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A few words on plastic surgery

Plastic surgery is an ancient profession that developed during the last one hundred years.

The numerous innovations took place in this profession particularly in connection with war events such as the First and Second World Wars, the Korea and Vietnam Wars and in our country, The Six-Day War, The Yom Kippur War and the Lebanon War.

Road and work accidents mainly in the developing industries also contributed their share to the development of this profession.

Plastic surgery is essentially a creative and constructive surgery and its purpose is to heal disease conditions while saving the human image.

 

 

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Plastic surgery deals with a great variety of subjects.

Plastic operations are performed on almost any part of the body.

Among the frequent operations of plastic surgery, we would like to mention:

    1. repairing congenital malformations

    2. removing benign and malignant tumors of the skin

    3. treatment of burns

    4. reconstruction of organs

    5. micro-surgery for the connection of severed organs

    6. aesthetic surgery such as nose, breast, abdomen, liposuction surgery, etc.

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Plastic surgery is surgery in every sense of the word.

In plastic surgery also there are risks, but the risks can be reduced and even prevented if the operation is performed by skilled and experienced physicians with vast experience and a reputation in the field, who are especially trained to perform plastic surgery. Before any operation, one should verify that the surgeon holds an expert's diploma in plastic surgery and that he is a member of the Israeli Plastic Surgeons Association.

 

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The function of the nose

Impaired breathing through the nose, dryness, chronic catarrh, fatigue, agitated sleep at night are all side-effects of impaired function of the nose.

Any disorder of one of the nose's internal components: septum, conchae, sinuses or the mucous membrane, may cause a disturbance of the normal function of breathing through the nose.

If conservative treatment with drugs does not bring about an improvement of the breathing through the nose, surgical intervention is indicated for solving the problem. Surgery for repair of breathing through the nose may be done separately or in conjunction with plastic surgery for correcting the appearance of the nose.

 

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Nose surgery

The shape of the nose is usually determined at birth but injuries may sometimes cause severe deformations and alterations of its shape. Before the operation, the nose may have any shape. This may be manifested in the length, in the width, and the size. The nose may be straight or curved and deviating to the side. It also may be with a big bump or an eagle-like look, with a sharp edge or with a wide and flattened look.

Operations for the improvement of the appearance of the nose are among the most frequent of the plastic operations performed in Israel and throughout the world.

 

 

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Operations of the nose

The nose is a central and important organ of the face. The shape and size of the nose have great importance in shaping the face and its beauty. A nice shape, the right size, and proper integration with the other facial organs create the delicate harmony and the balance that enhance and emphasize the beauty of the face.

The nose also serves as an important breathing organ. It imparts to the inhaled air the appropriate humidity and temperature before its entry into the body. It cleans and removes foreign and undesirable particles from the inhaled air and obviously contributes a great deal to our sensation of smell and taste. Following surgery, the nose must look nice, but natural and compatible with the face and the breathing through it, comfortable and good.

 

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Preparations for nose surgery

Nose surgery requires a thorough preparation for the achievement of the optimal outcome, both from the esthetic and the functional point of view. Good communication between the surgeon and the patient, a joint formulation of the problems, and a clear and accurate explanation of the anticipated outcome and adverse effects can help the patient to better understand the nature of the operation, its advantages and limitations, and adapt his expectations accordingly.

 

 

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Nose surgery

Nose surgery is considered one of the most complicated in plastic surgery. Nose surgery requires vast experience and great skill from the surgeon.

We are dealing with the art of sculpture with a raw material made of tissues.

Nose surgery is performed through the nostrils and without external incisions of the skin. This creates a considerable difficulty in visualizing what is happening during the operation. The operation lasts between 30 to 90 minutes during which the bones, the cartilages, the mucous membranes, and the skin are being treated. At the end of the operation, the internal incisions, through which the operation was performed, are sutured and the nose is immobilized for a few days.

The initial outcome of the operation will become obvious in about a month, while the final outcome is usually half a year after the operation.

 

 

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The chin

For the creation of a perfect profile, sometimes the prominence of the chin is indicated.

A receding chin impairs the esthetic outcome of nose surgery, impairs the harmony between the facial organs, and sometimes creates the impression of a nose excessively prominent in the face. For the prominence of the chin, a rigid silicone implant inserted beneath the soft tissues and above the bone is used in the chin region.

The chin prominence operation is usually done during nose surgery or separately.

 

 

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Blepharoplasty – eyelid surgery

Surplus skin and fat bags in the eyelids give the face a tired and aged look. Swelling in the eyelid region at an early age may be a hereditary phenomenon or one in connection with heart, kidney, liver, thyroid disease, diabetes, blood-clotting disorders, and various allergic manifestations.

The eyelid-swelling phenomenon aggravates with age and is particularly obvious in various situations such as after sleep or the contrary in situations of sleeplessness and fatigue.

The operation is performed under local anesthesia and light sedation lasting for about an hour. During the operation, the surgeon removes the surplus skin and the fat bags from the upper and/or lower eyelids.

 

 

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Prominent ears

Prominent ears attract much attention and often cause mocking nicknames to the child.

Expressions such as "piper", "kite" and "donkey's ears" are all borrowed from the "affectionate nicknames" lexicon heaped on these children. Pulling of the ears is another aspect of the "sensitivity" with which children treat this phenomenon. Surgery for the corrections of prominent auricles may be performed no later than primary school age. An early operation can spare much anguish from the child and improve significantly his body image and his self-confidence.

 

 

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Repair of the abdominal wall – Abdominoplasty

Many women, particularly after deliveries, present surplus skin and fat and weakness of the abdominal muscles, a phenomenon that give the abdomen a weak, prominent, and non-esthetic look.

