When people think of plastic surgery they often think of breast enlargement and similar cosmetic procedures. We find it is better to consider plastic surgery as restorative surgery. In our experience we have seen patients who have made themselves unwell on extreme diet and exercise regimes to still be left with stubborn areas of fat which require liposuction to remove. We have also seen patients build core strength after pregnancy with exercise alone when what they really need is a surgical repair of the muscles that have torn during trauma or pregnancy. There are many other situations where a holistic approach, including the opinions of a plastic surgeon, come in very handy.