- Email: [email protected]
Facial surgery: Body and soul
PLASTIC
SURGERY:
ISRAEL
|m|
p
Facial surgery: body
lastic surgery has develand basis, and with simple surgical oped during the past half instruments. century, widening its At later ages, the most range and offering better popular procedures include Isaac J Peled solutions to many medical and surgery of the eyelids, facial surgical problems. The main wrinkles, lip enhancement, aim of this type of surgery is to improve or reconstruct skin resurfacing, suction-assisted lipectomy (liposuction), different types of defects. Obviously, exposed areas are fat injection, and hair transplantation. the main concern of the patients who seek the help of Aesthetic surgery is still regarded as a non-essential plastic surgeons, and the face, being our "introduction procedure, which can only be afforded by certain people. card", generates"great demand for plastic surgery. This concept is false, because aesthetic surgery is a The importance of looking good is already well known component of almost all procedures in plastic surgery. and scientifically proven. The reason for the different Good-looking people have classification of plastic and better chances, and this is aesthetic surgery is that true even very early in life. many procedures classified We know that certain as aesthetic are not covered improvements in the by medical insurance. appearance of children with Women with underdevelopcongenital malformations ed breasts can be easily and result in a positive change in successfully treated, but the attitude of society. Let us augmentation mammaplasty remember Menkin's phrase: is an aesthetic procedure "Beauty is a letter of recomnot covered by medical mendation that we get insurance; however, correctwithout asking for it." ion of gynaecomasty in men, When we consider facial _~ a similar physical and zo psychological problem, is plastic surgery--operations not regarded as an aesthetic on the most exposed area of procedure and is covered by our b o d y - - w e mean all the Correctionof protrudingears procedures that can and medical insurance. should be performed in treating the body and soul of our The proportion of aesthetic procedures in different patients. countries varies widely and is in direct relation to the Facial plastic surgery includes reconstruction of facial economy of the country, the availability of this type of defects after surgery for malignant or benign soft-tissue surgery at public institutions, and surgical fees. I presume tumours, congenital malformations such as clefts, that if aesthetic surgery was covered by insurance or was craniofacial and maxillofacial defects, the features available for a minimal fee, it would be one the most associated with Down's syndrome, absence of the external common surgical procedures. ear, alopecia, and so on. Malignant skin tumours of the Plastic surgery is continuously changing in search of face are very common, especially in light-skinned patients, better results, safer operations, negligible or no scars, and they start to appear at a relatively young age. Surgical and fast healing and recovery. Most esthetic operations do excision is still the best treatment. If we excise the tumour not require a sophisticated armamentarium and completely, the patient is probably cured of the cancer, can be done under local anaesthesia, on an ambulatory but the aesthetic result is also extremely important. basis, and in simple facilities. Modern plastic surgery consists not only of the excision The introduction of expensive instrumentation and and leaving the defect for secondary healing, it also procedures, for example different types of lasers, includes the immediate closure of the defect with fibreoptic endoscopes, and the m o s t suitable procedure for the best possible--or at external and internal ultrasound-assisted lipectleast a pleasant--aesthetic result. Most patients who consult plastic surgeons about malignant tumours of the omy, has not proved essential and often the face are very concerned about their appearance reason to use these is more after surgery and will decide about the operation in relation to the final aesthetic result of t_he operated facial for marketing purposes area. than for strict medical Aesthetic surgery, the importance of which has indications. increased substantially, offers the possibility of Publicity spreads the word and nowadays inimprovement in almost every area of the face. The different procedures that are available have a sequential formation about plastic frequency at different ages. At an early age we do surgery surgery is easily available to for congenital deformities, most commonly cleft lip and the general population. palate. Later on, there is correction of protruding ears, This spread of information and in the teens nasal surgery and removal of birthmarks may increase the interest and tattoos when they become a stigma. The simplicity and demand of the public in future. Modern medicine and safety of these procedures are well represented in the correction of protruding ears. Corrective cosmetic should offer a wide range of otoplasty (figure) is performed with modern techniques, safe and successful aesthetic without scars, under local anaesthesia, on an ambulatory surgical procedures. The Lancet Perspectives ° 356 • December ° 2000
