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Surgery
Benefits
Cosmetic
surgery is unique in medicine. Unlike other surgeries which
are intended to treat patients who are ill, suffering from
a disease, such as cancer, or injured, cosmetic surgery is
performed on patients who are healthy and have elected to
have an operation in order to improve their appearance in
some way.
When
surgery is performed to cure cancer, treat an infection, repair
an injury, or relieve pain the benefits are obvious, and often
easily measured. No one accuses such patients of vanity in
undergoing their procedures.
With
this in mind, what are the benefits of cosmetic surgery? Is
it vain to want to have cosmetic surgery? It is important
to understand that the concept of vanity can have both a good
and a bad connotation. If vanity is defined as concern over
one's appearance, then most of us are vain to some degree.
This concern is what leads us to take a shower, comb our hair,
brush our teeth, and carefully select the clothes we wear
so that things will match reasonably well (women do this last
one much better than men!). If not for vanity of some sort,
the entire cosmetics and make-up industry would not exist.
Neither would hair salons.
It
is a natural human desire for us to want to put "our best
face" before world around us, that is, to look our best. Nothing
wrong with that. Cosmetic surgery is a natural extension of
this desire, taking it one step further. Most people have
one or more features that they are not totally happy with.
Some of us are able to make peace with our appearance. Others
are not. Some things simply cannot be covered, such as a saggy
neck, or compensated for by padding, etc. such as small breasts.
Some clothing items are very unforgiving, such as bathing
suits.
Vanity
becomes a problem or undesirable when it becomes excessive.
When appearance is the focal point of one's existence or when
minor problems become magnified to where they take on a life
of their own, then vanity can be a significant problem. Patients
in these situations may approach cosmetic surgery with unrealistic
expectations. They may expect something that is not possible
or feasible in their particular case or may agonize over minor
imperfections in the surgical outcome. A good plastic surgeon
will always try to identify these patients in order to avoid
problems later.
Benefits
of cosmetic surgery can be broken down into tangible and intangible.
Tangible benefits are such things as tighter, smoother skin,
elimination of unsightly bulges, a more proportioned breast
shape, younger looking eyes, a flatter tummy. These are obvious,
immediately visible and are a direct consequence of the surgery
itself.
Intangible
benefits are, as the word implies, a bit harder to describe.
How can we quantitate a feeling of well being, improved self
confidence, or a better self image? Some examples might be
helpful. A young lady came to see us who had had several pregnancies
at a young age. The result of these was a disfiguring degree
of sagging of the skin and soft tissues of her lower abdomen
as well as extensive stretch marks. She was referred to us
by her gynecologist because she was so self conscious of this
that she would not undress in front of her husband or allow
him to see her abdomen. A tummy tuck provided the tangible
benefits of removing the excess skin and most of the stretch
marks. The intangible benefit was her markedly improved self
image as evidenced by the obvious tan marks of a two piece
bathing suit! She told us repeatedly how this procedure had
changed her life.
Another
patient was a woman who had experienced an extreme lost of
breast volume following pregnancy and breast feeding. She
went from a nice "C" cup to barely an "A" and her breasts
now sagged as well. A breast augmentation gave her back the
fullness she had lost and brought her up to her previous cup
size; these were the tangible benefits. The intangible was
when her husband told us how much more confidence she had
and how much better she now felt about herself as a result.
The
aging process affects everyone but to varying degrees. Some
people tend to age quite gracefully while others look old
before their time. Men tend to age better than women, at least
as regards their face. This may be a result of hormonal differences
or because men have more facial hair and the process of shaving
daily may have a rejuvenating effect on the skin. Many of
our patients come to us because they look in the mirror and
see someone who looks much older than they feel. In this case,
the desire for cosmetic surgery is to bring their appearance
more in line with how they feel.
In
every surgical procedure there is something known as the risk
versus benefit ratio. Simply put, the benefits of an operation
should outweigh the risks. When dealing with a life threatening
condition, such as cancer, a great deal of risk may be acceptable
because the potential benefit; saving a life, is so huge.
This equation is more difficult to assess for cosmetic surgery.
In this situation, it is critical to keep risks as low as
possible and to perform surgery so as to derive the most benefit
from the procedure. Only the patient can determine for themselves
when a particular problem feature is sufficient to justify
surgical correction. It is the obligation of the plastic surgeon
to present a balanced overview of the surgery, both the good
and the bad so that the patient will be able to may an informed
decision. We take this responsibility very seriously and take
as much time as necessary before any surgery is decided upon
to be sure our patients know as much as they can to help them
make the right decision for them.
Cosmetic
surgery is like any other surgery in that carries with some
inherent risks, there is some associated discomfort and a
recovery period, and results cannot be guaranteed for any
patient. Unlike most surgery, however, cosmetic surgery should
be "feel good" surgery. Patients should look better and hopefully
reap significant intangible benefits from having it done.
These may be a renewed sense of self-confidence, greater comfort
in social situations, a more youthful outlook to go with the
more youthful appearance, and, in general, a nice sense of
well being in having done something to improve oneself. What
any patient will do with the results of their surgery is entirely
up to them. One can only imagine the possibilities.
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