Plastic surgery is a broad field with surgical options that can refine, repair, or reshape areas of the face and body. A procedure may be cosmetic when the main goal is to refine appearance. When plastic surgery helps restore form or function after injury, cancer, birth differences, burns, or medical conditions, it is called reconstructive surgery.
In Canada, people search for plastic surgery for many personal reasons. Some people are looking for a more rested look. Others want to restore body shape after pregnancy, weight loss, or aging. For some patients, the need is related to trauma, skin cancer, breast cancer, or a congenital concern. Choosing the right procedure depends on anatomy, goals, health, lifestyle, and recovery needs.
Below, you will find a clear overview of the main types of plastic surgery procedures in Canada, from facial surgery and breast surgery to body contouring, reconstructive surgery, and non-surgical cosmetic treatments. It also reviews what to consider before booking a consultation.
The Difference Between Cosmetic and Reconstructive Plastic Surgery
Most plastic surgery procedures fall into two broad groups, cosmetic surgery and reconstructive surgery.
Cosmetic Plastic Surgery
Cosmetic surgery is used to improve or refine appearance. These procedures are usually elective, meaning they are chosen by the patient and are not medically required.
Common reasons for cosmetic plastic surgery include:
- Creating better facial balance
- Helping the face or body look more refreshed
- Refining body shape
- Restoring fullness after weight loss, pregnancy, or aging
- Addressing concerns with the nose, eyelids, ears, lips, breasts, abdomen, arms, or thighs
- Making clothing feel or fit better
- Helping confidence through natural-looking improvements
Most cosmetic surgery procedures in Canada are private-pay services. Costs may vary based on the procedure, surgeon, surgical facility, anesthesia, follow-up care, and location.
Reconstructive Plastic Surgery Procedures
Reconstructive plastic surgery is focused on restoring form and function. It may be needed after cancer surgery, trauma, burns, infections, birth differences, or medical conditions.
Common types of reconstructive surgery include:
- Breast reconstruction after removal of breast tissue
- Skin cancer reconstruction following tumour removal
- Cleft lip or palate repair
- Reconstruction after burns
- Hand reconstruction
- Scar repair or revision
- Wound reconstruction
- Repair after facial trauma
- Correction of congenital concerns
Some reconstructive plastic surgery may qualify for provincial coverage if it is considered medically necessary. Changes done only for cosmetic reasons are usually not covered.
Common Facial Plastic Surgery Options
Facial procedures may be used to improve balance, soften aging changes, and restore a rested look. The goal is usually not to look “different.” Strong results usually look natural, balanced, and personal to the patient.
Facelift Procedure (Rhytidectomy)
A facelift, also known as rhytidectomy, improves sagging in the lower face and jawline. A facelift can address jowls, loose facial skin, and deeper folds around the mouth.
Patients often consider facelift surgery for:
- Jowls near the jawline
- Skin laxity in the lower face
- Deep facial folds near the mouth
- Drooping cheek tissue
- Poor definition between the face and neck
Today, facelift surgery often works on deeper support layers below the skin. By supporting deeper tissues, the result may look smoother, more natural, and longer-lasting. Depending on the patient, a facelift may be planned with a neck lift, eyelid surgery, brow lift, or facial fat grafting.
Platysmaplasty and Neck Lift Surgery
Neck lift surgery may treat loose skin, visible muscle bands, and fullness below the chin. When the neck muscle is tightened, the procedure is called platysmaplasty.
A neck lift may address:
- Muscle bands in the neck
- Loose skin on the neck
- Reduced jawline sharpness
- Fullness below the chin
- A neck that looks loose or heavy
Some patients need skin and muscle tightening. For patients with extra fat but good skin tone, liposuction under the chin may help. Because the face and neck often age together, a facelift and neck lift may be planned together.
Eyelid Surgery (Blepharoplasty)
Eyelid surgery, also known as blepharoplasty, improves tired-looking eyes by removing or adjusting extra skin, fat, or tissue around the eyelids.
Upper eyelid surgery can address:
- Heavy upper eyelids
- Excess eyelid skin
- Eyes that look tired or aged
- Eyelid skin that hangs over the lashes
- Visual field concerns in some medical situations
Common lower eyelid concerns include:
- Under-eye bags
- Puffy lower eyelids
- Loose lower eyelid skin
- Hollow shadows under the eyes
- A tired look that does not improve with rest
Eyelid surgery is one of the most common facial procedures because small changes around the eyes can make the whole face look more rested.
