Do YOU Need Plastic Surgery?

FabOverFifty is delighted to announce that we’ve formed a partnership with Francesca Camp, a leading independent plastic and cosmetic surgery consultant, in the US and abroad, who is becoming our plastic surgery guru. Francesca will be writing a monthly column and can answer many of your questions about invasive and non-invasive procedures. Of course, we’ll still have our valuable Ask A Plastic Surgeon Tool, but Francesca can provide an additional viewpoint, as someone who has worked with thousands of women who’ve had surgery, or are considering it.

“If you’re like nine out of ten of my clients, the first question on your mind is not what kind of surgery you need or who should perform it but something much more basic: ‘Do I need it?’” which happens to be the title of Francesca’s new book.

“In fact there are times when I tell people that they don’t. I’m an independent practitioner, and I’m not on anyone’s payroll. I don’t get compensated for referrals, so I don’t stand to gain or lose by recommending any services. My professional role is to offer advice to people who are unhappy about their appearance and don’t know what to do and where to start. Not all the solutions I offer involve surgery,” she explains in the very first chapter.

Meet Francesca!

When Francesca Camp was in her 20s, long before anyone but movie stars and Park Avenue matrons had “work done,” she had a complete surgical makeover on her young, pretty face.  It wasn’t by choice, however. A five-car accident left Francesca with a fractured nose, shattered, left cheekbone and lacerations, and she needed to find a competent plastic surgeon to reshape her disfigured face.

Before the accident, Francesca had worked with burn patients in Chile and, as a graduate student, with inner city and battered and abused women, experiences that taught her the psychological importance of feeling “good about your appearance.”  Forced to wait a year for her face to fully heal, before she could get the plastic surgery to fix it, Francesca learned even more, first hand, about compassion and empathy. She says she has two sides: “Mother Teresa and the vanity side.”

Although it wasn’t a pretty–or voluntary–way to get involved with plastic surgery, that fateful accident led her to be treated by, and then work for, Dr. Sherrell Aston, one of the New York’s leading plastic surgeons. Francesca also earned a license as a paramedical esthetician. During the six years she was Dr. Aston’s employee, she became the one who answered all his patients’ questions. She learned what people want and need to know. A good resource for information, Francesca also gave patients reassurance and confidence.

Encouraged by the excellent response to her skin care and counseling services, Francesca eventually decided to open her own practice, and she’s been a independent plastic/cosmetic surgery consultant for almost 20 years. “Because of my professional connections to the world’s leading plastic and cosmetic surgeons and my ability to know what to look for and what to research, I am able to refer people to doctors anywhere who specialize in the areas of their concern, who have the right credentials, and who will perform the proper procedures with competence,” Francesca explains in her new book, Do I Need It? (And What if I Do?) Answers to All Your Questions About Plastic Surgery, with Dale Burg

“This really is a rule book, a hand-holding guide for the entire process,” Francesca told me when we met for coffee and an interview. “I used to write the pre- and post-op instructions for plastic surgeons, and the book provides the answers to all the questions that patients asked.” Besides answering the paramount question, “Do I Need Plastic Surgery?” these are among the questions answered in the book:

“When I recommended to a CEO client, who ran a big corporation, that she not do something she was considering, post-surgery, she took my face in her hands and said to me:  ‘When it comes to this, I have no common sense,’” Francesca said, demonstrating that even women who make high-level decisions all day long need guidance when it comes to their looks.

Written in simple language, with a reassuring attitude and a touch of humor ( “A really good doctor makes you look like yourself, only better. He or she can’t turn back the clock and make you look twenty-five–unless you’re thirty!”), the book makes the plastic surgery process less intimidating and offers practical advice you won’t find anywhere else. Francesca even covers the type of bedding to use for your recuperation!

During our chat, Francesca answered a few of my own questions. Read what she had to say.


Why do you think that plastic surgery naysayers are so vocal?

Many women think they’ve ‘earned’ their wrinkles or stretch marks, and they become judgmental. But I say, ‘never say never. You’re getting your hair colored, you’re getting your nails done, you’re putting on makeup, and you’re working out at the gym. Plastic surgery is another way for you to be a better you.’

