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In yesterday’s post, I talked about the educational requirements to become a plastic surgeon. Today, I’ll talk about what I feel to be some personality requirements needed to become a plastic surgeon.
I think that some intelligence with curiosity is a requirement to become a great plastic surgeon. IQ is needed to attain the grades necessary to complete your studies, but if you’re not curious, then you will have no desire to really push yourself and learn more to truly excel. You will also need to do CME, or continuing medical education credits throughout your entire career, as well as take re-certification exams every 10 years to maintain your board certification.
Another personality trait is the ability to work hard, yet creatively and efficiently. Hard work is not enough to succeed. There are only 24 hours in a day, and plastic surgery requires occasional sleep, so using your time efficiently is key to succeeding.
Plastic Surgery requires an attention to detail, and you actually develop a zen-like attitude towards surgery. When a chef walks into a busy kitchen, he or she can probably tell by the sounds, smells, and activity levels of the other chefs, exactly what is going on in terms of food preparation, cleanliness, and professionalism in that kitchen. The same goes for a good plastic surgeon- after talking to a patient, or after operating for a little while, he or she should be able to tell what’s going on in terms of surgical options, how the tissue is responding to surgery, what’s possible and what’s not possible, etc. The details come to the eye or the mind of a surgeon more quickly with experience and familiarity with a specific case.
Some artistic vision or skill is needed. I don’t know if you need a formal art degree, but having a good eye, and being able to deal with skin, soft tissue, bone, and other materials that mimic the human body, such as dermal fillers, breast implants, etc., all help to make a good plastic surgeon.
Of course, plastic surgeons operate on actual people, so people skills are very important. Listening to people is the key to developing a good relationship and a good plan for surgery. Some problems do NOT need surgery, so it’s important to find out what the patient wants. The ability to socialize and deal with people and their expectations are critical to success in plastic surgery.
Although the human body is not a machine, it is an incredible work of art and genius. Sometimes, despite the best surgical care, overall excellent health, and great patient care from the patient, the human body won’t heal as well as you would like. The key is to understand that, in the end, your body will want to do what it wants to do.
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Inverted Nipples: One or both sides may be affected and to varying degrees. If the inversion of the nipple has been of recent onset, it is very important that a thorough investigation as to the possibility of breast cancer be pursued. Breast cancers can be associated with nipple inversion. Most cases, however, are essentially a simple nipple tissue abnormality that was actually present since birth but only first became noticeable during breast development and puberty. These are simply aesthetically objectionable. Mild cases often respond quite well to simple maneuvers performed during a breast enhancement (augmentation with implants) and are a welcomed “side benefit” to the procedure. More severe cases require some rather sophisticated and tiny incisions which are made in and around the nipple but usually with good success and minimum required in the way of a recovery. Most patients have these issues addressed while having a cosmetic breast procedure – such as a breast augmentation with implants, breast lift or breast reduction – in the operating room. Otherwise, it is quite realistic to have the nipple inversion correction performed alone as an office procedure (usually with local anesthesia and mild sedation).
Inadequate Nipple Length or Poor Projection of the Nipples: This can actually be due to a disproportion in sizes between the nipple and areola rather than a true nipple deficiency. The areola diameter may need to be decreased to make a better match. True length problems can be often be corrected with a minor surgical procedure similar to that used to correct inverted nipples as described above. Sometimes a long-lasting, injectable filler (such as we use for the face) can help in the improvement.
Overly Long or Large Nipples: Again, the possibility that this is actually due to a disproportion between the nipple and the areola sizes must be determined first. The areola diameter may need to be increased. Cosmetic tattooing is the simplest way to do this. In more severe cases of small to absent areola tissue, skin grafts of darker pigmented skin can be used. Otherwise, a surgical reduction in the actual length of the nipple is a very straightforward and relatively simple procedure which can be performed in an office setting. Puffy or overly “fat” nipples can also be thinned down a bit by a similar technique.
Overly Large Areola Diameter: Areola diameter reductions are often performed in coordination with a breast reduction or breast lift procedure in the operating room. We want the already excessively large areola to have good proportion to the newly lifted, compacted and re-shaped breast. Occasionally, an areola reduction will be performed alone. The new, smaller diameter is planned and the intervening ring of tissue is removed with the outer “circle” edge tightened in to fit. The scars tend to blend within the natural circle of the areola circumference. The human eye and brain are wired to expect to see this circle-like line which automatically makes it less likely that a scar mimicking this line will be visible.
Irregular Areola Border: The same techniques which are used to decrease the size of the areola are modified to create a smoother, more circle-like shape to the border of the areola. The scars generally hide within the natural circle that characterizes the areola margin.
