KIRILL PSHENISNOV: “We have plastic surgery, not a marketing strategy”

The famous plastic surgeon, Doctor of Medical Sciences, Professor Kirill Pshenisnov heads the EMC Plastic Surgery Clinic, located on Orlovsky Lane. He has more than thirty years of practical experience in the field of reconstructive surgery. Dr. Pshenisnov is fluent in techniques for restoring harmonious facial proportions:

Rhinoplasty;
Otoplasty;
Mentoplasty (strengthening tissue in the chin area);
Creating the desired proportions using implants in the cheeks and cheekbones;
Dipolifting (restoration of youthful facial proportions).

He returns youth to the skin of the face through lifting (rhytidectomy), eyelid surgery (blepharoplasty), endoscopic lifting, eyebrow correction while simultaneously removing wrinkles on the forehead. To improve body contours, she uses abdominoplasty, liposculpture (removal of excess fat tissue), and brachioplasty (correction of the shape of the shoulders).

He is fluent in aesthetic breast surgery techniques. Performs breast plastic surgery with Natrelle/McGhan silicone and saline implants, reduces the size and performs breast lift, and corrects gynecomastia in men. In order to surgically correct skin defects, she performs skin resurfacing, chemical peeling, and corrects wrinkles and scars using laser, carbon dioxide, Restylane and Botox.

Professor Pshenisnov masterfully performs reconstructive operations:

Mammoplasty (including reconstruction of the nipple and areola);
Scar correction – elimination of defects and tissue deformations after operations, injuries and burns;
Microsurgical surgical interventions for patients suffering from osteomyelitis, bedsores, post-traumatic and radiation ulcers;
Surgeries for damage to peripheral nerves and blood vessels;
Elimination of the consequences of brachial plexus injuries through surgery;
Operations for tissue defects or missing fingers;
Surgical correction of congenital developmental anomalies and acquired deformities of the facial skeleton.

Doctor of Medical Sciences Pshenisnov heads the plastic surgery course at the Yaroslavl State Medical Academy, works as a professor in the department of plastic surgery at the Russian State Medical University in Moscow. He is the first Russian surgeon to complete the full training program of the Plastic Surgery Foundation in the United States. For several years he trained in the field of aesthetic, reconstructive and plastic surgery in leading European and American clinics.

Professor Pshenisnov was repeatedly invited to give lectures and reports, perform demonstration operations in the United States of America, the Netherlands, France, Germany, Italy, Finland, Australia and other countries. He is a member and founder of the Russian and international societies of reconstructive and plastic surgeons, heads the board of the Northeast Non-Profit Partnership of Plastic and Reconstructive Surgeons, and is a Corresponding Member of the US Society of Plastic Surgeons. Professor Pshenisnov is a member of the editorial board of medical journals, is the author of two monographs, and more than two hundred and seventy scientific papers. Thirty of his works have been published in English in international medical journals. He owns three patents for new surgical instruments and has 4 copyright certificates for the invention of innovative surgical techniques. He is a laureate of many prestigious prizes and has been awarded medals and diplomas.

experience

Holds the position of head of the EMC Plastic and Reconstructive Surgery Clinic
Professor of the Department of Plastic and Reconstructive Surgery, Cosmetology and Cell Technologies of the Russian State Medical University (Moscow)
Professor of the Department of Traumatology, Orthopedics and General Surgical Surgery with a course of Plastic Surgery, EITI, Yaroslavl State Medical University
In 2011, he was appointed chief freelance specialist - plastic surgeon of the Department of Health and Pharmacy of the Yaroslavl Region. In 1993, he was the first Russian surgeon to complete a full training program at the Plastic Surgery Foundation (PSEF), USA

Regalia

Since 1994, he is a founder and certified member of the Council of the Russian Society of Plastic, Reconstructive and Aesthetic Surgeons (Moscow, Russia)
Chairman of the Education Committee of OPREH
Chairman of the Board of the Northeast Non-Profit Partnership of Plastic and Reconstructive Surgeons
Full member of the International Society of Aesthetic Plastic Surgeons (ISAPS) since 2002.
Member of the International Society for Reconstructive Microsurgery (WSRM) since 1996.
Fellow of the American Society of Plastic Surgeons (ASPS) since 1996.
National Secretary of ISAPS in Russia since 2015

