How Do YOU Feel About Plastic Surgery?

“I remember how I once swore I’d NEVER have plastic surgery. Then, the jowls popped out, the eyelids drooped, and the neck started looking like crepe paper at a kid’s birthday party. I’ve fixed the first two, and would love to do the third when I get the money, and nerve,” said a FOF woman.


I am all for it, if it’s done in a tasteful way. I have had my eyelids lifted because they were heavy on my eyes and making me look tired all the time. Now, my eyes are open and i look refreshed, not transformed.”

Sophie Crête

Photo Credit: William R. Burden, MD, FACS

I am all for it, just not for me, lol. The ones I know who have had it still aren’t happy. One procedure just leads to another. I say to each her own.”

Christine Yvonne  

Dr. Alan N. Larsen


Dr. Alan N. Larsen

Buckhead Plastic Surgery
4684 Roswell Road Northeast, Suite B
Atlanta, GA 30342

Tel: (404) 367-9005

What You Should Know:

Dr. Alan N. Larsen is a board-certified plastic surgeon practicing in Atlanta, Georgia, at his own unique cosmetic practice, Buckhead Plastic Surgery. Along with his board qualifications, Dr. Larsen earned his medical degree from the University of Nevada School of Medicine. After graduating, he moved across the country to begin his 5-year general surgery residency at the University of Florida, Jacksonville. Soon after completing his program and advancing to chief resident, he was granted admission to the plastic surgery fellowship at Wake Forest University’s Baptist Hospital. In 1997, he concluded his training here as chief plastic surgery resident while at one of the country’s most demanding plastic surgery programs.

Dr. Larsen chose to settle in Atlanta where he established his cosmetic surgery practice in the Buckhead district, just north of central Atlanta. Dr. Larsen has an uncanny vision of personalized, whole-body care in a beautiful environment. He offers state-of-the-art services including tummy tuck surgery, liposuction, CoolSculpting, breast augmentation, and more.

To learn more about Dr. Larsen and the all the cosmetic procedures offered at Buckhead Plastic Surgery, please visit them online today for more details.

Patient Praise:

“Dr Larsen is one of the BEST doctor and/or plastic surgeon in Atlanta(PERIOD). He as well as his staff work to accommodate all of their patients in every way. My overall experience was AMAZING! and if I should ever decide to have anything else done I will never seek another Practice.” – Review

“Slim Studio and Dr. Larsen of Buckhead Plastic Surgery were professional and attentive and effective. They exceeded every expectation I had. They explained the procedure in detail and addressed every concern I had” – Review

“Dr. Larsen is an amazing cosmetic surgeon. I have trusted him in every visit and I have always come out looking and feeling 100X better about myself. He knows exactly what you are asking for and what you what the results to look like. The staff is extremely friendly and supportive when you are getting a surgery or simply arranging a consult. I have been a loyal customer for many years now and I don’t ever see myself switching doctors!” – Review

Before & After:

bps-surgery-beforeafter-2 bps-surgery-beforeafter


Goesel Anson, MD, FACS


Goesel Anson, MD, FACS

8530 West Sunset Road #130
Las Vegas, NV 89113

Tel: (702) 822-2100

What You Should Know:

Goesel Anson, MD, FACS is one of the 3 highly skilled board-certified plastic surgeons at Anson, Edwards and Higgins Plastic Surgery Associates in Las Vegas NV. With many years of training and technical experience, Dr. Anson now specializes in facial plastic surgery and offers a variety of procedures including facelift, blepharoplasty (eyelid surgery), and nose surgery.

Thanks to an education focused on procedures of the head and neck, Dr. Anson takes a special interest to perform facial rejuvenation. She continues to advance the field, as well, with ongoing research published in Aesthetic Surgery Journal about how wrinkles develop.  

Dr. Anson graduated from the University of Illinois School of Medicine, where she was inducted into the Alpha Omega Alpha honor society and received the Warren Cole Scholar Award. Dr. Anson then completed a general surgery residency at the university and Cook County Hospital, spending 2 years of her residency in surgical oncology research supported by the National Cancer Institute.

Having been trained in all aspects of plastic surgery, she maintains a wealth of knowledge that only benefits her understanding and medical expertise for all aesthetic procedures.

