Cosmetic Surgery in CA
In general, plastic surgery, which aims to restore body parts or to change them in order to look better, can be divided into three types of operations:
• Cosmetic surgery:
Mainly performed to enhance the patient's appearance and look.
• Plastic surgery:
Usually performed to treat birth defects and skin problems.
• Reconstructive surgery:
Usually performed on traumatic injury patients (war, accidents, etc.).
The surgery involves:
• Preparing the patient's skin and tissues
• Cutting and suturing.
Performance is done with special care to minimize scarring. Plastic surgeries continue to advance, thanks to the on-going development of modern and innovative instruments, materials for artificial limbs and body parts, and the development of better surgical techniques.
Benefits of cosmetic Surgery
• Correcting physical deformities or imperfection
• Psychological (emotional, social improvement).
Cosmetic surgery procedures
Usually, done on the face, to correct the patient's features. That includes:
• Nose remodeling (rhinoplasty)
• Breast re-shaping (mammoplasty)
• Eye lids (removal of skin excess)
• Hair transplant
• "Tummy tucks"
• Cleft lip (or palate), usually performed on children (facial deformity of the lip, usually the upper lip. Frequently associated with cleft tooth socket and cleft palate).
Techniques used in surgery
The techniques commonly used in plastic surgery:
• Incision.
• Excision.
• Chemosurgery.
• Electrosurgery.
• Laser surgery.
• Dermabrasion.
• Liposuction.
Psychological aspects, before surgery
Especially in Western societies, improvement or enhancement of the look is an important factor. Patients want to repair deformities, either born with or occurring after accidents, in order to overcome social rejection. Some patients, especially in the media industries (acting, politics, etc.), relate a higher level of importance to the need to enhance their look or correct deformities.
However, there are candidates who have unrealistic expectations about the results of the cosmetic procedures. In most of such cases, the surgery is unnecessary.
The surgeon, as well as the patient's physician, will discuss the psychological and emotional aspects with the candidate.
Precautions due to medical condition
Not every patient can be a good candidate for plastic surgery. It is vital that you consult with your physician. In general, the main groups at risk, in regards with undergoing plastic surgery, are:
• Patients recovering from a heart attack
• Patients recovering from serious illness
• Patients recovering from severe infection
• Patients with cancer, which might spread
• Patients extremely overweight
• Patients with blood clotting disorders
Preparing for cosmetic surgery
Apart from the psychological aspects, there are certain procedures involved in preparing for the plastic surgery:
• Patient's education: the surgeon meets with the patient, before taking a decision regarding operation, in order to explain the procedures and to ensure that the patient is well informed about the procedures and risks involved, and that he/she is realistic about the expected results.
• Surgeon's assessing the patients body involved in the surgery
o Skin grafts: the surgeon evaluates the patient's appropriate areas that match the destination
• The surgeon evaluates the proper placement of the cuts
• A physical examination, including:
o Blood and urine tests
o Testing for unexpected health problem
o Testing for problems in blood clotting disorders
o Checking possible conflict between medication that the patient may be taking and blood clotting or interaction with anesthetic
• The patient may be asked to donate his/her own blood in case transfusion is needed during operation.
• Patients are asked to avoid using certain medication (such as aspirin) 1-2 weeks before the surgery.
• Patients are asked to avoid smoking 1-2 weeks before the surgery.
After surgery
Plastic surgery aftercare starts with bringing the patient to a recovery room, and giving medication (pain killers or others) if needed.
Fat removal surgery may require staying in bed for 1-2 weeks.
Patients undergoing breast reconstruction may be required to stay in the hospital for about 1 week.
Patients may also be given antibiotics when they are sent home.
Risks
Though plastic surgeries are quite common, there are risks involved. Risks may include:
• Complications after surgery (which can occur with any operation under anesthesia), such as wound infection, pneumonia, internal bleeding and reaction to anesthesia.
• Pain, swelling, redness in the area of surgery
• Infections related to inserting a prosthesis
• Scar forming not as expected
• Anemia (with liposuction procedures)
• Skin graft rejection
• Some loss of feeling at the area of surgery
• Other complication, associated with technical problems (such as silicon leak)
More Antioch info...
Plastic Surgery News...
- When it comes to the aging eye area, going under the knife is no longer the only option. According to the American Academy of Facial and Plastic Surgery, surgeons are seeing a more educated patient who is interested in non-surgical options to obtain the best results.
- The Healthcare Commission has published a report – ‘Spotlight on Complaints’ – discussing the findings from over 10,000 complaints about NHS care that it independently reviewed between August 2006 and July 2007. Each year the NHS receives around 140,000 complaints, and the Commission reviews cases where the patient was unhappy with the response.
The report looks at the handling of complaints and common themes which trusts can learn from. Research suggests that 52% of complainants simply want either an apology, a better explanation or recognition of the event, therefore the Commission highlights the need for trusts to acknowledge errors and say sorry where necessary.
The following clinical themes are highlighted (taken directly from the press release):
• Hospitals – 30% deal with the fundamentals of nursing care, such as unmet personal hygiene needs, a lack of privacy when receiving intimate care, inadequate help with eating, and nurses being “abrupt” or “sharp”, making the patient feel they were a nuisance
• GP practices – 43% of complaints about GPs related to clinical treatment, with many patients saying their examination was of poor quality, often because it was so brief. A further 23% complained of failed or delayed diagnoses, with the condition involved usually cancer. Twenty percent were about GPs’ poor attitude to patients, including rudeness and neglecting to give full information about treatment because of fears that the patient “could not cope”
• Dental surgeries – 34% of complaints were about the quality of treatment. In many of these cases, inexperienced dentists underestimated the difficulty of the cases involved.
For further details please see the full report, which can be accessed via the link above.