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Encyclopedia of Health and Medicine

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postoperative procedures 275<br />

MOST COMMON RECONSTRUCTIVE OPERATIONS<br />

BREAST reconstruction<br />

laceration repair<br />

SCAR revision<br />

CONGENITAL ANOMALY reconstruction<br />

operations on the h<strong>and</strong>s <strong>and</strong> fingers<br />

tumor removal<br />

Cosmetic Surgery<br />

Cosmetic surgery alters appearance for aesthetic<br />

reasons <strong>and</strong> can have pr<strong>of</strong>ound psychological <strong>and</strong><br />

emotional benefits. US plastic surgeons perform<br />

more than nine million cosmetic surgery procedures<br />

a year, with Americans spending more than<br />

$8 billion to have them performed. Surveys suggest<br />

people who undergo cosmetic surgery are<br />

generally satisfied with the results, perceiving<br />

improvements in self-image <strong>and</strong> social interactions.<br />

Realistic expectations are especially important<br />

when making cosmetic surgery decisions.<br />

Some cosmetic operations, such as RHYTIDOPLASTY<br />

(facelift), have long-lasting though not permanent<br />

effects because the SKIN <strong>and</strong> connective tissues<br />

continue to undergo natural changes with aging.<br />

MOST COMMON COSMETIC OPERATIONS<br />

abdominoplasty<br />

augmentation mammoplasty<br />

BLEPHAROPLASTY<br />

body contouring after significant<br />

liposuction<br />

weight loss<br />

RHYTIDOPLASTY<br />

Plastic Surgery Benefits <strong>and</strong> Risks<br />

The benefits <strong>of</strong> plastic surgery <strong>of</strong>ten encompass<br />

improved function, appearance, <strong>and</strong> self-image or<br />

self-esteem. Specific benefits vary with the operation<br />

<strong>and</strong> <strong>of</strong>ten are not entirely apparent for weeks<br />

to months after the operation when HEALING is<br />

complete. As with all operations, plastic surgery<br />

operations entail risk. General risks include excessive<br />

bleeding during or after surgery, postoperative<br />

wound INFECTION, PNEUMONIA (a complication <strong>of</strong><br />

general ANESTHESIA), unpredictable SCAR formation,<br />

<strong>and</strong> unsatisfactory or unexpected results. Death<br />

during or as a complication <strong>of</strong> plastic surgery is<br />

very rare though can occur. Cigarette smoking,<br />

DIABETES, <strong>and</strong> PERIPHERAL VASCULAR DISEASE (PVD) can<br />

limit peripheral BLOOD circulation, slowing healing<br />

<strong>and</strong> increasing the risk for complications.<br />

It is not possible for the surgeon to guarantee<br />

the outcome <strong>of</strong> a plastic surgery operation. People<br />

sometimes have unrealistic expectations for what<br />

the operation can achieve, leading to dissatisfaction<br />

with the results. It is crucial to thoroughly<br />

underst<strong>and</strong> what the operation can <strong>and</strong> cannot<br />

accomplish <strong>and</strong> the full spectrum <strong>of</strong> potential<br />

complications <strong>and</strong> risks; it is equally important to<br />

select a qualified (board-certified) plastic surgeon<br />

who is experienced in performing the desired<br />

operation <strong>and</strong> who performs surgeries in an<br />

appropriately credentialed <strong>and</strong> licensed facility.<br />

PLASTIC SURGERY OPERATIONS<br />

abdominoplasty<br />

augmentation mammoplasty<br />

BIRTHMARK removal or<br />

BLEPHAROPLASTY<br />

reduction<br />

body contouring<br />

brachioplasty<br />

BREAST reconstruction<br />

brow lift<br />

cervicoplasty<br />

facial implants<br />

HAIR transplantation<br />

laceration repair<br />

LASER SKIN RESURFACING<br />

lip augmentation<br />

lipoplasty<br />

liposuction<br />

mastopexy<br />

mentoplasty<br />

OTOPLASTY<br />

panniculectomy<br />

platysmaplasty<br />

POLYDACTYLY correction <strong>and</strong> reduction mammoplasty<br />

reconstruction<br />

RHINOPLASTY<br />

RHYTIDOPLASTY<br />

SCAR revision<br />

sclerotherapy<br />

SKIN graft<br />

SYNDACTYLY release<br />

tissue flap surgery<br />

See also BARIATRIC SURGERY; BOTULINUM THERAPY;<br />

CHEMICAL PEEL; DERMABRASION; HAIR TRANSPLANTATION;<br />

LASER SURGERY; SMOKING CESSATION; SURGERY BENEFIT<br />

AND RISK ASSESSMENT; WOUND CARE.<br />

postoperative procedures The events that take<br />

place to guide a person’s safe <strong>and</strong> comfortable<br />

recovery from ANESTHESIA <strong>and</strong> to initiate effective<br />

PAIN relief after a surgical OPERATION. When the<br />

operation is over the person goes to a postanesthesia<br />

care unit (PACU) where staff monitor vital<br />

signs (HEART RATE, BREATHING rate, BLOOD PRESSURE,<br />

<strong>and</strong> body temperature) <strong>and</strong> emergence from anesthesia.<br />

A person who has had regional or general<br />

anesthesia may remain in the PACU for two to<br />

four hours, until he or she regains the ability to<br />

use the anesthetized region <strong>of</strong> the body or regains<br />

CONSCIOUSNESS.<br />

It is common <strong>and</strong> normal to feel disoriented<br />

when first coming out <strong>of</strong> anesthesia. Many people<br />

who have had general anesthesia do not realize<br />

the operation is over. It is also normal to feel

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