Information Source on Cosmetic Surgery
Plastic and Cosmetic Surgery - Also called: Cosmetic surgery
Surgeons can reshape the appearance of body parts through cosmetic surgery. Some of the most common body parts people want to improve through surgery include
- Breasts: Increase or reduce the size of breasts or reshape sagging breasts
- Ears: Reduce the size of large ears or set protruding ears back closer to the head
- Eyes: Correct drooping upper eyelids or remove puffy bags below the eyes
- Face: Remove facial wrinkles, creases or acne scars
- Hair: Fill in balding areas with one's own hair
- Nose: Change the shape of the nose
- Tummy: Flatten the abdomen
If you are considering cosmetic surgery, you must be honest with yourself. Why do you want surgery and what do you expect surgery to do for you? According to the American Society of Plastic Surgeons (ASPS), there are two categories of patients who are good candidates for surgery:
- The first includes patients with a strong self-image who are bothered by a physical characteristic that they'd like to improve or change.
- The second category includes patients who have a physical defect or cosmetic flaw that has diminished their self-esteem over time.
It's important to remember that cosmetic surgery can create both physical changes and changes in self-esteem. But if you are seeking surgery with the hope of influencing a change in someone other than yourself, you might end up disappointed.
Cosmetic Surgery Safety
If you're thinking about getting cosmetic surgery, it's your job to become an informed consumer. Selecting a qualified doctor, with a lot of training and experience in the procedure you'd like to get, is essential.
Ask the right questions to get the best treatment:
- In which state is the doctor licensed to practice surgery?
- Is the doctor board certified? With which board? The doctor should be certified by the American Board of Plastic Surgery.
- How many years has the doctor performed this type of surgery?
- Does the doctor have life-saving equipment and monitoring devices?
- Who administers the anesthesia? Ideally, this person is a board-certified anesthesiologist or certified registered nurse anesthetist.
- What are the risks of the procedure?
- What is the expected recovery for the procedure you're having?
Check out your Doctor's Credentials
If you're thinking about having your surgery in the doctor's office, there are advantages and disadvantages. The office might be convenient, private, and have more amenities than a hospital or ambulatory care center (non-emergency, outpatient facility). But it may not be safe. Don't assume that the doctor has the right credentials or the right equipment to keep you safe in the office.
Contact these organizations to find out your doctor's education, licensure, and board certification in addition to the doctor's or ambulatory care center's accreditation:
- Accreditation Association for Ambulatory Health Care, Inc. (AAHC) – Accredits physician offices with surgical facilities. Phone: 847-853-6060
- American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) – Certifies ambulatory surgery facilities and provides practice guidelines for surgeons working in ambulatory surgical facilities. Phone: 888-545-5222
- American Society of Plastic Surgeons (ASPS)/ The American Board of Plastic Surgery (ABPS) – All of the surgeons listed through this service are ASPS members who are board-certified by the American Board of Plastic Surgery. They have graduated from an accredited medical school and completed at least five years of surgical residency, usually three years of general surgery and two years of plastic surgery. Phone: 847-228-9900
- Federation of State Medical Boards (FCVS) – FCVS verifies medical education, postgraduate training, licensure examination history, board action history, and identity. Phone: 817-868-4043
Body Dysmorphic Disorder (BDD)
Body dysmorphic disorder (BDD) is a serious illness in which a person is preoccupied with minor or imaginary physical flaws, usually of the skin, hair, and nose. A person with BDD tends to have cosmetic surgery, and even if the surgery is successful, does not think it was and is unhappy with the outcome.
Symptoms of BDD:
- Being preoccupied with minor or imaginary physical flaws, usually of the skin, hair, and nose, such as acne, scarring, facial lines, marks, pale skin, thinning hair, excessive body hair, large nose, or crooked nose.
- Having a lot of anxiety and stress about the perceived flaw and spending a lot of time focusing on it, such as frequently picking at skin, excessively checking appearance in a mirror, hiding the imperfection, comparing appearance with others, excessively grooming, seeking reassurance from others about how they look, and getting cosmetic surgery.
Getting cosmetic surgery can make BDD worse. They are often not happy with the outcome of the surgery. If they are, they may start to focus attention on another body area and become preoccupied trying to fix the new "defect." In this case, some patients with BDD become angry at the surgeon for making their appearance worse and may even become violent towards the surgeon.
Treatment for BDD
- Medications. Serotonin re uptake inhibitors or SSRIs are antidepressants that decrease the obsessive and compulsive behaviors.
- Cognitive behavioral therapy. This is a type of therapy with several steps:
- The therapist asks the patient to enter social situations without covering up her "defect."
- The therapist helps the patient stop doing the compulsive behaviors to check the defect or cover it up. This may include removing mirrors, covering skin areas that the patient picks, or not using make-up.
- The therapist helps the patient change their false beliefs about their appearance.
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