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08 February 2016

Τεχνικές lifting με νήματα PDO!

Ανορθώστε το δέρμα σας και την αυτοπεποίθησή σας, με το “ Νέο Lifting με νήματα PDO” (lifting κατ...

04 February 2011

Νέα Διεύθυνση Ιατρείου!

Το ιατρείο του πλαστικού χειρουργού Χρήστου Ασημομύτη μεταφέρθηκε σε νέο χώρο! Στοιχεία νέας διε...

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What is Plastic Surgery?

It is a surgical specialty of Medicine, whose full name is "Plastic Reconstructive and Cosmetic Surgery".. Indeed, its main object is the "reconstruction", which concerns relative anomalies, namely problems that occur after injuries and burns, deficits that occur after incision of tumors in the whole body and chronic ulcus of several causes (diabetical, vein, etc). However, the last decades, the Cosmetic Surgery is to gain the spotlight, because through the improvement of its technique it becomes more and more popular.

What should I have in mind when choosing a Plastic Surgeon?

At first, the Plastic Surgeon whom you will pay a visit should have a certified title of Specilization in the Plastic Surgery , legal from the Hellenic State and be a member of the Greek Company of Plastic Reconstructive and Cosmetic Surgery. Given the increased demand for Plastic Surgery(mainly cosmetic) Operations, it is not rare that some doctors of other specialties "present" themselves as "Plastic" or "Cosmetic" Surgeons, "specialized" in a sector (e.g. face lift, rhinoplasty, laser, etc). You should be cautious when you hear uncomprehensive terms and promises like "new" and "revolutionary" methods. Of course those exist, with excellent result, yet your doctor should be in place to explain to you their whole procedure, as well as any procedure he is willing to use. Your doctor must also make known the "place" where you will be operated or treated and make an adequate description about the structure and the "capabilities" of that "place". Before each surgical operation, a declaration of assent should be signed by the patient, to proceed with the operation (in accordance with the Hellenic Company of Plastic Reconstructive and Cosmetic Surgery). Of course, the choice of the doctor is a personal case and each patient is responsible to choose the most suitable doctor after a thorough research and after getting properly informed, without having the slightest doubt of "misinformed".

Are the Plastic Surgery operations dangerous?

Every surgical act encompasses resks that depend on many factors, like the general condition of the patient, the "urgency" of the operation, the compexicity and the duration of the operation, the age of the patient, etc. It is natural that an urgent operation in an "unstable" patient with many health problems is of "high risk". Fortunately, in Plastic Surgery, the doctor, in most cases, has the ability to select his patient and the time to operate him, after conducting all the necessary clinical and lab pre-operational check-up, ensuring the best possible conditions and maximizing the safety of the operation.

Where should the Plastic Surgery operations be held?

Only in organized public or private hospitals and clinics, where there is the ability of addressing the problems that might exist, under the surveillance of an anesthesiologist and with the proper medical and assisting personel. Do not ever accept to be operated in a "place" where you have even the slightest doubt that there is no security for such medical acts, in order to reduce the cost of the operation. It is better to postpone an operation when you cannot afford it, than have it at a low cost in places that provide no security.

What kind of anesthesia is used in Plastic Surgery operations?

Depending on the type of the operation, its gravity, the anatomic area that concerns and the health state of the patient, local anesthesia, epidural anesthesia, a combination of local anesthesia and a mild intravenous sedation ("drunkness") or general anesthesia may be used. It is important that the majority of the Plastic Surgery operations, apart from the extraction of small skin injuries (beauty spots etc), which are done under local anesthesia, must be made under the surveillance of an Anesthisiologist in a well-equipped space (hospital-clinic).

What should I do to achieve the best possible result?

