You are currently viewing Facts and promises in plastic surgery

Facts and promises in plastic surgery

From the first periods when people started to live in groups, beauty ” has been the most desired and valued concept. This fact still holds true today. Generally ” beautiful Those who did were in a more privileged position than those who did not. Those who do not find themselves “beautiful” are somehow “ beauty “They tried to own it. “ Beautiful The quest to become a ” has brought the cosmetics and fashion industry to the middle. However, the fashion and cosmetics industry cannot make sufficient changes on the anatomy (innate shape) of body structures.
Surgery in medicine has been used not only for the treatment of diseases but also for cosmetic purposes since ancient times. In the last 100 years, the use of medicine and especially surgery for rejuvenation and beautification has become widespread. Aesthetic Surgery has proven itself in the world with its successful treatments. However, legally Plastic Reconstructive and Aesthetic Surgery“available to experts” Aesthetic surgeon The definition of “” has been used illegally by many physicians who do not have such education and diploma in recent years and cannot be completely avoided despite all efforts. Surgery is an expensive and skilled procedure. It has its own risks and the words anesthesia (narcosis), surgery create a little fear in people. This fear” scalpelless surgery”, “ non-surgical beautification”, “ anaesthetic, bloodless aesthetics”, “ employees returning to work in a beautiful state after surgery during the lunch break led to the emergence of transactions with attractive names such as ”. Some of the beautification processes introduced by these names may actually exist scientifically. However, a significant part of plastic surgeon They are transactions that have been put forward by people who are not “” but introduce themselves as such, with relatively low risk, but whose validity has not been scientifically proven. Generally, the reasons for revealing are the desire to gain unfair advantage by taking advantage of people’s weaknesses in rejuvenation and beautification. Let’s break down this type of ad-heavy initiatives:
Liposhaping : Liposuction, that is, the removal of fat by vacuum, is one of the most popular and successful procedures in aesthetic surgery. However, it requires expertise and must be done in a hospital environment and operating room. In some beauty and/or aesthetic centers that provide services in apartments and do not have these facilities, patients are told, “Liposuction is a heavy and dangerous operation, instead we perform liposculpting, which is safer. After the procedure, you go to your home by walking and we get the same result”. The process of vacuuming the oils carries a risk proportional to the amount of oil taken. If a very small amount of fat is to be removed (such as the jowl area or the inside of the knee), the procedure can be performed under local anesthesia and outpatient, and the patient can go home on foot after the procedure. However, the same cannot be said if significant amounts of fat will be removed in larger areas such as waist, abdomen, hips and hips. In addition, the process of removing fat by vacuum is a surgery regardless of the amount of fat taken. It is a mistake to confuse patients and try to reduce the severity of the procedure by giving this surgery some made-up names.
lipolysis : In recent years, it has been determined that some drugs melt the fat in the areas where they are injected, and the idea of ​​​​melting the unwanted fat in the body by making subcutaneous injections has been put forward. This idea, which seems attractive at first glance, was immediately adopted by many people because it did not require any special skills, and patients were given a guarantee or hope of getting rid of fat with outpatient injections without surgery, knives, anesthesia and hospitalization. It is extremely dangerous to use such drugs, which are discovered by chance to melt fat when used for other purposes, out of purpose and in doses far above the recommended doses, because their effects at high doses have not been investigated. Here people are used as guinea pigs and misinformed. In addition, serious sequelae (inflammation, skin irregularity) in patients who applied to us (aesthetic surgeons) because they were not happy after this treatment they received elsewhere make us think that the described procedure is not effective and safe. Until definitive results are obtained in experimental studies, it is not safe, legal and unethical to try to melt fat in humans with such drugs.
Nose beautification without blood, knife and surgery : Aesthetic nose surgery is a popular procedure with good results. But it has a social cost. Depending on the severity of the procedure, there may be bruising around the eyes and significant swelling on the face for up to two weeks after the operation, and it may be necessary to put a plaster and/or bandage on the back of the nose. Some organizations or individuals make advertisements that give the impression that they can change the shape of the nose without any of these undesirable situations. They should not be deceived. Botox (the poison that paralyzes the muscle) can be injected to lift the tip of the nose a little, but its effect is limited and disappears completely within a few months. Again, in order to lift the tip of the nose, it can be hung under the skin with a needle from the root of the nose, and the tip of the nose can be pulled back with a thread. This procedure provides limited benefits initially, but it is unknown how long the effect will last. So it may not provide a permanent solution. Although minor irregularities can be corrected by giving fillers (hyaluronic acid and the like) under the skin of the back of the nose, it usually does not provide a permanent solution in the long term. None of the above is sufficient to obtain a desired nose image on its own.
Performing Surgery with Computer Assistance : Rapidly developing technologies can give a visual idea of ​​the possible outcome after the surgery by making measurements and changes on the pre-operative pictures. People who abuse these technologies are as if they are doing the operations on computers and they make advertisements that will give the impression that the desired shape can be reached with 100% guarantee. Some patients who believed this came with a computer-generated photograph in their hands and said, “So-and-so doctor will do my nose like this. Could you give me a photo to show the result of your own surgery? “They ask questions. While purchasing expensive technologies can help with surgical planning, it does not guarantee good results. Aesthetic surgeries are an art and after all, they are performed not by computers but by the dexterity of the hands of trained surgeons.
Lunch Break Operations : It has been suggested that a bloodless face lift can be performed without using a knife and without incision, by placing fishbone-shaped surgical threads that can move in one direction under local anesthesia with long needles under the cheek skin and then stretching them, especially for face and cheek stretching. Praising statements and advertisements prepared by companies that market these products and some physicians who use them have created an environment in society that sympathizes with these procedures. Potential patients said, “If you are working, you can stretch your face during the lunch break and continue your work with your new look at the end of the break without taking permission from your workplace.” deceptive messages. Shortly after their release, it was understood that these products and the processes using them were not as beneficial as described, and that some of them might even be harmful.
As a result, advertising is increasingly used in the health sector, as it is in every sector. In particular, it is useful to approach advertisements or news about aesthetic surgery with a certain distance. Before deciding on an operation or treatment, carefully research whether the physician you will choose is really a physician, whether he has expertise in the relevant subject, and state that you want to see the medical school diploma and specialty certificate with your own eyes. Do not ignore the possibility that colored papers with flashy seals and signatures written in a foreign language are not a valid certificate of expertise.
I wish you healthy days.
prof. Dr. H. Ege Ozgentas