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Cosmetic Surgery tutorials and articles
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The training program importance for cosmetic surgeons (01/22/2010) ... Graham III, MD, former chairman of the American Board of
Plastic Surgery, stated in his Carlson Lectureship in 1994 that "Although
aesthetic (cosmetic) surgery is absolutely integral to a basic plastic
surgery education, it is the fact that the quality of aesthetic training
varies greatly among residencies. Training opportunities in aesthetic
surgery are not as accessible to the large superspecialized university
center as they are to the freestanding facility or small, private hospital.
How do we ensure the availability of appropriate aesthetic surgical
training to all plastic surgery residents, and what minimum standard
should be set for resident experience in aesthetic surgery?"
-from an editorial entitled "Aesthetic Surgical
Education: A Personal Perspective" by Stanley A. Klatsky, MD
Editor-in-Chief, Aesthetic Surgery Journal, November/ December 1999
By contrast, today's residency training programs often work
against the aspiring young cosmetic surgeon. First, there is the time
constraint of the training period itself....
Selecting a cosmetic surgeon can be a walk through a minefield (01/22/2010) ... Remember "nose to nose" and "eyelids to eyelids."
Don't assume a brilliant eyelift guarantees the
expertise demanded for full facelifts.No credential can
guarantee a good surgical
result for every patient.
There are many factors
which contribute to
achieving a good surgical
result. Probably the most
important is the
competence of the surgeon....
Qualifications and professional experiences of cosmetic surgeons is important (01/22/2010) ...
I pledge myself to pursue the practice of
surgery with scientific honesty and to place the welfare
of my patients above all else; to advance constantly in
knowledge; and to render willing help to my collegues,
regard their professional interest, and seek their counsel
when in doubt as to my own judgement.
Upon my honor I
hereby declare that I will not practice fee splitting, I
further promise to make my fees commensurate with the
services rendered and with the patients rights. Moreover,
I promise to deal with each patient as I would wish to be
dealt with were I in his position. Finally. I pledge myself
to cooperate in advancing and extending the ideals and
principles of the American College of Surgeons....
Four Specialties Legitimately Perform Cosmetic Surgery (01/22/2010) ... Some dermatologists also perform cosmetic
surgery. Certification is granted by the American Board of
Dermatology, founded in 1932.
Head and Neck Surgeons are among regional specialists
who limit their work to the face and neck. Such surgeons
may also perform reconstructive surgery for facial injuries
or tumors, but perform no surgery on other parts of the
body. Facial plastic (both cosmetic and reconstructive)
surgery is a subspecialty of head and neck surgery....
How Old Should Your plastic Surgeon Be (01/22/2010) ... Sternberg
chuckled and said, "You know, it takes many years of practice before
any of us really develops that sixth sense about when to operate and
when not to operate, doesn't it?"
That sage comment is the reason formy sharing this story with you.
In all medical practices such wisdom, though indefinable, comes very
slowly through experience. Indeed anywhere between 10 and 20 years
after one starts his practice, the feeling of finally "getting it" arrives.
We are not talking about technical ability here. Manual skills are
refined and maximized within a few years of completing one's
residency....
A cosmetic surgery superspecialist will typically limit his practice (01/22/2010) ... My patients come from
throughout the world, as do yours, and suffer from severe
and painful conditions. Many of our patients have
obstructive nasal deformities. Some require functional
reconstruction and cosmetic attention to the deformity. Your
work had been known to me for years, and I elected to send
several individuals to you for necessary surgery.
I am writing to tell you that I am delighted with the results....
The best candidate for surgery is someone who has realistic expectations (01/22/2010) ... You want to
learn so your consultation is valuable to you. Think
of the consultation as an exam. But an open book exam. You open the
book, start asking really sharp questions, and the examination of the
doctor has begun.The best candidate for
surgery is someone who
has realistic expectations
of what can be attained
with her own anatomy
(and age)....
Getting The Best from Your Doctor and His Staff (01/22/2010) ...
Bring a friend or relative with you. "Four ears and four eyes
are twice as good for learning." Your companion may see or
hear something that you may miss. The idea is to leave the
consultation armed with as much information as possible.
Take notes....
The 15 Smartest Questions to Ask Your Prospective Surgeon (01/22/2010) ...
reconstructive surgery?
3. How long have you been performing the procedures I am
considering? How many of these procedures do you
perform in a year?
4. Do you have hospital privileges to perform the procedures I
am requesting?
5. Did you serve a fellowship in cosmetic surgery? If
fellowship trained, how long was the fellowship? What
types of cases did you perform, assist in or observe during
your fellowship?
