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Clent

Introduction 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- 1
st
female practicing cosmetic surgeon; 1926- La
chirurgie Esthetique: Son Role Social; 1
st
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
-its 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 your
surgeon 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

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