Cosmetic Surgery

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Tummy Tucks and Breast Implants

Kinds of Cosmetic Surgery

Cosmetic surgery is very popular in the United States and throughout Europe, especially for those often in the public eye, like actresses and models. You may know about some of the more traditional procedures, but cosmetic surgery, also called plastic surgery can help to achieve a variety of different looks all over a person’s body. Before you go under the knife, learn about the different kinds of cosmetic surgery and how it can help you.

First and foremost, there are the types of plastic surgery that everyone talks about. At the top of that lift is the breast implants. The technical name for this procedure is mastopexy, and is helps people—mostly women—lift and reshape their breasts. This sometimes goes hand in hand with a mammaplasty, which is enlarging the breasts by inserting saline or silicone gel pieces under the skin. Another popular form of cosmetic surgery is the rhinoplasty, which is otherwise known as the nose job. Tummy tucks, technically called abdominplasty, are common too.

There are also some less well-known cosmetic surgeries that people have every day, including ones to change a person’s sexual organs. Other less common cosmetic surgeries inclue buttock augmentation (enhancement of the buttocks), chin and cheek augmentations (enhancements around the face), rhytidectomy (face lifts), and otoplasty (reshaping of the ear). In most cases, these surgeries are done purely for cosmetic reasons—hence the name cosmetic surgery.

Liposuction, or suction-assisted lipectomy, is classified as yet another kind of plastic surgery. In this procedure, the surgeon removes fat from a person’s body. On the other hand, collagen, fat, and tissue filler injections are another kind of plastic surgery that adds fat to a small area of your body where it may be lacking. Chemical peels are probably the least drastic of the cosmetic surgeries you can receive. A chemical peel is meant to reduce acne, scars, wrinkles, freckles, and age spots by applying a layer of acid to your face and allowing the top layer of your skin to peel and form fresh new skin.

Before considering any of these cosmetic surgeries, talk to your doctor. Not all cosmetic surgeries are safe or will work for all people, and there are some real horror stories of patients who have had failed surgeries. Most of the time, surgeries work, but in the end, surgery is always a risk. Only you can decide if your looks are worth that risk.

The Nose Knows Best: Rhinoplasty

In the world of cosmetic surgery, you can fix everything from your eyelids to your breast. In fast, no part of your body is safe! Of course, most of the time, cosmetic surgery is done for cosmetic reasons only—hence the name—but it can also help to improve the quality of your life in other ways. If you are considering plastic surgery, the key is to learn are much as possible about the process so that you are fully aware of the procedure and can make the best decision possible for your health. One of the most popular kinds of cosmetic surgeries that you can try is rhinoplasty, otherwise known as the nose job.

Rhinoplasty has a long history and was first performed around 500 BC by a man names Susrutha, who is considered to be the father of plastic surgery. Many of the same procedures he used are still used today. The first rhinoplasty was done in the western world in the late 1800s. Today, it is done all over the world with great success.

The surgery starts with general or local anesthetic, depending on what the doctor and patient prefer. Once the area is numbed and the patient is asleep, the surgeon makes tiny incisions inside the nostrils. The cartilage and bone in the nose are then reshaped according to the patient’s preferences. This is done to improve both the look of the nose and the ability to breath. If preferred, a straight septoplasty can be preferred. This is when the bone and cartilage is changed just to improve breathing, but not to improve the cosmetic look of the face.

Rhinoplasty surgeries are very common in the entertainment industries. Perhaps the best known nose jobs in the world include Michael Jackson’s surgery; His sisters Janet and La Toya Jackson also got nose jobs. Jennifer Grey, the star of the movie Dirty Dancing also got a nose job that is highly infamous in the world of plastic surgery.

As with all plastic surgeries, there are a variety of things that could potentially go wrong with a nose job. They are simply not for everyone. Before you approach plastic surgeons regarding your nose, you should consider if the high cost, pain, and risk are worth the end results. In some cases, a rhinoplasty can be a great thing, but they do not work for everyone. In any case, talk to your doctor about the procedure and the risks involved so you can carefully make the best decisions regarding the look of your nose.

Questions to Ask Your Doctor

When you are interested in cosmetic surgery, also called plastic surgery, you should see a number of doctors in order to choose the one that is right for you. A crucial part of the process is the consultation. During this initial contact with the person who will eventually sculpt your new face, you should ask a number of questions. It is important to learn about every aspect of your surgery so that you are well prepared. You can never ask too many questions!