Nipple is Off Center within the Areola: Usually fixed as part of a breast reduction or breast lift as this would be much harder to surgically fix otherwise. Cosmetic tattooing to balance the areola out is a good non-surgical option. Skin grafting is a much more aggressive alternative and rarely done for this particular problem.
Too Light, or Inadequate Areola Pigmentation: The best option for this, hands down, is cosmetic tattooing.
Nipple/Areola Complex Too High on the Breast: This is usually best treated by a breast enhancement with implants because in most situations the displacement is an optical illusion created by poor breast volume and awkward positioning of the tissue on the chest wall. True high displacement of the nipple/areola complex on the breast/chest is a tough problem otherwise – all existing techniques to move the complex lower will most likely result in an obvious scar on the upper pole of the breast/chest.
Nipple/Areola Complex Too Low on the Breast: This is a very common problem, often associated with large and/or drooping breasts. During a breast lift or a breast reduction, the complex is lifted to its proper position, resized proportionately and properly centered on the breast mounds. The nipple/areola complexes are placed so that they are in mirror image symmetry to the size, shape and position of the each other as much as possible. The scars hide within the circular edges of the areolas.
Nipple/Areola Complex Not Centered on the Breast: Many women have nipple/areola complexes which seem to be out toward the sides of the breasts. Bringing them inward so that the complexes are closer to the midline of each breast makes for a much more desirable look. Most effective solutions to this problem are as a part of a breast lift or breast reduction procedure as described above. More minor procedures which are modifications of some of the steps in a lift or a reduction can be performed for less severe cases or where the breasts are otherwise acceptable and not in any need of reshaping, resizing or lifting. When the complexes appear to be too close together (i.e. “cross eyed”) a well-done breast augmentation will often result in a more centered and more pleasing look to their positions.
Overly Prominent or Numerous, Highly Visible Bumps within the Areola: These are known as “Montgomery Glands” and although perfectly normal, they are sometimes aesthetically offensive if too prominent or too numerous; they are very edgy, irregular and “bumpy”. Simple excision works well – they do not typically recur.
Prominent Nipple/Areola Complex Hair Growth: Electrolysis is probably a better choice for this than would be laser hair removal. There are usually only a few hairs to treat and electrolysis is usually less expensive, more reliable and more definitive. Depigmentation – the loss of the darker areola color which it is supposed to have as compared to the surrounding skin – is always a risk with almost any procedure. But depigmentation is a well-known side effect of lasers. Lasers used on or near the pigmented areola can result in permanent, spotty depigmentation – very undesirable!
Pale, Depigmented Scars in the Areola: These can occur from previous trauma, procedures, surgery or lasers. The depigmented scar in the areola is unfortunately a very common occurrence in women who have had breast augmentation with implants placed via the areola incision approach. The best option is usually cosmetic tattooing.
Extra Nipple/Areola Complexes: Some patients have what might appear to be small moles on the chest or abdomen – but these may actually be extra nipple/areola complexes! These are also known as “accessory” or “supernumerary” nipples. Small, extra complexes can occur anywhere along the so-called “milk-line” which extends from the armpit through the center of the breast and down to the groin crease. A bump or lump underneath could also represent a small amount of breast tissue as well. It is generally agreed upon that it is important that these extra collections of breast related tissues be removed because of risks for malignant changes. Simple excision of these extra nipples is usually all that is required.
Post-Mastectomy Nipple/Areola Reconstruction: This is somewhat beyond the scope of this article, but certainly there are cosmetic issues involved in this very important aspect of breast reconstruction following any breast cancer treatment involving a mastectomy. Typically, nipple/areola reconstruction is not definitively planned and performed until all other aspects of the reconstruction of the breast are deemed complete and stable. Combinations of some of the techniques as described above – such as skin grafting, minor surgical procedures and tattooing – are all commonly employed.
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For many people, how they look is a huge part of how they feel about themselves. Feeling beautiful is an integral part of their self-esteem, and they’re willing to go to almost any length to acquire a high level of physical beauty. For others, physical attractiveness is relatively unimportant, and the thought of cosmetic surgery is unattractive or even repulsive. These two groups are often at odds, with one group judging the other as shallow or silly.
But does the desire for surgery truly come from vanity, or from necessity?
Cosmetic Surgery from Necessity
For many people, their physical appearance can be painful for them. In today’s society, where a huge importance is placed on physical beauty, a too-large nose or ears that stick out can make a person feel self-conscious or rejected. When a physical flaw or deformity lowers your quality of life, you may see it as a necessity.
How do you know if your desire for this cosmetic procedure stems from reasons of necessity? The first thing to do is look at how that physical flaw affects your life. Do people treat you differently because of some flaw or deformity? Do you look in the mirror every day and hate what you see? Then thismay be a step that will improve your quality of life.
