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Find the answers to all your questions about cosmetic and reconstructive
surgery, including recovery time, types of procedures performed,
and follow-up care.
Frequently Asked Questions About Plastic
Surgery
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 facelift, rhinoplasty, breast augmentation, and
liposuction.
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 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 congenital 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.
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.
Is there a right age for cosmetic surgery?
There is no ideal age to have cosmetic surgery. The time
to have an elective procedure is when the desired change will
justify the time, effort and the cost involved. Another
factor to take into consideration is the potential length of
time to enjoy the benefits. For example, if an individual
has a facelift earlier in life, the rewards of this surgery can
be enjoyed for a greater period of time.
How long will my results last?
There is no precise answer to this question. Surgery does
not affect the ongoing aging process which is largely dependent
upon genetics. What cosmetic plastic surgery does is turn
back the clock. Unfortunately, aging is inevitable; although
with cosmetic surgery, you are able to continue to look more
youthful and in shape.
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 makeup 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 regular exercise?
The time a patient resumes regular exercises 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 can be done to reduce the appearance of scars after plastic surgery?
All surgery creates scars. But there are ways to minimize the
appearance of scars. Deep sutures, for example, keep tension
off the surface of wounds and help keep scars thin. Scars can
be placed as inconspicuously as possible.
Is financing available for plastic surgery?
Yes, many plastic surgery practices offer plastic surgery financing.
This is often a very convenient way to pay for your cosmetic
surgery procedure. Sometimes the payments can be made over the
course of several years, and the monthly payments might be very
reasonable. Other plans include three or six months "same
as cash" plans in which there is not an interest payment
at all so long as you pay back the amount within the specified
period. |