SOU]
s46
SURGERY:
ISRAEL
|m|
p
Facial surgery: body
lastic surgery has develand basis, and with simple surgical oped during the past half instruments. century, widening its At later ages, the most range and offering better popular procedures include Isaac J Peled solutions to many medical and surgery of the eyelids, facial surgical problems. The main wrinkles, lip enhancement, aim of this type of surgery is to improve or reconstruct skin resurfacing, suction-assisted lipectomy (liposuction), different types of defects. Obviously, exposed areas are fat injection, and hair transplantation. the main concern of the patients who seek the help of Aesthetic surgery is still regarded as a non-essential plastic surgeons, and the face, being our "introduction procedure, which can only be afforded by certain people. card", generates"great demand for plastic surgery. This concept is false, because aesthetic surgery is a The importance of looking good is already well known component of almost all procedures in plastic surgery. and scientifically proven. The reason for the different Good-looking people have classification of plastic and better chances, and this is aesthetic surgery is that true even very early in life. many procedures classified We know that certain as aesthetic are not covered improvements in the by medical insurance. appearance of children with Women with underdevelopcongenital malformations ed breasts can be easily and result in a positive change in successfully treated, but the attitude of society. Let us augmentation mammaplasty remember Menkin's phrase: is an aesthetic procedure "Beauty is a letter of recomnot covered by medical mendation that we get insurance; however, correctwithout asking for it." ion of gynaecomasty in men, When we consider facial _~ a similar physical and zo psychological problem, is plastic surgery--operations not regarded as an aesthetic on the most exposed area of procedure and is covered by our b o d y - - w e mean all the Correctionof protrudingears procedures that can and medical insurance. should be performed in treating the body and soul of our The proportion of aesthetic procedures in different patients. countries varies widely and is in direct relation to the Facial plastic surgery includes reconstruction of facial economy of the country, the availability of this type of defects after surgery for malignant or benign soft-tissue surgery at public institutions, and surgical fees. I presume tumours, congenital malformations such as clefts, that if aesthetic surgery was covered by insurance or was craniofacial and maxillofacial defects, the features available for a minimal fee, it would be one the most associated with Down's syndrome, absence of the external common surgical procedures. ear, alopecia, and so on. Malignant skin tumours of the Plastic surgery is continuously changing in search of face are very common, especially in light-skinned patients, better results, safer operations, negligible or no scars, and they start to appear at a relatively young age. Surgical and fast healing and recovery. Most esthetic operations do excision is still the best treatment. If we excise the tumour not require a sophisticated armamentarium and completely, the patient is probably cured of the cancer, can be done under local anaesthesia, on an ambulatory but the aesthetic result is also extremely important. basis, and in simple facilities. Modern plastic surgery consists not only of the excision The introduction of expensive instrumentation and and leaving the defect for secondary healing, it also procedures, for example different types of lasers, includes the immediate closure of the defect with fibreoptic endoscopes, and the m o s t suitable procedure for the best possible--or at external and internal ultrasound-assisted lipectleast a pleasant--aesthetic result. Most patients who consult plastic surgeons about malignant tumours of the omy, has not proved essential and often the face are very concerned about their appearance reason to use these is more after surgery and will decide about the operation in relation to the final aesthetic result of t_he operated facial for marketing purposes area. than for strict medical Aesthetic surgery, the importance of which has indications. increased substantially, offers the possibility of Publicity spreads the word and nowadays inimprovement in almost every area of the face. The different procedures that are available have a sequential formation about plastic frequency at different ages. At an early age we do surgery surgery is easily available to for congenital deformities, most commonly cleft lip and the general population. palate. Later on, there is correction of protruding ears, This spread of information and in the teens nasal surgery and removal of birthmarks may increase the interest and tattoos when they become a stigma. The simplicity and demand of the public in future. Modern medicine and safety of these procedures are well represented in the correction of protruding ears. Corrective cosmetic should offer a wide range of otoplasty (figure) is performed with modern techniques, safe and successful aesthetic without scars, under local anaesthesia, on an ambulatory surgical procedures. The Lancet Perspectives ° 356 • December ° 2000
SOU]
s46