Reviews

Anonymous I want to say a lot, but I don’t know how to speak beautifully, so I decided to write. Kirill Pavlovich, you are an amazing person, doctor, surgeon. Moreover, the surgeon is not only of the body, but also of the soul. My parents’ souls ached in fear for me, for my future. And you cured this pain, and completely free of charge on your part - and this will not be forgotten by either my parents or me. My mother is ready to kiss your hands to this day. You have the power to change a person’s destiny! That's what happened to me. It is not known where the current would take me, and I had no desire or self-confidence to resist it, given that during my school years, with my diagnosis, I had a disability. And you gave me this confidence! I am not a person overwhelmed by life and fate, I am a unit of a healthy society, with a higher education, a good job and, besides this, I have a wonderful family and two wonderful healthy children. And without any doubt I can say that without your intervention everything in my life could have been completely deplorable. With great gratitude and respect, your devoted patient!

Refresher courses

International scientific student conference of member countries of the Council for Mutual Economic Assistance (CMEA) in the field of medicine, Hradec Kralove - Vrchlabi, Czechoslovakia, 08/28/1980
Republican student scientific conference “Physiology and pathology of the cardiovascular system”, Ivano-Frankovsk, 10/16/1980
45 Scientific student conference of the Tbilisi Medical Institute, Tbilisi, 04/19/1982
53 Scientific student conference of the Yerevan Medical Institute, Yerevan, 04/23/1982
Meeting of the problem commission “Emergency Vascular Surgery” of the Yaroslavl State Medical Institute, 10/04/1982
Scientific conference of the Department of Surgery, Faculty of Advanced Training for Physicians and Departments of General Surgery, Faculty Surgery, Operative Surgery and Topographic Anatomy, Pathological Anatomy of the Yaroslavl Medical Institute, 06/23/1984
V Conference of Young Scientists of the Yaroslavl Medical Institute, 12/18/1984
II All-Union Symposium on Microsurgery, Moscow, 1985
All-Union conferences on current issues in vascular surgery, Moscow, 1985
XXXI All-Union Congress of Surgeons, Tashkent, 1986
VI final conference of young scientists of YSMI, Yaroslavl, 1986
V Congress of Traumatologists and Orthopedists of the Baltic States, Riga, 1986
V Republican scientific and practical conference on the problem of thermal injuries, Gorky, 1986
Regional scientific and practical conference of surgeons, Ivanovo, 1986
Regional scientific and practical conference of surgeons, Makhachkala, 1987
25 Conference of Doctors of the Emergency Hospital named after. N.V. Solovyov, Yaroslavl, 1987, Yaroslavl
Yaroslavl Interregional Society of Oncologists, Yaroslavl, 1987
I Soviet-American Symposium on Microsurgery, Moscow, 1988
Republican conference “Modern problems of reconstructive surgery”, Moscow, 1988
V All-Union Congress of Traumatologists and Orthopedists, Odessa, September 1988
All-Union Conference “Emergency Vascular Surgery”, Yerevan, 1988
II All-Russian Congress of Anatomists, Histologists, Embryologists, Leningrad, 1988
II Congress of Transcaucasian Dentists, Tbilisi, 1988
327 Meeting of the Scientific Society of Traumatologists and Orthopedists, Gorky, 1988
Regional scientific and practical conference of surgeons, Makhachkala, 1988
II Conference of Doctors of Yaroslavl, Yaroslavl, 1988
III All-Union Symposium on Microsurgery, Saratov, 1989
All-Union Conference “Blood supply, metabolism and function during reconstructive operations”, Yerevan, 1989
Interregional conference “Skin and bone plastic surgery in traumatology and orthopedics”, Gorky, 1989
Regional scientific and practical conference of surgeons, Makhachkala, 1989
Regional scientific and practical conference of surgeons, Tyumen, 1989
26th Conference of Doctors of the Emergency Hospital named after. N.V. Solovyov, Yaroslavl, 1989, Yaroslavl
International symposium “Use of the greater omentum in reconstructive and plastic surgery”, Moscow, 1990
Republican conference on reconstructive surgery, Rostov-on-Don, 1990
Anniversary scientific conference “Anatomical, physiological and pathomorphological aspects of microsurgery and gunshot trauma”, Leningrad, 1990
Regional scientific and practical conference of surgeons, Ivanovo, 1990
Yaroslavl Interregional Society of Oncologists, Yaroslavl, 1990
Vermont Department of Surgery Grand Round, Burlington, USA, 1990
Meeting of the American Society of Plastic and Reconstructive Surgeons, Boston, October 21-25, 1990
