I recently visited the site awfulplasticsurgery.com. It was very entertaining and very sad at the same time. Being in my own small corner of the aesthetic medicine world, I was reminded that there is a large segment of patients choosing to do outlandish, unnatural looking things to themselves and a large group of trained and untrained doctors and nurses of all types of backgrounds doing surgical and nonsurgical treatments to people with unpleasant intentional and unintentional consequences. Of course, board certified plastic surgeons, while not all good, have long emphasized the need for proper training and certification for doing a host of cosmetic procedures. It turns out that the scope of people doing cosmetic procedures has widened far beyond well-trained and sensible plastic surgeons, dermatologists and facial ENT surgeons.
With that said, and taking into consideration physician and patient spectrums of what is considered natural and attractive rejuvenative enhancements of the physical form, I make a plea for restraint and tastefulness. It is the physicians responsibility to say to "no" to an insistent patient when they are requesting procedures that will be detrimental or damaging to their countenance. No matter how persuasive ( or moneyed) that person might be. Case in point, Michael Jackson. People who are requesting services that are harmful must not be placated and taken advantage of - they need psychological counselling.
Unfortunately there will always be professionals who possess less than desirable skills and aesthetic judgment. Always ask to see photos of your doctor's work. It will be a good indicator.
Plastic surgery does not come with a guarantee of results- there are a lot of variables between physician/procedure/and a patient's individual anatomy, healing qualities, genetics, etc.
It is important to optimize all factors and have as an important goal to not look operated on.
Strive for natural, freshening results. Being extreme can lead to very unpleasant outcomes.
And as we all learned in medical school- Primum non nocere (First, do no harm)