New York Plastic Surgeon Offers Advice to those Considering Cosmetic Surgery

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Manhattan plastic surgeon Robert Silich MD, produces free, three-part video series giving prospective patients information about what to look for in plastic surgery consultations.

People to do more research when looking at a home or buying a computer than they would for looking into choosing a doctor

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The idea that 'gravity always wins' is an axiom that most plastic surgeons would probably agree with. There is no argument against the effects that age and the constant tug from the earth have on our bodies. Ask a plastic surgeon if they believe that 'what is essential is invisible to the eye,' however, and they might not follow. Dr. Robert C. Silich, M.D., F.A.C.S., is a plastic surgeon in New York who not only believes that this is true, he tells it to each of his patients. He has recently released a series of informative videos about plastic surgery that will explain to potential patients the importance of research when looking for a plastic surgeon.

Dr. Silich is a plastic surgeon who believes passionately that, while plastic surgery is a medical procedure, it is also a decision that needs to be thoroughly researched. This research starts with the potential patient deciding if they are really a candidate for plastic surgery. The first step in this process is an evaluation of emotional frame of mind. Having plastic surgery directly following the breakup of a relationship is probably not a good idea.

Dr. Silich encourages potential patients to take a good, honest look at themselves and their expectations. In his first video, Dr. Silich explains that it is helpful for an individual to analyze their face and identify what they consider to be their best and their worst features.
"I encourage patients to perform an evaluation of their facial features because it helps prepare them for the dialogue that they will open with their plastic surgeon," said Dr. Silich. He continued, "The best time to perform this evaluation is at night. The face is generally swollen in the morning due to water retained during sleep."

This evaluation is an important step because Dr. Silich believes that, in plastic surgery, less is truly more. With his second video, Dr. Silich shows that patients will generally find that one minor adjustment through a nose correction, a small amount of liposuction or a gentle face lift can have a huge impact on the overall appearance of the face. He also encourages patients to embrace small imperfections or family features. Dr. Silich warns about focusing too much on symmetry and perfection. Too much plastic surgery aimed at eliminating all imperfections results in a lifeless, inhuman look.

Perhaps the most important aspect of research that needs to be done while a patient is considering having plastic surgery is their doctor. Plastic surgery is one of the few areas in medicine where results of the operation other than the patient's health and safety are paramount concerns of both the plastic surgeon and the patient. While there are not many doctors who routinely perform "bad" knee surgery, there are plastic surgeons that perform "bad" plastic surgery.    

In the third video in the series, Dr. Silich encourages those considering plastic surgery to pay particular attention to both the certification of the plastic surgeon and the accreditation of the clinic where the operation will be performed. He recommends only visiting doctors who have been certified by either the American Board of Plastic Surgery (ABPS) or the American Board of Cosmetic Surgery (ABCS). In addition, he recommends that patients only have their procedures performed in facilities that have been accredited by either the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) or the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).

"People to do more research when looking at a home or buying a computer than they would for looking into choosing a doctor" notes Dr. Silich. "I wish I could say that this is an exception to the rule, but it's really not."

The results of poorly executed plastic surgery can be devastating for the patient and their families. In addition to the expenses of multiple rounds of corrections, bad plastic surgery can be fatal: especially when performed in an unsafe environment. This is why Dr. Silich stresses the importance of research. Whether you live in New York or New Delhi, do not see a plastic surgeon without watching these videos. They are available, free of charge, on Dr. Silich's website at and on YouTube.

About Dr. Silich

Dr. Robert C. Silich, M.D., F.A.C.S. is a board-certified plastic surgeon in private practice at the Manhattan office of his mentor and surgical residency professor Dr. Gerald Imber. He specializes in all areas of aesthetic surgery with particular emphasis on facial rejuvenation and minimally invasive surgical techniques. Dr. Silich is board certified by the American Board of Plastic Surgery, a fellow of the American College of Surgeons, and a member of both the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. As a Clinical Assistant Professor of Surgery at Cornell University Medical College, Dr. Silich teaches in the plastic and reconstructive surgery residency program at New York Presbyterian Hospital. He is an attending surgeon at New York Presbyterian Hospital, Lenox Hill Hospital, and the Manhattan Eye, Ear, and Throat Hospital. In June, 2008, Dr. Silich was named "Associate Director" of The Burn Center at North Shore LIJ: Staten Island University Hospital. Dr. Silich is a frequent speaker on Patient Safety in Cosmetic Surgery and has appeared on numerous media outlets, including the Neil Cavuto Show on the Fox Cable News Network.


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