6. Have you written books or authored journal articles on
facial cosmetic surgery? On body cosmetic surgery?
7....
A cosmetic surgeons before and after album (01/22/2010) ..." The right hand image becomes the "after," as the doctor or
assistant changes the shape of the nose or removes eyelid bags
through the use of a computer "pen." Comparing the predicted
"after" to the "before", allows you to see what cosmetic surgery can or
cannot do for you. You deserve to utilize the latest technology
allowing you to visualize the surgeon's proposal. Computer imaging
is a fantastic communication tool that affords a "meeting of the
minds." A consultation without it has limited value....
Plastic surgery can create an entirely new person (01/21/2010) ...
They made it clear that
these patients were, for a while at least, incapable of distinguishing between
internal and external need, between the psychological and the
cosmetic. What struck me was that the various traumas cited were typically
about radical emotional separations of some kind. The loss of a
partner through divorce or death. The loss of a parent or a child. I won dered if the surgical visit was motivated by the wish to restore through
their bodies this connection to the love object....
Cosmetic surgery can fix damaged bodies (01/21/2010) ... As the child becomes more "human" in appearance,
the parents relate to it as human.16 The loss of love is prefigured on their
bodies, even before the parents set eyes on them. MacGregor et al. describe
a not uncommon pre-1970s hospital event: "When Tommy was born, Mrs. Jonson was not allowed to see him after delivery....
Plastic surgery can make people feel better about themselves (01/21/2010) ...23
Photography as well participated in fixing the relationship between
character and appearance. Alan Trachtenberg remarks that, from its inception,
photography was used in the service of solving the nineteenthcentury
"obsession" with the origins, cultivation, and representation of
character (27). "Photographers adopted the notion that the exterior of a
person might reveal inner character, and conventionalized it in a sentimental
repertoire of expressive poses" (28). These poses created as much
as they reflected material and social accomplishment.
At the same time that this ability to transform value through appearance
had the merit of releasing people from the burden of heritage,
those who were born with a deformed or less attractive body might be
ostracized to a degree less likely in a close-knit traditional community,
where ties are based on birth and family connection more than on face
value....
Liposuction abdominoplasty and Tummy Tuck surgery (01/21/2010) ... Fat tissue is not altered.
A new term, “laserdermology,” refers to endodermologie combined
with laser or light treatments. Again, more than a dozen treatments
at significant expense (at least $100 per treatment) are required
for improvement, and long-term effectiveness has not been proven.
The drug aminophylline has been promoted as a topical treatment
for cellulite but has been discredited.
The bottom line: Entire books have been written about treatment
of cellulite and related irregularities, usually by practitioners who
have product lines to sell, but there remains no consistently useful,
cost- effective treatment method....
Licensure is the lowest common denominator for the practice of medicine (01/21/2010) ... Physicians occasionally lose their medical licenses
for serious or repeated offenses. Actions by the state medical board
to restrict or revoke a physician’s license are a matter of public record.
Because a medical license does not spell out what a doctor may or
may not do, in most states nothing restricts the performance of cosmetic
surgery to surgeons.
Specialty licensure has been suggested
and repeatedly rejected by state governments and organized physician
groups, including the AMA and the American Board of Medical
Specialties (ABMS). Limiting the scope of practice is left to other
structures within the health-care and legal systems....
Before you start looking for a cosmetic provider (01/21/2010) ... These lists tend to show up in books,
magazines, and local publications and on Web sites. Doctors
frequently pay to be included on lists, and the methods by
which the physicians are selected are highly subjective and usually
have no legitimate basis for including one local physician
and excluding another.
A new glossy beauty magazine promotes
itself by claiming its primary mission to be consumer education.
Yet it is heavily laden with ads, and the “national directory”
of providers in its premiere issue list fewer than 100 plastic
surgeons out of the more than 5,000 Board-certified plastic
surgeons in this country. Numerous articles about individual
providers that look like part of the magazine are in fact paid
advertisements by the featured individuals (but you may not
realize this unless you look for the fine print)....
Investigate a cosmetic procedure before you do it (01/21/2010) ...
Therefore, I highly recommend that you seek additional sources
of information. Choose your sources carefully, however, so that you do
not arrive at the doctor’s office with a lot of misinformation.
The ASPS and the ASAPS have been very active in the development
of patient education information about cosmetic surgery and
related procedures. Of course these organizations are biased toward
plastic surgeons; on the other hand, for more than half a
century plastic surgeons have been providing all types of cosmetic
medical care.
