David B. Reath, MD
Knoxville, TN (865) 450-9253
HKB Knoxville Staff

Think Timeless, Not Trendy, When Considering Plastic Surgery [Updated]

Bubble butt, badonkadonk, derrière — the media has become increasingly butt-focused these days.

Celebs like Kim Kardashian, Cardi B, Shakira, and Jennifer Lopez are at the center of “The Booty Boom”, making headlines about their bums and even insuring their prized assets.

Like every popular fad, this is excellent news for some (those with some junk in the trunk), but not for others. Such trends can influence how people want to change their bodies, which is why I hear about it more and more from my patients.

Before you decide to add to your assets, here are some things to consider.


Many women, I fear, are focused on chasing what is – at a single point in time – the ideal shape. Some people call them “slaves to fashion.” While we can certainly come up with some universal ideals about what is beautiful, the pop-culture fashion world is forever changing. For if it didn’t, who would buy new clothes? But women’s fashion, much more so than men’s is in a constant state of flux to create a new ideal look and drive sales in the industry. While fashion may be fleeting, true beauty is timeless.

Let me start by saying how much easier men have it than women, and I’m talking fashion here. I have suits that I have worn for almost two decades and ties that I was given 40 years ago. They still are “in,” so to speak, and look good. My most significant fashion swing, which has been underway for the last two or three years, is to switch from pleated pants to plain front pants. (I know, genuinely earth-shaking.) But the reason that I can wear all my decades-old suits is that they had a “classic” look and remain in.

So too can be said of many classic women’s looks. Last weekend I was with my mother in advance of her birthday. We complimented her on the woolen jacket and beautiful scarf she wore to church. The jacket, she told us, was 40 years old, and the scarf was her mother’s! But I digress.

The “ideal” body type does not stay the same.


If one looks at fashion trends over the last 100 years, there have been significant swings in what is considered the ideal body type or figure.


In the 1900’s there was the “Gibson Girl” with a corseted waist that barely allowed respiration. In the roaring 20’s the flapper look was in with a very straight waistline and almost no curves. Gradually changes happened in the 30’s and 40’s and by the 50’s the hourglass figure of Elizabeth Taylor (allegedly a 36-21-36) was what everyone wanted to be. Then with 60’s Twiggy was the ideal with a thin, straight waiflike figure. In the early 2000s, an athletic figure was in, and now we have the butt. The only constant here is change.

What changes and what does not.


Certainly fashion changes, but what about body shapes, which is to say the figure. Well, the primary determinant of how you will look is your genetics (sorry about that, Givenchy). Yes, we can work on our weight and level of fitness, but our skeletal structure, which is the framework on which our bodies are built, is determined by our genetics.

Try being taller than your genes will allow, or having a narrower chest if your genes are programmed to give you a broad chest. Some waistlines are straight with narrow hips; others are more shapely with a more expansive flare to the hips emphasizing the waistline. But this has all to do with the bone and body structure your DNA created.

There are some things we can change. And one such thing, which is an excellent overall trend in fashion, is that of being fit. Well-proportioned figures with decent levels of fitness and appropriate levels of weight are attractive. This has been emerging over the last decade or so, and I hope it will continue. While this does not necessarily mean ripped, six-pack abs, it does mean fit. And proper weight control does not mean anorexia!

Perhaps the real danger here is in trying to change a part of your body to meet the current fashion demands. As I mentioned, right now, fashion is very “booty” conscious. It seems that Kim Kardashian’s butt is making a big splash (and I don’t even know if she swims). This butt awareness is pushing buttock augmentation with fat injection and implants. But will this always be what is in? Nope.

Where plastic surgery comes in.


On the other hand, other changes in a woman’s body can be very beneficial and lasting. Take a fit woman who has had several pregnancies which have taken a toll on her body. A tummy tuck which can restore the natural look of her figure can be great. A woman whose breasts are so large as to be uncomfortable and will not allow her to wear and tops that would otherwise fit may do very well with a breast reduction. And, a woman whose breasts are too small to fit regular clothing can receive great benefit from breast enlargement.

Breast size is undoubtedly a focus of fashion. And there have been swings in what is considered the right breast size. However, the women who are recognized as being beautiful across the generations, generally have breasts that are neither too big nor too small. And while this is not a specific cup size, it is a range that fits their overall body shape. If the fashion of tomorrow dictated that all women wear a FF cup size, I would suggest that you let this fashion die a natural death and get breast implants that would fit your figure.