Ninety-eight percent of my patients don’t want to look 20. They want to look like themselves, but just a little bit better.

Where do you work and do you get a referral fee from the doctors you recommend?

I have offices in LA; New York; Naples, Florida, and Vienna, Austria, where I’m in a wonderful new clinic, but still independent from the doctors who practice there. I get no kickbacks or referral fees.  I don’t personally know every single surgeon I recommend, but my connections, and researching experience, always lead me to the best doctors for my patients.

I lecture at medical symposiums, and I’ve collected great doctors along the way.  I’ve been in the OR observing surgery. I have to see what my patients are going through so I can help them heal.  My client list is like a who’s who. They come to see me from around the world.

If a woman is on the fence about having plastic surgery, how can you convince her to at least have a consult?

You really have to listen and find out why someone is on the fence.  People still are afraid. So I listen carefully to hear why they’re afraid.

Those I call my ‘merry-go-round patients’ have been to see seven doctors, which is always a red flag. I’d rather have someone who has questions and knows what she wants. Women open up more to me than to surgeons.  Surgeons actually refer women to me, before consulting with them.

What trends are you seeing today in terms of procedures?

1. More women are getting non-invasive treatments, but it’s becoming a double-edge sword. I’m seeing bad fillers that result in squinty eyes and over-filled cheeks. If you don’t have a line on your face, it looks freaky to me.  Mothers and daughters are starting to look like each other. You have to leave a couple of wrinkles to look natural. Less is definitely more, even with fillers. Sometimes, only the knife is going to do the trick, but you also have to eat right, drink enough, and exercise.

2. Chemical or laser peels are great, but you must make sure a qualified doctor does it.

3. A new filler, Juvederm Voluma XC, is getting good results. It’s doing a nice job on the lips.

4. Many women will tell me what a cousin’s friend had done, for example,  and who did it, and will decide on which plastic surgeon to use based on word of mouth. I make my decisions based on the volume a surgeon does. If a doctor is doing 600 of a certain procedure a year, he generally knows what he’s doing.

5. More women over 50 are having the tips of their noses refined. The eyes and nose make the greatest difference in your looks.

6. I am against doctors who aggressively promote before-and-after-photos, which is becoming more and more prevalent.

How do younger surgeons today differ from ‘old-school’ men in their 60s, let’s say?

You don’t hit your stride as a plastic surgeon until your late 40s. Plastic surgery has changed dramatically in the last 15 years, and the new boys (under 50) are learning the new techniques. Healing time is quicker; scars are shorter; there are fewer invasive techniques, and doctors are using lasers and injections with surgery.

Are the older doctors keeping up with the changes and should you avoid a doctor older than 60?doctors

If you were a great doctor in your time, you’ll be a great doctor now, but only if you’re willing to keep up with the new techniques. I’ve also seen young doctors who aren’t up on techniques.

Plastic surgery symposiums are so important because they promote everyone working together and passing knowledge on to the next generation.

Do women plastic surgeons relate better to women patients?


Yes, they do. I’m now seeing more and more females go into the field, especially in Brazil, which is refreshing. The American and Brazilian Plastic Surgery Societies are now running meetings together, as a matter of fact, and American doctors will go to Brazil for their residencies, where plastic surgery is a craft.  Brazilians use very sophisticated techniques, and it’s not frowned on to have plastic surgery there.  Patients also are more willing to travel there.

What do you think of websites that promote patient reviews and compare doctor fees for the same procedures?

It’s hard for a layperson to decipher what’s best, what’s true, and what’s not true, so I’m against sites like that. Choosing a plastic surgeon is like choosing a car or a name for your child. No matter what car you say you’re going to buy, or name you choose, someone will ask: ‘Why are you buying THAT car or choosing THAT name? This also isn’t the time for a Kmart special. Just because you put something on a website doesn’t make it true.  There’s too much out there on the Internet; it’s too confusing, and many women will decide ‘‘I’ll do it next year,’ rather than do the proper vetting.