First, ask your doctor to give you a timeline. You don’t have to talk about specific dates. In fact, that’s something you can work out with the secretary later. What you should talk about is how many hours the procedure will take, how many days you will need to recover, and when you will have to come into the office before and after the surgery for appointments. Most doctors like you to come in again once or twice before the surgery to plan out specifically and exactly what will be done. After the surgery, which is take a varying amount of time depending on the work to be done, you will usually need at least a week to recover. For more extensive procedures, it will be longer. Doctors usually like one check up to make sure everything is going ok, and after that it will be up to the specific doctor. It is important to ask for this kind of timeline so that you know when you can return to work and when you have to schedule visits to the office.

You should also ask about pain. Some it this will be difficult for every person, but certain procedures are more painful than others. If you are worried about pain, ask your doctor what can be done about is and if you’ll need prescriptions to handle the pain. If you will, you should check with your insurance company to see if they are covered.

Another good question to ask is how you will look at the end. Most doctors have computers that can show you an image of the progress that will be made. You’ll take a photograph of your body and the area in question, and a doctor will enhance it using the computer. You should be able to clearly see the changes you want.

Make sure that all of your questions are addressed during the initial consultation. Before you leave, ask the secretary for specifics on when you could have the procedure done and how much it will cost. Write down the answers to all of your questions so that you can compared doctors easily when you are at home and choose the best one for your cosmetic surgery.

Lifting Your Spirits—and Your Face!

Facelifts are one of the most common cosmetic surgeries available to the public, with thousands done every year in the United States alone. As we age, the skin on our faces loosens and wrinkles. That is simple a fact of life. For those who are aging less gracefully than others, a face lift can be done. Talk to a cosmetic surgeon today to learn how a face lift can work for you. Most frequently, face lifts are done in conjunction with other types of cosmetic surgeries.

Facelifts cannot stop you from aging. Once you have a facelift, your skin will still continue to age, so you may not see the results you hope for. This is not your doctor’s fault—this is life. Medicine can only do so much to improve our looks. At your initial consultation, your doctor will go over how the face lift will work for you and talk to you about the results you will see. In most cases, you will be able to see a digitally enhanced version of your face as it will appear after surgery. Make sure that your doctor answers all of your questions.

The actual face lift begins with a few small incisions—at the temple near the hairline, below the earlobe, and behind the ear in the hair. The muscles and sagging tissues in your face will be tightened and excess skin will be removed. The result is a lifted face, hence the name. Your doctor will then stitch the incisions. In some cases, small inquisitions will be made used the chin as well to lift the neck.

Facelifts usually take about two to three hours to complete and can be done in a hospital or in your doctor’s surgical office suite. An anesthesiologist will provide either light sedation or deep sedation, depending on your preference, and in most cases, you can return home that day night. The amount of pain you will experience depends on the amount of cosmetic surgery being done, and this also affects the amounts of swelling you will see and recovery time.

Remember that a face lift is still a surgery, even though they are usually done casually in the United States. There are still very real risks involved, and you will need at least two weeks to fully recover. Face lifts are not for everyone, including people who have health risks. The best candidates are those with good skin elasticity, non smokers, and those who have taken the time to think through the process and expect realistic results.

Kinds of Chemical Peels

Chemical peels fall under the classification of cosmetic surgery because they use dangerous chemical solutions to cause the skin to blister and peel. Why would anyone want that kind of a surgery? In the end, the new skin grows back to be less wrinkled or blemished, so it is a procedure that many aging women prefer. Although some chemical peels can be purchased and done by almost anyone, it is preferable to get your chemical peel done by a professional plastic surgeon or dermatologist to make sure everything stays safe and your skin ends up looking the best it possibly can. There are a few different types of chemical peels.

One of the most popular kinds of chemical peels is know as an AHA Peel, or an alpha hydroxyl acid peel. This is the mildest form of the chemical peels and works by using carboxylic acids, like the glycolic acids found in sugar cane or lactic acid, found in sour milk. Many people use this kind of acid mixed with facial wash or creams in lesser-concentrated forms as part of a daily skin care plan. When you use this acid in its concentrated form, is can reduce fine lines and uneven coloring, smooth rough and dry skin, improve your skin’s texture, and help battle acne. You may need multiple treatments to get the results you desire, and after each treatment, you’ll experience stinging, redness, and mild irritation for a few days.

