Experts have cautioned that the growing visibility of cosmetic surgery on social media has not always been matched by public understanding of the risks, recovery process and safety requirements involved.
Across South Africa, demand for cosmetic surgery has increased steadily over the past five years, with the country ranking among the top 25 globally for surgical cosmetic procedures, according to the International Society of Aesthetic Plastic Surgery (ISAPS).
While before-and-after images dominate online platforms, more patients are now sharing the realities of swelling, bruising, emotional strain and slow scar healing.
Plastic surgeon Professor Chrysis Sofianos says recovery is often underestimated.
“People expect the confidence boost to be immediate, but the early stages of recovery are emotionally demanding. Scars take time, and how they’re managed early can affect how they look for years to come,” he said.
He stressed procedures must be performed in accredited facilities with proper anaesthesia, emergency support and informed consent.
Sofianos also warned patients to verify credentials detailing that only doctors registered with the HPCSA as plastic and reconstructive surgeons are trained to perform procedures such as tummy tucks.
“Patients can verify a surgeon’s credentials through the Health Professions Council of South Africa (HPCSA) website, where all registered practitioners and their specialisations are listed. Only doctors registered as Plastic and Reconstructive Surgeons are formally trained to perform procedures such as abdominoplasty.”
“Membership of the Association of Plastic, Reconstructive and Aesthetic Surgeons of Southern Africa (APRASSA) is an additional assurance of ethical and professional standards. Patients should be cautious of practitioners advertising as “cosmetic surgeons” without specialist registration as this title alone has no regulatory meaning.”
He also highlighted red flags, including unusually low prices, non-accredited theatres, cash-only payments and rushed consultations.
Despite their popularity, tummy tucks remain high-risk procedures.
“Abdominoplasty is a major operation with higher complication rates. When performed responsibly, it can be safe and transformative, but it should never be trivialised.”
Sofianos believes social media and influencer culture play a role in underestimating surgical risks.
“Online content often shows perfect results without the reality of swelling, bruising or complications. Influencer marketing can normalise surgery as a quick beauty solution, which distorts public understanding,” he said.
“Patients who generally handle the post-operative journey best, are those who receive calm, honest guidance throughout recovery, not just in the operating theatre or the first 24 hours.”
“Confidence after surgery is a journey, not a flash reveal. Patients who approach recovery with preparation and consistent care achieve better outcomes and greater reassurance in themselves.”
Saturday Star