Ques No. 1- What is cosmetic surgery, what are the reasons for its popularity nowadays?
A.The aim ot cosmetic surgery is to improve appearance, self image and quality of life. Ancient man's method of changing his appearance by altering his body. is what we know as cosmetic or aesthetic surgery. During the past twenty five years the demand for cosmetic surgery has been astounding. The thrre A: s (awareness, affluence, availability) have been largely responsible for this spurt. Though physical attractiveness is not the most" important factor in interpersonal relationship, the value of looking ones best has become increasingly apparent to many people.
Ques No.2- What is a face-lift, is it the only way to a youthful face?
A. Face-lift is a general term for a variety of procedures that involve raising the facial skin so that hanging folds or wrinkles (rhytides) are eliminated.
The procedure is also called rhytidectomy and results in a youthful face. The ideal age for a face-lift is the late 40 and early 50' s. The basic face-lift operation involves redraping and removal of excess facial skin or facial sagging. Face-lift is also possible through small incisions by the use of endoscopic techniques. Laser face lift is the latest technique .of removing facial wrinkles using sophisticated CO2 laser machine. Removal of the fine lines on the face is also possible by filling procedures using collagen or synthetic implants. These are injected below the wrinkles to erase them.
Ques No.3- Is there a way to treat baggy eye-lids? .
A. The eyelids form the very basis of individual recognition and account for a large part of the youthfulness and expressiveness of the face.
Blepharo-plasty is a surgical procedure llsed for the correction of baggy eyelids. The operation is done for upper eyelids or lower eyelids at a time. Incision is made in the eyelids and excess skin, fat and tissue is removed. Scars after this surgery are virtually inconspicious.
Ques No.4- What are the reasons of facial aging, how does chemical peeling lead to face rejuvenation?
A. Aging, sun exposure, heredity and lifestyle factors including nutrition, alcohol and smoking all may contribute to facial wrinkling. Pigmentation changes of the skin, such as blotchiness or brown spots, may also occur with age or as a result of birth control pills, pregnancy or genetic factors. Chemicals peeling involves the application of specific chemicals to the face. This removes layers of your skin and as the healing process progresses a new, healtheir looking skin emerges. A peel solution may be applied to the entire face or just to certain regions. As per the need, the depth of a peel could be very superficial, medium or deep. The different types of chemical peels \ ..lry according to their specific ingredients and their strength. The agents include glycolic, trichloracetic acid, tretinon, Jessner's solution or phenol. Proper preparation of the skin prior to the procedure is important. For peeling anaesthesia is not needed. A tingling or mild stinging sensation is felt on its application. The procedure is done as a office procedure mostly.
Ques No.5- What is meant by dermabrasion, how are facial scars treated?
A. This is used for treating surface irregularities produced by pox marks, acne pits, fine wrinkles, scars. It is also useful for the removal of vertical lip lines. For this procedure, sanQ paper or special instrument called, dermabrader is used. The procedure is done under anaesthesia and patient haG to avoid direct sunlight for a few months to avoid pigmentation problems.
.BEAUTIFUL YOU
Ugly scars result follow accident, injury or badly sutured wound. Scar revision is the process of replacing an unsightly scar with a better looking one. Although, there is no surgery without scar but the use of refiner techniques and aesthetic principles makes the scar imperceptible or less obvious
Ques NO.6-How is nose made beautiful by cosmetic surgery?
A. The nose occupies a central position on the facial geography, so is an important facial feature. Rhinoplasty [Rhino-nose, Plasty-to mould] is the name given to operations to shape the nose. It is one of the commonest cosmetic operation today. Rhinoplasty can:
. Reduce the overall size of the nose.
. Reduce a hump on the nasal bridge. .
. Reshape a tip that appears too bulbous,
short or long.
. Narrow the nostrils or base of the nose. . Correct the shape of the septum of the
nose.
Most of these operations are done through inside the nostrils, hence post-operative scars are not visible. Sometimes a material called sialastic implant is introduced into the nose to give it a proper shape. Cartilage or bone graft from the patients own body can also be used to elevate a flat nose.
Ques No.7-IS it possible to treat baldness, what are the latest techniques?
A A number of hair replacement surgical methods are being practiced by plastic surgeons, broadly these methods can be classified as:
1. Hair bearing grafts - this includes punch
graft, strip graft and micro graft.
2. Scalp flaps.
3. Scalp reduction.
4. Scalp extension.
5. Micro-surgical methods.
Punch Graft - Commonly known as hair- iii
transplants, is the name given to removal of a punch hair and skin about 4.5 mm. from a do- ." nor area, which is usually the back of the head. These graft are transferred to the bald area.
Strip Graft - hair bearing strip with a width of 6 mm. and a lengthpf upto 8 mm. are used. The advantage is transfer of a large number of hair follicles.
Micrograft - this is the one of the recent method in hair surgery. Small slivers of hair bearing skin, sometimes containing just 2 or 3 hair follicles are grafed to the bald area. The result is cosmetically more pleasing due to even hair distribution. These procedures are done under local anaesthesia as office procedure. Hair transplant usually requires about 12 hours.
Scalp Flaps - Large flaps of hair bearing skin taken from the scalp is rotated to cover the bald area and re-establish a frontal hair line [juri-flap].
Scalp Reduction - The basis of scalp reduction is decreasing the amount of bald area and expandingly the hair bearing adjacent areas of the scalp. This is mostly achieved by use of tissue expanders or scalp advancement.
Micro-Surgical Flaps - An entire chunk of flap with its blo0d supply is completely removed and anastomosed to the donor area.
Ques No.8- Is it safe to use breast implants? What are the other methods for breast shaping? ,
A. Operation for shaping the breast are called Mammoplasty. Augmentation mammoplasty means increasing the breast' size. The augmentation is accomplished by the use of silicon implant, of varying size and
types. The textured silicone saline implants are most popular nowadays. These implants
can be introduced by different incisions ego In breast crease, axillary or peri-areolar. The latest addition is the trans-umbilical approach which leaves no tell-tale signs of a breast surgery. The procedure requires sophisticated endoscopic technique and expertise. The breast implant retain their size and shape after surgery.
The reported satisfaction rate for this surgery is around 94%. Silicone breast implants iii do not cause cancer as revealed by recent stud[I ies conducted in over two lakh women. However few of these patients mav observe chansre in breast consistency as a foreign body reaction to the implant. The over-whelming majority of women who request this surgery feel inadequate psychologically because of their small breasts.
Breast implant are used after mastectomy or breast removal.
Ques No.9- Is it possible to reduce huge size breasts?
A. This operation is designed for women with excessively large breasts, which often cause medical problems like back pain, breathing difficulties, skin irritation along with an unaesthetic look. Breast assymetry is another reason for this surgery.
A number of techniques are available for breast reduction, the choice of which depends on the surgeon and the patient. Fat and glandular tissue from the over sized breast is removed to make the breast sizeable and firmer, sometimes the areola too is reduced in size. At times the nipple areola complex is completely detached and re-grafted over the reduced breast. Breast reduction can be performed at any age after puberty.
Ques No.1 0- What about sagging breasts how are they corrected?
A. Breast-lift is an operation used for correction of sagging breasts. A mastopexy is often saught by women who had children, since pregnancy and nursing leaves a stretched outer skin envelope with less volume inside.
During this operation, the plastic surgeon usually makes an achor shaped incision that circles the areola and extends downward to the crease below the breast. Excess skin above and next to nipple is removed, and the nipple and areola are moved to a higher position. In most cases mastopexy results in stitches around the areola. In few cases a breast implant is needed for optional results.
|