IV All-Union Symposium on Microsurgery, Moscow, 1991
VI Republican scientific and practical conference on the problem of thermal injuries, Nizhny Novgorod, 1991
Joint meeting of the surgical, traumatological and oncological societies of Yaroslavl, Yaroslavl, 1991
Interdepartmental conference of the departments of traumatology and orthopedics, faculty surgery, pediatric surgery, operative surgery and topographic anatomy, oncology, dentistry, surgery of the pediatric faculty, pathological anatomy of the Yaroslavl Medical Institute, Yaroslavl, 03/10/1992
Meeting of the American Society of Plastic and Reconstructive Surgeons, September 20-24, 1992. Washington, DC.
Scientific and practical conference of orthopedic traumatologists “Diseases and injuries of large joints and spinal injuries, open fractures”, Veliky Ustyug, 1994.
V International Symposium on Plastic and Reconstructive Microsurgery, Moscow, 10/15/16/1994.
International conference “Plastic surgery for burns and wounds”, Moscow, 5-7.12.1994.
Thematic improvement “Biodimensional breast endoprosthetics systems”, Breda, Holland, 1995.
Meeting of the American Society of Plastic and Reconstructive Surgeons, October 7-11, Montreal, Canada, 1995
Seminar on biodimensional mammoplasty, 08.27-28.1995, Moscow.
Russian course “Plastic surgery of the mammary glands”, M, 1996
Course “Craniofacial surgery and microsurgery”, 1 month, USA, 1996
Meeting of the American Society of Aesthetic Plastic Surgeons, Orlando, Florida, 1996.
Mission “Operation “Smile”, Yaroslavl, 1996
I International Symposium “Plastic and Reconstructive Surgery in Oncology”, Moscow, 03/19-21/1997.
Operation Smile Mission Seminar Hanoi, Vietnam, March 1997
III Russian course “Modern rhinoseptoplasty”, 1998
IV Russian course “Modern endonasal functional surgery”, Yaroslavl, 11-13.11.1998
Congress of the Society of Plastic, Reconstructive and Aesthetic Surgeons of Russia, Moscow, 1999
Plastic surgery fellowship, 1 month, Minneapolis, Minnesota, 1999.
II course “Modern rhinoseptoplasty”, Moscow, 02.22-24.1999
V Russian course on modern endonasal functional surgery, Yaroslavl, 9-11.11.1999
11th Congress of the European Association of Plastic Surgeons, Berlin, Germany, 2000.
I Siberian course of endoscopic and functional rhinosurgery, Novosibirsk, April 11-13, 2000
III course “Modern rhinoseptoplasty”, Moscow, 04/19-21/2000
I seminar “Endoscopy in surgery of the wrist joint”, Yaroslavl, 09/19/21/2000.
Seminar of traumatologists-orthopedists of the Carnegie Institute and the J. Soros Foundation, Salzburg, Austria, 2000
International Symposium of Plastic Surgeons, Odessa, Ukraine, 2000
Second International Congress on Plastic Surgery COPRAS, Moscow, 2001
III intensive course in plastic and reconstructive surgery, Moscow, 2001.
II Siberian course of endoscopic functional rhinosurgery, Novosibirsk, 02/20-22/2001
XX International Congress “Nasal Infection and Allergy” and IV Congress of the Russian Society of Rhinologists, Yaroslavl, 06/4-7/2001
IV course “Modern rhinoseptoplasty in aesthetic facial surgery”, 06/8-10/2001, Moscow
12th EURAPS Congress of the European Association of Plastic Surgeons, Helsinki, Finland, 2001
9th European Congress of Societies of Plastic, Reconstructive and Aesthetic Surgeons, Rome, Italy, 16-20.09.2001
III intensive course in plastic and reconstructive surgery, Moscow, 17-18.10.2001
International course of modern rhinoplasty “Functional and aesthetic reconstruction of the nose”, Amsterdam, the Netherlands, 11-13.11.2001
Third International Congress on Plastic Surgery COPRAS, Moscow, 02/19-21/2002
International Conference “Aesthetic Surgery” Larnaca, Cyprus, 2002
XVI International Congress of the Society of Aesthetic Plastic Surgeons ISAPS, Istanbul, Turkey, 05/26-29/2002
III International Congress COPRAS, Moscow, 19-21.02.2002
V international symposium “Problems of microsurgery”, Moscow, 2002
V visiting symposium on current problems of plastic and reconstructive surgery, Rhodes, Greece, September 19-26, 2002
Master class “Selected issues of otorhinolaryngology”, Yaroslavl, 11-13.11.2002
Congress of the European Academy of Facial Plastic Surgery “A bridge to modern facial plastic surgery” 12-21.10.2003 and symposium “Rhinoplasty, a long learning process”, Amsterdam, the Netherlands, 10.22.2003
V intensive course on rhinoseptoplasty, Moscow, 29-30.10. 2002
IV intensive course in plastic and reconstructive surgery, Moscow 04/20-23/2003
Founding conference of the Russian Society of Hand Surgeons, Yaroslavl, 7-8.06.2003
