Can someone ruin their face without an accomplice? No. I lay a most of the blame at the foot of the provider, and I say provider rather than surgeon because of the glut of non-core specialist providing cosmetic care and the physician extenders that also provide this care.
For further explanation, a core–specialist is either a Facial Plastic Surgeon, a Plastic Surgeon, or a Dermatologist. These are the specialists that have achieved a level of expertise to appreciate the nuances of facial rejuvenation. Some core specialists use extenders that may be a ARNP or PA. These injectors might be well trained and supervised, however, the opposite can also be true.
There is a time that saying no to a celebrity or any patient for that matter is the right thing to say. As the caregiver, the professional needs to possess confidence in their decision making. They need to be able to refuse a procedure and stick to that decision.
Yes, there can be a seduction to having a famous person as a patient. You want to please them. But you just can’t allow them to convince you to do the wrong thing that leads to a bad outcome and distorts their appearance. It will ultimately make both the patient and provider look bad. Take Mama Elsa from the Real Housewives for example. Her providers simply couldn’t say NO, and too much material was added. A good plastic surgeon seeks to educate patients and help them make informed decisions, not give into their every whim without question.