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Chapter 1

Cosmetic Plastic Surgery


 

ARE FRESHNESS AND BEAUTY IMPORTANT?

STUDIES BY SOCIAL PSYCHOLOGISTS suggest that the physical appearance is one of the most important components in the initial appeal or attraction we have for other people. After the initial impression, however, other factors tend to replace appearance in determining the type of relationship that ultimately develops. An individual’s “self-image” is a major factor in determining his or her economic and psycho-social success in modern society. The perception of physical appearance is a major component of the self-image. One of the most visible and outstanding elements of attractive appearance is the face

Procedures

          Cosmetic surgery is a specialized area of plastic surgery in which surgeons correct undesirable physical features and turn back the clock on the physical signs of aging. It is a special-ized field pertaining to appearance (largely) rather than function; which is the reconstructive side of plastic surgery. Many plastic surgeons spent most of their training and time dealing with the reconstructive aspect of patient care. Some of us specialize solely in the cosmetic side of plastic surgery.
          Many people want to look better due to a personal desire for self-improvement. The quest for self-improvement and feeling better about oneself and thereby the ability to "put your best foot forward" is at the basis of the reason to have cosmetic plastic surgery. To achieve this, there are different procedures and combinations of procedures which enable the surgeon to create the artistry to allow you to see how it was designed for tailoring the results to your individual needs and desired goals. Most surgeons today plan with their patients for an improved look, eliminating undesirable features, while maintaining a natural appearance and enhancing good physical characteristics, even at an advanced age.
         Though many patients seek some ideal physical image, the goal of cosmetic surgery is improved appearance with a minimal amount of surgery and a short period of convalescence. Large changes can be made in the very structure of the face and, although these are available, they are rarely desirable for most patients. Most people do not want to look different; they, rather, want to look better.
          Your appearance is vital to a strong self-image. The reason for improving appearance, whether through cosmetic surgery, body sculpturing with liposuction procedures, breast enhancement, or nose correction, is to attain a more positive self-image. What could be more exciting than the apparent reversal of aging? There are thousands who are achieving just that and retaining the radiant look of youth. If you are already committed to a more youthful you, then you need to know the options to achieve it.
           People who are self-assured in their appearance are often better adjusted than those who are not. These same people also realize that having cosmetic surgery is a personal decision that will not only change the way others see them, it also influences the way they see themselves. People who have a positive image of themselves also have a positive image of others.

A Personal Decision
          The primary goal should be to maximize your vitality and youth. As part of this process, you should try to arrange to obtain whatever physical corrections are required to regain your most presentable physical appearance. Cosmetic surgery goes beyond the more conventional aspects of beauty, such as hairstyling, manicuring, skin care, diets, health spas, and clothing. It is the medically and surgically oriented extension of these methods to physically look better.
         In today's world, cosmetic surgery is no longer considered merely women's domain; frequently, men are also seeking to surgically improve their appearances. According to a report from the American Society of Plastic Surgery, there is a significant rise in the number of men having cosmetic surgery. Many males are having nose surgery (rhinoplasty), eyelid surgery (blepharoplasty), and even face lifts. There is also a marked increase in men having body fat removal surgery (liposuction). This increasing trend of men having cosmetic surgery will continue to rise, due to the growing population of older men who want to look revitalized and youthful.
         Most experts and statistics in the field of cosmetic surgery say that an increasing number of people who are neither affluent nor initially interested in self-improvement are now having cosmetic surgery. Some of these people are realizing that their jobs are at stake because they look too old for their positions. In these cases, it may simply be the desire to maintain a job that persuades people to have cosmetic surgery. Whatever the reason, economic or social, it is wise to find a qualified surgeon to perform your surgery, one who is highly experienced in this field.
          Know the qualifications of your surgeon. Ask specific questions about the doctor’s training. Is he or she board certified in Plastic Surgery? Does he or she have specialized training in the procedure you want performed? Does he or she have experience performing a given procedure? Does the surgeon have aesthetic taste compatible with yours? These questions can be answered through referrals by other patients and physicians. The Internet can be of great help. Beware of the surgeon who guarantees results, makes exaggerated claims, or reassures you by telling you that the end results are completely predictable, easy to achieve and without risk.
          You should feel comfortable talking to a doctor and feel that both pros and cons have been disclosed. You want someone who discusses postoperative convalescence and explains possible risks. Obtain a clear understanding of what can be achieved, as well as any limitations. In other words, choose a surgeon who communicates——not a salesman but an educator.

