Cosmetic Surgery Bible

The decision to have cosmetic surgery can be difficult. If you are thinking about cosmetic surgery, you may be asking yourself some hard questions

- Am I being vain?
- Do I have the money? Is this how I really want to spend my money?
- Does plastic surgery going to fit in with my life priorities?
- How will cosmetic surgery affect my life?
- How will I feel if it goes wrong or the results are not what I expected?

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Cosmetic surgery is life changing. By choosing a good surgeon and surgery, you can ensure that this change is for the better. It is important to choose the right surgeon for you. Below is a list of points you should consider before you go through the all important consultation process.

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Each of the links below will take you to a general overview of the cosmetic surgery procedure, including recovery times and side effects, to ensure you know the broad details of what each type of cosmetic surgery entails.

Please note that each individual’s needs are different and that a full consultation with an approved consultant is advised.

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Last week the US Food and Drug Administration granted approval for a new treatment to combat frown lines, medically called nasolabial folds.

‘Radiesse’ was developed by BioForm Medical in 2002 for use in facial reconstructive surgery, but now the calcium based microsphere technology has been approved for other applications.

The new treatment is longer lasting as it not only fills in facial folds and depressions like existing ‘wrinkle fillers’, but also increases the bodies capacity to produce collagen. Collagen provides body to facial tissues.

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Procedure: The shape of the nose is changed by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing the angle between nose and upper lip. Occasionally performed to improve breathing problems.

Length: 1 to 2 hours or more.

Anesthesia: Local (with sedation) or general.

In/Outpatient: Usually outpatient.

Side Effects: Temporary swelling, bruising around eyes, nose and headaches, some bleeding and stiffness.

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Procedure: Reduce enlarged, female-like breast in men using liposuction and/or cutting out excess glandular tissue.  
Length: 1 hour or more. 
Anesthesia: General or local. 
In/Outpatient: Usually outpatient. 
Side Effects: Temporary bruising, swelling, numbness, soreness, burning sensations. 
Risks: Infection, fluid accumulation, injury to the skin, asymmetry, pigmentation changes.
Recovery: 3 to 7 days: Back to work
                2 to 3 weeks: Strenuous activity
                3 to 6 months: Full recovery from swelling and bruising
Duration of Results: permanent 

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Procedure: Fat deposits are removed with a tube and vacuum device to improves body shape. It can be performed using the tumescent technique where targeted fat cells are infused with saline containing solution with a local anesthetic before liposuction to reduce post-operative bruising and swelling. For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a technique where an ultrasound probe is inserted beneath the skin to liquify the fat before it is suctioned out.
Length: 1 to 2 hours or more. UAL: 20-40 percent longer than traditional liposuction. 
Anesthesia: Local, epidural or general. 
In/Outpatient: Usually outpatient. Some people make require a short inpatient stay. 
Side Effects: Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent: Temporary fluid drainage from incision sites. UAL: Larger incisions for cannula. 
Risks: Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device. 
Recovery: 1 to 2 weeks: Back to Work
                 2 to 4 weeks: Strenuous activity
                 1 to 6 months: Full recovery from swelling and bruising:  
Duration of Results: Permanent, dependent on diet and exercise 

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