Surgery for repair of the abdominal wall, or "tummy tuck" as it is popularly called, is performed for the removal of surplus skin and fat, to correct the weakness of the abdominal muscles, and to give the abdominal wall a firm and esthetic look. Abdominoplastic operations are very frequently performed with a good outcome that improves considerably the appearance.

These operations can be performed in conjunction with an operation for the correction of the shape of the breasts (reduction, enlargement, or lifting of a sagging breast) and/or with liposuction with the purpose of providing an esthetic and attractive look also to other regions of the body.

 

 

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Breast surgery

The breast symbolizes most of all the femininity and the sexuality of women.

The shape and size of the breasts have great importance in determining the body image of women. Too small or too large breasts or asymmetric or sagging breasts cause frustration and anguish in many women.

Operations for the correction of the appearance of the breasts are becoming very frequent, and they can impart to the breasts a beautiful and impressive shape appropriate to the woman's body and add charm and beauty to it.

 

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Breast-enlargement surgery

Breast-enlargement surgery has become one of the most frequent plastic surgery operations in Israel and abroad. This operation imparts to the breasts an impressive shape and size and contributes a great deal to the enhancement of the appearance of the body and the self-confidence of women.

Breast-enlargement surgery is performed under local or general anesthesia. It lasts for approximately 40 minutes, and already on the same day, the woman can be discharged to her home. The outcome of breast-enlargement surgery can be seen no later that after a few days, and then it is possible to resume any activity including work and sports, recreation, and even sun-tanning on the beach.

 

 

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More on breast-enlargement surgery

Breast-enlargement surgery is performed with implants that contain silicon of various degrees of density. Implants for breast enlargement exist in various shapes and sizes, and the role of the surgeon is to select for the woman the implant most appropriate to the features of her body with a maximal adaptation to her desire and expectations.

Numerous studies prove that there is no link between the development of cancer or immune diseases of the body and the silicon used for breast-enlargement surgery.

Recently, new implants were introduced, "anatomic implants". These implants add an important layer to the improvement of the outcome of breast-enlargement surgery.

 

 

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Breast lift

Sagging and drooping breasts cause much frustration and anguish to many women. This phenomenon exacerbates particularly after deliveries or a loss of weight.

In breast-lift surgery, the surgeon imparts to the breasts an erect and firm look. This operation lasts about an hour under local or general anesthesia.

The operation leaves slight scars, but these scars usually heal well and blur after a short while, although they do not disappear entirely.

Breast-lift surgery is not painful and enables the resuming of full activity within a few days.

Occasionally, if the size of the sagging breasts does not satisfy the woman's wishes, it is possible to integrate in the same operation breast-enlargement surgery as well.

 

 

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Breast reduction

Large-sized and heavy breasts are a great nuisance esthetically and cause an overload on the back and the shoulders and inflammation of the skin beneath the breasts. These phenomena exacerbate with age and sometimes make breast-reduction surgery inevitable.

Breast-reduction surgery diminishes the size of the breasts and their weight but at the same time it must impart to the breasts a beautiful and impressive shape appropriate to the body size of the woman.

The operation is performed under general anesthesia, lasts for approximately two hours with one day of hospitalization. This operation does not hurt, and the recovery and resuming of activities period is short.

Following breast-reduction surgery, it is usually not possible to breast-feed, and external scars are left on the breast but usually they blur with time.

 

 

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Liposuction – suction of fat

A broad and well-padded pelvis was in the past a certain characteristic of the beautiful woman and was the object of admiration of many women. An impressive expression of this is shown in the illustrious works of many Renaissance artists. At the present, the "full-bodied" look has changed places with a more slim and well-built look and for its achievement, many efforts are being made by various diets, exercise, and even various operations, such as liposuction in various parts of the body such as: liposuction in the abdomen, in the hips, etc.

Liposuction was invented by Dr. Illouz, a Jewish plastic surgeon from Paris. During the operation, suction is done from problematic regions in the abdomen, buttocks, and hips where the fat is stored. The advantage of the technique is that the fat that is suctioned does not recur and imparts to the body new proportions that are not achievable by traditional means such as a diet and exercise.

 

 

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More on liposuction

Some organs of the body, particularly the waist, the buttocks, and the hips, are susceptible to trouble due to their tendency to accumulate fat. The body assumes the classic look of a "violin deformity", a concept that represents well the body build where the upper part of the body is narrow, while the lower part of the body, from the waist down, is broad and fat.

Repeated attempts by these women to lose weight usually result in a disappointing outcome of slimming of the upper part of the body, while in the lower part of the body, which is usually the reason for starting a difficult and painful diet, almost no change takes place. In such a situation, one may find help in liposuction surgery for correction of the problem.

More on liposuction in one of our forthcoming columns.

 

 

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Liposuction

Apparently, liposuction is a treatment method for fat people who need liposuction surgery in order to shed undesired fat surpluses, but paradoxically, liposuction, is particularly intended for the treatment of lean people. This method does not provide a solution for fat people presenting surplus fat all over the body, but it is perfect for people having fat accumulations limited to a specific region of the body such as the neck, abdomen, buttocks, hips, knees, and ankles.

 

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Liposuction

Liposuction surgery lasts about an hour under local, partial, or general anesthesia. After the operation, there is some slight pain, swelling, and black and blue marks. The pain subsides within 3-4 days, the black and blue marks within two-three weeks, and the swelling within a month.

During about a month, the patient will need a girdle that helps in the gradual diminution of the swelling and the skin to shrink properly. The outcome of liposuction depends to a large extent on the shrinkage of the skin. The preliminary outcome of the operation is visible within about a month and the definitive outcome within a few months.

  

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