Monday October 22, 2018

Plastic Surgery: The Basics Explained

Commonly reported complications of plastic surgeries are wound infection, hematoma, scarring and those arising out of anesthesia

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Plastic surgery is becoming more and more popular today among the youth. Wikimedia Commons
Plastic surgery is becoming more and more popular today among the youth. Wikimedia Commons
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  • Plastic surgery is becoming more popular among today’s generation
  • Although, plastic surgery has its benefits, there can be complications too
  • Plastic surgery should be a well thought decision and should not be taken in hurry
To remain beautiful is a never-ending desire in the life of humans. The field of plastic surgery has aided humans in this desire, be it to repair a defect or to enhance or reduce a part. All of these efforts are in order to please oneself and the ones human beings socialize with.
Man and these cosmetic procedures are not new to each other. The History of Plastic surgery dates to as early as 2000 B.C. One of the ancient Indian books on surgery by Sushrutha, called the Sushrutha Samhita, describes the reconstructive procedure Rhinoplasty, commonly known as the nose job. Even with so much of knowledge available online and offline about this field, some of us are still unaware of what goes on in a plastic surgical procedure.
Dr. Bharti Raizada conducted a telephonic interview with a practicing consultant, in an effort to shed light on some basic and correct facts.
The decision of going through a plastic surgery should be taken after great deliberation.
The decision of going through a plastic surgery should be taken after great deliberation.
Dr. Deepak Khatri, Consultant Plastic & Cosmetic Surgeon, MAE Aesthetics, based in Vadodara, India describes plastic surgery as a surgical specialty involving reconstruction, restoration, and alteration of the human body. He says it is a  broad specialty with multiple subspecialties like  Aesthetic surgery, Craniofacial surgery, Burns, Hand surgery, Microsurgery & Pediatric plastic surgery (dealing with congenital conditions such as cleft lip and palate, urethral defects, etc.).
When asked about the reason why this branch of surgery was called “plastics” and if there was any relation to the actual plastic, he goes on to explain that, of course, plastic was not involved and that it was derived from a Greek word “plastikos”, meaning ‘able to be moulded, pertaining to moulding’.
Dr. Deepak Khatri states that the most common surgeries people prefer are Liposuction ( removal of excess body fat to improve body shape and contour), Breast Augmentation, Rhinoplasty (nose reshaping), Hair transplant, Tummy tuck, Facelift etc.. He also states that the current trend is an increasing demand for more minimally invasive procedures, especially Botox for wrinkle reduction and Hyaluronic acid fillers for facial rejuvenation.
When asked about what the benefits were by undergoing a plastic surgery procedure, he says Improving appearance is one of the many. The other benefits according to Dr. Deepak Khatri are that the procedure helps to boost one’s self- image and overall well-being. Apart from psychological benefits he also says there are the actual physiological benefits gained like in the procedures of rhinoplasty or breast reductions etc.
A surgical procedure is never devoid of any risks. And Plastic surgery is no exception to this rule. The dependent factors of a successful surgery are the cleanliness of the hospital setup or the general health of the patient. Dr. Deepak also assents to this fact. He also states that the commonly reported complications are wound infection, hematoma, scarring and those arising out of anesthesia.
When we asked about his opinions on the popularity of the procedure in India, he opines that it is, of course, becoming a commonly performed procedure but would take some more time to become immensely popular.
Plastic surgery can have side effects like burning, infections on wounds, etc, too Pixabay
Plastic surgery can have side effects like burning, infections on wounds, etc, too Pixabay
The time lag to gain popularity might be connected to the fact that not all procedures are covered by insurance, a fact which is also confirmed by Dr. Deepak. Insurance only covers the reconstructive procedures in cases of trauma, burns etc.
When asked about his views on who would be considered an ideal Plastic surgeon and who would be regarded an ideal patient, he goes on to state that an ideal plastic surgeon is one who has had the formal training in the specialty and holds certifications. As it is a vast specialty, it is difficult to specialize in all subspecialties. A good patient-doctor rapport is essential for better understanding of the procedure and associated risks and complication. According to him, an ideal patient for plastic surgery would be someone who has realistic expectations regarding the outcomes of the procedure. He indicates that there might be times when the surgeons are pleased with their work, but not the patient, and vice versa. He expresses that it is of course very complex to manage a dissatisfied patient. He says it requires time and patience. He observes that the failure to satisfy a patient happens more due to a failure in communication and poor patient selection than due to technical errors. It is true, there are specific indications for each of these procedures, but he advises that having realistic expectations would avoid the disparity of the opinions on the outcomes between the surgeon and the patients.
The life of a Plastic surgeon is not easy. To become one,  in India, one needs to undergo a 3 years post-doctoral degree course (M. Ch) after a master’s degree (M.S). Dr. Deepak says, that the qualification would not suffice and that they need to refine their skills through fellowships, attending conferences workshops etc. and keep themselves updated always.
Dr. Deepak finally signs off with a note to the public stating that Plastic surgeries/Cosmetic procedures are generally safe. The need of the hour is a better understanding of the procedure from the plastic surgeon, and being aware. If the understanding and awareness levels are satisfied, it can then bring a change into our lives. Same Condition
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Videos on Plastic Surgery Found on YouTube Can be Misleading, Study Reveals

YouTube is for marketing. The majority of the people who post these videos are trying to sell you something

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YouTube music will separate the movies and music section on the platform. Pixabay

Do you turn to YouTube for advice on cosmetic surgery procedures? Beware, most of these are misleading marketing campaigns posted by non-qualified medical professionals, researchers have warned.

Researchers at the Rutgers University found that the millions of people who turn to YouTube as a source for education on facial plastic surgery receive a false understanding that does not include the risks of alternative options.

“Videos on facial plastic surgery may be mainly marketing campaigns and may not fully be intended as educational,” said lead author Boris Paskhover, Assistant Professor at the varsity.

For the study, the team evaluated 240 top-viewed videos with 160 million combined views that resulted from keyword searches for ‘blepharoplasty’, ‘eyelid surgery’, ‘dermal fillers’, ‘facial fillers’, ‘otoplasty’, ‘ear surgery’, ‘rhytidectomy’, ‘facelift’, ‘lip augmentation’, ‘lip fillers’, “rhinoplasty’ and/or ‘nose job’.

The researchers also evaluated the people who posted the videos, including whether they were health care professionals, patients or third parties.

YouTube
Even videos posted by legitimate board-certified surgeons may be marketing tools made to look like educational videos. Pixabay

A majority of videos did not include professionals qualified in the procedures portrayed, including 94 videos with no medical professional at all.

Even videos posted by legitimate board-certified surgeons may be marketing tools made to look like educational videos, Paskhover noted.

Also Read- Typhoon Rumbia Arrives in Shanghai

“Patients and physicians who use YouTube for educational purposes should be aware that these videos can present biased information, be unbalanced when evaluating risks versus benefits and be unclear about the qualifications of the practitioner,” he said.

“YouTube is for marketing. The majority of the people who post these videos are trying to sell you something,” he stated. (IANS)