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I have four very basic simple rules. First and foremost the procedure has to be safe. The second rule is that it has got to be effective. It needs to make a significant difference or we should not be doing the procedure. The third rule is that it is got to look natural. Good cosmetic surgery is surgery that enhances the way a patient looks, but does not call attention to it self. In the fourth rule, which is always the good is if this was a member of my family, what would I be telling them, that makes all my decision making really simple. Let’s review Dr. Newman’s four basic rules: Maintain patient’s safety. Achieve significant difference in appearance. Gain natural looking results while being valued as a precious family member. Good cosmetic surgery is surgery that enhances the way an individual looks that restores youthful looks, that restores a healthier, better rested individual without calling attention to it self.