Plastic surgery is a surgical specialty, which
changes the way a person's body looks and feels. The term plastic
derives from the Greek word “plastikos”, which means to mold or give
form. There are two main types of plastic surgery. Reconstructive
surgery is the surgical reconstruction of body defects due to trauma,
burns, disease and birth defects. Cosmetic surgery is used to enhance a
person's appearance for purely aesthetic reasons.
Cosmetic
plastic surgery is performed on normal body parts to improve a
patient's self esteem and perception of attractiveness. Many patients
seek a more youthful, renewed appearance. In cosmetic surgery, skin,
fat and muscle are reshaped, tightened and repositioned to enhance and
improve the patient’s physical appearance. Typical surgeries include
breast augmentations, rhinoplasty (nose job) and face lifts. Cosmetic
surgery can be subtle or extreme.
Reconstructive plastic surgery
is performed on abnormal body parts resulting from infections, tumors,
illnesses and other traumas. While cosmetic surgery is purely for
appearance, reconstructive plastic surgery focuses on improving
function, but can help with physical appearance as well. More than 1
million reconstructive surgeries are performed each year.
Reconstructive surgeries generally fall into two categories. The first
category involves patients with birth defects. The second category
comprises patients with developmental deformities acquired from
accidents, infection, or disease. Some examples of birth defects are
cleft lip, webbed fingers and birthmarks. Acquired defects can range
from burns from a fire to breast reconstruction as a result of breast
cancer. Many times, reconstructive surgery can require multiple
procedures.
Recovery from plastic surgery can be painful.
Patients are advised not to take aspirin or other anti-inflammatory
medications. Patients also should not smoke and should avoid exposure
to secondhand smoke for 30 days before and after the surgery. Direct
sunlight should be avoided and sunscreen should be used when sun
exposure is inevitable. Many patients experience depression for the
first few months following a cosmetic procedure. A combination of the
medications used during and after the surgery can contribute to the
depression. Financial stress and stress relating to fear of
disfigurement or guilt about the procedure can play a role in
depression as well.
Plastic surgery can be very expensive. Costs
can be as low as $350 dollars for a Botox or collagen injection and as
high as $7000 dollars or more for a face lift. Breast augmentations can
cost as much as $4000 dollars and breast implant removal can be $2000
dollars. Many factors determine the cost. Physician experience,
geographic location, lab costs, operating room costs and
anesthesiologist costs all contribute to the overall cost of plastic
surgery. Cosmetic surgery is usually not covered by insurance as it is
not medically necessary. Reconstructive surgery can be fully or
partially covered for specific procedures. There are many financing
alternatives available through either the surgeon’s in house program or
outside finance companies.
It is a common misconception that
mainly older affluent Caucasian women get plastic surgery. Nowadays
ethnic minorities account for more than 11% of all procedures. A
majority of people seeking plastic surgery make less than $60,000 per
year and are younger than age 50. In any case, plastic surgery is not a
decision that is taken lightly. Most surgeons carefully prescreen
patients before agreeing to complete a procedure, to determine if they
will be able to handle the surgery physically and emotionally.