Another popular kind of chemical peel is the tricholroacetic acid peel, in which the chemical is much stronger than in an AHA peel. Usually, concentrations of 20% to 50% are used, with concentrations above 35% being most rare because there is the risk of scarring. This kind of a chemical peel is used for smoothing fine lines, removing blemishes, and correcting skin discoloration, especially for this with darker skin pigmentation. As with the AHA peel, the treatment takes several days to heal, and you must use special care with skin products to maintain the results.

The strongest type of chemical peel is the phenol/croton oil chemical peel. The improvements on a patient’s skin when using this type of a chemical peel are drastic and long lasting in most cases, and a single treatment is all you need to get the effects you want usually. This type of chemical peel smoothes out deep wrinkles, removes precancerous growths and blemishes, and corrects any kind of blotches on the skin related to sun exposure or aging. It also permanent removes freckles in some cases and has been known to permanently lighten the skin. Because this procedure is so drastic, you’ll need protection from the sun for the rest of your will have to allow for several months for it to heal.

There are other kinds of chemical peels available as well. Talk to your dermatologist or a cosmetic surgeon if you are interested in learning more about how these chemical peels can work for you and your skin.

Is Plastic Surgery Right for You?

Cosmetic surgery, which is sometimes known as plastic surgery is a craze that has been sweeping the nation—and the world—for many years. There are both advantages and disadvantages to cosmetic surgery, which you must consider carefully before deciding if it is right for you. Cosmetic surgery can be very successful, but it is not for everyone. Is cosmetic surgery right for you? That is a question that only you, along with a medical professional, can answer.

First, consider the reasons why you are getting cosmetic surgery. In most cases, the main reason simple is to look better, hence the name cosmetic surgery. Many people think that the term plastic surgery implies that you are fake and somehow made of plastic. However, the term really comes from the Greek word meaning to reshape, and it have no connection to the word plastic that means the material. That said, some people believe that plastic surgery gives you an unnatural appearance. This can be true or false, depending on the surgery being done. Plastic surgery can also help to clear up other health problems as well, although this is not as common.

If you are considering plastic surgery for cosmetic reasons, you should first consider how severe your specific problems are. Do you feel embarrassed to interact with other people? Is your appearance causing you to avoid social situations? In these cases, plastic surgery should be able to help you. However, if you are simply worried about small things that have little effect on your daily life, like a bump on your nose, you may be able to save money and not put your health at risk by learning to accept the bump and live with it. On the other hand, if you were in a major accident and your face was disfigured, you might not want to leave your house unless you go through with plastic surgery. Think about the process carefully before deciding. This is different for every person, but consider your options wisely.

Money is another thing you should consider. Most types of plastic surgery are not covered by insurance, which means that you’ll have to pay for them out of pocket. In some cases, some of the costs may be covered, but you will usually have to pay thousands of dollars out of pocket for plastic surgery. If this isn’t possible for you, plastic surgery may not be the answer.

Finally, it is important to talk to your doctor about the health risks involved. For example, with breast implants, you run the risk of infection or your body rejecting the foreign object and attacking it. This can happen with any kind of plastic surgery where you use inorganic material to improve the shape of your body. If you are truly interested in plastic surgery, it is important to learn about all of the risks before you go through with the procedure.

Is Abdominoplasty the Answer?

Cosmetic surgery is very popular in the United States to help a person improve his or her looks. One type of procedure you can get is the abdominoplasty. This cosmetic surgery is also known as a tummy tuck and works by removing excess fat and skin around the abdomen in order to tighten the muscles in this area. Women are most commonly the patients for this kind of surgery, and it is usually recommended only when diet and exercise do not work. It can also be used in some cases to remove excess skin, which is common around the abdomen in the case of a huge weight loss.

There are a number of different ways to go about this procedure. First, with a complete abdominoplasty, the doctor makes an incision completely across the lower abdomen, cuts around the navel, and detaches the skin for the abdominal wall. Your muscles are then tightened and excess skin is removed. A new hole is cute for the navel, and your skin is basically stitched back in place to heal. This can turn into an extended abdominoplasty, which is when the same procedure is done and then repeated on the thighs or back.

You can also combine abdominoplasty with liposuction, which removes fatty deposits in the body. This is very common. If you’ve already lost the weight, another choice is a partial abdominoplasty, which removes the excess apron of skin you have from when you were larger.