Forehead Lift and Brow Lift Surgery
A brow lift, also called a forehead lift, raises a low or heavy brow. This can help improve the upper eye area and ease a heavy forehead look.
Common brow lift concerns include:
- Drooping eyebrows
- Heavy upper eyelids caused by brow descent
- Lines across the forehead
- Frown lines between the brows
- An expression that looks tired, sad, or stern
Although they can affect a similar area, a brow lift is not the same as eyelid surgery. Eyelid surgery addresses extra eyelid skin, while a brow lift changes the position of the eyebrows. Many patients need one or the other, and some benefit from both.
Rhinoplasty for Nose Shape and Breathing
A nose job, medically known as rhinoplasty, changes the shape, size, or structure of the nose. Rhinoplasty may focus on appearance, breathing, or both.
Rhinoplasty may help with:
- A nasal bridge bump
- A nasal tip that droops
- A broad or boxy tip
- A crooked nose
- How far the nose projects
- Asymmetry in the nose
- Structural breathing concerns
When breathing is a concern, surgery may include work on the septum, the wall between the nostrils. This part of surgery is called septoplasty. Cosmetic rhinoplasty changes appearance, while functional nasal surgery focuses on airflow.
Ear Surgery (Otoplasty)
The shape, position, or size of the ears may be changed with ear surgery, also called otoplasty. This procedure is often used when the ears project away from the head.
Ear surgery can help improve:
- Ears that sit far from the head
- Ear asymmetry
- Overdeveloped ear cartilage folds
- Ears that project away from the head
- Earlobe appearance concerns
Ear surgery can be considered for adults as well as children. When otoplasty is considered for a child, timing is based on ear growth, maturity, and family goals.
Upper Lip Lift Surgery
Lip lift surgery shortens the area between the upper lip and the base of the nose. Clinically, this measurement is often called the upper lip length. By changing lip position, a lip lift can make the upper lip more visible without adding volume with filler.
Common lip lift concerns include:
- A lengthened upper lip area
- Less upper tooth visibility with a smile
- A thin upper lip appearance
- Uneven lip balance
- Aging in the lip and mouth area
Lip lift surgery differs from lip filler. Lip filler adds volume. A lip lift changes upper lip position and shape.
Chin, Jawline, and Facial Implant Surgery
Balance in the chin, cheeks, or jawline may be improved with facial implants. A chin implant may be considered when the chin looks small compared with the nose or other facial features.
Facial implant surgery may include:
- Chin implants
- Cheek implant surgery
- Surgical jawline implants
In some cases, chin cosmetic surgical procedures surgery is combined with rhinoplasty because the nose and chin both affect facial balance in profile view.
Facial Fat Transfer
Facial fat grafting uses a patient’s own fat to restore volume. The fat is often taken from the abdomen or thighs, prepared, and then placed into the face.
Facial fat grafting may help with:
- Loss of cheek fullness
- Hollows beneath the eyes
- Volume changes caused by aging
- Soft tissue volume loss
- Facial volume imbalance
Facial fat grafting can be performed by itself or with procedures such as facelift surgery, eyelid surgery, or other facial surgery.
Breast Cosmetic and Reconstructive Surgery
Breast surgery is among the most common areas of cosmetic and reconstructive plastic surgery in Canada. Breast procedures may increase volume, reduce size, lift the breasts, improve symmetry, or restore breast shape after cancer surgery.
Breast Implants and Fat Transfer Augmentation
Implants or fat transfer may be used in breast augmentation to increase breast size and improve shape. Implants used for breast augmentation may be saline or silicone gel. Choosing an implant depends on the patient’s body type, breast tissue, goals, and guidance from the surgeon.
Patients may consider breast augmentation for:
- Breasts that are naturally small
- Less breast fullness after pregnancy
- Less breast fullness after weight change
- Uneven breast size or shape
- Desire for more fullness in clothing
Many people worry about looking too large, obvious, or unnatural after breast augmentation. Chest width, skin quality, lifestyle, and long-term maintenance should all be part of the plan.
Breast Lift (Mastopexy)
A breast lift, also known as mastopexy, raises and reshapes breasts that have dropped. It does not primarily add volume. The procedure focuses on improving breast position and shape.
