Miguel Saldaña, surgeon: "These are the three surgeries I would never perform on any patient; your life is in danger."

In a world where cosmetic surgery has become an increasingly common option for thousands of Spaniards, with more than 200,000 procedures performed in 2023 alone, according to data from the Spanish Society of Plastic, Reconstructive, and Aesthetic Surgery (SECPRE), transparency and safety become fundamental pillars. In this context, the voice of experts such as Miguel Saldaña Fernández , with more than 30 years of experience in the sector, serves to shed light on the ethical and safety limits in the operating room.

Known for his approachability and naturalness on social media, Dr. Saldaña hasn't hesitated to share a crucial revelation on his official TikTok account for those considering surgery. There are three surgeries he wouldn't perform under any circumstances.

The rise of terms like mammoplasty, blepharoplasty, and liposuction, once restricted to the pages of celebrity gossip and now in common use, reflects a society increasingly concerned about its image. However, behind the promise of aesthetic improvement lurks risks that should not be overlooked. Saldaña, a professional committed to offering "as much information as possible and ensuring patients have realistic perspectives," wanted to focus on the patient's integrity and life above any other request.

The first of the red lines the doctor draws has to do with one of the most requested procedures: buttock augmentation. While fat transfer, which involves transferring fat from one area of the body to another, is a common technique, the surgeon is adamant: "There are three surgeries I won't perform on you no matter how much you ask me to. The first is a buttock augmentation if you don't have enough fat. If it's thin and there's nowhere to take it, there's nowhere to put it either," he explains.

This statement underscores the importance of patient suitability for the procedure. Forcing an intervention without the necessary biological material can not only lead to unsatisfactory results but also increase the risk of complications, endangering the patient's health.

Dr. Saldaña's second warning is a stern reminder of the dangers of cosmetic surgery performed outside of a certified medical setting. In a market with growing demand, unfortunately, offers can emerge that prioritize price over safety. "The second is performing any type of procedure in an uncertified facility. Your life is at risk," the specialist emphasizes.

This statement couldn't be clearer: an uncertified operating room lacks the minimum health guarantees, adequate equipment, and qualified personnel necessary to deal with any eventuality or complication that may arise during or after surgery.

Finally, the cosmetic surgery expert focused on a more subjective but equally critical aspect: extreme facial surgery. In an era of filters and unrealistic expectations imposed by social media, the pursuit of an idealized image can lead to demands that border on the disproportionate. "And the third is extreme facial surgery that alters your physiognomy to create a ridiculous or monstrous effect," the surgeon concludes.

Here, Dr. Saldaña's professional ethics prevail over the patient's wishes, prioritizing a harmonious and natural result that does not compromise the individual's facial identity or psychological health.