Aside from Dr. Anson’s extensive medical and educational experience, she also holds elite certifications from the following organizations:

  • American Society for Aesthetic Plastic Surgery (ASAPS)
  • American Society of Plastic Surgeons (ASPS)
  • American Board of Plastic Surgery (ABPS)
  • The Plastic Surgery Foundation (PSF)
  • Allergan Black Diamond

Patient Praise:

“This is the premiere plastic surgeon of the west coast, and one of the best in the world…and people from all over the world travel here for her services.  We are lucky to have her in Las Vegas! Her work is brilliant aesthetically.  She makes people look their VERY best without looking too “done.”  We’re talking about your face here…  It’s not the time to take chances.  I would not go to anyone else.” – Google User

“Dr. Anson is a master surgeon. Her staff and bedside manner are kind, thoroughly professional and talented. My experience and that of friends is unparalleled.” – Terry

“I researched plastic surgeons and met with different plastic surgeons over the last three years. After I reviewed Dr Anson’s before and after pictures, I knew she was the doctor for me. Her natural approach and extreme attention to detail and perfectionist attitude sealed the deal for me. It has been one month since my surgery and I could not have asked for more. I am extremely pleased with my results and Dr Anson continues to follow the healing process closely. She and her staff are great!” – Sharon

“Looking refreshed and not over done after my face lift was very important to me. Dr. Anson is very a skilled, highly trained, compassionate surgeon. Thanks for taking such great care of me!” – Anonymous

Before & After:

aeh-surgery-beforeafter-1 aeh-surgery-beforeafter-2


Dr. Max Gouverne


Dr. Max Gouverne

MD Cosmetic Surgery
5642 Esplanade Drive
Corpus Christi, TX 78414

Tel: (361) 993-2222

What You Should Know:

Based out of Corpus Christi, TX, board-certified plastic surgeon Dr. Max Gouverne operates his state-of-the-art medical facility for women and men interested in safe and quality cosmetic procedures in South Texas.  His practice offers a unique array of surgical procedures and complimenting non-invasive treatments to bring out your best.  

Dr. Gouverne is one of only a small selection of plastic surgeons in Corpus Christi who are members of The American Society for Aesthetic Plastic Surgery.  Dr. Gouverne has also maintained an active membership with the American Society of Plastic Surgeons® since 1993.  His academic pursuits back his prestigious medical society affiliations.  Dr. Gouverne trained at the University of Kansas, Kansas City. He went on to receive additional training from nationally renowned plastic surgeon Dr. Lynn D. Ketchum and from Dr. Ted Lockwood, a pioneer in body contouring surgery.  

To learn more about Dr. Gouverne, his plastic surgery procedures, or the practice “Dr. Max Gouverne, MD Cosmetic Surgery,” please visit us online today for details or to schedule a consultation.  

Patient Praise:

The Dr explained the procedure in detail and he took time to review my complicated medical history. He is experienced and knowledgeable. He was kind on my surgery day and called me after my surgery that afternoon! –RealSelf User

I was nervous going in. But the staff and Dr. G put me right at ease. Best experience. I was extremely satisfied with the services and the results. Would highly recommend. Love my new super powers!!! –Google User

Dr. Gouverne performed my Breast Augmentation in 2011, I went high profile w/ 475cc of gel silicon “gummy bears” above the muscle & I could not be happier with the procedure! Dr. Gouverne is an absolutely amazing surgeon, I swear he is a magician because my scars are practically invisible! His staff is very knowledgeable & they really go above and beyond to help their patients feel comfortable at all times! –Yelp User

Before & After:





“I Had A Facelift Without Cutting Or Anesthesia!”

I’ve been watching the skin sag on my lower face for a few years, a  phenomenon that recently became even more noticeable after I lost weight.

doctorMy already thin face was looking more sunken and drawn. Gone was the girlish fullness of my cheeks. AArgh, I thought, every time I let my eyes wander to my distressing jowls and loose neck skin. This aging business has its drawbacks.

