The contraindications and desirability of plastic surgery

Since I came to work at the Eight Plastic Surgery Hospitals in 2006, I have seen all kinds of beauty seekers. Unlike other medical professions, cosmetic surgery, has its own special desirable and contraindicated. Avoid: 1, see plastic surgery as the only way to solve the dilemma due to many television programs and network media propaganda, it seems that after plastic surgery / face replacement, life completely changed. They will take a big-breasted actress, a cone-faced star, or a few stars who have done a lot of “microplasty” as a role model. It is true that this is a face-saving society, but appearance is only a small part of the whole social/career/family life. Want to use one or two surgeries to change the “fate”, easy to cause psychological imbalance, and even personality to extremes. 2, plastic surgery addicts Some MM because of one or two cosmetic surgery, around many people do not see, but very envious, think she is more beautiful, more temperament. So a fury, from the face to the chest, buttocks, thighs, the whole whole back, reincarnated to change people. This mentality needs to be adjusted in time. Because plastic surgery is after all “traces”, or risky. Once people around you find out that you have had a facelift, or that you have surgical marks, such as incision scars, or that you look “strange”. You may not have the strength of heart to deal with the comments of others. In any case, it’s better to be moderate and find beauty in your life, rather than to be close to those P photos of celebrities. I once met a candidate who had her eyelids repaired 3 times and her nose done 5-6 times. The girl did a good job before, but always felt that it was not stunning enough, so she trimmed and trimmed again and again. Need to know that tissue is limited, each time surgery, will cause new trauma/scarring, will increase the difficulty of the next repair. Such as the year of MJ, then a highly skilled plastic surgeon can not save time and again suffered a blow to the nose. 3, once to do N surgery surgery is after all invasive, do not save anesthesia costs, or “buy two get one free”, and choose to do a lot of surgery at once. For example, maxillofacial plastic surgery, the need for general anesthesia through the nasal cannula. Therefore, rhinoplasty is not suitable to be done at the same time. And doing many procedures at once, such as maxillofacial, liposuction filling, and even perineoplasty, will not only prolong the recovery time, but also increase the incidence of complications: infection, hematoma, and poor healing of the incision. The same is true for liposuction. If the waist and abdomen, thighs (especially the less recommended 360-degree liposuction), buttocks, and upper limbs are liposuctioned at the same time, it not only tends to lead to postoperative acid-base electrolyte disorder’s, but also can increase the probability of fat embolism. Moreover, the anesthesia time is too long and the risk increases exponentially. Note: Double eyelid surgery is recommended to be done under local anesthesia to precisely determine the incision and the amount of tissue to be removed. Most importantly, after the final suturing, the eyes need to be constantly opened and closed, during which it can be necessary to remove and re-sew several times. 4, psychological personality is too sensitive, too much pursuit of perfection, such as all pre-operative double eyelid asymmetry, require post-operative to achieve complete symmetry; psychological extremely low self-esteem people such people hope to get spiritual compensation through their appearance. However, they will not be satisfied even if others unanimously say that the results are good after they undergo plastic surgery. These people just want to vent their original low self-esteem by expressing their dissatisfaction with the plastic surgery results. Instead of choosing surgery again, may wish to first receive the relevant psychological treatment. 5, listening to the circle of friends, greedy for cheap The most typical is the life of the beauty place, “by the way” to do a double eyelid, or a slimming needle, hyaluronic acid, hydration needle. The most important thing is that you can get a good idea of what you are getting into. The total price of 1000 yuan of hyaluronic acid injections, 500 yuan of Botox, the consequences are endless regret. The growth factor found casually on the Internet “chin punch”, after the operation continues to grow, like “witch’s chin”. Or lipolysis injections to slim the face, resulting in swelling like a steamed bun. Other complications, such as flap necrosis or even blindness, often occur easily at the hands of these unlicensed medical personnel. 6. listen to the high-tech surgery / drugs, willing to “taste” a new material, new surgery out, you better wait two years before doing, especially the filler into the body. Such as the year of the Omnidine called artificial fat, and artificial bone powder nose job. Or to change the term, biologically welded double eyelids. You need to wait for time to prove, or to the public hospital plastic surgery department consultation, “restore” the true nature of these high-tech surgery. 7, other feudal superstition; impulsive, over-exaggerated defects; lack of cultivation; stubborn opinion; lack of trust in the attending physician or too much trust. Desirable: 1. Good communication Not that you chat with the attending surgeon for 1-2 hours, balabla… but the aesthetic requirements proposed, which are more in line with the mainstream aesthetics (most normal people). Some aesthetics that have long been eliminated or unsuitable, please listen to the doctor’s advice and try to avoid, such as European eyes (Chinese / Mongolian race to do suitable for deep eye sockets are very few), and the standard Korean assembly line face: a large sleeper / eye moss + birthday head (forehead fat filling) + inflatable doll-type apple muscle (fat filling cheek cheeks) + a water of jawbone V-line (this surgery is not to blame). The one that should be chosen carefully: cone face / snake face (excessive cutting off the jaw angle, chin, just to “slim down” the face for the camera). Because each part, there may be 2-3 types of surgery options, each has its own advantages and disadvantages, such as chin recession, if it is severe, it is generally recommended to cut the bone forward, if it is moderate, you can cut the bone or pad prosthesis, and there are three types of prosthesis: Medpor, silicone, tumescent, if it is mild, you can choose prosthesis, fat or hyaluronic acid. Should be based on their own degree of acceptance (some people can not accept the prosthesis pad to the body), a reasonable mix. 2, good user feedback This is especially applicable to young and middle-aged doctors aged 35-45. In contrast, send a little snack (such as Red Bull: let the operator focus on your good surgery), far less than your good post-operative feedback / follow-up. Because they are “on the rise” in their careers, they pay more attention to each surgery. What they lack most is the user experience: whether they dress/behave properly (good or bad), how painful the local anesthetic is, what kind of post-operative swelling is (regular photo follow-up is needed), local flatness + satisfaction, scar recovery, post-operative psychological changes, etc. These details are usually hard to obtain. This detailed information is usually difficult to obtain. Too often, the surgeries that we do to our satisfaction never come back. And what usually comes back is either localized scar growth or mild asymmetry… Plastic surgery, there are two maxims that have not changed: 1. Details determine everything. 2. If there is regular feedback in the near and distant future, the surgeon can adjust many details of the surgery. Including the surgical incision, removal of tissue, sutures, the number of stitches, and even the surgical style and so on. 3, a good state of mind During the post-operative swelling recovery, many MM are not calm, a day N text message bombing the chief surgeon. Especially for double eyelids, swelling, redness of incisions, scar growth and so on. Interestingly, generally 3 months after the surgery, they disappear. So, every plastic surgeon who does double eyelids needs to have a strong heart.