgery are the following:

  • Cardiac issues
  • Kidney failure
  • Pre-existing infection
  • Overweight
  • Nerve damage
  • Respiratory arrest
  • Mental illness
  • Allergic reactions
  • Medications
  • Diabetic coma

Every patient at any age should have their plastic surgeon complete the following checklist and answer the following questions below:

  • Full physical exam
  • Mammogram, depending on age
  • Disclose pre-existing medical issues
  • Disclose any medications, OTC medications, vitamins or supplements taken regularly
  • Blood test (check for cholesterol, anemia, liver and kidney function, coagulation time)
  • Take an electrocardiogram (ECG) (recommended for those 50+)
  • How many procedures have you performed? Can you show me before and after photos?
  • Is there anything that you recommend I do before the procedure to ensure better results or a quicker recovery?
  • What are the risks associated with this procedure? What about alternative treatments?
  • What is the recovery like?
  • When can I begin wearing makeup again and using skincare products?
  • When will I begin to see results? How can I maintain my results?

Some medical conditions will deter your plastic surgeon from operating on you. If you’re not an ideal candidate for surgery, these options can be considered:

  • Injectables and dermal fillers
  • Instead of liposuction, try a non-invasive fat fighter
  • Instead of a facelift, try a tightening treatment

Skincare Maintenance

Regardless if you decide to have plastic surgery or not, daily skincare maintenance using safe and effective products is critical to maintaining your skin. Maintaining procedures with a good skincare regimen on a daily basis is still so important for your skin in the long run. Why would you spend money on expensive procedures yet maintain your skin with ineffective and cheap products? Products that don’t really work can be like throwing money down a drain. It takes the right ingredients (such as hyaluronic acid, vitamin C, vitamin E, retinoids, ceramides, and hydroxy acids), in the right formulations, in the right order to make a difference when it comes to skincare products. Cheaper brands may have the ingredients, but not in the right formulations to really see results.

Consistently taking care of your skin at home helps you maintain your results. If you want to lose weight, you eat healthy, quality foods and regularly work out. Once you reach your weight loss goal, do you stop eating healthy, good food and working out to maintain your weight? No. The same applies to taking care of your skin. If you keep your skin healthy with a good, consistent routine, your skin will age well.

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