Surgery Outside Of The USA

The Dangers of Having Plastic Surgery Outside the United States

Everybody likes a bargain. Whether its BOGO at the shoe store or the hot dog and a coke combination for a buck and a half at Costco, we all want to feel like we got a good deal.  This is great when it comes to clothes or shoes or lunch, but there is another saying that is equally true, “you get what you pay for”.

A number of stories have hit the national news recently about people who decided to have their plastic surgery procedures performed at a bargain basement rate outside of the US.  None of the stories ended well for the bargain hunters in these cases. And these are just the stories of people who have died as a result of surgery outside the country. A large number of other patients, mostly women, have been left scarred and disappointed after their surgeries outside the country went wrong.  Many of these patients have suffered at the hands of untrained or poorly trained “surgeons” who take advantage of unsuspecting people who want their cosmetic surgery at a discount.

So, what’s the difference between a plastic surgeon in the US and one in Mexico or the Dominican Republic?  In the US, in order to earn the moniker of Board-Certified Plastic Surgeon, you must:

  1. Excel in Medical school (top of your class) to earn a highly competitive position in a Plastic surgery residency training program that lasts 5-7 years (after medical school)
  2. Pass a rigorous comprehensive written examination and impress upon a panel of experienced, grey haired surgeons who are leaders in the field of plastic surgery in an oral examination that you are a safe, ethical plastic surgeon in order to obtain Board Certification by the American Board of Plastic Surgery.
  3. Obtain hospital privileges to practice your specialty and submit to peer review and continuing medical education in order to maintain your credentials.

Outside the US… who knows?  All you may need is a white coat, a slick website   and a sign out front of your building. The point is, you don’t know.  And that is what can be dangerous.  In the US, you can check with your local or state medical Board to check the qualifications of your surgeon. Not so elsewhere. The practitioners are banking on your desire for low ball price shopping, and you ASSUME, that they are a safe, experienced, surgeon.  It is this assumption that can prove disfiguring at best, deadly at worst.

So, what could possibly go wrong?  Everything. In a recently publicized case, a healthy woman suffered an anesthetic complication before the surgery even started. The details are sketchy as the details were not readily provided by the clinic in Mexico. And then, oops, the records are accidentally destroyed. The patient gets transferred to a local hospital and then is basically held hostage until the bill is paid in full before releasing them to be transported back to the US where she later died.  The clinic in Mexico, the doctor… ghosts. Good luck trying to track them down and leveling charges or filing suit.

That is the worst-case scenario. Say you make it back home in one piece. Can you be sure of what was injected or implanted in you. Tales of finding recycled implants or temporary sizers used as implants are what we plastic surgeons chat about when we get together at meetings. And what exactly was in that “filler” that was used?

What if you have issues after you get home? The incisions don’t look right. They are draining something awful and you can never seem to reach your surgeon in Mexico no matter when you call. You call your local plastic surgeon to get checked out, but they are not very enthusiastic about taking care of another surgeon’s complications and subjecting themselves to that liability and they politely decline.  So, you go to the ER, where you find that your insurance, if you have insurance, does not cover complications of cosmetic procedures. Get ready for a medical bill that will haunt you for the rest of your life.

The moral of the story is, you get what you pay for. The BOGO shoes at DSW and the day-old bread at the bakery may be a good short-term decision with little downside.  It is definitely worthwhile to save up to hire a surgeon who has the training, experience, judgement and the skills to perform the procedure that you are considering. And yes, that does come at a price. But it is well worth it.

You wouldn’t recommend a discount, cut rate plastic surgeon to operate on your best friend or family member, would you?

Meet J. Michael Morrissey, M.D.

Male Liposuction

What Is Male Liposuction?

Liposuction is a cosmetic procedure that removes pockets of stubborn fat that cannot be eliminated with exercise and nutrition alone. Modern techniques reduce tissue trauma while maintaining a natural appearance. Male liposuction describes a series of techniques that are used by our board certified plastic surgeons to remove unwanted fat and enhance the masculine aspects of the treatment area.

Male Liposuction Benefits

More and more men in the Dallas area are learning the benefits of male liposuction. Some of the most common reasons that men consider liposuction are:

  • Eliminating exercise-resistant fat
  • Giving themselves a boost in body fat reduction that increases their drive to continue living a healthy, active lifestyle
  • Enhance the definition of muscles
  • Improving how clothes fit
  • Can be used to refine the results of other male plastic surgery procedures, such as a male tummy tuck

Who Is A Good Candidate For Male Liposuction?

