1. Cosmetic medicine at the millennium -- The new cultural paradigm -- The business of cosmetic medicine today -- What is it? -- The vendors -- The customers -- The procedures -- 2. Altering the body -- Public alterations : cosmetic medicine as entertainment -- Private alterations : the quest for beauty, youth, sex, and transformation -- The body in the eye of society -- The body in the eyes of those around us -- The body in the mind's eye : body image and transformation -- Body fashions -- A history of body enhancements -- 3. You can be pretty, too : a century of selling beauty and cosmetic medical care -- The beauty doctors -- Potions and patent medicines -- Physicians just say "no" to ads -- The birth of the specialty of plastic surgery -- Plastic surgeons take on cosmetic surgery -- Cosmetic surgery after World War II -- Opening the floodgates -- Marketing beauty : getting the word out -- Sex and youth sell -- Marketing cosmetic medicine -- Commercialism in medicine -- Targeting the cosmetic medical consumer -- Industry -- Providers -- One-stop shopping and vendor networks -- Medical tourism -- 4. Rags to reality television : cosmetic medicine as a pop-cultural phenomenon -- Media and cosmetic medicine -- Magazines and newspapers -- The Internet -- Radio and television -- Cosmetic surgery on television -- Anatomy of a cosmetic surgery reality show -- Reality television plastic surgery and real plastic surgeons -- 5. Ethics and cosmetic medicine : medical care off the rails -- Physician-patient relationship -- Follow the money : honesty, science, and financial conflicts of interest -- Physicians and patients in the media spotlight -- Patients on television : a different standard of care? -- The value of bribery -- Providers dictate, but producers rule -- More is better -- Leaving out the "care" in medical care -- The public interest : the impact of entertainment -- Medicine on viewers -- Do people respect their doctors anymore? -- Ethics and professional organizations -- The price of patient autonomy -- 6. First things first : what you can do to stay safe -- The Florida story -- Responsibilities patients must accept -- The five elements of the safety equation -- Full disclosure -- Research the provider -- Research the facility -- Learn about the products -- Learn about procedures and their risks -- International cosmetic surgery -- 7. Beyond the hype : finding a good doctor -- How to get started -- Getting information -- Closing in on the targets -- The value of skepticism -- Taking your time -- Finding a good cosmetic provider -- Scope of practice -- Credentials -- Labels -- Licensure -- Medical specialty training and continuing education -- Board certification -- Society memberships -- Hospital privileges -- Experience -- References -- The consultation -- Whose agenda is it anyway? -- Consultation fee -- History and physical -- Discussion -- Decision making -- Financial obligations -- Coverage of complications treatment -- Informed consent -- Facility, staff, and anesthesia -- Record keeping -- 8. The cosmetic medical care product line : what works and what doesn't and how physicians choose -- Specific procedures -- Body contouring -- Cellulite treatments -- Liposuction -- Tummy tuck -- Trunk and extremity lifts -- Buttock, thigh, calf, biceps, triceps, and pectoral implants -- Mesotherapy -- Breast surgery -- Breast augmentation -- Breast lift -- Breast reduction -- Ear surgery -- Facial rejuvenation/reshaping -- Eyelid surgery -- Face lift -- Forehead lift -- Injectables and implants -- Injectables -- Facial implants -- Lip enhancement -- Jaw and chin surgery -- Nose reshaping -- Skin rejuvenation/resurfacing -- Chemical peels -- Dermabrasion and microdermabrasion -- Laser resurfacing and photorejuvenation -- Radio wave treatments -- Nitrogen plasma -- Other skin and hair procedures -- Hair transplantation -- Laser hair removal -- Skin pigment correction -- Scar revision -- Stretch marks treatment -- Micropigmentation -- Destruction of skin blood vessels -- Vascular lasers -- Sclerotherapy -- Drug delivery systems -- A few more words about lasers in cosmetic medicine -- Dental cosmetic -- Skin care and products -- Cosmetic medical grab bag -- The "we just don't know" category -- The "we don't know AND it could be dangerous" category -- The "too good to be true" category -- 9. What they don't always tell you : cosmetic medical care risks, complications, outcomes, satisfaction rates, and the dissatisfied patient -- Risk factors -- Complications -- Early wound complications -- Systemic complications -- Late complications -- Psychological complications -- Outcomes -- Goals versus outcomes -- Physical results, less may be better -- Patient satisfaction -- The dissatisfied patient -- 10. Equal opportunity : cosmetic interventions for men -- Male rhinoplasty -- Male facelift, eyelid lift, and brow lift -- Hair transplantation -- Body contouring for men : liposuction and implants -- Male breast reduction -- Outcomes for men -- 11. No color barrier : cosmetic medicine for non-Caucasians -- 12. All in the family : cosmetic interventions for the very young, teens, and the very old -- Children -- Teens -- Statistics -- Psychological considerations -- Eating disorders -- Marketing to teens -- Specific cosmetic procedures for children and teens -- Decision making for the parents of teens -- Elderly, over seventy-five -- 13. prevention : the top ten ways to avoid needing cosmetic medical care -- Final thoughts.