Common breast lift concerns include:
- Breasts that sag
- Nipples that sit low or point down
- Stretched areolas
- Stretched breast skin
- Breast changes after pregnancy, breastfeeding, or weight changes
Some patients choose a breast lift with implants for more upper breast fullness. Others prefer a lift without implants for a natural result.
Breast Reduction Surgery
Breast reduction removes excess breast tissue, fat, and skin to make the breasts smaller, lighter, and more balanced.
Breast reduction may address:
- Neck discomfort
- Shoulder discomfort
- Back strain
- Shoulder grooves from bra straps
- Skin rubbing beneath the breasts
- Trouble exercising
- Difficulty fitting bras or clothes
Breast reduction may be viewed as medically necessary in Canada in certain cases. Coverage depends on provincial requirements, symptoms, and medical assessment.
Breast Implant Replacement or Removal
Breast implant revision is surgery to adjust or replace existing breast implants. This surgery may address cosmetic concerns, medical concerns, or both.
Breast implant revision may be needed for:
- A desire to change implant size
- Breast implant rupture
- Capsular contracture, which means firm scar tissue around an implant
- An implant that has moved out of position
- Uneven breast appearance
- Age-related changes after breast augmentation
- A desire for implant removal
Some patients choose implant removal with a lift. Some patients replace their implants with a different size, shape, or placement.
Breast Reconstruction Procedure
Breast reconstruction surgery helps rebuild the breast after mastectomy or lumpectomy. It may involve implants, natural tissue, or a combination.
Types of breast reconstruction may include:
- Implant breast reconstruction
- Tissue flap reconstruction
- Nipple-areola reconstruction
- Fat grafting
- Symmetry-focused revision surgery
The choice around breast reconstruction is personal. Many patients want breast reconstruction. Other people prefer to remain flat. Both paths are valid and personal.
Male Breast Reduction (Gynecomastia Surgery)
Gynecomastia surgery is used to reduce enlarged male breast tissue. The procedure may use liposuction, gland removal, or both methods.
Gynecomastia surgery may address:
- Fullness around the nipples
- Firm tissue beneath the nipple-areola area
- Chest fullness
- An uneven male chest shape
- Self-consciousness at the beach, gym, or in fitted shirts
Treatment choice depends on whether fat, gland tissue, loose skin, or a mix of these is causing the fullness.
Body Plastic Surgery Procedures
Body contouring focuses on improving shape through skin removal, fat reduction, or tissue tightening. It is often considered after pregnancy, aging, or major weight loss.
Abdominoplasty, or Tummy Tuck Surgery
Abdominoplasty, commonly called a tummy tuck, removes extra abdominal skin and tightens the abdominal wall. Separated abdominal muscles, called diastasis recti, can also be repaired during the procedure.
Common tummy tuck concerns include:
- Sagging abdominal skin
- An overhang in the lower belly
- Stretch-marked skin below the belly button
- Separated abdominal muscles
- Stomach changes after pregnancy or weight loss
A tummy tuck should not be viewed as weight-loss surgery. It is usually best for patients near a stable weight who want to improve abdominal shape.
Liposuction for Body Contouring
Liposuction removes localized fat using a thin tube called a cannula. Liposuction is not a weight-loss method, it is a contouring procedure.
Liposuction may be used on areas such as:
- The abdomen
- Love handles or flanks
- Hips
- Thigh areas
- Upper arm area
- Back fullness
- Under the chin and neck
- Chest fullness
- Fat around the knees
Skin tone is an important factor. If the skin is loose, liposuction alone may not be enough. In that case, skin removal surgery may be needed.
Mommy Makeover Surgery
A mommy makeover is a custom plan that treats body changes after pregnancy, breastfeeding, or weight change. A mommy makeover commonly includes surgery for the breasts and abdomen.
A customized mommy makeover may involve:
- Abdominal contouring with tummy tuck
- Breast lift
- Breast implants or fat transfer augmentation
- Reduction mammoplasty
- Surgical fat removal
- Fat grafting
The name can be misleading because the procedure is not limited to mothers. It is for anyone with similar body changes. A safe plan depends on the patient’s health, goals, recovery time, and plans for future pregnancy.
Arm Lift (Brachioplasty)
An arm lift, also known as brachioplasty, removes loose skin from the upper arms.
