If you are perfectly healthy, you have a low chance of a complication from cosmetic surgery. On the other hand, if you have diabetes, heart disease, a viral disease, or another chronic or acute disease, you are more likely to have a problem after surgery. Because cosmetic surgery is performed to enhance appearance, rather than to improve health, the surgeon is responsible for not operating on patients with a particularly high chance of a complication.
It's not enough that the patient is willing to accept the increased risk. The responsibility of the surgeon is similar to the fiduciary responsibility of a money manager, or the responsibility of a parent.
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