IV International Congress on Plastic, Reconstructive and Aesthetic Surgery, Yaroslavl, 06/8-11/2003
VI visiting symposium on current problems of plastic and reconstructive surgery Agadir, Morocco 09.20-30.2003
13th World Congress of Societies of Plastic, Reconstructive and Aesthetic Surgery, Sydney, Australia, 10-15.08.2003
IV International Symposium on Aesthetic Medicine, Moscow, 2004
Scientific and practical conference “Current issues of aesthetic and reconstructive breast surgery”, Kyiv, Ukraine, 02/5-6/2004
7 Russian course “Modern functional endonasal surgery”, Yaroslavl, 02.25-27.2004
First All-Ukrainian Conference on Aesthetic and Reconstructive Breast Surgery, Kyiv, Ukraine, 02/5-6/2004
VII Russian course “Modern functional endonasal surgery”, Yaroslavl, 02.25-27.2004
First international conference “Problem situations in plastic and aesthetic surgery and dermatocosmetology”, 11-12.03.2004
III International Symposium on Aesthetic Anti-aging Medicine, Moscow, April 14-16, 2004
17th International Congress of the Society of Aesthetic Plastic Surgeons, Houston, USA, 08/28-31/2004
III Intensive course in plastic and aesthetic surgery, Ekaterinburg, October 21-23, 2004
II (IV) International Symposium “Problems of Microsurgery” Plenum of the Problem Commission “Microsurgery” of the Interdepartmental Scientific Council on Surgery of the Ministry of Health and Social Sciences of the Russian Federation and the Russian Academy of Medical Sciences, Moscow, 03/24/2005
VIII course “Modern rhinoseptoplasty”, Moscow, 04/15-16/2005
IV International Symposium on Aesthetic Medicine, Moscow, April 19-20, 2005
VIII International Congress on Plastic, Aesthetic, Reconstructive Surgery, Oncology and Dermatology, Odessa, Ukraine, 06.23-26.2005
Autumn Club VIII traditional meeting of plastic surgeons, Ischia, Italy, 07/9-15/2005
X ESPRAS Congress Vienna, Austria, 30.08.-3.09.2005
V International Congress of Aesthetic Medicine, Moscow, 2005
Scientific and practical conference “Plastic and reconstructive microsurgery in traumatology and orthopedics”, St. Petersburg, 10/21/2005
I advanced Russian course of endoscopic facial plastic surgery with international participation, Yaroslavl, October 27-29, 2005
VIII Russian course “Modern functional endonasal surgery”, Yaroslavl, 21-23.11.2005
VII All-Russian Scientific Forum with international participation, Moscow, 13-16.12.2005
City scientific and practical conference dedicated to the 100th anniversary of the birth of Professor Tatyana Arsenyevna Zaitseva, Yaroslavl, December 8, 2005
II All-Ukrainian Scientific and Practical Conference, Kiev, Ukraine, 2-3.02.2006
V International Symposium on Aesthetic Medicine, Moscow, 16-17.02.2006
I Congress of the Society of Hand Surgeons, Yaroslavl, 04/20-22/2006
18th Congress of the International Society of Aesthetic Plastic Surgeons ISAPS, Rio de Janeiro, Brazil, 01-5.08.2006
VI International Congress of Aesthetic Medicine, Moscow, 7-9.09.2006
IV International course on plastic surgery, Ekaterinburg, 12-14.10.2006
IV Congress of the Society of Plastic, Reconstructive and Aesthetic Surgeons OPREH, Moscow, 13-14.12.2006
VI International Symposium on Aesthetic Medicine, Moscow, 02/15-17/2007
International Symposium on Plastic Surgery, Sao Paulo, Brazil, 03/18/2007
International conference “New in plastic surgery and combustiology”, St. Petersburg, 05.25-28.2007
14th Congress of the International Confederation of Societies of Plastic, Reconstructive and Aesthetic Surgery IPRAS, Berlin, Germany, 06/26-30/2007
Master class “Functional and aesthetic rhinoseptoplasty”, Odessa, Ukraine, 09.27-29.2007
IV European Conference on Plastic and Reconstructive Breast Surgery, Milan, Italy, 12-15.12.2007
10th international master class on anti-aging IMCAS, Paris, France, 9-12.01.2008
XIX Congress of the International Society of Plastic and Aesthetic Surgery ISAPS, Melbourne, Australia, 10-13.02.2008
V International Course on Plastic Surgery, Ekaterinburg, June 5-7, 2008.
Seminar of the Allergan Corporation on biodynamic planning for breast enlargement, Bucharest, Romania, 08/9/2008.
VIII International Congress on Aesthetic Medicine named after. Evgenia Laputina, Moscow, RF CCI, February 11-15, 2009.
Mentor - Paragon forum, St. Petersburg, 06/25-27/2009.
Mentor - Paragon forum, Rhodes, 09/22/2009.
11th ESPRAS Congress, Rhodes, Greece, September 20-26, 2009.
Scientific and practical conference “Prospects for the innovative development of cosmetology and plastic surgery in the Russian Federation”, Moscow, December 18, 2009.
First Congress of the Ukrainian Society of Aesthetic Medicine, Odessa, Ukraine, May 31-June 1, 2010.

