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Sometimes surgeons do not explain very well what are their successes, failures, limitations, expectations and actual results of cosmetic surgery. I will help you
There are excellent and very bad surgeons, there are good and bad clinics, butcher shops that do not meet the minimum requirements for a safe procedure. You have to learn that in plastic surgery the cheap can get very expensive, many patients have been disfigured or killed: don’t expose yourself to hazardous conditions, no surgery is a child’s-play thing and a beautiful body six-feet-under will only be worshiped by worms and bacteria.
My advice before your plastic surgery
- Locate a real Plastic Surgeon, one that is College of Plastic Surgeons affiliated, in your area, region or country, with verifiable credentials. Usually a Plastic Surgeon has been 3-5 years in a General Surgery Residency before spending 2-4 years in a Plastic and Reconstructive Surgery Residency
- Ask for credentials and short courses, his/her area of specialty. When asking for credentials, if the surgeon gets upset, it is better to go somewhere else.
- It is recommended that the Surgeon has demonstrable experience and the minimum annual number of cases to be considered qualified in the required procedure.
- Ask for real cases. Many surgeons have albums documenting Before/After surgeries.
- Ask your potential surgeon about his/her rate of complications and patient satisfaction
- Visit the institution where you will be operated. Remember that your life may depend on it. Well suited recovery rooms, operating room, cardio-respiratory support, qualified specialists in their areas (particularly Anesthesiology), nurses, Blood Bank, ICU, emergency means for transferring a severely complicated patients to tertiary centers
- If the surgery is extremely cheap chances are that you may not receive the best deal, think again!
- Get acquainted with procedure you are interested in: it is imperative to know the rate of success and failures, safety and frequency of associated complications. There is no 100% safe and effective procedure!
- You must always keep in mind that any surgery can leave scars that can be disastrous.
- Cosmetic surgery is not the answer to your health, it only serves to enhance your image for a short or long time according to your personal care. All is lost if you do not keep your weight, if you don’t exercise, if you don’t eat well… time passes and aging is inevitable.
Cosmetic surgery in adolescents
- Not recommended before age 18
- Physical and emotional maturity is needed
- The patient and his Legal representative must clearly understand the indication of surgery, the potential outcomes, the limitations and complications, and the potential need for future surgeries.
- Surgery can alter or stop the development of the involved organ (eg. breasts, labia minora) and generate future deformities in operated patients before final organic maturity.
Breast surgery
Augmentation Mammoplasty, breast implants
The world’s most popular aesthetic procedure, especially frequent in the Americas. Due to the extensive global experience and the relatively simple surgical technique is one of the safest cosmetic procedures and with the best results, provided it is done under the minimum accepted standards for any surgical procedure. The results are either fabulous, average or mediocre depending on the skill of the surgeon, the particular characteristics of the patient, and potential complications. Breasts represent the epitome of femininity and great care should be taken avoid an unwanted surgical deformity by a bad decision with respect to the specialist and the institution selected.
If very large prostheses are placed there is risk that the scars will tear and become large and visible; skin stretch marks may also appear; if they have to be replaced a larger size must be used to maintain shape and the aesthetic effect, if a smaller size is used a Reduction Mammoplasty is required. We recommend to start with a reasonable size implant.
Reduction Mammoplasty, breast tissue removal, lifting
The aesthetic procedure for droopy (ptosis), saggy, pendulous breasts or simply very large breasts is a Reduction Mammoplasty, the surgical reduction of the breasts. The technique is based on the removal of skin and glandular tissue and mammary fat to reduce its size, raise the nipples and retrieve the rounded shape of the breast. Doing this involves large wounds (usually T-shaped incisions) with the consequent risk of scarring and deterioration of the overall aesthetic effect. The greater the degree ptosis and/or larger breast size the larger will be the extension of the incisions and resulting scars, the surgical technique is much more aggressive than the insertion of implants. If the correction required is very large there is a high risk that the results will not meet the expectations of the patient.
Even in the best hands the scars may be visible, in addition, in many cases the final result and the potential resulting breast deformity is far from the expectations of the patient. The patient should be aware that this surgery will always leave permanent scars, and they can be very ugly or notorious in some patients.
Adequate information about limitations before you undergo this type of surgery and selecting the best available surgical resources is imperative. The risk of infection and tissue necrosis is greater. In many instances breast reduction is combined with breast implants
Repeated breast surgeries
Frequent breast surgery leads to cumulative deterioration of the looks and breast functionality: scars and skin retraction, glandular structural deterioration, encapsulation, etc.