Before deciding to go with this procedure, realize that recover takes anywhere from two to four weeks, and much of that time you should not go in to work. You should also not do any kind of exercising or heavily lifting until you are healed, and smoking is not advised, because it creates a high risk for complications. Also, you should consider the high cost of tummy tucks. In the United States, partial procedures start at about $4,000, with full procedures costing even more. This does not take into account the prescriptions and follow up care you may need. The cost rises as you near larger cities like Los Angeles and New York, and if you want a surgeon at the head of this field, you can pay as much as $20,000 for this kind of a procedure. It’s not recommended for everyone, but you may be able to get some real results. If you are interested in an abdominoplasty, talk to a health care provider today.

Cosmetic Surgery for a Cleft Lip and Palate

One of the most saddening congenital deformities affecting children all over the world is the clef lip and palate. Thanks to modern technology, we can now fix these problems with cosmetic and reconstructive surgery, but in third world countries, many children still go without this kind of help. A cleft is a separation in the body’s natural structure, and is caused on the face during gestation. A cleft lip and palate occur in about one in 600 to 800 births and are also called hare lip.

There are three different types of cleft lip. The unilateral incomplete cleft lip looks like a dent in the upper lip that does not reach the nose. It is also sometimes called a partial or incomplete cleft. If the dent reaches one nostril the cleft lip is known as a unilateral complete cleft. If it reaches to both nostrils, it is known as a bilateral complete cleft lip. If this does not extend into the mouth, cosmetic surgery is what is needed to fix the condition.

A cleft palate is a bit more of a serious condition. In this case, the two plates that form the skill in the hard palate, or roof of the mouth, do not completely join. Again, there are three kinds of cleft palates. The incomplete cleft palate is only a problem within the mouth and does not reach the nose. The complete lip and palate clefs reach the nostrils and are either unilateral (reaching one nostril) or bilateral (both nostrils). If this occurs, a combination of surgeries is needed to fix the problem. Usually, surgery can be done immediately after birth, but most doctors prefer to wait until the baby is ten weeks old so that he or she has time to recover from the birthing process itself.

Cleft lips and palates form due to both genetic and environmental factors. They are most prevalent in Asian, Latino, and Native American races, but can affect any child. Cosmetic surgery can really help these babies. Not only will it form a more normal-looking face, but it will also help with the various speech problems a child will have if trying to learn to speak with a cleft lip and palate.

If your baby has a clef lip or palate, you should talk to your doctor about the options available to you. In most cases, this surgery can be covered by your medical insurance, and it is definitely a good idea to help your child. Many successful people were born with cleft lips and palates, so surgery can really help.

Choosing your Cosmetic Surgeon

You wouldn’t let just anyone repair a burst appendix, do a heart transplant, or operate on your brain; don’t let just anyone be your cosmetic surgeon either. Although a nose job or tummy tuck may be a bit less complicated than brain surgery, it is still surgery and there still is the very real possibility that you could die on the operating table. You can be rest assured that this is very rare, but it is much more likely if you don’t work with a complete professional. More common are botched surgeries where you come out looking worse than when you went it. The bottom line is that you are paying a lot of money and putting your health in the hands of a stranger. It is important to take some time to pick the right person for the job.

Before you even begin to think about scheduling consultations, you should visit surgeons’ websites and talk to other patients. If you know friends who have had surgery by a certain doctor, ask what was good and what was bad about the process with that particular doctor. A website can give you a doctor’s bio as well as before and after shots. You should narrow down your list to three or four people who are highly qualified, with a top choices, a second pick, and one or two to be left on your list in case your first two choices do not work out.

Next, you should ask for a consultation. Almost all doctors charge a consultation fee of around $100, but most only ask for this single fee even if you come back with more questions later. If you use that doctor, some apply the consultation fee to the total fee of the procedure. Every doctor is different.

Even if you love the first doctor you visit, you should ask for a second opinion, especially if you’ve never had plastic surgery before. Plastic surgeons are like artists, and each will try to give you the look you want. You may think you love the first doctor…until you see someone else’s ideas! If your top two choices are highly qualified, you can avoid more consultation fees by choosing between them. If neither suits your needs, you can see more doctors. Remember, don’t settle for a doctor unless he or she is exactly what you want. You have to live with how you look after the surgery, so choose the perfect doctor to avoid anything going wrong with the process.

