Why the "plastic" in plastic
surgery?
The word "plastic" comes from the Greek word plastikos,
meaning "to mold or shape."
Many of the first plastic surgeries were developed
to close a difficult wound or replace tissue lost
due to injury or cancer. These procedures often
involved the formation of a skin flap to reshape
or mold the defect so as to approximate the original
shape.
What is plastic
surgery?
Plastic surgery is a surgical specialty
dedicated to reconstruction of facial and body defects
due to birth disorders, trauma, burns, and disease.
The art and science of plastic surgery is also
involved with the enhancement of the appearance
of a person through such operations as facelifts,
rhinoplasty, breast
augmentation, and liposuction.
What is the
difference between cosmetic and reconstructive surgery?
Cosmetic surgery is performed to reshape
normal structures of the body in order to
improve the patient's appearance and self-esteem.
Cosmetic surgery is usually not covered by health
insurance because it is elective.
Reconstructive surgery is performed on abnormal
structures of the body, caused by congential defects,
developmental abnormalities, trauma, infection,
tumors or disease. It is generally performed to
improve function, but may also be done to approximate
a normal appearance. Reconstructive surgery is generally
covered by most health insurance policies although
coverage for specific procedures and levels of coverage
may vary greatly.
There are a number of "gray areas" in coverage
for plastic surgery that sometimes require special
consideration by an insurance carrier. These areas
usually involved surgical operations which may be
reconstructive or cosmetic, depending on each patient's
situation. For example, eyelid
surgery (blepharoplasty) a procedure
normally performed to achieve cosmetic improvement
may be covered if the eyelids are drooping
severely and obscuring a patient's vision.
What is the
recovery from plastic surgery like?
Will I be able to tolerate the pain post-operatively?
Each patient will tolerate pain post-operatively
in a different way, and we consider this. While
some patients may describe the pain as an ache,
others experience greater discomfort. Appropriate
pain medications are prescribed for the post-operative
patients, and these help minimize discomfort.
Most facial cosmetic operations have minimal discomfort
post-operatively. Liposuction is slightly more
uncomfortable, and operations that require elevation
or tightening of the muscles such as an
abdominoplasty or breast augmentation have discomfort
equal to that of a C-section.
How long is the recuperative period and when
can I return to work?
The length of time it takes to recuperate after
plastic surgery varies depending on the procedure
performed and the person operated on. Most patients
will require assistance for the first two days.
Then most patients are able to care for themselves,
but may still need assistance if they have small
children to care for. The specific lengths of
disability are outlined below by procedure. These
are approximations, and do not include return
to exercise.
Eyelid Surgery
- Usually can get around independently by the
second day. With the use of sunglasses, may feel
comfortable going to the store by day 3-4, and
with make-up could return to work by 5-7 days.
Facelift Surgery
- Usually can get around independently by the
second day. Usually do not feel comfortable going
out in public for 5-7 days. Requires 10-14 days
before returning to work if in the public eye.
Breast Surgery
- Usually can get around independently by the
second day. May return to work at 5-7 days if
not required to lift more than 15 pounds.
Liposuction
- Usually can get around independently by the
second day, earlier if smaller number of areas
treated. One can return to work and normal activities
in 5-7 days.
Abdominoplasty
- Patients may take between 2-4 days before getting
around independently. The recovery is almost identical
to C-section. One can return to a desk job at
5-7 days, other jobs 10-14 days.
When can I resume
normal exercise?
The time a patient resumes regular exercises after
cosmetic surgery varies based on the operation performed.
All patients are encouraged to start a slow walking
routine on the second postoperative day.
Regular aerobic and more vigorous activities are
not allowed during the first 2 weeks in order to
decrease the risks of bleeding, swelling, and bruising.
Weight lifting and contact sports are allowed at
1 month in most cases.
What is the
most common plastic surgery procedure?
The most common plastic surgery procedure overall
is tumor removal (for skin lesions such as skin
cancers).
The most common cosmetic surgery procedure is liposuction.
Which plastic
surgery procedure do men have performed most often?
Men most often have the nose
reshaped, followed by eyelid
surgery.
How much cosmetic
surgery is performed on teenagers?
About 3% of all cosmetic surgery is performed on
people 18 years old or younger. The top procedure
is nose reshaping.
How old are
most people when they choose to have cosmetic surgery?
35-50 years of age is the primary category for
cosmetic surgery. In 1992 and 1994, this group accounted
for more than 40% of all cosmetic surgery.
In which state
is cosmetic surgery most popular?
1 out of 5 cosmetic surgery patients reside in
California.