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 Anaheim info...
Plastic Surgery News...
- NICE has issued a Final Appraisal Determination (FAD) on coronary artery stents for ischaemic heart disease. The appeal period for this appraisal will close on 15 February 2008.
The preliminary recommendations are that drug-eluting stents (DES) are recommended for use in percutaneous coronary intervention for the treatment of coronary artery disease, within their instructions for use, only if the target artery to be treated has less than a 3mm calibre or the lesion is longer than 15mm, and the price difference between DES and bare-metal stents is no more than £300.
The FAD notes that following data published in 2006, the FDA’s Circulatory Devices Systems Advisory Panel had recommended that the duration of clopidogrel use should be extended in patients receiving a DES. In addition, the American College of Cardiologists/American Heart Association PCI guidelines (also endorsed by the Society for Cardiovascular Angiography Interventions and the British Cardiovascular Intervention Society) have recommended that for patients receiving DES, the duration of clopidogrel use should be increased to at least 12 months, after which time continuation of clopidogrel should be reviewed taking into account the risk for further events on an individual patient basis.
- In October 2001, letters containing anthrax spores were mailed to several news media offices and two U.S. senators, killing five people and infecting 17 others. Clearing the Senate office building of the spores with chlorine dioxide gas cost $27 million, according to the Government Accountability Office.