All Eyes on You: Blepharoplasty

Blepharoplasty is commonly known as eyelid surgery and is one of the most common cosmetic surgeries in the United States. This procedures help to remove excess fat, tissue, and skin from around the upper and lower eyelids to correct the drooping and puffiness that can make you look older. Contrary to popular belief, it will not remove wrinkles like crow’s feet, lift your brows, or correct dark circles. Eyelid surgery also will not make you look like another heritage, so it can be used to correct Asian eyes but will not remove evidence that a person is Asian. Usually, eyelid surgery is done in conjunction with other surgeries, like face lifts and brow lifts.

Like all other forms of cosmetic surgery, there are risks involved with eyelid surgery. The most common side effects include blurred vision for a few days and temporary swelling. However, the real dangers come with the risk of complications during the surgery with the anesthesia or after the surgery with infection. While major problems are rare, you should still talk to your cosmetic surgeon to make sure that you understand these risks before you choose to have this surgery preformed.

Before your surgery, you will have at least one or two consultations with the doctor. He or she will discuss with you how the surgery will work and what results you can expect. In most cases, you will be able to see a digitally enhanced picture of yourself after the surgery so that you and your doctor can be on the same page as to what you want. Before the surgery, you will also be given direction about what you can eat and drink the day of your surgery, and you should also be prepared with a driver to take you home after the surgery and to help you for a few days while your vision may still be blurry.

The first step of your surgery is to receive anesthesia, and you and your doctor can choose whether to have local or general. The surgery itself will most likely be done in the doctor’s surgical suite, but you can also have it done at a hospital if you’d like. It will take one to four hours, depending on your specific needs. The cosmetic surgeon will start by making tiny cuts around your eyes to separate the skin for the fat underneath. Excess substance will be removed and the incisions will then be carefully closed. Your eyelids may feel tight and sore afterwards, but in a few days, you should feel a lot better and the results are fantastic.

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  • According to the American Academy of Cosmetic Surgery in Chicago, nearly 170,000 Americans, men and women, underwent laser resurfacing of the face in 1998, up from 138,891 in 1996--a 64 percent increase.<a href="#hdng0">(More...)</a>

  • Whether it is cosmetic or reconstructive, all surgery carries uncertainty and risk.<a href="#hdng1">(More...)</a>



<a name="hdng0"></a>According to the American Academy of Cosmetic Surgery in Chicago, nearly 170,000 Americans, men and women, underwent laser resurfacing of the face in 1998, up from 138,891 in 1996--a 64 percent increase. That's nearly twice the number of the more traditional surgical facelifts performed in the same year. <a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

Psychological Aspects of Plastic Surgery (Copyright " ASPS) <a href="http://www.plasticsurgery.org/public_education/procedures/psychological_aspects.cfm">Psychological Aspects of Plastic Surgery opnbrktCopyright �� ASPSclsbrkt</a> - This concise publication will provide information on proper and improper candidates for cosmetic surgery, plastic surgery for children, timing your surgery, adjusting to the change, coping with post-operative depression as well as handling critics.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Cosmetic surgery: What to know beforehand (Copyright " MFMER) <a href="http://www.mayoclinic.com/health/cosmetic-surgery/SN00006">Cosmetic surgery: What to know beforehand opnbrktCopyright �� MFMERclsbrkt</a> - This publication provides information on whether or not cosmetic surgery is right for you. It explains what the risks are, how to find a qualified surgeon, and what to expect from the consultation.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a>

Getting cosmetic surgery can make BDD worse. They are often not happy with the outcome of the surgery. If they are, they may start to focus attention on another body area and become preoccupied trying to fix the new "defect." Some patients with BDD become angry at the surgeon for making their appearance worse and may even become violent towards the surgeon.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a>

Infection with rapidly growing, nontuberculous mycobacteria should be considered in patients who have undergone cosmetic surgery procedures in DR and who subsequently have surgical-site infections that fail to respond to standard therapy.<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank" [3]</a> In April 2004, CDC received reports of infections caused by rapidly growing mycobacteria in patients who had undergone cosmetic surgery procedures in Santo Domingo, Dominican Republic (DR).<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank" [3]</a> Rapidly growing mycobacteria have been associated with postoperative infections in patients undergoing cosmetic surgery procedures ( 1 1, 2 2 ).<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank" [3]</a> Cases of mycobacterial subcutaneous infections after cosmetic surgery procedures undergone since May 2003 in DR should be reported through state and local health departments to CDC, telephone 800-893-0485.<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank" [3]</a>

