What Your Mom (Or Best Friend) Got Wrong About Plastic Surgery

When it comes to plastic surgery, we’ve all heard the myths and misconceptions passed down from well-meaning family members or friends. From exaggerated horror stories about scarring to outdated beliefs about who should consider surgery, these ideas can shape how we view cosmetic procedures. But the truth is, plastic surgery has evolved in incredible ways, and what your mom or best friend may have told you might not be the full story. To help separate fact from fiction, we asked Dr. Sachin Shridharani to weigh in on some of the most common misconceptions.

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1. Plastic Surgery Is Only for Women

One of the most pervasive myths is that plastic surgery is a “woman’s thing.” In reality, more men than ever are seeking plastic surgery and non-surgical treatments. Procedures like rhinoplasty, eyelid surgery, and liposuction with Jplasma or Renuvion are commonly requested by male patients looking to enhance their appearance and confidence. Plastic surgery is not limited by gender—it’s about helping individuals achieve their personal aesthetic goals, regardless of whether they're male or female.

2. Liposuction Is a Weight-Loss Procedure

Liposuction is often confused with a weight-loss treatment, but that’s not what it’s intended for. Liposuction is primarily a body-contouring procedure designed to target stubborn fat areas that don’t respond to diet and exercise. It’s not a substitute for a healthy lifestyle. In fact, the best candidates for liposuction are those who are already at or near their ideal weight but have trouble spots that won’t budge. It’s all about refining body shape, not shedding pounds.

3. Breast Implants Need to Be Replaced Every 10 Years

A common misconception about breast implants is that they need to be replaced every 10 years. This isn’t true. Implants don’t have an expiration date. They only need to be replaced if there’s an issue such as rupture, capsular contracture (a thickening of the tissue around the implant), or if the patient wishes to change the size or shape. In most cases, implants can last many years without any problems.

4. Botox and Fillers Are the Same Thing

Many people mistakenly believe that Botox and dermal fillers are one and the same. While they both help reduce signs of aging, they work in different ways. Botox relaxes the muscles responsible for dynamic wrinkles, like crow’s feet or frown lines. It’s especially effective in treating wrinkles caused by facial expressions. Fillers, on the other hand, add volume to areas such as the cheeks, lips, and under the eyes. They’re designed to smooth out static wrinkles and restore facial volume that may have been lost over time. In short, Botox and fillers are complementary treatments, not interchangeable ones.

5. Recovery Takes Forever

Many people assume that plastic surgery requires months of recovery, but this is a huge exaggeration. While more invasive surgeries like tummy tucks or facelifts may require a few weeks of recovery time, many non-surgical treatments—such as Botox, dermal fillers, and laser procedures—have little to no downtime. Patients can often resume their normal activities almost immediately. Of course, recovery times depend on the procedure, but with proper aftercare, most patients can return to their daily routines much sooner than they expect.

6. Non-Surgical Treatments Are Just As Effective As Surgery

Non-surgical treatments have come a long way in recent years, but they can’t replicate the dramatic, long-lasting effects of surgery. While Botox, fillers, and laser treatments can deliver excellent results and rejuvenate your appearance, they’re not a substitute for the more permanent results of procedures like facelifts or tummy tucks. Non-surgical options are great for those seeking subtle improvements or maintenance, but for more significant changes, surgery may be the best option.

7. Pain and Recovery Time Are Always Worse Than Expected

Fear of pain and a long recovery can discourage many from undergoing plastic surgery. Misconceptions about how much discomfort or downtime to expect often lead to unrealistic expectations or, worse, unnecessary fear. In reality, modern surgical techniques and anesthesia options ensure that pain can be effectively managed. Recovery times vary depending on the procedure, but most patients find that it’s not as daunting as they had feared. Surgeons play a crucial role in setting realistic expectations and providing aftercare to help reduce pain and speed up recovery.

8. Scarring Is Always a Major Concern

Scarring is one of the biggest concerns for patients considering surgery, but advancements in surgical techniques have made scarring less of an issue. Surgeons now use strategic incision placement and advanced suturing methods to minimize visible scars, especially in procedures like tummy tucks and facelifts. Additionally, post-operative care, including the use of silicone sheets and proper wound care, helps improve scar appearance. Scars are a natural part of healing, but with modern techniques, they can be kept discreet and less noticeable.

9. Maintaining Results After Body Contouring Procedures Is Impossible

After undergoing a body-contouring procedure like liposuction or a tummy tuck, many patients worry that their results won’t last. The truth is, maintaining results requires a healthy lifestyle, including proper diet and exercise. While these procedures can provide a dramatic transformation, they don’t make you immune to natural aging or weight gain. The key to maintaining results is a long-term commitment to a healthy lifestyle that complements the enhancements made through surgery.

10. Botox Is Only for Older Individuals

A common myth is that Botox is only for those in their 40s or 50s, but in reality, many people start using Botox in their 20s or 30s as a preventative measure. By addressing fine lines and wrinkles early, Botox can help maintain a youthful appearance and delay the need for more invasive treatments down the line. Starting Botox early can prevent deep wrinkles from forming in the first place, offering long-term benefits for aging prevention.

11. A Facelift Will Make You Look Completely Different

The idea that a facelift will drastically alter your appearance is one of the biggest misconceptions surrounding this popular procedure. A facelift isn’t about creating a new face—it’s about rejuvenating your natural features. The goal of a facelift is to lift and tighten sagging skin, smooth out deep wrinkles, and restore a youthful contour to the face. A skilled surgeon will ensure that the results are subtle, enhancing your features rather than changing them.

Plastic surgery has come a long way, and as with any field, there are many misconceptions that can cloud people’s understanding of the options available. Whether you’re considering a minor procedure like Botox or something more involved like a tummy tuck, it’s crucial to educate yourself and consult with a trusted, experienced professional. Clear communication and realistic expectations are the keys to achieving the results you desire, all while maintaining your confidence throughout the process.

For more information, visit Sachin Shridharani, MD, FACS's social media: