Dr. Lupin discusses how to approach cosmetic procedures in Healthy Living

Times Colonist Healthy Living Editorial - February 22, 2009 

What

Let’s begin by looking at the word “cosmetic,” from the Greek word “cosmos” (kosmos) which does not mean beauty.  Instead, it means “order.”  Of course, we are most familiar with this word in terms of the universe being called the cosmos.  The Greeks saw the universe as standing for order - the creation of order (kosmos) out of chaos (Kaos).

We use the word “cosmetic” to apply to anything that serves to enhance or protect our appearance.  In this sense, we are looking for “order.”  Balance, symmetry and harmony are fundamental to this sense of order and in restoring order we tend toward beauty. 

Why

Sometimes our skin does not match how we feel within.  We may feel that we look tired, worried or sad when we truly do not feel that way inside - so there is a mismatch.  In part, we are restoring order when we entertain to undergo a cosmetic procedure.  And being not mutually exclusive, looking great can also allow us to feel great - a cliché - but true.

When

How to choose from the myriad and sometimes confusing treatment options: It is up to your specialist to ensure you are fully informed of your treatment options.  If you are not sure what to do, you are not ready.  Take a breath and revisit at a later time.  If you are timid, start with baby steps.  Why not start with softening a frowned look, or removing that little red or brown spot or that unsightly mole that has always bothered you but you weren’t sure if it could be treated.

Who

Would you call a plumber to fix your toaster?  It makes sense to choose the type of specialist that fits with the type of treatment required.  For example, a facelift is the province of the plastic surgeon; the facial skin is the province of the dermatologist.  “Dermatology” means the study of the skin.  By definition, only dermatologists are trained to fully understand the skin - this is why all other physicians, including plastic surgeons, refer to dermatologists when they have a patient with a skin concern that needs this level of expertise.

How do you know if you are seeing a dermatologist and not just a “cosmetic specialist” or someone trained by a laser company?  Visit the website of the Royal College of Physicians & Surgeons of Canada: www.royalcollege.ca.  Search for Fellows under the Dermatology specialty.

Where

An artist needs a full palette to realize his/her inspiration.  Similarly, a cosmetic clinic needs to have a full array of tools, such as lasers, to comprehensively address the aging face.  Your specialist needs to have a blend of artistry and technical ability.  Ask to see before-and-after photos - not just stock pictures - to ensure you agree with his/her sensibilities.  For example, there is a tendency to fill lips to the point of looking like a fish.  Look only for the natural face.  Experience matters.

Questions to ask:

What type of specialist am I seeing?

Have I checked www.royalcollege.ca to ensure proper qualifications?

Is the clinic accredited by the College of Physicians & Surgeons to ensure high safety and accountability standards?

Who is performing my treatment - the doctor or a designate?

Experience: Has the doctor just started doing these treatment?

Sensibility: Have I checked before-and-after photos?

Accessibility: What are the doctor’s hours in case I have a concern?

Care: If I have a concern after the treatment, who will be looking after me?

Complications: What type can occur?

Alternative treatment options: Do I have a good understanding of all my options?

Do I feel comfortable with my decision or am I on the fence?  If the latter, I’m not ready and either need more information or should hold off on treating.

Realistic expectations: Am I doing this for the right reasons?  Do I have minimal expectations or do I expect “permanent” or “complete” eradication of my cosmetic concerns?  High expectations are prone to unsatisfactory outcomes.  Keep expectations “real.”