Abdominal surgery
Abdominoplasty, tummy tuck
This procedure is quite bloody and extensive, is the removal of the skin and underlying fat from one area of variable size below the navel in order to eliminate flabby, redundant skin areas affected by striae product of pregnancies and/or considerable weight loss
The best results are always obtained if patients exercise and learn to maintain their weight. After the birth of a baby, we suggest to wait a year or two before deciding to practice surgery, during this time the woman is instructed to follow a healthy diet and a physical exercise program (nobody likes this idea) to get get better and longer results.
Minimal Dermolipectomy
Usually it’s a small skin and fat resection below the belly button without the need for its reconstruction. It is reserved for small defects and the rate of success due to limited procedure is excellent, can accompany liposuction or lipo-sculpture.
Extensive Dermolipectomy and abdominal plication
Removes a lot of skin and fat, removes the navel and reinserts it at a higher level. The abdominal rectus muscles are sutured in the mid-line creating an immediate effect of carving of the waist to enhance the aesthetic effect of the intervention. The patient should keep in mind that she will change an apron of abdominal fat by a long sometimes not so beautiful scar. But overall the cosmetic effect is good and patient satisfaction is very high
If you don’t exercise and eat well, and gain weight, you will lose the cosmetic results
Injection of polymers and other things…
Are used to enhance the figure.
Substances used may generate long term allergic reactions, chronic inflammation and progressive deformity. The most feared complication are pulmonary thromboembolism and local infection. Secondary (sometimes grotesque) deformities due to the surgical removal of the material and necrotic tissue are seen frequently.
You have to be someone very risky (or ignorant) to use this type are materials on the face, where a small complication can generate an aesthetic disaster.
This woman, a well-known reporter for Asian TV came to the end of edible oil on the face to be this monstrous and deformed person to inject.
Feminine beauty
The female beauty and its universal concept is something that doesn’t exist. Beauty is regional and cultural, perfection does not exist, and in some cases the excess of zeal can be disastrous for women; think of eating disorders, the deaths of fashion models.
Aesthetic addiction and irrational expectations can generate irreversible deformities.
The standard of beauty in advertising is the exception to the rule, most people are beautiful in their own way and with some fat in their bodies, these sculptural are bodies impossible to maintain in the long term; in fact, the average life of a model is 4-5 years before being discarded by “old” or inadequate. Choose health, take care of your body, make some changes if you want, but don’t overdo it, excess and aesthetic addiction only lead to failure and tragedy.
In addition, according to serious studies, men prefer the “imperfect” women, with reasonable bodies, healthy, no dietary extremes or excessively exercised: the excesses bored!
In many cases we don’t know when to stop, and becomes very difficult to remember what we were before all these surgeries
Examples
Breast
An excellent augmentation mammoplasty: technique, the patient selection and expertise of the surgeon.
Reduction Mammoplasty with excellent results; However, visible scar. Expected to become less visible over time. While more aggressive surgery the greater the risk of breast deformity and extensive residual scars.
Abdomen
The removed skin/fat in an extensive case. Next, the difficult process of arranging aesthetically the edges of skin and the new navel.
This is an unusual case, an excellent almost invisible scar
This is the typical case, although the figure is spectacular scar is highly evident.
Of course, there’s always some disaster… In this case there was necrosis of the bottom flap by bad technique, infection. The cutaneous defect is slowly healing but will leave a significant defect that may require a graft.
This is an active giant hematoma after of 12 months. Residual bleeding from poor surgical technique. This patient, pregnant afterwards, required a c-section and we drained more than one liter of blood.
Recommendations
Medication to suspend two weeks before intervention:
- Discontinue the use of any product that contains nicotine: cigarettes and tobacco, patches and chewing gum (alters skin irrigation and healing).
- If possible, suspend the use of aspirin and derivatives since they alter blood clotting and hemorrhage/hematoma formation risk is increased
- Vitamin E and omega 3 fish oils must be stopped because they may prolong the clotting times. Red wine can cause this problem too
Use recommended two weeks before the medication:
- You can use Arnica (Arnica cordifloria) supplements: seems to accelerate the removal of hematomas and help reduce pain of surgical sites, speeds up healing. Discontinue using it 2 weeks after surgery.
- Take a multivitamin 2-4 weeks before intervention, a good supplement containing trace elements such as copper, zinc, selenium, etc. Add 1 or 2 grams of vitamin C per day in your diet.
- Eat a diet high in protein before and after surgery.