Archive for February, 2012

Cosmetic surgery is a sub-specialty that uniquely restricts itself to the enhancement of appearance through surgical and medical techniques. It is specifically concerned with maintaining normal appearance, restoring it, or enhancing it toward some aesthetic ideal for all areas of the body. Cosmetic surgery involves a multidisciplinary and comprehensive approach from a variety of disciplines including board-certified dermatologists, general surgeons, maxillofacial surgeons, ophthalmologists, ENT’s, plastic surgeons and physicians from other fields. All of these disciplines have contributed to the vital growth of cosmetic surgery.

Choosing a surgeon for cosmetic procedures

Choosing a doctor for any healthcare need is an important decision. Patients should choose a healthcare provider based on his or her training, education, experience and demonstrated practice history. It is the American Medical Association’s policy that individual character, training, experience and judgment are the criteria for granting privileges for surgical procedures, and that physicians representing several specialties can and should be permitted to perform the same procedures if they meet criteria for the specific procedure.

With an expanding number of consumers anxious to undergo cosmetic surgery, it is imperative that consumers have access to accurate information, the freedom to choose among physicians and that the number of qualified providers is not artificially restricted. Unfortunately, the vast majority of consumers view cosmetic surgery and plastic surgery as one and the same. Consumers’ misapprehension in this regard has them relying on incomplete and false information when choosing a physician to perform cosmetic surgery procedures.

Plastic Surgery is not Cosmetic Surgery

When considering cosmetic surgery, people are almost universally unaware of the difference between cosmetic surgery and plastic surgery. For this reason, they are easily misled to believe that board certification in plastic surgery evidences a physician’s competence to perform cosmetic surgery. It does not.

A recent national cosmetic surgery training survey sent to the 89 active US plastic surgery programs in regard to resident preparedness in aesthetics was quite revealing. The information published in the Journal of Plastic and Reconstructive Surgery revealed significant differences in opinions between program directors and finishing senior plastic surgery residents. Although 51 percent of residents felt prepared to integrate cosmetic surgery into their practices upon graduation, 36 percent felt further cosmetic training was desirable after completion of plastic surgery residency. Confidence levels were specifically low in rhinoplasty, face lifts, endoscopic procedures and body contouring techniques. Experience with skin resurfacing, facial fillers and botulinum toxin type A were listed as other areas of concern.

On a positive note, breast augmentation, breast reduction and abdominoplasty were most frequently performed by plastic surgery residents during training with the highest resident comfort levels. On the basis of these results, Dr. Colin Morrison, et al suggested changes in cosmetic surgery training during plastic surgery residency.

As there are very few dedicated Cosmetic Surgery Fellowships, cosmetic surgery is primarily learned during post residency through ongoing continuing education, training and experience. The most recent advances in cosmetic surgery have appeared in the last seven years- Botox, facial fillers, advanced laser skin resurfacing and body contouring. If your surgeon completed residency more than seven years ago and offers advanced cosmetic surgery procedures, he or she learned these techniques at post graduate training courses offered to physician and surgeons of all specialties.

Ultimately the decision is yours..so only can make the the right choice for your surgical procedures, whether elective for cosmetic reasons or for medical reasons. Choose well!

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lip augmentation in Chattanooga TennesseeConsidered by many as one of the most pleasing and animate features of the face, luscious full lips speak of youth and vitality. Aesthetic surgery of the lips has evolved as the field of cosmetic surgery has evolved.

Many of the techniques used on other areas of the face may not work on the lips because of their 3-dimensional animate nature. With this in mind, many methods are used to augment the lips and to change their animate shape, repose shape, or both. The surgeon must always be aware of how static changes to the lip change the animate aesthetics and function of the lip. Patients occasionally refer to this as “kissability.”

Non-Surgical Lip Augmentation by temporary injectables

Many new injectable materials used to augment the lips have become available, and many more are to be approved by the US Food and Drug Administration (FDA). Temporary injectable materials like Juvederm and Restylane are the most common method of lip augmentation and reshaping. The problem with temporary injectable fillers is the fact that they are temporary. Because these injectables are temporary, they require repeat maintenance which the patient must commit to indefinitely in order to maintain the desired lip fullness. These injection treatments can be costly and sometimes painful.

Lip Implants- the permanent fix for luscious lips

The latest, most advanced lip augmentation procedure involves the placement of a solid silicon implant,Perma Facial Implant™. This implant is similar to silicon implants used in breast augmentation procedures, yet unique in that it is manufactured from a very soft, solid form of silicone which cannot rupture. The solid silicon implant can be placed into the upper and lower lips through 3mm incisions in the corner of the mouth. These incision sites heal rapidly and are barely visible to inspection after placement. The silicon implants come in several different sizes for permanent lip enhancement and can be easily removed if they patient ever desired.

Results unlike those infamous cases of Priscilla Presley & Lisa Rinna

Old silicon injections , like the ones completed on Ms. Priscilla Presley, caused lip deformity with invasive growth into the lip tissues- in a sense, scarring to the implant itself. Consequently, this process created restricted or unnatural movement of the lips. The type of implant used in our practice, Perma Lip implants, are composed of a material ideally suited for use in the facial tissues. This material minimizes the potential of scarring and ,ultimately, unnatural or restricted movement of the lips. Although the silicon implants are solid, they have a soft, natural feel.

“Old-school ” silicon was also very difficult to remove without major surgical excision. Perma Lip Implants, however, can be easily removed if the lip augmentation look is no longer desired.

Surgical Lip Augmentation- What to expect

The lip implant surgery itself takes only thirty minutes and can be performed in a simple, office surgical suite under local anesthesia(field block, nerve block). This is, in fact, an ideal way to work on the lips. With general anesthesia, the lips become flaccid and adynamic. During the sculpture phase of the lip augmentation, the patient’s ability to move the lips is a great advantage .

The following day, the lip implant patient may resume normal activity. Patients should expect to be swollen and slightly tender post-operatively. Depending on the individual, there may be some bruising as well. The majority of bruising and swelling usually subsides after the first week. Discomfort is usually present for a few days, which will be alleviated by pain medication prescribed by your physician.

Before undergoing any type of lip augmentation, take care to review before and after photographs of patients treated by your cosmetic surgeon. Make sure that your ideal of aesthetic sense is the same as your surgeon. Beware of lip overfill; big pink slugs and platypus lips do not fit into the category of “kissability.”

For more information on lip augmentation, call 423-648-4011.

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