An arm lift may address:
- Hanging upper arm skin
- Loose skin after weight loss
- Age-related changes in the arms
- Difficulty wearing sleeveless tops
- Irritation from loose arm skin
Arm lift surgery leaves a scar along the inner or back part of the arm. For many patients, better shape is worth the scar, but this should be discussed carefully.
Thigh Lift Procedure
Loose thigh skin can be removed with a thigh lift. Many patients choose it after major weight loss.
Common thigh lift concerns include:
- Inner thigh skin laxity
- Rubbing in the inner thighs
- Difficulty fitting pants
- Heaviness from extra skin
- Changes after bariatric surgery or weight loss
Thigh lift surgery can be done with different patterns. A surgeon chooses the pattern based on how much loose skin is present and where it is located.
Body Lift Surgery
A body lift removes loose skin around the lower body. It may improve the abdomen, hips, outer thighs, buttocks, and lower back.
Patients may consider a body lift after:
- Major weight loss
- Weight-loss surgery
- Body changes related to pregnancy
- Age-related skin laxity
Body lift surgery is more extensive, so recovery is usually longer. Patients should have a stable weight and good overall health.
Fat Transfer to the Body
Fat transfer, also called fat grafting, moves fat from one part of the body to another. Fat grafting can add natural volume or refine body contour.
Patients may consider fat grafting for:
- Breast volume
- Buttock contour
- The hips
- Facial soft tissue
- Contour irregularities after surgery or injury
Although fat grafting uses your own fat, not all transferred fat will survive. The result can shift over time, and some patients may need more than one session.
Skin, Scar, and Surface Procedures
Plastic surgery also includes procedures that improve the skin surface, scars, and soft tissue.
Scar Treatment and Revision
The look or feel of a scar may be improved with scar revision. Scar revision cannot guarantee an erased scar, but it may make the scar less raised, tight, wide, or visible.
Common scar revision concerns include:
- Scarring after surgery
- Scars from injury
- Scars from burns
- Thickened scars
- Tight or pulling scars
- Scars that affect range of motion
A scar revision plan may use surgery, copyright injections, laser treatment, silicone therapy, or a mix of options.
Mole, Cyst, and Skin Lesion Removal
Plastic surgeons often remove benign skin lesions, cysts, moles, and lumps when careful closure matters. A medical assessment may be needed for some lesions to rule out skin cancer.
Patients may seek removal for:
- Irritation
- A lesion that is getting larger
- Bleeding
- Cosmetic concern
- A need for diagnosis
- Comfort
A qualified medical professional should assess any changing mole or suspicious skin lesion.
Reconstruction After Skin Cancer Removal
When skin cancer is removed, plastic surgery reconstruction may help close the area and restore appearance. Skin cancer reconstruction is often needed on the face, nose, eyelids, ears, lips, scalp, and hands.
Skin cancer reconstruction can involve:
- Simple direct closure
- Skin graft reconstruction
- A local flap
- More advanced reconstruction
The aim is to remove the cancer safely and preserve function and appearance as much as possible.
Common Non-Surgical Cosmetic Options
Surgery is not needed for every patient. Non-surgical cosmetic treatments can help with early signs of aging, facial lines, volume loss, and skin quality. Compared with surgery, non-surgical treatments often have less downtime but need maintenance.
Neuromodulator Injections
Neuromodulators such as BOTOX reduce movement in selected facial muscles. They are often used for expression lines.
Patients may consider neuromodulators for:
- Glabellar frown lines
- Forehead lines
- Lines at the outer corners of the eyes
- Lines on the sides of the nose
- A dimpled chin appearance
- Mild neck bands in certain cases
Results are temporary and usually need repeat treatments. The goal is often a softer, rested look, not a frozen face.
Dermal Filler Treatments
Dermal filler treatments are used to restore or add soft tissue volume. Hyaluronic acid, a gel-like substance used to shape and support soft tissue, is common in dermal fillers.
Fillers may treat:
- Lip enhancement
- Cheeks
- The chin
- Jawline definition
- Hollows beneath the eyes
- Nasolabial folds
- Lines from the mouth corners toward the chin
Dermal filler results depend on product choice, injection technique, facial anatomy, and treatment goals. A conservative plan matters because overfilling can create an unnatural look.
