ClentIntroduction to Cosmetic surgery

(encoded by Clent, bert, chacha)

  Cosmetic= cosmos (greek) = order

  Correction of minor defects secondary to aging, in order to improve,

enhance or to optimize physical appearance

  Aesthetic= aisthetikos= aisthanes- sensitive

Thai- to perceive

  Aesthetics - is the study & theory of beauty & the psychological

responses to it; specifically the branch of philosophy dealing w/ art-its

forms, creative sources, and effects.

  Charles Conrad Miller (1881-1950)- Father of cosmetic surgery;

published the first book in cosmetic surgery

  Frederick Strange Koll (1871-1921) –book: plastic & cosmetic surgery in

1907; 1908-paraffin injections

  Eugene Hollander (1867-1932)  –practice cosmetics & performed

facelifts in 1901; wrote medicine in classical paintings in 1903.

  Erich Lexer (1867-1937)  –facelift in Hollywood (1906)

  Raymond Passot (1886-1933)-presented pioneering article on facelift

incisions at the annual meeting of the alumni society of the medical

school at the Univ. of Oregon in Portland.

  Julien Bourguet- published before & after photos of a pt. who

underwent removal of eyebags. Publish photos of the removal of

double chin. 

  Jacques Joseph (1865-1933) published textbook on rhinoplasty & facial

pastic surgery in 1928 

  Suzanne Noel- 1st female practicing cosmetic surgeon; 1926- La

chirurgie Esthetique: Son Role Social; 1st

 to categorize the ethnic &

cultural psychology of cosmetic surgery pxs. 

  Beauty- the quality attributed to whatever pleases or satisfies the

senses or the mind, as by line, color, form, texture, proportion,

rhythmic motion, tone, etc, or by behavior, attitude, etc.  

Standards of Beauty

-relative according to:

  Race

  Culture

  Historical period

  Geographical location

  Fashion/ styles

“Beauty is in the eye of the beholder, as well as in those of the beheld.

COMMON COSMETIC PROCEDURES

  Augmentation Rhinoplasty

-most common complication: improper mobilization of periosteum

-Silicone rubber- is the most commonly used material in Asia

  Oriental Blepharoplasty

  Blepharoplasty for eyebags

  Rhytidoplasty

  Augmentation Mammoplasty

  Body contouring

*Complications:

o  Post-silicone liquid injections

-Silicone liquid is not indicated for any augmentation

o  Post- silicone oil injections

 –forms foreign body granuloma

-Foreign Body Siliconomas

results in sagging of the dace due to the wight of the silicon as

Elastin disappears.

o  Post-paraffin injections

-becomes more concentrated with time

Collagen injection should be applied

-it’s natural 

-I and III are the most common

-absorbed w/in 6 months

The aging Face

COSMETIC PROCEDURES FOR THE AGING FACE

o  Rhytidectomy/ Rhytidoplasty – Facelift

o  Blepharoplasty – removal of eyebags

  Blepharochalasia- removal of extra fat

  Dermochalasia- remove extra skin

  Baggy eyelids

o  Others: Chin augmentation; neck lift; Mastopexy (Breast lift); Breast

reduction; Abdominal dermolipectomy; Reduction mammoplasty

BODY SCULPTURING

  Suction- Assisted lipectomy (liposuction)

Maximum fat allowed to be removed= 3000 cc

30% is blood.

Contraindication: having been on Accutane for six months prior or

following. Accutane may increase your chances of keloid-like

scarring -- although the incisions are VERY small in liposuction. 

  collagen/scarring/connective tissue disorders 

  significant stretch marks 

  clotting disorders 

  lupus 

  diabetes may affect outcome or increase risks  

  heart or lung disease 

  vascular problems (including common circulation problems) 

  endocrine disorders 

  hypertension 

  depression 

  other active diseases may affect outcome or increase risks  

  morbid obesity 

  wound healing disorders 

  smoking 

 

Clent

  recreational drug use or excessive drinking 

  use of some prescription and over the counter medications,including some supplements -- please see our medication &supplement list and disclose any and all medications to yoursurgeon or anesthesiologist. 

  you are pregnant 

Cylocaine/ Lidocaine poisoning- the most common cause of death in

Liposuction:

Body dysmorphia disorder  – excessive cosmetic surgery

Simon Barraquer syndrome- acquired partial lipodystrophy, and

"Cephalothoracic lipodystrophy," "Progressive lipodystrophy" is a rare form

of lipodystrophy, which usually first affects the head, and then spreads to the

thorax.

Infra mammary prosthesis – the most common and safe type of

mammoplasty

Garlic & Vit E- can cause bleeding