The Internet is the most readily available source of information
about cosmetic procedures and products, but it is important to be
very selective about sites....
Relationship between the cosmetic surgeon and patient (01/21/2010) ... She should also feel compelled to
ensure that she is making her decisions without coercion, that she
has reflected on her own motivations and goals, and that she willingly
assumes responsibility for her choices.
For decades many physicians did not believe that a doctor could
practice in the middle ground between the care of patients suffering
from disease, deformity, or injury and the performance of procedures
strictly for commercial gain. Today the dilemma of a thoughtful
doctor doing this work is still how to balance the lucrative
performance of discretionary procedures with good medical decision
making that minimizes risks and that is consistent with professional
ethical standards. The tricky part for a patient seeking a
cosmetic intervention is to find a physician who has maintained that
balance.
Unfortunately, some physicians do not concern themselves with
ethical boundaries....
Cosmetic medicine after world war 2 (01/21/2010) ... This shift
has occurred throughout all of medicine but is especially evident in
cosmetic medicine. Even more significantly, patient autonomy in
cosmetic medical decision making is increasingly powered by a cultural
mandate: Be all that you can be.
Medical issues do not always fare well in media. Media outlets
compete fiercely, and there is a lot of airtime to fill. As a result reporters
and writers try to outdo each other with the dramatic and
the spectacular rather than with issues and their complexities....
Eyelid Surgery is also called blepharoplasty (01/21/2010) ... The surgery is
usually performed with local anesthesia and sedation. Patients need
to rest and keep cold packs over their eyes for at least twenty-four
hours to minimize swelling and bruising. Bruising may take several
weeks to resolve entirely. Contact lenses usually cannot be worn for
several weeks, although most patients resume normal activities as
soon as swelling subsides. Strenuous activities should be avoided for
at least ten days....
Buttock Thigh Calf Biceps Triceps and Pectoral Implants (01/21/2010) ... The biggest problems with implants in these locations,
just as in the breast, are imperfect positioning leading to abnormal
contours and capsular contracture (hardening of the scar
around the implant, which often leads to pain and deformity).
Permanent
muscle damage can occur from the pressure of an implant.
Shifting, extrusion, or infection involving the implant usually necessitate more surgery, and the end result can be significant scarring
and/or deformity.
Mesotherapy
Developed in France in the 1950s and used widely in Europe and
South America, mesotherapy is a poorly defined catchall term referring
to a treatment in which medications and other substances are
injected under the skin for a variety of purposes. Conditions for
which mesotherapy has been advocated include chronic pain, hair
loss, psoriasis, cellulite, weight loss, and spot weight loss....
Botox injections are providing immediate results (10/14/2008) ...
As mentioned above, with recent clinical studies it has been found that Botox is also known to cure a lot of other conditions apart from clearing out facial lines.
Do you know that Botox is now used for brow lift as well as shaping up the eyebrows?
They also work to widen up the eyes and give them a more rounded look. They can also shape up the sides of the jaw as well as the face. These can all be achieved through Botox injections and no invasive surgery is required.
Individuals who suffer from back pain and do not find any relief from the traditional therapies, Botox now offers a solution to provide them back pain relief....
Botox cosmetic injections chosen by millions of people (10/12/2008) ... The Botox cosmetic injections for crossed eyes are approved by Food and Drug Administration, which gives it quite a lead over the surgical repair.
Blepharospasm is a condition in which there is forced closure of the eyes by the orbital and facial muscles and injection of Botox can relieve this condition. The same goes for the overactive facial muscles as well. The studies have shown that individuals who received Botox cosmetic injections to treat the problem of blepharospasm had about 90% improvement for a time span of about three to four months. The effects of the Botox vary among different individuals and it can last anywhere from three to four months....
Plastic Surgery and Botox Answers explained (10/12/2008) ... Plastic surgery is permanent and you want to make sure you are making a well informed decision before going under the knife. Botox can be damaging if not done correctly, check out your doctors before you commit.
There is a difference between plastic surgery and cosmetic surgery. Plastic surgery is defined as surgery preformed to fix a defect or repair a problem for a more normal appearance. Cosmetic surgery is defined simply as a surgical procedure used to enhance ones appearance, or make someone look younger....
Possible Side Effects of Botox Injections (10/11/2008) ...
When Botox is used for the treatment
The most common side effects of Botox when injections are used for the purpose of reducing the appearance of wrinkles or lines in the face (cosmetic purposes) are: eyelids which droop, nausea (and/or vomiting, especially in the first day or so after the injections are done), pain in the face, weakness in the muscles, and very rarely- heartburn or indigestion, tooth or oral problems and even high blood pressure (very rare).
