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Plastic Surgery

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Plastic Surgery

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Plastic surgery is a medical specialty concerned with the correction or restoration of form and function. While famous for aesthetic surgery, plastic surgery also includes two main fields: plastic and reconstructive surgery. The word “plastic” derives from the Greek plastikos meaning to mold or to shape; its use here is not connected with the synthetic polymer material known as plastic.

Plastic surgery sub-specialities

Plastic surgery is a broad field, and may be subdivided further. Plastic surgery training and approval by the American Board of Plastic Surgery includes mastery of the following as well.

Craniofacial surgery is divided into pediatric and adult craniofacial surgery. Pediatric craniofacial surgery mostly revolves around the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures. Because these children have multiple issues, the best approach to providing care to them is an interdisciplinary approach which also includes otolaryngologists, oral and maxillofacial surgeons, speech therapists, occupational therapists and geneticists. Adult craniofacial surgery deals mostly with fractures and secondary surgeries (such as orbital reconstruction) along with orthognathic surgery. Craniofacial surgery is an integral part of all plastic surgery training programs, and further training is frequently obtained via a craniofacial fellowship for additional expertise.

Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. Most Hand surgeons will opt to complete a fellowship in Hand Surgery. The Hand surgery field is also practiced by orthopedic surgeons and general surgeons (see Hand surgeon).

Cosmetic or Aesthetic Surgery

Aesthetic Surgery involves techniques intended for the “enhancement” of appearance through surgical and medical techniques, and is specifically concerned with maintaining normal appearance, restoring it, or enhancing it beyond the average level toward some aesthetic ideal.

In 2006, nearly 11 million cosmetic surgeries were performed in the United States alone. The number of cosmetic sprocedures performed in the United States has increased over 50 percent since the start of the century. Nearly 12 million cosmetic surgeries were performed in 2007, with the five most common being breast augmentation, liposuction, nasal surgery, eyelid surgery and abdominoplasty. The increased use of cosmetic surgery crosses racial and ethnic lines in the U.S., with increases seen among African-Americans and Hispanic Americans as well as Caucasian Americans. In Europe, the second largest market for cosmetic procedures, cosmetic surgery is a $2.2 billion business.

The most prevalent aesthetic/cosmetic procedures are listed below. Most of these types of surgery are more commonly known by their “common names.” These are also listed when pertinent.

Abdominoplasty (or “tummy tuck”): reshaping and firming of the abdome.

Blepharoplasty (or “eyelid surgery”): Reshaping of the eyelids or the application of permanent eyeliner, including Asian blepharoplasty

Mammoplast

Breast augmentation (“breast enlargement” or “boob job”): Augmentation of the breasts. This can involve either fat grafting, saline or silicone gel prosthetics. Initially performed to women with micromastia.

Breast reduction: Removal of skin and glandular tissue. Indicated to reduce back and shoulder pain in women with gigantomastia and/or for psychological benefit in women with gigantomastia/macromastia and men with gynecomastia.

Breast lift (Mastopexy): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue or scarless Serdev suture technique .

Plastic surgery sub-specialities

Plastic surgery is a broad field, and may be subdivided further. Plastic surgery training and approval by the American Board of Plastic Surgery includes mastery of the following as well.

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Fight against fat goes high-tech with new devices

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Fight against fat goes high-tech with new devices

The fight against fat is going high-tech. To get an inside look at eating and exercise habits, scientists are developing wearable wireless sensors to monitor overweight and obese people as they go about their daily lives.

The experimental devices are designed to keep track of how many minutes they work out, how much food they consume and even whether they are at a fast-food joint when they should be in the park. The goal is to cut down on self-reported answers that often cover up what’s really happening.

In a lab in this Los Angeles suburb, two overweight teenagers help test the devices by taking turns sitting, standing, lying down, running on a treadmill and playing Wii. As music thumps in the background, wireless sensors on their chests record their heart rates, stress levels and amount of physical activity. The information is sent to a cell phone.

“I can’t feel my legs,” 15-year-old Amorette Castillo groans after her second treadmill run.

Traditional weight-loss interventions rely mainly on people’s memory of what they ate for dinner and how many minutes they worked out. But researchers have long known that method can be unreliable since people often forget details or lie.

The new devices are being designed in labs or created with off-the-shelf parts. Some similar instruments are already on the market, including a model that tracks calories burned by measuring motion, sweat and heat with armbands.

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Thin thighs – maybe not your heart’s desire

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Thin thighs – maybe not your heart’s desire

People who have agonized over their fat thighs might be able to relax a bit — Danish doctors said on Thursday they found patients with the thinnest thighs died sooner than the more endowed.

Obesity, age, smoking and other factors did not reduce the effect, the researchers reported in the British Medical Journal.

“Our results suggest that there might be an increased risk of premature death related to thigh size,” Berit Heitmann of Copenhagen University Hospital and Peder Frederiksen of Glostrup University Hospital wrote.

The explanation may lie in many different studies that suggest where you gain your weight is a strong factor in how it affects health. People with lots of abdominal fat — wrapped in and around the internal organs — appear to be at higher risk of heart disease, diabetes, and other ills.

So-called pear-shaped people may have lower risks, even if they have more body fat overall.

Heitmann and Frederiksen studied 1,436 men and 1,380 women taking part in a larger medical research study who were examined in 1987 and 1988, then watched them for more than 12 years.

Men and women whose thighs were less than 24 inches in circumference were more likely to die during those 12 years, they found.

Those with the thinnest thighs — less than 18 inches — were more than twice likely to have died within 12 years, they reported in the study, published here

Dozens of studies have shown waist size can also be a good predictor of heart disease and death.

Women with a waist circumference of greater than 35 inches and men whose waists are more than 40 inches have a much higher risk of heart disease, diabetes and early death than people with smaller waists — regardless of how much body fat they have overall.

This is again linked to abdominal fat. Fat laid down under the skin, as when it is found on the legs, may be healthier for the body, although the mechanism is unclear.

The Danish team said they hoped thigh measurements might be an equally good indicator. But Dr. Ian Scott of Princess Alexandra Hospital in Brisbane, Australia, disagreed, saying the statistics in the Danish study were too limited.

He said larger studies would need to be done before doctors could decide that thigh measurement was any kind of good predictor of health.

“It seems unlikely that thigh circumference will be clinically useful,” Scott wrote in a commentary.

Tim Olds, a professor of Health Sciences at the University of South Australia, saw some value in the study, however.

“This is a very interesting line of research, because it would suggest that interventions which protect or increase muscle mass (such as weight training) may be effective in reducing cardiovascular disease even if no loss of body fat occurs,” Olds said in a statement.

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