Cosmetic Surgery and Beauty Magazine #68
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nose<br />
body as a whole. This fixation can become so severe that<br />
they often think of nothing else <strong>and</strong> it compromises their<br />
ability to function.<br />
Body dysmorphic disorder is not rare <strong>and</strong> is frequently<br />
left undiagnosed. In the case of cosmetic surgery, BDD<br />
patients are unlikely to ever be satisfied. The result is either<br />
at odds with their expectations, or the patient will continue<br />
to return seeking more <strong>and</strong> more treatment.<br />
A pre-surgical assessment by the surgeon, including<br />
specific questions about appearance concerns, motivation<br />
for surgery <strong>and</strong> medical history is always necessary for<br />
the surgeon to underst<strong>and</strong> the patient’s psychological <strong>and</strong><br />
physical state <strong>and</strong> either prepare the person for surgery, or<br />
suggest an alternative approach.<br />
Prepare yourself physically<br />
During the consultation process, the surgeon will discuss<br />
with the patient in detail various factor to help shape realistic<br />
expectations going into surgery. These often include<br />
details of the chosen procedure, the type of anaesthesia<br />
to be used, the risks <strong>and</strong> limitations involved, any required<br />
medications, the patients expectations <strong>and</strong> goals, realistic<br />
outcomes, as well as the steps to take to physically prepare<br />
for the procedure.<br />
The consultation process is an important time for the<br />
patient to ask any questions they have about the procedure,<br />
the possible risks <strong>and</strong> complications <strong>and</strong> recovery <strong>and</strong><br />
post-operative care. The surgeon will evaluate the shape<br />
<strong>and</strong> structure of the patient’s anatomy pertaining to the<br />
treatment area to determine which surgical techniques are<br />
most suitable as well as what results can be realistically<br />
achieved. For face surgery, this includes examining<br />
the patient’s skin tone <strong>and</strong> elasticity <strong>and</strong> the extent of<br />
tissue ageing.<br />
In some cases, patients might be asked to undergo lab<br />
testing or a medical evaluation to establish exact health<br />
<strong>and</strong> fitness levels. The surgeon may advise the patient to<br />
adjust the medications they are taking, <strong>and</strong> discourage the<br />
use of any forms of aspirin, as well as some vitamins <strong>and</strong><br />
supplements, which can increase the risk of blood clotting.<br />
For those patients that smoke, you will need to stop<br />
smoking well in advance of the surgery, as smoking<br />
significantly increases surgical <strong>and</strong> anaesthetic<br />
complications <strong>and</strong> can impair healing post-operatively.<br />
As for the recovery period, there are many factors that<br />
can affect the length of recovery. Every person’s body has<br />
different tendencies toward healing, however carefully<br />
following the doctor’s advice can help to speed the process<br />
along. The nature of the recovery period will depend on the<br />
surgical technique <strong>and</strong> anaesthetic administered, <strong>and</strong> the<br />
type <strong>and</strong> extent of the surgery.<br />
The specific length of recovery is dependent on factors<br />
such as age, pre-operative activity level as well as the<br />
number <strong>and</strong> type of procedures that have been performed.<br />
However, most patients can usually return to everyday<br />
activities after between two <strong>and</strong> three weeks. Final results<br />
may not be evident until several months after surgery. csbm<br />
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