06-16-2025, 10:57 PM
CORE PRINCIPLE:
BOTCHED = PERMANENT SCARS, WASTED MONEY, DESTROYED SMIRE. DON'T BE A STATISTIC.
I. SURGEON SELECTION: YOUR MOST IMPORTANT DECISION (NON-NEGOTIABLE)
II. PROCEDURE SELECTION & PLANNING: MINIMIZE RISK, MAXIMIZE GAINS
III. AVOIDING NON-SURGICAL BOTCHES (Filler, Toxin, Lasers, etc.)
IV. RED FLAGS
This guide is EXCLUSIVE to be in Lookism.cc. Do not post this anywhere.
BOTCHED = PERMANENT SCARS, WASTED MONEY, DESTROYED SMIRE. DON'T BE A STATISTIC.
I. SURGEON SELECTION: YOUR MOST IMPORTANT DECISION (NON-NEGOTIABLE)
- Board Certification is BASELINE
Only consider surgeons certified by REAL boards (ABPS in the US, equivalent rigorous bodies elsewhere). ENT for noses, Oculoplastic for eyes. "Cosmetic Boards" are often scams.
- Specialization is KING
Need a nose? Find a Rhinoplasty Specialist who does only noses, 5+ times a week. Jaw? Maxillofacial Surgeon. Don't let a boob guy touch your face. Hard maxxing requires hard specialization.
- Scrutinize the Portfolio LIKE YOUR LIFE DEPENDS ON IT
- Volume: 50+ before/afters MINIMUM for your specific procedure.
- Consistency: Do 90%+ look good/natural? Not just 2-3 cherry-picked "wins."
- Reals vs. Models: Does their skill hold up on average/bad starting points, or just pretty people?
- Your Desired Look: Do they actually produce the specific outcome you want (e.g., natural vs. dramatic, specific jaw angle)?
- Long-Term Results: Demand to see 1-year+, 5-year+ photos. How does it age? Implants settle? Scars fade?
- Volume: 50+ before/afters MINIMUM for your specific procedure.
- Dig DEEP on Reviews (Beyond Google/RealSelf)
- Web Diving: Search surgeon names + "botch," "complication," "lawsuit," "revision."
- Malpractice Lookup: Check state medical boards (USA) for disciplinary actions, suspensions, settlements. RED FLAG.
- Hospital Privileges: Can they operate in a major accredited hospital? If clinic-only, find out why.
- Web Diving: Search surgeon names + "botch," "complication," "lawsuit," "revision."
- Consultation Vibe Check (Trust Your Gut)
- Do they LISTEN or just sell? Do they understand YOUR goals or push their "signature look"?
- Realistic or Gaslighter? Do they honestly discuss risks, limitations, and potential downsides specific to your anatomy? Or promise magic?
- Rushed? Avoid factories. A proper consult takes time for assessment and Q&A.
- Pressure Tactics? RUN. "Limited time discount"? HUGE RED FLAG.
- Do they LISTEN or just sell? Do they understand YOUR goals or push their "signature look"?
II. PROCEDURE SELECTION & PLANNING: MINIMIZE RISK, MAXIMIZE GAINS
- Is Surgery EVEN Needed? Exhaust Non-Surgical Options First
- Fitness & Body Fat %: Get shredded (<15% BF) before considering lipo/BBL. You might not need it.
- Skincare Maxxing: Tretinoin, sunscreen, peels, laser for skin texture/tone. Fix skin before structure.
- Filler/Fat Grafting (CAUTIOUSLY): Can sometimes achieve subtle improvements without major surgery (e.g., undereyes, chin). BUT SEE SECTION III.
- Orthodontics/Orthognathics: Functional jaw issues? Address this before purely cosmetic jaw work.
- Fitness & Body Fat %: Get shredded (<15% BF) before considering lipo/BBL. You might not need it.
- Start SUBTLE & Reversible
- Baby Steps: Can a smaller procedure (e.g., genioplasty) get you 80% of the result vs. full BSSO? Less risk.
- Filler > Implants (Sometimes): Use filler as a trial for implants (chin, jaw). See how it looks/feels. Implants are permanent foreign bodies.
- Avoid Ultra-Aggressive "Fad" Procedures: Extreme Fox Eyes, Gigantomaxxing jaw implants, BBLs on very thin frames = HIGH botch risk.
- Baby Steps: Can a smaller procedure (e.g., genioplasty) get you 80% of the result vs. full BSSO? Less risk.
- Anatomy is Destiny (Be Realistic)
- Skin Quality/Thickness: Thin skin shows implants/bad rhinoplasty results easily. Thick skin swells massively.
- Bone Structure: Limits what's achievable. A surgeon promising a "model jaw" on weak bone is lying.
- Healing Propensity: Know your scarring tendency (keloids?).
- Skin Quality/Thickness: Thin skin shows implants/bad rhinoplasty results easily. Thick skin swells massively.
- ONE MAJOR PROCEDURE AT A TIME
Combining facial procedures massively increases risk, swelling obscures results, harder to pinpoint complications. Stagger surgeries.
III. AVOIDING NON-SURGICAL BOTCHES (Filler, Toxin, Lasers, etc.)
- Injector Qualification > Location/Fancy Clinic
- IDEAL: Board-Certified Dermatologist or Plastic Surgeon.
- Absolute Minimum: Experienced Registered Nurse (RN) or Physician Assistant (PA) working under a qualified MD/DO. AVOID "Med Spas" with only aestheticians injecting.
- Check THEIR Portfolio: Just like surgeons. How many lips/noses/jaws have they done? Specific to your ask.
- IDEAL: Board-Certified Dermatologist or Plastic Surgeon.
- Less is MORE. WAY MORE
- Filler Migration/Face Bloat: Starts with "just 1ml." Stagger sessions. Dissolve migrated filler IMMEDIATELY.
- Natural Lips > Duck Lips: Overfilled lips look terrible and are a botch. Focus on shape, not size.
- Toxin: Frozen brow/Spock brow = botched. Find an injector who understands male/facial dynamics.
- Filler Migration/Face Bloat: Starts with "just 1ml." Stagger sessions. Dissolve migrated filler IMMEDIATELY.
- Know the PRODUCT
- Filler: Hyaluronic Acid (HA - Juvederm, Restylane) is reversible. Avoid permanent fillers (Sculptra, Bellafill) like the plague – high botch risk.
- Toxin: Stick to Botox, Dysport, Xeomin (established, predictable).
- Filler: Hyaluronic Acid (HA - Juvederm, Restylane) is reversible. Avoid permanent fillers (Sculptra, Bellafill) like the plague – high botch risk.
- Laser/RF Caution
Aggressive energy-based treatments (CO2, deep RF) on non-Caucasian skin or by inexperienced techs = burns, scarring, hypopigmentation. Start LOW energy.
IV. RED FLAGS
- Surgeon/Injector
Discounts, Groupons, pressure to book NOW, avoids discussing risks, vague about credentials, no hospital privileges, defensive about complications.
- Clinic
"Cosmetic Surgery Centers" not affiliated with hospitals, run like a sales floor, staff pushing multiple procedures at once, fake/stock before-afters, no genuine long-term photos.
- Your Gut Feeling
Doubt, feeling rushed, surgeon ego too big, promises sound too good ("perfect results," "no downtime," "no scarring").
This guide is EXCLUSIVE to be in Lookism.cc. Do not post this anywhere.