Friday April 19, 2019

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
  • 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
https://www.samecondition.com/blog/plastic-surgery-before-and-after/

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Study Reveals Shorter Duration of Radiation Safe in Treating Prostate Cancer

This method is both safe and effective and could be a viable treatment option for men with low and intermediate-risk of prostate cancer, the study suggested.

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The study showed that this type of radiation - stereotactic body radiotherapy - is a form of external beam radiation therapy, which reduces the duration of treatment from 45 days to four to five days with no evidence of causing worse toxicity in the long run. Pixabay

Men with low or intermediate-risk prostate cancer can safely undergo higher doses of radiation over a significantly shorter period of time and still have the same, successful outcomes as from a much longer course of treatment, according to researchers including one of Indian-origin.

The study showed that this type of radiation – stereotactic body radiotherapy – is a form of external beam radiation therapy, which reduces the duration of treatment from 45 days to four to five days with no evidence of causing worse toxicity in the long run.

“Most men with low or intermediate-risk prostate cancer undergo conventional radiation, which requires them to come in daily for treatment and takes an average of nine weeks to complete,” said lead author Amar Kishan, Assistant Professor at University of California, Los Angeles, in the US.

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Nearly, 53 per cent men had low-risk disease, 32 per cent had less aggressive intermediate-risk disease and 12 per cent had a more aggressive form of intermediate-risk disease. Pixabay

“With the improvements being made to modern technology, we have found that using stereotactic body radiotherapy, which has a higher dose of radiation, can safely and effectively be done in a much shorter timeframe without additional toxicity or compromising any chance of a cure,” said Kishan.

For the study, the team included 2,142 men with low or intermediate-risk prostate cancer who were treated with stereotactic body radiotherapy. They were followed for a median of 6.9 years.

Nearly, 53 per cent men had low-risk disease, 32 per cent had less aggressive intermediate-risk disease and 12 per cent had a more aggressive form of intermediate-risk disease.

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These are essentially identical to rates following more conventional forms of radiation, which are about 4-5 per cent for low-risk disease and 10 per cent to 15 per cent for intermediate-risk disease. Pixabay

In addition, the recurrence rate for men with low-risk disease was 4.5 per cent, 8.6 per cent for the less aggressive intermediate-risk, and 14.9 per cent for the more aggressive intermediate-risk group, findings published in the journal JAMA Network Open showed.

Overall, the recurrence rate for intermediate-risk disease was 10.2 per cent.

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These are essentially identical to rates following more conventional forms of radiation, which are about 4-5 per cent for low-risk disease and 10 per cent to 15 per cent for intermediate-risk disease.

This method is both safe and effective and could be a viable treatment option for men with low and intermediate-risk of prostate cancer, the study suggested. (IANS)