If you are looking for a way to lose weight, male liposuction may not be right for you. You should be within 30% of your ideal weight before you are considered a good candidate for the procedure. You also need to have good skin elasticity. Otherwise, the procedure will remove fat, but leave you with sagging skin in the treatment area.

Gynecomastia Call To Action

Gynecomastia Call To Action



Gynecomastia… Man boobs… There are many nicknames for it. Some more suitable for publication than others. But, no matter what you call it, if you’re a man, you do not want any part of it! You hate the way it looks and the way it makes you feel and you’re ready to do something about it. Now its time to arm yourself with information in order to find the right surgeon to help take care of the issue.
Gynecomastia is not simply an abundance of fat in the chest area that liposuction can deal with effectively. Fat is just the half of it. The other half is the breast gland itself. Yes. Men have glandular tissue in the chest that can respond to hormone changes and increase in size. In rare cases, the glandular tissue of the male breast can even develop cancer just as it can in women.
Surgery to correct gynecomastia is becoming more and more popular for men. However, in monitoring question and answer sites like, it is evident that men are reporting having disappointing results from their surgery. To properly address gynecomastia, attention must be paid to both the fatty and glandular components of the condition. Liposuction alone can address the fat, but liposuction alone will not completely treat gynecomastia. The glandular component must also be removed to give satisfying results. The surgeons at Plastic & Cosmetic Surgery Center of Texas are the only
When meeting with a surgeon, ask him or her what the plan is to deal with the gland. The gland must be directly removed to completely treat gynecomastia. Typically, this entails an incision along the lower half of the nipple/areola complex (NAC). This allows access to the glandular tissue to be directly removed. Great! Problem is, it can leave the NAC looking “operated on”. Effective, aesthetic treatment of gynecomastia requires an experienced surgeon and is Board Certified by the Society of Plastic Surgeons
At the Plastic & Cosmetic Surgery Center of Texas, We are the only facility in the state of Texas that can offer our patients no visible scar on the chest wall and in most cases, no “drainage tubes” are necessary. We SPECIALIZE in gynecomastia surgery and revision of gynecomastia surgery. Give us a call and let’s talk about it..!

J. Michael Morrissey, MD is a Board Certified Plastic Surgeon
Specializing in Gynecomastia Surgery

Gynecomastia Revision Surgery

Gynecomastia Revision Surgery

Displeased with the results of your gynecomastia surgery? You are not alone. Gynecomastia surgery, like all surgery, is all about attention to detail. The details, in this case, are identifying and treating each component of what comprises gynecomastia. Gynecomastia, or enlargement of the male breast typically has three major components.

The first is the fatty component. This is typically approached effectively by the surgeon with liposuction. A small incision is made, fluid containing local anesthetic and a vasoconstricting agent is injected into the area, and a cannula is used to remove the fatty component of the gynecomastia and contour the chest to a masculine appearance. The second component, which is often overlooked or undertreated by surgeons, is the glandular component. The glandular material cannot be treated adequately with liposuction alone, whether it be conventional suction assisted liposuction or ultrasonic or laser liposuction.

To adequately address the glandular component, the gland must be removed. This means separating the gland from the skin above it and from the pectoralis major muscle beneath it. The goal of surgery is to remove the fat and the glandular material between the skin and the muscle and then encourage the skin to redrape over the muscle properly. This is typically achieved with a compression vest and foam material to compress the skin on to the muscle. This also helps prevent complications such as hematoma or fluid collection under the skin.

The final component of gynecomastia is the diameter of the areola. In most cases of gynecomastia, the areola is enlarged and puffy. By thinning the sub areolar tissue, the puffiness will be addressed and typically the areola will shrink. If you think you may have gynecomastia or are displeased with the results of previous surgery, call to schedule a complimentary consultation.

Gynecomastia revision surgery is performed as an outpatient procedure under a general anesthetic. and takes 1-1.5 hours in experienced hands. Recovery time is usually 3-4 weeks with restriction of arm movement for the first week.

J. Michael Morrissey, MD is a Board Certified Plastic Surgeon specializing in Gynecomastia surgery.