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IMAGE BANK
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The present
text has a purely informative and instructive goal,
directed to unprofessional people. The emitted concepts
are of complete responsibility of Associated
Plastic Surgeons, a group of Plastic Surgeons over the
world. These concepts are the result of the personal
experience of the staff, with 40 years of daily practice
in Plastic Surgery, in public hospitals and in private
clinic, always following the directions of one of the
most important Plastic Surgery schools in the world. This
team acquired a lot of experience during this period,
practicing about 200.000 procedures in both Aesthetic and
Reconstructive fields.
These
informations represents the daily experience in the
office and in surgical rooms, showing in a didactic and
synthetic way, the main facts and questions that occur
with patients of a Plastic Surgery Clinic.
Dr. Samy Passy Senior Surgeon of the group International Plastic Surgery Center is
formed by independent Plastic Surgeons and Specialists in
Aesthetic Medicine around the world, all active members
of their National Societies and with long experience in
their professional fields. They are head of services in
their occupational sites and have activities in local and
international Congress, always keeping actualized
knowledge. Senior Surgeon, Passy Plastic Surgery Clinic of Rio de Janeiro, Brazil
Medicine
National School, Brazil University, boarded 1961
Founder
of Plastic Surgery Service of Bonsucesso General
Hospital, Rio de Janeiro, Brazil Head of Plastic Surgery Service of Bonsucesso General Hospital, period 1962-1999 Expert
in Plastic Surgery formed by Pontifical Catholic
University of Rio de Janeiro, regent Prof. Ivo Pitanguy Expert
in Thoracic Surgery formed by Pontifical Catholic
University of Rio de Janeiro, regent Prof. Jesse P.
Teixeira
Approved by Brazilian Society of Plastic Surgery to
teaching Plastic Surgery in Bonsucesso General Hospital,
Rio de Janeiro, Brazil
Professor of International College of Cosmetic Surgery,
India Active
member of International Confederation for Plastic
Reconstructive and Aesthetic Surgery (IPRAS) Honorary
Member of National Mexican Aesthetic Medicine Association
Active
member of Brazilian Society of Plastic Surgery Active member of Ivo Pitanguy Ex-Disciples Association
1 - Willingness to be Operated There are seven types of physical
abnormalities that might bother someone to the extent of
making him look for a plastic surgeon: 1. Those
that come with birth (harelip, protruding ears, hands
deformities) 2. Those
that were not apparent after birth but developed later
(deviated nose, obesity) 3. Those
resulting from trauma (accidents, burns) 4. Those
resulting from the environment (skin tumors) 5. Those
that come with age (wrinkles, lines) 6. Those
resulting from big variances in weight, pregnancy
and breast-feeding 7. Those
that are signals of systematic diseases (leg ulcers)
These physical defects may or may not cause loss in the
patient’s productivity at work or affect his
relationship with other people. The need for
correction is according to each individual’s
necessity, and then plastic surgery takes place with a
great variety of procedures, which it’s final goal
is to allow the patient to return to normal life or
closest to it as possible.
When the abnormality is identified, a mechanism is
created that will result in the search for correction.
These causes may be social, professional , search for
healing of a disease or search for solution
for esthetic or functional problems.
The professional causes are those that appear with the
knowledge that a deformation problem interferes with the
person’s performance at work, for instance, a model
that has protruding ears or an craftsman that has a
functional problem with his hands.
Personal causes are those that interfere with the
person’s well being such as age, enlarged breast,
localized deposited fat and visible scars.
All the causes described above produce and emotional
problems that are basically the main cause for the
willingness to be operated. 2
- Choosing a Surgeon
One of the most difficult
steps of the plastic surgery process is to choose a
surgeon. Therefore, there are some concerns
that must be evaluated when choosing a surgeon: 1. If the patient
has a good friend that is a doctor or has been seeing a
doctor long enough to trust him/her, then it is very
advisable to ask him/her for help him/her choosing
a surgeon; 2. If the
patient knows someone that has already been through a
plastic surgery with a given surgeon and the results are
visibly good, he/she can then make the decision of
choosing the same doctor. It is not advisable
however that this decision be taken based only on a
possible friendship between the patient’s
friend and the surgeon. 3. The influence of the media is strong. Take care about this. 4. Random choice,
when the patient selects a doctor from a telephone
directory or a TV program. That is totally
irrational. Choosing a surgeon must therefore be the
result of thorough research with the opinion of
well-known doctors, of friends that have been through
plastic surgery, local medical societies and interviews
with selected doctors must all be considered. Considering
the interviews, it is important that the doctor makes the
patient feel completely confident and safe. The
doctor must also be very objective, patient in answering
all the questions regarding the surgery, have empathy, be
kind and honest when considering the possibilities
offered by the chosen technique, etc... . This will
then be what we consider a Conscious Choice, when the
chosen surgeon is experienced, capable, ethic,
technically prepared and has strong moral concerns
and makes the patient feel safe. |
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2001. All Rights Reserved |
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