Keep a simple and unbreakable rule: The operation is on me, so I must be sincere with myself and therefore with my doctor. This means that:
1) I will report in detail my medical background,
2) I will describe to my doctor my expectations from the operation and ask him to explain what is expected result and through which procedure, so as to comprehend what the results will be and when should I expect them.
3) I will apply all the pre- and post-operational instructions of my doctor, however difficult they are to be kept (e.g. stop smoking). The good and sincere collaboration of doctor-patient will bring the best results.

Will the scars and the operation marks be visible?

Any surgical operation leaves scars. In Plastic Surgery, most operations are designed in such a way that the scars would be little in size (liposuction, breast augmentation) or can hide (rhinoplasty, otoplasty) or be created in places where in a few time will not be visible (face lift, eye lid surgery). Most scars through time become less visible, provided that they heal well. However, there are cases where the scars are big enough and visible (abdominoplasty, breast reduction, buttock lift, reconstructive surgery). In this case, the patient should evaluate the gain and the improvement in his total appearance and health, in relevance with the slight "cost" of a scar.

How much will I be in pain post-operationally?

It is natural to have post-operational pain after every surgical operation. Its tension and duration depend mainly on the type, the spread and the duration of the operation, as well as the anatomic area that concerns. In the majority of the Plastic Surgery operations, the post-operational pain is minimal to medium level, lasts for a few days and recedes with common painkillers. However, you are advised to contact your doctor should you have persistent or a sudden intense pain.

Why do all Plastic Surgeons insist on stopping smoking before the operation and during the post-operational period?

Most techniques of Plastic Surgery involve extended tissue dispatches, excision and transportations of complex tissue parts from a body part to an other. This means that the blood supply of the operated areas is "interrupted", greatly reduced and often depends on a single source for the first post-operational period. The restore of the blood supply is done gradually and l;asts many weeks after the operation. Situations like diabetes mellitus, vessal diseases (eg a history of coronary disease) can affect it. Nicotine is a strong vessel contracting factor. It causes vessel contraction and reduces their range, having a reduced blood supply to the tissues as a result.

This may in some cases lead to a necrosis of an area that not properly blood supplied. The traumas may break, the healing delays and the cosmetic results are poor. Moreover, the cigarette burning by-products include "oxidant factors" which intervene detently at the tissue healing procedure. It is understandable that beyond the reasons involved in the the healing process, if a patient stops smoking for a few weeks will help him manage better the needs of the general anesthesia and the post-operational period.

Can I be operated in Summer?

It is often that those who wish to proceed with an operation, combine it with their summer break so as to have the necessary time for a full recovery and return to work and their daily activities. This season is not a contra-indication, yet summer, with its higher temperature, make the "swellings" and the "bruises" to heal slower. Moreover, the special stays, bras and belts that often needed post-operationally, are barely bearable in summer. Lastly, the final result of an operation usually needs enough weeks to be fully visible, something that the candidates should have in mind, who would want immediate and impressive results in lieu of the summer vacations. In general, it is good to have operations in summer if health or scheduling issues cannot allow otherwise.

Who is not eligible to have a plastic surgery?

There are indications and contra-indications for each operation. Unfortunately, these days, in the light of easy money, there is no rare the fact that patients end up in surgery without or even wrong indications.

The operations of the Reconstructive Surgery, as well as the ones of the Oncology which involve the Plastic Surgery, from which the life or life quality depend, are of course made to patients with not excellent health. On the other hand, the Cosmetic Surgery operations are made to "patients" with a good health and simply seek improvement to their appearance. After the end of the operation, they should remain "healthy".

So, the selection of the candidates to be operated should be made by the Plastic Surgeon with strict and objective criteria. Those include the assessment of the "problem" (necesity to operate, etc), assessment of the health status of the patient (even the psychological parameters) and the discussion of the expectations of the candidate for the operation results.

It is obvious that patients with extremely high expectations, which are far from the final expected result that the doctor has to offer, patients with serious health issues, mentally "unstable" patients or others that see "imperfections" where they do not exist should not be operated. It is better for a doctor to "lose" a patient than gain a constant problem.