One of the reasons that fashion has gravitated towards certain styles is that the style has fit the body for which the trend was designed. And some designers decided that body type was in that year. The dresses that look good on Twiggy do so because they are designed for her body shape. They may or may not be right for you, depending upon your body shape. Same, too, for fashions that would have fit Elizabeth Taylor. But what looked great on Liz, would look ridiculous on Twiggy.

The bottom line.


So what’s a girl to do? Probably the best advice here is to be careful about chasing the ever-changing fashion trends, particularly if you are planning to alter your body surgically. Remember, body ideals are trends, and trends will inevitably change. Beauty, however, will not. As far as fashion goes, wear what looks good on your body. This may not be what the pop stars do or what the model wears as she struts down the runway, but it is what will look fabulous on you as you walk down the pathway of your life.
All the best,

Dr. David B. Reath

David B. Reath, MD

You can read more articles like this in the 7th edition of Your Beauty Magazine. To get your free copy, just fill out the form here, and we’ll pop it in the mail to you right away.

This blog was originally written by Dr. Reath in February 2015 and has been updated with the new edition of our magazine.

14 Responses to Think Timeless, Not Trendy, When Considering Plastic Surgery [Updated]

  • TK says:

    Wonderful, sound, practical advice! I absolutely adore the way Dr. Reath presents the truth with a touch of levity, and always clear-cut and direct! Kudos Dr. Reath for not being afraid to speak the truth and tell it like it is!

  • Heather J Furnas, MD says:

    What a great blog post, Dr. Reath. I really enjoyed reading this and other posts. As a board-certified plastic surgeon myself (and one who blogs), I keep an eye out for good blogs on plastic surgery, and yours is exceptional. You are a true educator. Well done.

  • David B. Reath, MD says:

    Thank you for your very kind comments. When it comes from a fellow plastic surgeon and blogger, this is high praise. So, thank you most sincerely.
    Your blog on the “Shame game” (http://blog.enhanceyourimage.com/body/plastic-surgery-a-shame-game/) I thought was right on target. Hopefully through our collective blogging we can help future and present patients have a better understanding of what plastic surgery can do and its true benefit.
    All the best,

  • Terri says:

    I absolutely agree with Dr.Reath however I have noticed that a nice derrière has always been in style. I would like to have a procedure done to enhance this area. Any recommendations as to which surgeon I should choose?

  • David B. Reath, MD says:

    I do not have anyone specific that I recommend. But search out someone who has a lot of experience in this area. Experience that would encompass fat injections, buttock implants, and buttock lifts. Also, ask to see photos of before and after results. And, most importantly make sure he/she is a board certified plastic surgeon.
    All the best,
    David B. Reath, MD

  • reginamberg says:

    Helpful post!!
    Since cosmetic surgery can change our overall mental&physical appearance the point we should follow is how comfortable we are with surgery. Many people doing plastic surgeries only to look trendy now a days, but trend is something that changes in each year. I had a tummy tuck surgery under the treatment of Dr.Omar Faud Neel at Montreal
    ( http://www.drfoudaneel.com/ ) since I had over weight and strech marks after my delivery. Now I am very much comfortable with my new look.

  • David B. Reath, MD says:

    Thanks for your comment. I am glad you had a good experience with your tummy tuck. I will be in Montreal next month for a meeting. Looking forward to it!
    David B.

  • kathleenmanson says:

    These are all nice points David. It’s unfortunate that some people just doing plastic surgery without considering their health condition, and it makes huge problems in their future. Especially girls in modeling industry, without considering their body features they preparing for surgeries and that make them look aged in their young age it self. I know a plastic surgeon in Toronto( Dr. Bachstein in Steeles Avenue Cosmetic Surgery [ http://www.cosmeticsurgerytoronto.com/ ] ) , 1 month ago he gave a brief description about all cosmetic surgery procedures like tummy tuck, breast augmentation etc..Every procedure need it’s own body features, we all should consider that.

  • David B. Reath, MD says:

    Thanks for your comments. Perhaps the most important thing you mentioned is that each person/patient must be considered as an individual and unique person. What makes sense for one person may not make sense for another.
    All the best,
    David B.

  • Pingback: Butt Enlargement Takes A Back Seat To Top Plastic Surgery Procedures - David B. Reath, MD

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  • Brittani Back says:

    Thank you for making sense of a struggle with my own body image. As long as I can remember, I have felt uncertain about breast augmentation. I know without a doubt now that I want to be proportionate with my body, because that is timeless beauty. Excellent article!

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