Dr. Asheesh Dhingra — MBBS, MS, MCh

Board Certified Plastic Surgeon

Thoughts & Ideas

A few reflections from my practice — on beauty, balance, and the philosophies that quietly shape how I think about surgery, patients, and life outside the operating room.

Pit Stops, Not Breakdowns: What Formula 1 Teaches Us About Lasting Beauty

Living well often looks a lot like driving a Formula 1 car — momentum, ambition, and the constant urge to stay ahead. But no car on that track, however fast, finishes the race without a pit stop. The best teams don’t treat that pause as a weakness; they treat it as strategy.

Our own lives run on the same logic. Between work, family, and the pressure to always look and feel capable, it’s easy to keep pushing without ever pulling in for maintenance — until fatigue, burnout, or a quiet loss of confidence catches up. In cosmetic and wellness care, that pit stop might be a skin treatment, a considered surgical step, or simply time set aside to recover. The goal was never to cross the finish line at any cost — it’s to keep the engine sound long enough to enjoy the whole drive.

Formula 1 pit stop philosophy in aesthetics
Lagom philosophy in cosmetic surgery

Lagom: The Swedish Idea of “Just Enough”

Lagom is a Swedish word with no direct English equivalent — it means something closer to “not too little, not too much, just right.” I find it describes good cosmetic surgery better than almost any clinical term does. The best results are rarely the most dramatic ones; they’re the ones that sit so naturally on a person that nobody can quite name what changed.

That’s the standard I hold my own work to — small, considered adjustments that respect a person’s existing features rather than override them. The aim isn’t to build a new face or body from scratch. It’s to help patients recognise themselves again, only a little more at ease with what they see. Refinement over reinvention, always.

Ikigai: Finding Purpose Through Appearance

Ikigai is a Japanese concept often translated as “a reason for being” — the quiet sense of purpose that gets a person out of bed each morning. For many of my patients, how they look and how they show up in the world are more connected than they’d expect. When the two are out of sync, it shows in more than just the mirror.

Where cosmetic surgery and ikigai genuinely intersect is when a procedure removes a distraction that’s been standing between a person and their own sense of purpose — not vanity for its own sake, but one less obstacle between who someone is and how they present themselves to the world.

Ikigai and sense of purpose
Wabi-sabi philosophy in cosmetic surgery

Wabi-Sabi: Making Peace With Imperfection

Wabi-sabi is a Japanese aesthetic that finds beauty in imperfection, impermanence, and the unpolished. It’s an unusual lens to bring into a surgeon’s practice, but it’s one I return to often when guiding patients toward realistic, sustainable expectations:

  • Working with, not against, nature: enhancing a feature honestly rather than chasing a version of “flawless” that doesn’t actually exist.
  • Restraint as a skill: favouring subtle, well-judged changes over transformations designed to impress rather than to last.
  • Well-being over a single result: treating each procedure as part of someone’s longer relationship with their own body, not a one-time fix.

On the Clock: A Surgeon’s Relationship With Time

Surgeons rarely talk publicly about operating time, but I track mine closely, and I think every surgeon should. It isn’t about racing through a case — it’s about what a well-timed, well-rehearsed procedure says about safety and skill:

  • Efficiency: a smooth workflow means fewer avoidable delays in the OR.
  • Patient safety: shorter, well-controlled operating times are consistently linked to fewer complications.
  • Cost: tighter surgical time keeps the overall cost of care more reasonable.
  • Sharper decisions: reviewing my own timing helps me refine technique case over case.
  • Growth: tracking performance is simply part of taking the craft seriously.
Timing and precision in surgery
Focus and concentration during surgery

Staying Present: How Surgeons Hold Focus in the OR

Patients often ask how a surgeon stays sharp through a long procedure. There’s no single trick — it’s a stack of small habits built over years:

  1. Preparation before the first incision — most of the “focus” is decided the night before.
  2. Mental rehearsal — running through each step in my head before I ever pick up an instrument.
  3. Checklists and protocol — removing guesswork so attention goes where it matters.
  4. A team I trust — shared responsibility keeps any one person from carrying too much at once.
  5. Breathing and presence — staying in the current step, not the next one.
  6. Muscle memory — years of repetition that free up conscious attention for judgment calls.
  7. A quiet room — controlling the OR environment so nothing competes for focus.
  8. Rest and hydration — unglamorous, but non-negotiable.
  9. Short mental resets — brief pauses during longer procedures.
  10. Staying a student — new techniques keep old habits from going stale.

Why I Still Travel for Conferences

Flying across the world for a few days of lectures can look excessive from the outside. In practice, it’s one of the better investments a surgeon can make:

  1. Learning never really stops — not when the work involves other people’s bodies and confidence.
  2. Real conversations with peers — the kind of exchange that doesn’t happen over email.
  3. Seeing new technique early — often years before it’s common practice at home.
  4. Room to think — distance from the clinic to reconsider goals and direction.
  5. A genuine reset — a break from routine that sends me back sharper, not further behind.
Medical conferences and continued learning
Hygge and self-care through aesthetics

Hygge: Comfort as a Form of Self-Care

Hygge, the Danish idea of cosy, unhurried contentment, doesn’t sound like it belongs in a conversation about cosmetic surgery. But at its core, hygge is about feeling at ease in your own space — and for many patients, feeling at ease in their own skin is exactly what they’re looking for.

Some procedures aren’t about chasing a new look at all — they’re about removing a small, persistent discomfort so a person can simply relax into themselves again. That, to me, is self-care in its most practical form: less about indulgence, more about quietly being comfortable being you.