When Botox is used for the treatment of various medical conditions, some side effects that have been known to occur are: drooping of the eyelids, problems swallowing, vertical deviation (or misalignment) of the eye, upper respiratory infections have been known to occur, as well as neck or back pain and headaches occur in a small percentage of patients.
Depending on your over-all health and general fitness, some other side effects that have been known to occur with Botox injections include a cough, symptoms of flu- fever and/or chills, back and/or neck pain, runny nose, stuffy nose, dizziness or balance problems, soreness and/or bruising where the injection is done, general muscle weakness and fatigue, dry mouth or "cotton mouth," drowsiness or sleepiness, bleeding where the injection has been given, infection of the injection site, sore throat and/or mouth, and Botox injections have also been known to cause anxiety and/or panic attacks in a very small percentage of people.
It's important to discuss any potential side effects ahead of time with your physician or care-giver, and be aware of what's potentially life-threatening or isn't. An allergic reaction to Botox can be life-threatening and the symptoms of an allergic reaction are: a rash that can't be explained or that covers the entire body, hives and/or itching over the entire body, any unexplained swelling or redness of the skin (especially in the throat or face), and if you have any wheezing, problems breathing or swallowing- it's important to go to the nearest emergency room immediately....
Botox vs Modern Cosmetic Plastic Surgery (10/11/2008) ... However, given in minute doses, as Botox, it can be used as a therapeutic or cosmetic product. Botulinum Toxin’s first official use, on a human ,was for the treatment of strabismus, in 1980. Over the next 22 years it was FDA approved for: strabismus, blepharospasm, hemifacial spasms, dystonia, etc......
The effects of Botox can take up to a few days to be seen (10/11/2008) ... Botox injections will last anywhere from 3 to 6 months. To maintain the cosmetic effects, the injections need to be administered repeatedly at regular intervals.
Botox injections will last anywhere from 3 to 6 months
Since botulism toxin A is poisonous, it stands to reason that using Botox would be dangerous. That is usually not the case. Because it is injected locally to targeted muscles, rather than being given internally, the action of the toxin is limited to the area of injection....
Botox What it is and how it can benefit you (10/11/2008) ... Injections of Botox will paralyze these muscles and release the tension, reducing or even eliminating the wrinkles there.
Now, in order to decide if Botox is right for you, you also need to think about some of the limitations and drawbacks of getting the injections.
There are some wrinkles that Botox won't be able to eliminate. Sometimes wrinkles are caused by the natural loss of elasticity of skin as you age (smoking and sun exposure also saps the skin's elasticity), causing normally taught skin to sag and, as a result, create wrinkles. While there are treatments for this type of wrinkle, Botox is not one of them....
Botox is a cosmetic formula made from the toxin Botulinum A (10/10/2008) ...
The primary reason why Botox has been used as a wrinkle reducer and cosmetic treatment is because of it's paralytic properties. Botox injections will last anywhere from three months to eight months, and aren't as expensive as cosmetic surgery or face-lifts. Botox works in the same way that the other types of botulinum toxins work, it blocks nerve endings and represses muscle contractions and spasms. This gives the face an easy way to reduce or eliminate the appearance of wrinkling, without the expense and pain of a face-lift or other surgery.
Botox is directly injected under the skin
Botox is directly injected under the skin in areas where wrinkling occurs, this causes paralyzation and relaxation of the facial muscles, which instantly smooths the appearance of the face....
How are the Botox injections administered (10/10/2008) ... Therefore, Botox is a purified protein obtained from the bacteria. The Botox works by reducing the muscle activity, which are causing the facial lines to occur. Botox is injected into the muscles whose contractions cause the development of facial lines and this procedure only takes about 10 minutes or so. This is a temporary procedure and the effects of the injection can last anywhere from three to four months, where the lasting effects vary among individuals.
There were about 3....
BOTOX injections treats facial wrinkles and creases (10/10/2008) ...
The effect of BOTOX Cosmetic injections
BOTOX works by blocking nerve signals to the muscles. In essence, the muscles are temporarily paralyzed by the toxins, creating a smooth, youthful appearance to the once creased areas. The effect of BOTOX Cosmetic injections is most pronounced after about seven to ten days following treatment, then lasts for approximately four months, at which time the muscles regain functionality and wrinkles and lines start to reappear.
Patients may be retreated with BOTOX every four to six months, in order to maintain the more taut, younger appearance.
Although BOTOX effectively treats facial wrinkles and creases, it is not effective in improvement of lines or wrinkling caused by sun exposure or gravity....
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