Cosmetic surgery has become a growth industry and a public obsession. The demand for the top three procedures in the United States grew by 26% between 1999 and 2000, and this growth is mirrored in the United Kingdom. 1 1 The public perception of cosmetic surgery is that it is quick and easy.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a> Rohrich R. The increasing popularity of cosmetic surgery procedures: a look at statistics in plastic surgery.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a> The suggestion that surgeons already practising cosmetic surgery should be allowed to continue was strongly opposed by the profession as it would permit surgeons who are unqualified to remain in practice possibly for decades. Despite these representations the Department of Health has now brought forward muted proposals, which demand only that surgeons be medically qualified and have attended some postgraduate courses.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a>

To learn more about cosmetic surgery, visit the American Society of Plastic Surgeons.<a href="http://www.healthfinder.gov/news/newsstory.asp?docID=606746" TARGET="_blank" [5]</a>

As we understand from the materials you have provided, PSAC has been formed as a for-profit corporation under the Connecticut Limited Liability Company Act to contract with HMOs, employers, primary care IPAs, PHOs and other payers to provide plastic and reconstructive surgery, cosmetic surgery, maxillofacial surgery, surgery of the hand, microsurgery, burn and cancer surgery, and surgery to correct congenital abnormalities.<a href="http://www.justice.gov/atr/public/busreview/0698.htm" TARGET="_blank" [6]</a>

Nose surgery is considered "elective" when it is done for purely cosmetic purposes. In these cases, the purpose is to change the shape of the nose to one that the patient finds more desirable.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> Many surgeons prefer not to perform cosmetic nose surgery until the growth of the nasal bone is completed (around 14 or 15 for girls, a bit later for boys).<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> In science fiction films the characters vaporized by a laser simply disappear. Patients opting for cosmetic laser surgery, however, suffer a less severe fate: Only their wrinkles and other skin imperfections disappear. In recent years, lasers have shed their science fictional image to become a surgeon's and dermatologist's most promising weapon in the fight against aging skin.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

Make sure that the doctor is trained and qualified in cosmetic skin surgery of the face.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a> Botox injections are the fastest-growing cosmetic procedure in the industry, according to the American Society for Aesthetic Plastic Surgery (ASAPS).<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a>

What You Should Know About the Safety of Outpatient Plastic Surgery (Copyright " ASPS) <a href="http://www.plasticsurgery.org/patients_consumers/ps_faqs/FAQ-What-You-Should-Know-About-the-Safety-of-Outpatient-Plastic-Surgery.cfm">What You Should Know About the Safety of Outpatient Plastic Surgery opnbrktCopyright �� ASPSclsbrkt </a> - This fact sheet provides information on what plastic surgery is, what the difference between cosmetic and reconstructive surgery is, how to learn if your surgeon has the appropriate credentials, how to learn about the facility's safety standards, and what other safety issues you should consider before having plastic surgery.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Standards in cosmetic clinics vary, but the clinics often send a representative to the home of the patient in response to a reply to an advertisement. These representatives are not medically qualified but recommend operations and book dates for surgery, often offering discounts if the patient signs immediately.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a> In the study, Persing and his colleagues surveyed 42 cosmetic plastic surgery patients who were seeking plastic surgery for the first time at the Yale Plastic Surgery Clinic.<a href="http://www.healthfinder.gov/news/newsstory.asp?docID=606746" TARGET="_blank" [5]</a>

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<a name="hdng1"></a>Whether it is cosmetic or reconstructive, all surgery carries uncertainty and risk. <a href="http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm" TARGET="_blank" [9]</a> With the growing popularity of plastic surgery, and the increase in number of physicians performing cosmetic procedures every year, it's important you understand the credentials of the person you choose to be your plastic surgeon.<a href="http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm" TARGET="_blank" [9]</a> Plastic surgery has made extraordinary advances both in cosmetic procedures (helping erase the marks, wrinkles and sags of encroaching age) and reconstructive procedures (correcting a deformity or burn surgery) in recent years.<a href="http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm" TARGET="_blank" [9]</a>

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  • The patient may feel depressed following surgery, but day by day the nose will look better.<a href="#hdng2">(More...)</a>