I’d  been seriously thinking of getting a face and necklift, despite the exorbitant cost, risks of anesthesia, and recovery time. Then, out of the blue, I got a call from the office of Dr. Haideh Hirmand, a superb plastic surgeon, asking if I’d be willing to have a new FDA-approved procedure she’d soon be offering, called a Silhouette Lift. It’s minimally invasive, it should take about 45 minutes, and at worst I’d have a little swelling and bruising, I was informed.   (more…)

Top Nonsurgical Cosmetic Procedures Of 2015

Americans spent over $13.5 billion last year on cosmetic procedures, surgical and non-surgical, according to a report by the American Society for Aesthetic Plastic Surgery (ASAPS). Notably, injectables saw a 21% increase in the past year. Here are the top five nonsurgical surgical procedures:

Brands such as Botox, Dysport and Xeomin toxins are injected into areas of the face to block muscular nerve signals and temporarily paralyze muscles to create a tightened look and reduces wrinkles. Common sites for this injection are the crow’s feet around the eyes and frown lines on the forehead.

forehead (more…)

Top Cosmetic Surgeries Of 2015

Americans spent over $13.5 billion last year on cosmetic procedures, surgical and non-surgical, according to a report by the American Society for Aesthetic Plastic Surgery (ASAPS). Here are the top five surgical procedures:

Liposuction uses a small tube to vacuum out excess fat from various areas of the body, such as belly or underarms.

2This surgery enhances the size of the breasts with saline or  silicone implants. Many women choose to have implants after undergoing mastectomies for breast cancer. (more…)

Do You Like Mary Matalin’s Facelift?

Renowned political consultant, Mary Matalin, is 62.  Here, we show her pre-and-post facelift. Tell us whether you think Mary is a good or bad poster girl for facelifts.


Is she a good or bad poster girl for facelifts?

View Results

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It’s About Time: The Honest-To-Goodness Truth About Weight-Loss Surgery

We are continually hearing about new invasive and non-invasive plastic surgery techniques for removing fat from our bodies, but how do you know which one is right for you? Or, if you’re even a candidate for any of them?

doctorDr. Siamak Agha is one of the country’s most respected authorities in body contouring and post-bariatric plastic surgery. His leading-edge innovations have been remarkable, including development of the revolutionary Body Lift, Abdominoplasty™, Spiral Thigh Lift, and Buttock Reshaping procedures. Dr. Agha has published numerous papers and multiple textbook chapters on basic science, stem cells, aesthetic plastic surgery, and body contouring techniques.  Dr. Agha is also a researcher in the field of Molecular and Cell Biology and has a PhD in Gene therapy for University of Cambridge.

I recently had an illuminating conversation with Dr. Agha about plastic surgery and weight loss. Although I live in New York, I’d happily fly across the country to have him work on my body.                      



Let’s say you’re a little overweight, maybe 10 to 15 pounds, and want to have a tummy tuck. Most plastic surgeons will say, ‘OK, go on and lose 20 pounds.  Then come back for the procedure.’   My philosophies are a little different. I feel that procedures shouldn’t be done at specific weights, but at the weights at which a person is stable for a long period. Why? If your body functions best with the extra 10 to 15 pounds, you’re better off having the surgery at the higher weight, than struggling to lose it, having the procedure, and ultimately gaining back the 15 pounds, which will affect the results.


Have the procedure at the higher weight. I’ll contour your body for the best outcome for that weight. Let’s say you’re having a tummy tuck, but your flanks are bigger.  I’ll do the tummy tuck, as well as lipo on the flanks. That way, you look your best at the weight that you are stable in. If you happen to lose weight after the surgery, that’s okay. In that case, you might develop some skin laxity, and may need just a small touchup to optimize the procedure.


carrotIn cases like this, patients really have to lose the excess weight, which can be done in one of three ways:

•Proper diet and exercise
•Medical weight loss: A number of new medications have recently been FDA approved (more on this in another interview with Dr. Agha) for medical weight loss
•Weight-loss surgery

Up until now, it was a rather cumbersome and costly procedure if you had to lose 80 or 200 pounds. But recently the FDA has approved use of a gastric balloon, a temporary device that is placed in your stomach for about 6 months to help you lose 40 pounds.  It has been used in Europe, Canada and Australia for the last decade, so we know who makes the optimal patient.


It’s called Orbera, which fills your stomach with about 600 milliliters of fluid.  Think of it like a breast implant that is sitting in your stomach all the time. When you eat you become full quicker. The balloon also slows down gastric emptying so the food sits in the stomach for a longer period and you’re full longer.


