[Callaway:] The answer now to that question that we asked you earlier? What was the most popular type of plastic surgery last year? If you said nose job, you're right. According to the American Society of Plastic Surgeons, more than 350,000 people had that surgery done in the year 2003. Television shows like "Extreme Makeover" and "The Swan", they have more and more people thinking about cosmetic surgery. But fixing the telltale signs of aging, or just fixing up, can go far beyond just a person's face. You wouldn't believe the two in surgeries available for you out there. On the two things that are a dead give away on your age, your voice and your hands. Joining us now to give us some expert advice on it is Dr. Michael Wojtanowski. A plastic surgeon at the famed Cleveland Clinic. Thank you for being with us today.
[Dr. Michael Wojtanowski, Plastic Surgeon:] Good morning.
[Callaway:] First, I want to talk about these television shows for a moment and get your thoughts on how these surgeries are portrayed on television. You see these massive amounts of plastic surgery being done on one person. Have you or would you ever do that much surgery on one person?
[Wojtanowski:] I think the answer to that is no. I think most patients have maybe one or two features that may be in issue. But multiple procedures like they do on some of these shows are a little bit unrealistic, I think.
[Callaway:] Does it make people think that surgery because, you know, all the pain is edited out and they take a four-week process and cut it down to 15 minutes. It's a timely recovery, isn't it?
[Wojtanowski:] Absolutely.
[Callaway:] And painful? Tell us about that.
[Wojtanowski:] Absolutely. I think there is a little bit of misrepresentation. The shows are certainly positive in that they bring plastic surgery to the common man and let you know what's available. But there is some misrepresentation about all that goes in between the before and after in terms of the anesthesia, the risk, the healing involved, the pain involved, the bruising and the swelling. It's important for that to be discussed with patients in detail.
[Callaway:] But come on, Doctor Wojtanowski, I know you got to love these shows. Because surely business is up for you.
[Wojtanowski:] Absolutely. The shows are great. They've educated the public as to what we, as plastic surgeons, have available. I think people sit there and they look at these shows and say, maybe I don't want to have 10 operations, but maybe I can have one. Maybe one will help me out. That's where the shows have been beneficial.
[Callaway:] Do you think you're going to get more people coming in saying, I just saw a lady have this, this and this done, I want it done myself. What do you say to them?
[Wojtanowski:] Most patients, believe it or not, are very realistic. I use the analogy of patients of an apple and an orange. We're not trying to make an apple and make it an orange, we're trying to take an apple and polish and make it better apple.
[Callaway:] Right?
[Wojtanowski:] That is what we should do when we approach this.
[Callaway:] OK, yeah, yeah, but I know you get some people in there with low self-esteem. Surely, you have to suggest to them that they perhaps need to get some counseling before they assume that having a face lift is going to make them suddenly beautiful.
[Wojtanowski:] Absolutely. Our job is to be the gatekeeper. We're supposed to analyze patients properly and make sure they have realistic expectations and perform the right procedures for them. That's our duty as plastic surgeons, you bet.
[Callaway:] All right, we're going to talk quickly about the two things that we mentioned at the beginning. This surgery now to make your hands look younger, that's one I would have to say, I can see all the things I've done outside, having horses and playing tennis, and all that. It is terrible on your hands. What in the world can they do for that? And is that risky or painful?
[Wojtanowski:] There are basically three things that happen to the hands. They lose the volume so you can see the veins and arteries. The skin gets pigmentation. Can you take care of the pigmentation and changes in the skin with micro-peeling procedures.
[Callaway:] Ouch!
[Wojtanowski:] You can put some fat in the hands to cover up the veins. You can also do a little operation called a hand lift, where the skin if it's a little bit saggy can be treated a little bit better.
[Callaway:] Can you show us on your hand where that surgery would be? Where you would do the surgery on your hand? Where would the how do you do a lift on your hand?
[Wojtanowski:] There is a small incision on the top of the wrist, sort of below where the cuff comes down to a blouse or shirt. The other surgeries are done with needles and injections so there are no incisions for the fat injection processes. And certainly the chemical peeling processes don't have incisions.
[Callaway:] We mentioned the voice. I can't believe people actually have their voice altered. I guess if your voice is kind of wobbly or coarse, it is a giveaway on your age, right?
[Wojtanowski:] There is a relatively new procedure that is performed by Ear, Nose & Throat surgeons, where they take vocal chords which have lost their tone, their plumpness from youth and plumb them up a little bit, usually with a fat or a collagen injection to make them more youthful and transferring that into a more youthful voice.
[Callaway:] What will they think of next?
[Wojtanowski:] Who knows!
[Callaway:] All right, Doctor Wojtanowski, thank you very much for being with us this morning.
[Wojtanowski:] Thank you. You bet.
[San Miguel:] Well, there's been much debate about how women are portrayed in popular music. We'd like your thoughts on this topic. E-mail us at wam w-a-m @cnn.com, and we'll share some later this hour. Also ahead is "HOUSE CALL WITH DR. SANJAY GUPTA." It's going to highlight the process of organ donation. We'll be right back.