Before undergoing any cosmetic procedure, it’s also important to take a look at your emotional health. If your self esteem is wrapped around your looks or is ruined by just one physical flaw, you may want to talk to a therapist to see about improving your self image from within.
Cosmetic Surgery from Vanity
It is true that many people undergo it for reasons that seem quite vain. These are generally attractive people who want small procedures to improve their already good looks. A nose job to improve a nose that’s cute, but just a little boring. Lip injections to give them full lips that don’t even suit their face. The list goes on and on.
But the real question is… who has the right to judge? If a person is in a position to pay for what they want to change, why should they be criticized? Sure, for people living different, simpler lives, this sort of behavior seems irresponsible But in certain sects of society, getting it is as normal as going to the hair stylist.
Yes, it’s true that there are more worthwhile things to spend your time and money on than looks– especially when you’re already good looking. But if something makes a person happy without harming anybody else, there’s no real problem. Even excessive cosmetic surgery is a simply a way to please and indulge oneself, no different than buying a fancy car or decorating the living room.
In the end, it’s important to be happy with who you are. If a person undergoes a large number of cosmetic procedures because of low self-esteem, it means they have bigger problems than their looks. Cosmetic surgery can be a good tool to boost self-esteem and elevate self-image, but shouldn’t be abused or used as a substitute for personal growth.
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There is a noticeable increase in plastic or cosmetic surgery for men of all ages. Leading surgeons have various explanations for the increase in procedures for men and few seem to agree on a leading reason. Despite the disagreement in the leading causes of the increase there is near universal agreement that there is a noticeable increase.
Some surgeons believe that the primary reason there is an increase in plastic or cosmetic surgery for men is that men are becoming more cognizant of the relationship between appearance and confidence. With many industries being highly competitive, men are equating success with self-confidence and/or their physical appearance, leading more men to seek plastic surgery and cosmetic surgery. Men in sales, entertainment, and other highly visible careers are seeking professional assistance to maintain or enhance their appearance. Some industries that are seeing the largest spike in procedures are: real estate, entertainment, advertising sales, and marketing.
The fact that it has become less taboo for men to get plastic surgery or cosmetic surgery is also being pointed to as a catalyst in the increase of procedures for men. Over the last two decades, men have taken their appearance more seriously and that is evident in increases in sales of men’s apparel, fashion magazines, grooming products, and cosmetic and plastic surgery. Men of all backgrounds are taking their appearance more seriously and the related industries are taking notice.
The procedures men are receiving parallel many of the procedures women are receiving. Instead of breast augmentation, men are getting pectoral implants, and other types of implants. Facelifts, tummy tucks, liposuction, and other procedures are also being received by men in larger numbers than before. For more information on plastic surgery or cosmetic surgery for men or women, you can visit MandellBrown.com to learn about triple-board certified Dr. Mandell-Brown.
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In times past, cosmetic surgery was generally seen as something that was done due to a disfigurement or because a person had some type of genetic disorder. And even then people tended to shy away from having surgery, unless it was absolutely necessary. For example, if a person had excess skin around their eyes, they might have cosmetic surgery because it helped them to see better. Or in the case of a deviated septum, an individual might consider rhinoplasty to help alleviate breathing trouble. Cosmetic surgery was rarely performed just because a person did not like the way they looked. In fact cosmetic surgery for those reasons was considered vanity. In modern times, this is no longer the case. Of course plastic surgery is still performed for medical reasons, but today if a person wants to change their appearance; it is no longer frowned upon. Many people turn to Columbus cosmetic surgery when they are looking to have some type of cosmetic enhancement.
There are several reasons why a person might consider cosmetic surgery. Whatever the reason there are thousands of qualified surgeons that can help you. One popular surgery is rhinoplasty. Many people of all races, ages and genders are not satisfied with the size, shape or curvature of their noses. Nowadays, it a quick, simple and affordable procedure, making it very easy to have your nose fixed to your exact specifications. In recent times, many cosmetic office procedures that were not available in the past have gained popularity, such as Botox injections and lip enhancements. With new advancements in surgery, individuals are able to keep the effects of time from appearing for many years.
When choosing a surgeon there are several things to look for. One of the most important is experience. Just as you would not take your car to an inexperienced mechanic, you should make sure that the surgeon you choose is reputable and trustworthy. Also, there are many applications on the web that allow you to search for reviews about the specific surgeon that you plan to see. Oftentimes, these websites are no cost and one need only create an online account to read the reviews. After registering you can also log into a chat session to speak instantly with other members or blog about your own experiences. Furthermore, it is a good idea whenever possible to get personal reviews from friends and family concerning their experiences with surgeons.
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