Medical Chemical Peels
A chemical peel uses a controlled chemical solution to improve the outer layers of skin.
Patients may consider chemical peels for:
- Skin tone irregularity
- Dull skin
- Mild lines
- Skin changes from sun exposure
- Mild marks from acne
- Rough skin texture
The strength of a peel may be light, medium, or deeper depending on the goal. Downtime depends on how strong the peel is.
Laser and Energy Treatments for Skin
Laser and energy-based procedures can address skin tone, redness, texture, unwanted hair growth, scars, and signs of aging.
Patients may consider options such as:
- Skin laser resurfacing
- Intense pulsed light (IPL)
- Radiofrequency skin treatments
- Skin tightening procedures
- Laser treatment for unwanted hair
- Vascular lasers for visible redness
These treatments should be matched to the patient’s skin type, skin tone, and concern. For patients with darker skin tones, this is especially important because pigment changes can occur.
Microdermabrasion and Dermabrasion Treatments
Outer skin layers can be removed with dermabrasion, a deeper resurfacing procedure. Microdermabrasion treats the surface more gently and is not as deep.
These treatments may help with:
- Uneven texture
- Minor acne scarring
- Dull-looking skin
- An uneven skin surface
- Fine surface lines
The right choice depends on skin quality, goals, downtime, and risk tolerance.
Choosing the Right Plastic Surgery Procedure
A good plastic surgery plan starts by identifying the concern instead of choosing a procedure name first. Many patients come in asking for one treatment, then learn that another option better matches their anatomy.
Common examples include:
- Upper lid heaviness may be related to eyelid skin, brow position, or both.
- A soft jawline may be caused by loose skin, neck bands, fat, or chin position.
- A full abdomen can be caused by fat, loose skin, muscle separation, or internal weight.
- A flat breast appearance may require a lift, implants, fat grafting, or combined treatment.
- Under-eye concerns may come from fat pads, hollows, loose skin, or pigmentation.
A clear plastic surgery plan should answer three key questions:
- What is the cause of the concern?
- Which option is the best match for that cause?
- What trade-offs come with that option?
Every procedure has trade-offs, which may include scars, downtime, swelling, cost, maintenance, and possible complications.
Patient Concerns Before Plastic Surgery
Mixed feelings are normal before a plastic surgery procedure. Feeling excited and anxious at the same time is common. Concerns about safety, pain, scars, recovery, cost, and natural results are very common.
“Will I Look Natural After Surgery?”
This is one of the most common concerns. Many people want to look refreshed, not changed. Natural-looking plastic surgery should respect your facial features, body frame, age, and personal style.
The goal is often to improve balance, not chase perfection.
“How Much Downtime Will I Need?”
Recovery depends on the procedure. Non-surgical treatments may need little or no downtime. A tummy tuck, body lift, or mommy makeover is more involved and needs more planning.
In general, patients should plan for:
- Post-surgery swelling and bruising
- Temporary activity restrictions
- Planned time away from work
- Appointments after surgery
- Post-surgery scar care
- Gradual return to exercise
- Final results that develop over time
Surgical healing is gradual. Many procedures look better over weeks and months.
“Will I Have Scars?”
Surgery that involves an incision will create a scar. The goal is careful scar placement and strong scar healing.
The final scar can depend on:
- Your genetics
- Skin colour and tone
- The kind of surgery performed
- Placement of the incision
- Pulling on the healing incision
- Smoking or nicotine use
- Sun exposure
- Following aftercare instructions
Scars tend to soften and fade, but they usually remain to some degree.
“Is Cosmetic Surgery Safe?”
Every surgery has risk. Possible risks include bleeding, infection, poor scarring, anesthesia problems, asymmetry, delayed healing, numbness, fluid buildup, and dissatisfaction with the result.
Surgical safety depends on several factors, including:
- Your overall health
- Medication use
- Nicotine or smoking use
- The type of procedure
- The surgical facility
- How anesthesia is managed
- The qualifications of the surgeon
- Follow-up after surgery
Benefits, risks, alternatives, and realistic expectations should all be discussed during a consultation.
Canadian Plastic Surgery Considerations
Canadian plastic surgery is regulated through medical licensing, provincial colleges, hospital systems, surgical facilities, and professional standards. Patients should understand the difference between marketing terms and recognized medical training.