Plastic surgery does not stand still. New techniques are being introduced, capabilities are expanding, and trauma is being reduced. For many, going to surgery is equivalent to going to a restaurant. Everything becomes simpler and more accessible. Our interlocutor adheres to an academic approach and is sure that there is no place for frivolity here.

Kirill Pavlovich, our last big conversation for the magazine took place 4 years ago. What has changed since then in your life? A lot has changed in plastic surgery, in the country, in the city. One of the most important events is that in 2009, plastic surgery was recognized as an independent surgical specialty, the same as traumatology, orthopedics, urology, obstetrics, and gynecology. Since January of this year, we have resumed training programs in plastic surgery in Yaroslavl. In September we plan to accept residents for training not in short-term courses, but for 2 years. And we will be responsible for ensuring that they become real specialists. For the previous 3 years, I gave all my lectures in this specialty in Moscow, at the 2nd Medical Institute (RNIMU named after N. I. Pirogov). By the way, most of my practice now takes place in the capital, in conditions that are not available even in many clinics in Europe.

Four years ago you talked about plans to create your own clinic in Yaroslavl. What has been done in this direction? As a surgeon, I need working conditions that are appropriate to the operations being performed. I dreamed that investors would be interested in the opportunity to create a European-level multidisciplinary clinic in our city, where I could operate. So that every patient, entering the walls of this medical institution, sees and feels that everything here is done at the level of the best world standards. Western millionaires, such as Carnegie, Rockefeller and others, have invested and continue to invest in universities and medicine. And the best domestic businessmen prefer to spend money on football clubs. Unfortunately, little has changed in this regard in 4 years. In European and American healthcare systems, the patient comes first, then the doctor, and only then management. With us, everything is exactly the opposite: leaders play the first roles. And I really want to work where the European approach is applied to the patient. Therefore, I was forced to create my own Plastic Surgery Center. But I'm not a businessman - I'm a professional surgeon. And when there are interesting offers from good managers, I accept them. Therefore, I currently practice at the European Medical Center in Moscow.

