Cosmetic Procedures: Choosing a Surgeon
Before you decide to pursue cosmetic surgery, seek the balanced opinion of a plastic surgeon certified by the American Board of Plastic Surgery. Obtain as much information as you can about the procedure, discuss your questions and expectations with your surgeon and carefully evaluate the credentials of the physician and hospital (or outpatient surgical center) before you proceed.
This planning will help make you comfortable with your decision. Talk to friends or family members who may have undergone similar cosmetic surgery. If you don't have friends or family members who have undergone similar procedures, ask your surgeon to recommend some of his or her current or former patients who have had the same procedure you've selected.
Talking to former or current patients also is a good idea to get a gauge on your surgeon's personality and methods.
Follow these tips when making your selection:
- Board certified is often better. Select a physician who is board certified by the American Board of Plastic Surgery. Why? This means that the physician has completed specialized training in cosmetic surgery and has passed rigorous written and oral examinations to earn certification.
- Experience counts. How long has your surgeon been performing this procedure? Is he or she using the latest technique? Has the physician obtained special training in the use of this technique or new technology? How many procedures has the physician performed? In general, the more experience the physician has in performing a certain procedure, the better the results.
- Communication is crucial. Do you feel comfortable being open with your surgeon? Have your questions been answered? Have you been informed of possible risks, side effects and recovery time associated with the cosmetic surgery?
Reviewed by the doctors at The Cleveland Clinic, Department of Plastic Surgery.
WebMD Medical Reference provided in collaboration with the Cleveland Clinic![]()
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INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
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The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

