Experts have warned that the growing visibility of cosmetic surgery on social media is not always matched by public understanding of the risks, recovery process and safety requirements.
Across South Africa, demand for cosmetic surgery has grown steadily over the past five years, with the country ranking among the top 25 globally for cosmetic surgery, according to the International Society of Aesthetic Plastic Surgery (ISAPS).
While before and after images dominate online platforms, more patients are now sharing the reality of swelling, bruising, emotional distress and slow healing of scars.
Plastic surgeon Professor Chrysis Sofianos says recovery is often underestimated.
“People expect a boost in confidence to be immediate, but the early stages of recovery are emotionally demanding. Scars take time and how they are treated early can affect how they look for years to come,” she said.
He pointed outprocedures must be performed in accredited facilities with appropriate anesthesia, emergency support, and informed consent.
Sofianos also cautioned patients to verify credentials that say MrOnly doctors registered with the HPCSA as plastic and reconstructive surgeons are trained to carry out procedures such as abdominoplasty.
“Patients can verify a surgeon’s credentials through the Health Professions Council of South Africa (HPCSA) website, which lists all registered doctors and their specialties. Only doctors registered as Plastic and Reconstructive Surgeons are formally trained to perform procedures such as abdominoplasty.”
“Membership of the Association of Plastic, Reconstructive and Aesthetic Surgeons of South Africa (APRASSA) is an additional assurance of ethical and professional standards. Patients should be wary of practitioners advertising themselves as ‘cosmetic surgeons’ without specific registration, as this title in itself has no regulatory significance.”
He also highlighted red flags, including unusually low prices, unaccredited theaters, cash-only payments and rushed consultations.
Despite their popularity, tummy tucks remain high-risk procedures.
“A tummy tuck is a major procedure with higher complication rates. When performed responsibly, it can be safe and transformative, but it should never be neglected.”
Sofianos believes that social media and influencer culture play a role in underestimating surgical risks.
“Online content often shows perfect results without the reality of swelling, bruising or complications. Influencer marketing can normalize surgery as a quick beauty fix, which distorts public understanding,” she said.
“Patients who generally handle the post-operative journey best are those who receive calm, honest guidance during recovery, not just in the operating room or the first 24 hours.”
“Post-surgery confidence is a journey, not a revelation. Patients who approach recovery with preparation and consistent care achieve better outcomes and greater self-confidence.”
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Saturday star