Where to Have Surgery
         Many cosmetic procedures can be performed in an office or outpatient operating suite that is equipped similar to a hospital facility. There are organizations (JCAHO and AAAASF are the largest) which accredit outpatient facilities to insure the highest standards of care. In some cases, depending on the procedure you are having performed, your surgeon may recommend that your surgery be performed in a hospital setting. Even procedures requiring general anesthesia and postoperative admission to the hospital can be performed in such outpatient settings. Among procedures best per-formed in a hospital are some forms of breast surgery, tummy tucks, and some types of liposuction. These procedures often require general anesthesia and possible hospitalization. Trust your surgeon’s judgment on this. Discuss all of your concerns. Hospitalization is possible for most procedures, but it may be more expensive than the surgeon’s surgical suite or outpatient facility. In many cases the cost for hospital based surgery may be partially covered by third party insurance policies and is the same as for office based surgery. Either way, hospital or doctor’s surgical unit, excellent results are possible.

The Range of Anesthesia
          Your personal physician decides what can be done without risk of further worsening your general condition. Most patients accept the risks once they are carefully explained and put into perspective. A full description of every possible complication is beyond the scope of this text, but risks specific to each procedure will be discussed in the appropriate sections of this book. Due to individual differences in healing, necessary revisions or "touch-ups" are occasionally needed and are usually provided without any remuneration to your surgeon. However, operating room and anesthetic costs my still be required should revisions be necessary.

Convalescence
          The period of convalescence depends upon the surgery performed. Written postoperative instructions are usually provided to guide you through the preoperative and postoperative periods. In the immediate postoperative period, strenuous physical activities are limited, though you can resume normal activities within a few days. Walking is usually permitted immediately even for the most involved of surgical procedures. Discomfort when doing some activity is a good factor to rely on as to how to limit activity depending upon the amount of bruising and the exact surgical procedure performed. The only caveat to this is a procedure (such as liposuction) where extensive procedures may be performed but for which there is very little discomfort afterward.
          You will be provided with a schedule of postoperative visits for the removal of dressings and sutures. Special arrangements can be made for out-of-town patients; convalescent facilities are usually available for patients who do not live in the area or who simply wish to spend a few days away from their families after surgery.
          With any surgery involving incisions, scarring is the natural end of the healing process. Care is taken to place incisions in natural skin creases or folds, along inconspicuous areas (such as the hair-bearing scalp) so that they are barely visible when the healing process is completed. The incision may be pink for several weeks but is easily camouflaged after suture removal. Complete maturation of the surgical area takes several months, though in most cases after one or two weeks, with makeup, the patient looks good enough to go out in public. The surgeon’s office staff will usually submit the insurance claim forms and documents to your insurance company for payment should the procedure be covered.

Careful Consultation
          At the time of your consultation visit with the surgeon, you must explain what it is you want to achieve through surgery. At this point the surgeon may explain the extent of your surgery and carefully define what is involved. Sometimes patients are unclear as to what they really want or perhaps have a goal that cannot be realistically achieved. This first visit helps to clarify any doubts you may have.
          Remember, you have the right to look your best and to seek the kind of medical help that will provide good results. Take the time to determine for yourself what it is you want to achieve in the area of plastic surgery; then find the best person and place to do it. The results of any cosmetic surgery will remain with you, perhaps a lifetime, so make every effort to get the best.