What should I know about the safety of outpatient surgery?
When considering plastic surgery, it’s natural to focus more on the expected result than on the surgical process. However, to be fully informed, it’s important to learn about the safety of the procedure as well as the expected outcome. Although thousands of people have plastic surgery every year without complications, no surgical procedure is risk-free.

How can I be sure that my surgeon has adequate training?
Good credentials can’t guarantee a successful outcome; however, they can significantly increase the likelihood of it. Patients are advised to find a doctor who is certified by the American Board of Plastic Surgery (ABPS), the only board recognized by the American Board of Medical Specialties to certify a surgeon in plastic surgery of the face and of the entire body. Certification by the ABPS is "the gold standard" for plastic surgeons because it signifies that the surgeon has had formal training in an accredited plastic surgery residency program.

Everyone will know that I have breast implants?
Most implants which are obvious to the casual observer are due to avoidable problems: the implants are placed too high, are inappropriately in front of the chest muscle, or are too large for your chest. A carefully planned and performed breast enhancement can give most patients a very lovely, natural appearing result. Be sure to choose an experienced surgeon who will consider your desires while taking into account your height, weight, and your natural breast size, shape, and symmetry. Choosing an appropriate implant shape and size and positioning it correctly are key to achieving a natural looking result. Often, lifting your nipple and areola slightly can greatly enhance your result.

How long do breast implants last?
Implants do not need to be replaced unless a problem occurs. Many patients have had implants for 20+ years, which continue to be soft and natural looking. With the saline filled implants currently used for most patients desiring larger breasts, the most common problem is leakage. But less than 1% of Dr. Pummill's patients have had leaks in 14 years! While implant deflation is not dangerous, the failed implant must be promptly removed and replaced. Interestingly, the most common cause for implant removal and exchange is the patient’s desire to have larger implants! And the most common cause for reoperation is asymmetric implant positioning.

Who is a good candidate for liposuction?
A good candidate for liposuction is defined as any patient who is likely to be happy with the results of liposuction. The best candidates for liposuction are in good health and have realistic expectations of what liposuction can accomplish. Liposuction can provide a good candidate with a significant improvement, but it is unlikely to achieve perfection. There is no definite age or weight limit for patients who are "good candidates" for liposuction. Many liposuction patients are of average size but are concerned about localized accumulations of fat. However, some of the happiest patients have been individuals who are somewhat obese. A good candidate usually has one or more localized accumulations of fat that can be removed by liposuction.

Who is not a good candidate for liposuction?
A person who expects absolute perfection is not a good candidate for liposuction. Excessively obese patients are usually not good candidates for liposuction. A person who has a serious medical problem is not a good candidate for liposuction.

What alternatives are there to liposuction?
Liposuction is never absolutely necessary. If you decide that liposuction is not for you, then you may consider the following alternatives to liposuction. Weight loss without liposuction can produce excellent aesthetic results. Weight loss can be achieved by dieting (decreased calorie intake) or by increased exercise (expenditure of calories). An alternative to abdominal liposuction is a tummy tuck.