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Cosmetic surgery is now widely publicized for being something of a nonchalant luxury for the wealthy. What you don't hear in the gossip magazines is that cosmetic surgical procedure done by the well heeled requires the same pain and commitment that everyday people must endure. In addition, the famous types are often more concerned about their appearance in their highly public life than most people.

The private lives of prominent people must be maintained with the ideal that cosmetic surgery is prepared for, undergone and recovered from discreetly. The idea of emerging back into the spotlight with improved attractiveness is to appear as if you simply got a good night's sleep and not that you had a facelift.

With average people the story is often less guarded. People's families and friends are involved. From start to finish, the process of undergoing cosmetic surgery is not simply an "in and out" routine. Time must be taken to evaluate the doctor's competence, and the conditions under which your surgery will be performed.

The first thing to ask about is your doctor. The American Society of Plastic Surgeons should certify a physician. A surgeon may be certified by another physician's organization, but the majority of cosmetic surgeons belong to ASPS. His certified standing is an indicator that he has been trained and has the education and credentials to perform your surgery.

The doctor should also be affiliated with a local hospital. Even if the procedure will be performed in the doctor's office, the doctor must maintain this hospital affiliation to be able to legally perform some types of hospital procedures in his own facility. The medical facility that you will have the surgery performed in should also be certified and accredited. The requirements for a doctor to maintain certification in the ASPS will also insure that the facility he uses is qualified.

Once you feel that you have found a competent surgeon with proper credentials it is important to feel at ease in the facility and with the people who will be attending you. The physician should have good communication skills and make you feel comfortable. The nursing and office staff should also be carefully observed for the way that you are cared for. Without good rapport and supporting staff, a procedure done by a great physician can turn into an ordeal if you must struggle to ask him questions, feel rushed or pressured.

Personal planning for financing the surgery, recuperative time and follow-up treatments if needed is essential. Consider time off from work, and other inconveniences that may become part of your decisions.

Cosmetic surgery is often a significant undertaking. It can be beneficial to your well-being and self esteem; however you want everything to go smoothly. You want to feel that your chosen doctor, and the organization that surrounds him, is competent and will treat you in a dignified, respectful and caring manner. One thing you can consider is that you are paying for this surgery, so you are entitled to courteous and knowledgeable service.

The wealthy movie stars have people around them that will do all the research, find the right cosmetic surgeon and the right facility. They have the luxury of taking time off and are able to remain hidden until the final results can be seen for public viewing.

Real people must do their own homework, finding a surgeon they can trust. They must consider how their families will fend without them during their recovery. They must anticipate and plan for the inevitable inconvenience of having elective medical procedures done. They must be able to resume their normal lives as soon as possible. If you are not rich and famous, cosmetic surgery can boost your morale as much as anyone, but you probably can't hide as easily awaiting the final reveal.