Looking good is sometimes more important at this age than long-term health problems. Maintenance is also a hard thing to sell. I have some people who are constantly looking for an end to the problem - a solution that is lasting. It is a problem with any chronic condition to understand that this is for life. At this point in time we do not have a good solution.
Surgery can bring bigger problems with it.
We try to make it quite clear that this can be done but frequently it brings on more problems. Surgery is not a one-time solution that will take away the problem. I encourage people to take care of their condition as much as possible so that if something does come along they can take advantage of it. If you get to the point where your skin has changed and the tissue is fibrous and woody when something comes along you will be less likely to be able to take advantage of it. Many patients appreciate having different treatment options to consider.