In 2010, the textbook “Course of Plastic Surgery”, of which you became the author, was published. Yes, this is a lot of work and a joyful event for me! But it came as an absolute surprise when the craftsmen immediately made pirated copies of the textbook and posted them on the Internet. We hoped that at least the costs of publishing the book would be recouped. All this speaks about the general level of culture in our country and the conventions of copyright. In America, for example, it is simply indecent to make a copy of more than 10% of a publication, because this violates the rights of the author. And I can only be happy for those who received a good textbook easily and free of charge. Today it is the only one of its kind.

Kirill Pavlovich, you don’t need to be a specialist to notice: the number of plastic surgeons has increased in recent years, if not significantly, then by an order of magnitude. The problem in our country is the boom in newly minted plastic surgeons. There was a desire to do everything at a high level, so that people would not just listen to a course of lectures, but would answer test questions and show what they could do with their hands. However, many felt that it was enough for them to take paid 5-month courses, while skipping most of the classes. I know a number of universities that issued diplomas without even having a license. As a result, patients suffer, because not everyone knows what the price of that diploma that hangs in the surgeon’s office is.

There is an interesting proposal - to adopt the European system of training doctors, when points are awarded for attending international conferences, where there are test questions that can be used to test knowledge. For more than 50 years, independent expert boards have existed in America and Europe that enable doctors to take such exams. These requirements are not mandatory, but only by fulfilling them will you be recognized as a professional. In other words, in our country we have not yet learned to regulate the process and quality of training of medical specialists.

You talk with restraint, but you are probably overwhelmed with emotions when you hear about the actions of the newly minted doctors. Emotions aside. There is a struggle of ideas. Not long ago, on the Dozhd TV channel, Ksenia Sobchak and Artemy Troitsky discussed what the Russian people need. The presenter is sure that people want simple things - songs by Nikolai Baskov and books by Daria Dontsova. This is the level of development. Troitsky, on the contrary, argued that people should strive to read serious works and listen to interesting and high-quality music. In our profession, there is also a struggle between two ideas: selling a service like a meal at McDonald's, supported by good marketing. Or stick, as I do, to an individual, academic approach.

I am glad that many patients take plastic surgery seriously and I enjoy working for them. In the team where I work, the emphasis is always on professionalism and attentive attitude towards everyone. We have plastic surgery, not a marketing strategy.

Interesting observation. I recently met with Americans who are conducting research on the Moscow market. They counted 250 clinics, but half of them don’t even have websites or their own premises. The choice is very wide both in the capital and in other cities.

You took part in the show “Terribly Beautiful” on one of the Russian TV channels. What were your impressions of working under television cameras? Plastic surgeons around the world are very attentive to such shows. Program participants receive surgery free of charge, but it is important that they receive the same treatment as they would during a commercial operation. You can’t just take a volunteer off the street, operate on him and refuse to observe him.

My patient was from the Moscow region, we performed breast and nose surgery at the same time, and observed her throughout the prescribed rehabilitation period. I agreed to participate because I knew that the operation would take place in a very good clinic, and I would have the opportunity to observe my patient. In addition, I understand very well the feelings of people who decide to talk about their shortcomings and ugliness into the lens of a television camera.

Didn't the project turn into a show? When I joined the project, the seventh season of “Terribly Beautiful” was already in progress, and the entire film crew worked absolutely professionally. There were no moments that were offensive to the patient; nothing unnecessary was shown that should remain within the profession of a plastic surgeon. Everything is calm, without sensations and excitement about the “birth of another person.” There are 7 thousand plastic surgeons in America who have studied their specialty for many years. But there are also from 20 to 100 thousand doctors who perform plastic surgery, being ENT doctors or dermatologists. Professional plastic surgeons cannot ban their practice, but they can show the benefits of fully trained and certified specialists. When participating in a TV show, real specialists carry with them professional ethics and do not allow a serious operation to be turned into a stupid show.

Has patient attitudes towards plastic surgery changed in recent years? Competition has increased, and patients increasingly come to us after visiting a number of other clinics. It happens that people consult with one surgeon, just in case they go to another and hear diametrically opposed judgments. Over these 4 years, life within the Russian community of plastic surgeons has not become more eventful or productive. Quite the contrary. One of my patients decided to get additional consultation from Moscow surgeons after the operation. In one place they told her that they could give her a 20 percent discount. Another clinic offered to redo it again. And they didn’t even ask who performed the operation and how. True, after patients voice my last name, colleagues usually take their words back.

