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McLean Clinic - Theresa Taylor

City Life Magazine – June/July 2007

Experts on Health & Wellness Plastic Surgery, Dr. Hugh McLean

By Emily Wexler and Daniela DiStefano


Q: My 16 year old daughter wants breast implants but I feel that she is too young and I worry that her body hasn't finished growing. What should I tell her?

A: Yes, 16 is young. Plastic surgeons prefer to treat breasts when we are confident that they have matured. Breasts are constantly changing during your life as they are subject to so many influences: hormonal changes, pregnancy, weight changes, and genetics. When these changes occur after breast augmentation, the breasts may acquire a different configuration that doesn’t always match the implant. Implants are a lifetime commitment and while she may be unhappy with her breasts now, they may change in two or three years. Choosing to have implants is more serious than a piercing and as permanent as a tattoo.

Q: I've heard so many nightmare stories about plastic surgery. How can I find out if a plastic surgeon is reputable?

A: You are wise to be cautious! In Ontario, a doctor does not have to be a plastic surgeon to perform cosmetic surgery – he doesn’t even have to be a certified surgeon! The Royal College of Physicians and Surgeons of Canada has to certify a plastic surgeon in that specialty. They can give you a profile on any doctors they license. You can also contact societies like the Canadian Society of Plastic Surgeons, which have many members. Ask your family doctor about reputations and your friends about their own experiences. Finally, you have an opportunity to assess how you feel, so trust your instincts and choose someone you are comfortable with.

Q: I'm considering augmenting my lips. I've heard about different injectable fillers like Restylane and Perlane, what is the difference between them and which one is better?

A: There are a lot of fillers out there, some more suitable for lip augmentation than others. Fillers are substances injected into an area that needs some volume. This can include scars, lines, lips, and beneath eyes. Restylane and Perlane are produced by the same manufacturer to address different needs. Both are hyaluronic products, but Perlane has larger molecules. To make softer, fuller lips I prefer Restylane, as Perlane is more suitable for filling deeper lines such as around the mouth. Of course, there are a number of other fillers out there, so consult with a knowledgeable injector who can advise you on the right choice for you.

Dr. Hugh McLean is certified as a specialist in plastic surgery by the Royal College of Physicians & Surgeons in Canada and the American Board of Plastic Surgeons, Inc. Dr. McLean’s areas of special interest and expertise are facelift, breast enhancement and body sculpting with an emphasis on the 3-Day Facelift, breast augmentation and tummy tuck. He has operated his accredited private cosmetic surgery clinic for over 20 years.