What do you say to the fact that cost is one of the biggest obstacles to having plastic surgery?

One client started a “Plastic Surgery Fund” when she stopped smoking. All the money she saved on cigarettes went into the fund. I love that idea.

Dr. Brian Tierney


Brian P. Tierney, MD

Tierney Plastic Surgery
2011 Church St #805
Nashville, TN 37203

Tel: (615) 320-8585

What You Should Know:

Brian P. Tierney, MD, is a board-certified plastic surgeon serving the greater Nashville region with cosmetic and plastic surgery options for the breasts, body, and face.

Dr. Tierney started his medical career in Rootstown, Ohio, at Northeast Ohio Medical University. It was there that he achieved his Doctorate of Medicine and knew he wanted to pursue the surgical arts. After graduating, Dr. Tierney began his five year residency in general surgery at the Akron City Hospital in Ohio. After all those years in the Midwest, Dr. Tierney decided it was time to head south. He began his residency in reconstructive and plastic surgery at the University of Louisville in Kentucky. Upon completion, he became an assistant professor with University Surgical Associates in Louisville, where he taught plastic surgery fellows for two years.

Dr. Tierney opened his private practice in Nashville in 2005 where he offers a full-menu of plastic surgery options. Popular options include breast augmentation, breast lift, tummy tucks, and the non-invasive skin tightening treatment, ThermiRF™. Learn more about Dr. Tierney online today!

Patient Praise:

“It’s impossible to express all the gratefulness that is in my heart. I hope you know how special you are and what a difference you have made in my life.”—P.J.

“Dr. Tierney is one of the best doctors I have ever been to. Everything about Dr. Tierney and his staff is excellent. I could not ask for any better attention and treatment than what I receive. There needs to be more doctors like Dr. Tierney.”—Myra S.

“Dr Tierney was one of my heroes during a time of despair. I was so upset with the diagnosis I received. He always has made me feel safe and confident in all the decisions I have made in my treatment. He is a wonderful doctor.”— User

Before & After:



JUST IN: How YOU Feel About Plastic Surgery

What our members think and do about plastic surgery could impact your practice!

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POLL: How Do YOU Feel About Plastic Surgery?

Utter the words “plastic surgery” or “Botox” and you’ll instantly spark (heated) debates.  No question, they’re mighty polarizing subjects. And, no matter which side you’re on, it’s a no-win situation trying to convince anyone in the other camp to come on over to yours.  This week, we’d love to know where you stand.
Remember, answers are completely anonymous!


1. How old are you?

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2. Have you ever had invasive cosmetic plastic surgery?

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3. If you answered yes to #2, when did you have the most recent surgery?

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4. If you answered no to #2, and would consider having invasive cosmetic plastic surgery, where would you want it the most?

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5. Have you ever had non-invasive or minimally-invasive cosmetic procedures?

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6. If you answered yes to #5, what procedure(s) did you have?

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7. If you answered no to #5, and would consider having a non-invasive or minimally-invasive cosmetic procedure, which one would you want the most?

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8. Would you be curious to see what you’d look like after an invasive or non-invasive procedure?

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9. If and when you are looking for a plastic surgeon, which method would you use?

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10. What do you think of women who have any type of cosmetic procedures?

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How You Can Afford Plastic Surgery

This is a “sponsored post.” LightStream compensated FOF with an advertising
sponsorship to write it, and provides more information at Regardless,
I only recommend products or services I believe will be helpful for our readers.
All insights and expressed opinions are my own. —Geri Brin

jowlEver since Hannah noticed the first sign of jowls on her face, she’s been thinking of having plastic surgery to get rid of them. She’s vowed for years that she would “grow old gracefully,” and never let a scalpel get near her, but she really hates those jowls and wants to see them go. They’re definitely not “graceful.”


Top 5 Minimally Invasive Cosmetic Procedures

The American Society of Plastic Surgeons
(ASPS) reported that the number of minimally invasive cosmetic procedures performed in 2014 increased 4% from 2013, and a whopping 154% from 2000.

Here are the most popular.