How to Choose a Qualified Plastic Surgeon
If you are researching plastic surgery in Canada, look closely at training and credentials. A plastic surgeon should have medical training, surgical training, and certification in plastic surgery.
Patients should ask:
- Do you have certification in plastic surgery?
- Are you licensed to perform surgery in this province?
- How much experience do you have with this procedure?
- Which surgical facility will be used?
- Who manages anesthesia during the procedure?
- What complications should I understand for my situation?
- What happens if a complication occurs?
- What follow-up care is included?
- Can I review examples of similar cases?
Asking questions is not being difficult. It is about making an informed choice.
What Affects Plastic Surgery Fees in Canada
Cosmetic surgery costs in Canada can vary widely. Many factors affect pricing, including procedure complexity, surgeon experience, anesthesia, facility fees, implants or devices, garments, follow-up care, and location.
Fees may be higher in major Canadian cities such as Vancouver, Toronto, Calgary, Edmonton, Ottawa, and Montreal due to overhead and demand. Smaller cities may have different fees, but cost should not be the only factor.
If a very low price means less attention to safety, training, facility standards, or aftercare, it can be a warning sign.
Medical Tourism for Plastic Surgery
Lower-cost surgery outside Canada may appeal to some Canadians. Lower cost may be appealing, but surgery abroad can come with extra risks.
Possible concerns with surgery abroad include:
- Difficulty getting follow-up care
- Travelling before healing is complete
- Infection-related complications
- Medical standards that may differ
- Difficulty accessing medical records
- Difficulty managing complications back in Canada
- Communication barriers
- Possible costs for corrective surgery
Staying closer to home for surgery can help with follow-up, especially if swelling, healing problems, or complications need attention.
Plastic Surgery Consultation Preparation
During a consultation, you can learn what is possible, what is safe, and what results are realistic. A consultation should not feel rushed or pressured.
Before a consultation, consider preparing in these ways:
- Make notes about your main concerns.
- Prepare your medication and supplement list.
- Prepare to discuss your medical history.
- Do not hide smoking, vaping, cannabis, or nicotine use.
- Bring photos if they help show your goals.
- Ask about recovery, scars, risks, and alternatives.
- Talk about realistic results based on your body or face.
A strong consultation includes clear discussion of treatment options. A responsible plan may involve waiting, starting with a smaller treatment, improving health, or deciding against surgery.
Plastic Surgery Candidate Guidelines
The best candidates for plastic surgery are often healthy, informed, and realistic. They understand surgery can improve appearance, but it cannot create perfection or solve every life concern.
You may be ready for plastic surgery if:
- Your overall health is good
- You have a specific concern
- Your weight is stable if you are considering body surgery
- You can follow smoking and nicotine restrictions
- You understand the recovery process
- You understand and accept the trade-offs
- You are not doing it because of pressure from another person
- You understand what is realistic
It may be better to delay surgery if pregnancy, major weight loss plans, nicotine use, unstable health, or outside pressure are present.
Can Plastic Surgery Procedures Be Combined?
It may be safe to combine some procedures. Some procedures are safer when staged. Combining procedures may reduce total recovery time, but it can also increase surgical time and healing demands.
Common combined surgery plans include:
- Facelift and neck lift surgery
- Blepharoplasty with brow lift
- Combining rhinoplasty and chin surgery
- Breast lift plus volume enhancement
- Tummy tuck and liposuction
- A customized mommy makeover
- Body lift with thigh lift or arm lift
- Combining facial rejuvenation and fat grafting
The safest plan depends on your health, procedure length, anesthesia, recovery support, and risk level.
A Final Word on Canadian Plastic Surgery Procedures
In Canada, plastic surgery covers a wide range of cosmetic and reconstructive options. Many cosmetic procedures focus on the face, breasts, or body. Others repair tissue after cancer, injury, burns, or medical conditions. Injectable and skin treatments may help with wrinkles, volume loss, texture concerns, and early signs of aging.
The right procedure is not always the most popular option. The best plan is based on anatomy, goals, health, and personal comfort.
Every plastic surgery plan should put safety, natural-looking results, clear expectations, and proper follow-up care first. Whether you are considering eyelid surgery, rhinoplasty, breast augmentation, tummy tuck, liposuction, facelift surgery, or reconstructive plastic surgery, the first step is learning what each option can and cannot do.