  • <a name="hdng2"></a>The patient may feel depressed following surgery, but day by day the nose will look better. <a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> The patient might experience some unexpected reactions from family and friends. They may act resentful, especially if something they view as a family or ethnic trait is altered. The patient should keep in mind the reasons for the nasal correction, and if these have been reached, then the surgery is a success.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> The patient will usually be lightly sedated, but awake during the surgery -- relaxed and insensitive to pain.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> Within 2 days, most patients are up and about, and able to return to school or non-strenuous work within about a week following surgery.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a>

    A splint (metal or plastic) will be applied externally to maintain the newly shaped bony structure when the surgery is complete.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a> Immediately following surgery, the nose and face will be swollen and painful.<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank" [7]</a>

    Credentialing is a state function, since states are responsible for the licensing of doctors and nurses, and standards for laser training vary from state to state. That's bad news for patients like Jones. Two years after her procedure, she has spent nearly $70,000 for both the initial surgery and subsequent consultations and corrective surgeries to remove the scarring. She says she has partially reclaimed her life. She bitterly regrets undergoing the initial surgery.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> Says Anderson, the best people to work with lasers on skin conditions are the professionals who best understand skin and surgery of the skin: dermatologists and plastic surgeons.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> Alster, on the other hand, believes that in the hands of a very experienced surgeon, people with darker skin tones, although not ideal candidates, can benefit from surgery.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> Alster warns that anyone not mentally prepared for resurfacing or who expects instant results is not a good candidate. "This is not easy in-easy out surgery," she says. "Potential patients have to realize that there will be bruising and swelling and they will be holed up in the house for seven to 10 days," she says. "They will have a crusty, oozy, bruised, scabbed, raw-appearing face." They should not expect unflawed skin. "I can't deliver that," she says.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> Laser resurfacing can often make patients look 10 to 20 years younger, and the results can last for eight to 10 years, says Tina Alster, M.D., director of the Washington Institute of Dermatologic Laser Surgery in the nation's capital. She warns that after surgery, patients must avoid sunbathing and destroying their skin again.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> New, more youthful collagen actually forms after laser treatment, says A. Jay Burns, M.D., partner in the Dallas Plastic Surgery Institute and assistant professor of plastic surgery at the University of Texas Southwestern Medical School.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> "Consumers ask more questions of auto mechanics," says Alster. "This is surgery and with it comes inherent risks and complications.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

    "Lasers really are magic bullets. They can do things deep in the skin without trashing anything else. It's not like surgery where the tools are not microscopically specific."<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> "Then that person should go where the surgery is performed and watch a skilled surgeon use the equipment."<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

    The next step is crucial: asking the right questions. Alster advises asking where the doctor has trained and if he or she owns or rents the equipment--those who own have likely made a commitment to training and to laser surgery.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a> Even dentists, obstetricians, gynecologists, and family doctors are now offering laser surgery, says Alster.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

    Many skin conditions respond well to laser surgery, including red vascular lesions such as spider veins on the face, hemangiomas, and birthmarks such as port wine stains, says Rox Anderson, M.D., director of the Laser Center at Massachusetts General Hospital in Boston. Lasers also are useful for scars, warts, excessive eye folds, tattoos, and hair removal, along with such conditions as rosacea, brown age spots, and the brown and blue pigmented facial lesions common to Asian skin.<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank" [1]</a>

    More popular than breast enhancement surgery and a potential blockbuster, Botox is regarded by some as the ultimate fountain of youth. Schwallenberg, a pharmaceutical sales representative who is excited about her next round of injections, says she wants to look her best for her job. "That's corporate America for you," she says.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a> Plastic surgery events known as Botox parties--also seminars, evenings and socials--are a key element of Botox marketing in much of the United States.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a> While the effects of Botox Cosmetic don't last, still, people don't seem to mind repeating the procedure every four to six months in order to maintain a wrinkle-free look.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a> The FDA recommends that Botox Cosmetic be injected no more frequently than once every three months, and that the lowest effective dose should be used.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a> Botulinum Toxin Type A (Botox Cosmetic) is a protein complex produced by the bacterium Clostridium botulinum, which contains the same toxin that causes food poisoning.<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank" [8]</a>