It is difficult for patients to choose, tension has increased, but they are gradually learning to find good specialists. And I only welcome it if my clients consult several clinics in order to compare and make the only right decision.

Probably, the attitude towards the rehabilitation period has also changed. After all, you need to be observed for a year, but the operation itself no longer reminds you of itself... Recently I had a patient from Ukraine, we performed reconstruction of his auricle. He was in a hurry and insisted that they use a silicone implant rather than costal cartilage. As soon as everything healed, he left, abandoning the rehabilitation period. I did the dressing myself, but applied the bandage too tightly, resulting in complications and a repeat operation. Not following the prescribed postoperative regimen, not showing up at the appointed time... Many patients believe that everything is simple: do it and forget it.

If we take a purely legal approach, then you have violated the contract, which means we refuse to monitor. I bought a car and didn’t undergo maintenance on time, which means I lost the warranty. But we are doctors, and our duty is to do everything to ensure that the treatment is completed successfully. The doctor is always on the patient's side, but there are obligations on both sides. We recently talked with a girl from Vologda: she had an operation with us, but had an accident and was unable to come for a scheduled examination. In such situations, we always find a compromise solution.

I can tell you an interesting story that happened to a Moscow businesswoman. She had a face and neck lift, and she decided to complete the journey that lasts a month in a week. I learned something from the Internet, and after lifting and complete detachment of the facial skin, I began to massage it. When the skin turned blue, she began to rub onions into her cheeks. It didn’t help - I decided to apply an iodine net and warm it with sea salt. In the end, I burned it all with vinegar essence and came to the appointment with chemical burns on both cheeks. Until the last moment, she was sure that she did everything correctly, because that’s what she was advised on the Internet. This is no longer frivolity, but psychological problems.

Do you often refuse patients? In fact, it would be worth doing this more often. The surgeon sees a problem such as a hump on the nose or a protruding ear, or a problem with the skin. Technically we can fix everything, but psychologically it’s more difficult. First, the administrator talks to the client, then the manager, they find out how realistic the requests of the possible patient are. And the most important thing is whether he understands the seriousness of the upcoming step, whether he can follow the doctor’s recommendations and regimen.

In France, by law, 2 weeks must pass from the moment of application to the plastic surgery itself. We don't have such a norm. In times of crisis, some surgeons were ready to operate here and now: “We’ll operate, and then we’ll paste in the tests.” A difficult question: either serve all patients, play on their feelings, or remain respected among professional colleagues.

text: Anton Budilin | photo: Dmitry Ochagov

Scientific monographs, publications

In 1985 he defended his PhD thesis on improving autovenous artery grafting
In 1992, he defended his doctorate in microsurgical tissue plastic surgery for injuries and their consequences at the Military Medical Academy of St. Petersburg. He holds the position of head of the EMC Plastic and Reconstructive Surgery Clinic.
During business trips abroad, as a visiting professor, he repeatedly gave lectures and reports, as well as demonstration operations (USA, Netherlands, France, Italy, Germany, Austria, Finland, Vietnam, Australia, Brazil, Morocco, etc.)
Author of more than 300 scientific papers, incl. two monographs
A contrast in societies / The monthly newspaper of Eastern Virginia medical school (EVMS) CHRONICLE. March 1993
My first monograph in the publishing house Zdorov, I am Ukraine Plastic Aesthetic Surgery, 2000
Article 2003 - Appeal to Ministers of Health on the need for the specialty of Plastic Surgery, pages 1-3
Discussion with prof. A.E. Belousov and L.L. Pavlyuchenko in the journal Aesthetic Medicine, 2006
About the future of plastic surgery in Russia. Aesthetic medicine No. 3 2007
Chapter in the Springer monograph on innovations in nasal plastic surgery. Chapter 34
Current status in legislation of plastic surgery procedures in the Russian federation / 20th Congress International Society of Aesthetic Plastic Surgery in San Francisco, August 14, 2010 // ISAPS News. – 2010. – V. 4, N. 2. – P. 6 – 7.
Aesthete-a-tete /Vademecum. – 2014. – 9. – P. 21 – 24. Text with the participation of Professor K.P. Pshenisnova
Intensive course on rhinoplasty, Moscow lecturer 2005