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Reconstructive Plastic Surgery Procedures

Plastic surgery procedures include both reconstruction operations that are performed on abnormal structures anywhere of the body. These are caused by congenital defects, developmental abnormalities, infection, trauma, disease or tumors. Plastic surgeons perform this type of surgery to improve bodily functions, and/or to establish a more normal appearance. Cosmetic plastic surgery procedures include:

Cleft-lip, cleft-palate repair - This separation of the upper lip or roof of the mouth occurs early in fetal development. Plastic surgery to repair this defect restores a child’s ability to eat, drink and speak normally while creating a more normal appearance.

Hand surgery – Reconstructive surgery of hands that are deformed by congenital or developmental abnormalities or by trauma or disease is performed by either plastic surgeons or orthopaedic hand surgeons. Hand surgeons treat radial or ulnar clubhand, simple or complex syndactyly, polydactyl, and overgrowth or undergrowth of digits in children and carpal tunnel syndrome, rheumatoid arthritis and Dupuytren’s contracture in adults.

Breast reconstruction and breast reduction - Following mastectomy for breast cancer, breast reconstruction to restore the breast’s normal appearance can be achieved by plastic surgery. Breast reduction surgery removes excess breast fat, glandular tissue and skin to alleviate the discomfort associated with overly large breasts.

Skin cancer treatment - Undergoing surgery for skin cancer may result in unsightly disfigurement. A plastic surgeon can surgically remove cancerous and pre-cancerous lesions, normally without causing a great deal of scarring.

Cosmetic Plastic Surgery Procedures

Some plastic surgery procedures for cosmetic purposes are:
Rhytidectomy - This plastic surgery, also called a facelift, is used to improve visible signs of aging of the face and neck.

Injectable fillers - are used to enhance shallow contours, plump thin lips and soften facial creases and wrinkles. They can also be used to improve the appearance of deep scars.

Blepharoplasty - Eyelid surgery, known medically as blepharoplasty, removes sagging skin from the upper and/or lower eyelids, giving a more youthful, alert and rested appearance.

Rhinoplasty- This surgery is known commonly as a “nose job”. A plastic surgeon performs this operation to enhance the appearance of a person’s face, often improving one’s self confidence. Rhinoplasty may also be performed to correct impaired breathing caused by structural problems within the nose. This can reduce or eliminate sleep apnea and snoring.

Abdominoplasty – This plastic surgery procedure is commonly known as a “tummy tuck” and often takes place after major weight loss. This operation removes excess fat and skin and restores weakened or separated muscles, creating an abdomen that is significantly firmer than pre-surgical.

Augmentation mammaplasty - This operation is also called breast augmentation. It is a surgical procedure that involves using saline-filled implants to increase the size of the breasts or to restore breast volume lost after weight loss or pregnancy.

Dermabrasion - Dermabrasion and dermaplaning help to smooth the skin's top layers by controlled surgical scraping. Dermabrasion is usually used to improve the look of facial skin left scarred by previous surgery or accidents or to smooth out fine facial wrinkles. It is also used to remove pre-cancerous growths and to treat serious acne scars.

One of the newer procedures for severely damaged individuals is face transplants, which are discussed in depth on the following page.

Plastic Surgery Procedures in Minority Populations

Although these economic times have seen a decline in some areas of cosmetic surgery, procedures among ethnic patients are up. According to recent statistics by the American Society of Plastic Surgeons, cosmetic procedures in ethnic populations increased by 11% in 2008. Over three million cosmetic procedures were performed that year, while procedures among Caucasians dropped by two percent. Cosmetic procedures among Hispanics, the largest and fastest growing ethnic group in the U.S., experienced the greatest growth; up 18%.

Hispanics comprised 10% of the 12 million cosmetic plastic surgery procedures performed in 2008, with almost 1.3 million procedures. African-Americans made up eight percent with 910,000 procedures, up 10 percent. Asians accounted for seven percent with 866,000 procedures, up five percent.

According to ASPS president, the rise in the number of cosmetic plastic surgery in the Hispanic population coincides with the growth of the ethnic group in the population of the U.S. in general. He also stated that less social stigma and advances in procedures that allow patients to maintain their ethnic look while achieving their desired results led to this increase.

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