    Botox Cosmetic: A Look at Looking Good <a href="http://www.fda.gov/fdac/features/2002/402_botox.html">Botox Cosmetic: A Look at Looking Good</a> - This on-line publication illustrates how botox works, explains the recommendations of the FDA, and provides a list of what to look for if considering botox injections.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Consumer Information (Copyright " ASDS) <a href="http://www.asds-net.org/consumerinformation.aspx">Consumer Information opnbrktCopyright �� ASDSclsbrkt</a> - This section of the American Society for Dermatologic Surgery"s web site provides information for the public about different types of dermatologic surgery and patient safety.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Do's and don"ts for liposuction (Copyright " ASDS) <a href="http://www.asds-net.org/DosAndDontsLiposuction.aspx">Do's and don���ts for liposuction opnbrktCopyright �� ASDSclsbrkt</a> - In this fact sheet the American Society of Dermatologic Surgery offers some tips to ensure a positive result from tumescent liposuction.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Is the doctor board certified? With which board? The doctor should be certified by the American Board of Plastic Surgery.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a>

    If you are seeking surgery with the hope of influencing a change in someone other than yourself, you might end up disappointed.<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank" [2]</a> Symptoms of infection began a median of 5 weeks after surgery (range: 1--20 weeks) and included subcutaneous or deep-tissue abscesses requiring incision, drainage, and antibiotic therapy in all patients; nine patients were hospitalized.<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank" [3]</a>

    Klassen A, Jenkinson C, Fitzpatrick R, Goodacre T. Patient's health related quality of life before and after aesthetic surgery.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a> The national commission monitoring standards of care intends to control the worst excesses of the cosmetic clinics and to ensure that there is an even standard of care across the private sector, whether treatment is provided by consultant surgeons or in clinics.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a> Unfortunately the royal colleges do not have a mechanism to assess the standards of unaccredited cosmetic surgeons who are currently practising.<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank" [4]</a>
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<a name="sources"><a href="#" onclick="toggle_visibility('srcs'); return false;" title="Most Informative Documents, used in preparation of this report.">
SELECTED SOURCES<image src="apx4.jpg" alt="Most Informative Documents, used in preparation of this report."></a>



1. <a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank">Cosmetic Laser Surgery: A High-Tech Weapon in the Fight Against Aging Skin</a>
<a href="http://www.fda.gov/FDAC/features/2000/300_laser.html" TARGET="_blank">http://www.fda.gov/FDAC/features/2000/300_laser.html</a>

2. <a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank">Body Image: Loving Yourself Inside and Out - Cosmetic Surgery</a>
<a href="http://www.womenshealth.gov/bodyimage/surgery/" TARGET="_blank">http://www.womenshealth.gov/bodyimage/surgery/</a>

3. <a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank">Brief Report: Nontuberculous Mycobacterial Infections After Cosmetic Surgery Santo Domingo, Dominican Republic, 2003--2004</a>
<a href="http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm" TARGET="_blank">http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5323a4.htm</a>

4. <a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank">Regulating cosmetic surgery</a>
<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202" TARGET="_blank">http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1123202</a>

5. <a href="http://www.healthfinder.gov/news/newsstory.asp?docID=606746" TARGET="_blank">Cosmetic Surgery TV Shows Get Viewers Pondering - healthfinder.gov</a>
<a href="http://www.healthfinder.gov/news/newsstory.asp?docID=606746" TARGET="_blank">http://www.healthfinder.gov/news/newsstory.asp?docID=606746</a>

6. <a href="http://www.justice.gov/atr/public/busreview/0698.htm" TARGET="_blank">Response to Plastic Surgery Associates of Connecticut, LLC's Request for Business Review Letter</a>
<a href="http://www.justice.gov/atr/public/busreview/0698.htm" TARGET="_blank">http://www.justice.gov/atr/public/busreview/0698.htm</a>

7. <a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank">MedlinePlus Medical Encyclopedia: Cosmetic nose surgery</a>
<a href="http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm" TARGET="_blank">http://www.nlm.nih.gov/medlineplus/ency/article/002983.htm</a>

8. <a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank">Botox Cosmetic: A Look at Looking Good</a>
<a href="http://www.fda.gov/fdac/features/2002/402_botox.html" TARGET="_blank">http://www.fda.gov/fdac/features/2002/402_botox.html</a>

9. <a href="http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm" TARGET="_blank">The Facts on Plastic Surgery - Consumer Focus - FCIC</a>
<a href="http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm" TARGET="_blank">http://www.pueblo.gsa.gov/cfocus/cfmay2000/focus.htm</a>

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