The procedure gives you the satiety which will help you to lose weight, but you must use the six months to learn how to change your lifestyle so that you don’t quickly gain the weight back when the balloon is removed. Patients need to be brought back to the office on regular basis to be coached by a dietician and given the tools to change their lifestyles.

The procedure is not dangerous if you’re healthy and in shape.


Fat cells store fat and you have a fixed number of these cells in your body. Let’s say it’s 100. They don’t multiply or reproduce unless there’s a significant injury, and even in those cases, only a small percentage will reproduce to become fat cells.

So, let’s say we remove half of the abdominal fat cells. Since this is a permanent reduction of fat cells from your abdomen, the remaining fat cells still will expand if you gain weight, but the fat cells in other areas of your body (that haven’t been touched) will also expand and they are greater in number. So fat that normally might go to your abdomen might go to your midriff area, arms or legs since the number of fat cells in those areas are unaltered.


When you transfer fat cells from one area of your body to another (let’s say to the butt or breasts), they become a permanent part of the fat cell environment in the new region. So, if you gain weight, and you had fat transfer to the butt, it will become even bigger.




Your fat cell distribution is genetically predisposed, which means you may have 100 fat cells in your thighs and five in your face. When you’re a lean person, all of these cells are tiny and empty. When you gain weight, each area gains weight according to the number of fat cells it contains, and how these cells act, so if your face has fewer fat cells, the weight won’t show as much.

Fat cells in different areas of the body may actually have different genetics, metabolism rates, and storage capabilities, but we haven’t done enough research in this area to know conclusively.


Shame on them!


The body is the new face. A woman will fix up her face, and then say it doesn’t match her body. She’s not comfortable in her body.

I do body lifts on women of normal weight, who have lost their contours as a result of skin laxity from aging, and don’t feel comfortable in their skin anyone. Cultural may play a part.  In Brazil, for example, it’s far more common to do body procedures than in the United States because Brazilians show more skin.

But plastic surgery has become more accepted here in the last 10 years. Women are showing more skin and bigger butts are more desirable. Other growing reasons women are having plastic surgery are:

Divorce: Half of the boomer population is divorced. If a 55-year-old woman divorces, and wants to date, she wants to present herself in her ideal shape.

Sex: Older people are enjoying sex and they want their bodies to look the best they can.


Skin laxity (from weight loss or aging) gives you the wrinkles, body contour irregularities, and more. And skin damage, combined with excess fat globules, produce cellulite. My practice is busy because I do procedures to remove the lax skin and sculpt at the same time, making sure incisions are located in the right places.

We do tummy tucks; tummy tucks together with breast lifts; thigh lifts; buttock lifts; liposuction; fat transfer to the buttocks and breasts. Currently, there are no modalities (such as lasers, radio frequency, freezing)  to give you acceptable skin reductions and contractions.

There’s a huge market for non-invasive fat reduction procedures, but these aren’t substitutes for liposuction or weight loss.  They’re contouring or sculpting treatments.

coolI bought the Coolsculpting machine for my Newport Beach mothers who have the tiniest bit of fat. The procedure gives them 35% fat reduction and makes them happy. The most important thing to me is that it works. We’ve been doing Coolsculpting for four years and patients are satisfied.

The procedure has to be targeted to one area at a time, such as your lower or upper abdomen, for example, or your flanks.

Ultrashape uses focused ultrasound energy to break fat cells and damage them permanently.  The damaged fat cells are then removed by your own white cells, and excreted from your body.  Similar to CoolSculpting, the fat is permanently reduced in the treated area.

Vanquish Fat Removal is a radio frequency device that reportedly provides 1 to 13 centimeters of reduction of the waist measurement by destroying the fat cells underneath the skin. Four treatments are recommended.  I need to do more research on this, before I decide whether to use it in my practice.

A procedure called SculptSure is hitting the market next year. It is a laser designed to break the fat underneath the skin.

Many new devices are being marketed, that are covering more and more areas of the body, but we won’t see if patients and doctors are happy with them for a few years. I want to make certain that a device sells itself before using it.  The literature must says it works; my colleagues must say it works; the science must say it works.

Visit Dr. Agha’s website to learn more about his brilliant work. 

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.