Under the brand names Botox, Xeomin, and Dysport, this toxin is injected into areas of the face to block muscular nerve signals and weaken muscles so they can’t contract. As a result, you’ll see a reduction of wrinkles and smoother skin. Common sites for this injection are the Crow’s feet around the eyes and frown lines on the forehead.

*Number of anatomic sites injected


It’s Time to Squash The Stigma of Plastic Surgery

The stigma of plastic surgery is no longer
an issue for most women; if anything, a well-done
nip/tuck is something to be proud of, and shared
with girlfriends.

It’s also no secret that advances in medicine mean that cosmetic procedures are safer, more efficient, and more effective than ever. Despite these facts, however, five reasons stop many fab women over 50 from moving ahead and booking appointments for aesthetic procedures they’d love to have.

As one of Houston’s busiest cosmetic surgeons, I have some good news: These challenges shouldn’t be enough to keep you away from having your dream cosmetic treatment.

Challenge # 1: MONEY

No matter who you are, the cost of plastic surgery will always be a concern. Even though health insurance rarely covers these elective procedures, cosmetic treatments are becoming increasingly affordable on any budget. The most respected cosmetic surgeons also offer several financing options. This can help to get your desired procedure today—when you really want it—without saving for months or draining your bank account.


Whittle Your Middle with UltraShape!

This post is sponsored by Syneron-Candela, the makers of UltraShape.

Have you been battling a “muffin top” the last few years that you just can’t eliminate or reduce, no matter how much you exercise or how wisely you eat?

A new non-invasive treatment that’s quick and painless, could help you whittle your middle.

Unlike other fat-reduction treatments that reduce fat using heat or freezing technologies, FDA-cleared UltraShape uses painless pulsed ultrasound waves to break the fragile walls of fat cells below the skin, which then allows the body to eliminate the fat through natural processes. UltraShape’s gentle focused UltraSound destroys those fat cells while keeping surrounding tissue, muscle, nerves and blood vessels intact.

What’s more, the treatment doesn’t require anesthetics and or leave lumps, bumps or bruises like other fat reduction treatments do.

UltraShape can target specific trouble spots in the abdominal area, such as love handles or that little tummy bulge, and it destroys fat cells immediately. Results are smooth without lumps or uneven areas of the skin.

A slimmed-down look can be achieved in as little as two weeks, significantly faster than other fat-reduction technologies. UltraShape generates an average fat reduction of up to 2.5 inches.

The full procedure requires three 45-minute sessions, spaced two weeks apart. They even can be done on your lunch break, since there’s no downtime.

{Giveaway} Non-Invasive Ultherapy Treatment, Valued At Up To $5,000

In case you haven’t heard the great news, you can effectively lift your sagging facial and
neck skin, without surgery!

Ultherapy, a non-invasive cosmetic procedure, uses ultrasound technology to direct heat to the underlying layers of your skin. This technique “lifts, tightens, and tones,” says Dr. Kevin Tehrani, a New York board-certified plastic surgeon. The treated areas heal as your body stimulates collagen production, creating a tightening effect. Not only is Ultherapy designed to improve the chin, brow and neck areas; it’s now FDA-cleared to work on décolletage wrinkles, too!

An Ultherapy procedure performed by Dr. Kevin Tehrani

Ulthera, Inc., the creator of Ultherapy, is giving away an Ultherapy treatment. Simply visit the entry page and follow the instructions. You’ll also be able to see a simulation of what Ultherapy would look like on you!

Click on the image below to enter!

This post is sponsored by Ulthera, Inc. Thank you for supporting FabOverFifty!

The Truth About Your Tummy Tuck and Weight Loss

There are many myths and misconceptions surrounding tummy tucks, starting with the popular belief that a tummy tuck is the perfect way to lose weight. If you’re overweight and have decided to slim down once and for all, you may be surprised to learn that a tummy tuck is not a “quick fix” that will eliminate extra pounds as a shortcut to your dream body. Although it is possible to lose weight by having some surgeries, a tummy tuck is not one of them. However, once a person has reached a healthy weight, a tummy tuck can be an ideal way to fine-tune the figure and enhance weight loss success.