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Monday 30 August 2010

Cosmetic Surgery - How Young is Too Young?

How young is too young for cosmetic surgery? This is a question that is asked with a great deal of regularity, probably because there is not simply one answer.

However, if you are asking this question, whether you are a teenager who wants cosmetic surgery or their parent, then the simple answer is probably that now is still too young!

(I'll assume that you are not one of those dreadful parents who are trying to get their kids to get cosmetic surgery...)

There are a number of factors that cause a person to wish to get cosmetic surgery, which can be outlined as follows:

Your features, especially your facial ones, appear to have a flaw that makes you stand out from the crowd, but not in a good way. This could be a lack of balance or symmetry, the nose could be too large compared to the rest of the features, or perhaps the bum seems too flat for the size of the hips and waist.

In other instances, cosmetic surgery is felt to be an option for turning back the clock. The face lift is the most obvious example of this, but there are many other examples as well, including eyelid surgery (blepharoplasty), breast lift surgery, hair transplant surgery and wrinkle removal.

Or maybe some feature has been damaged by an accident, for instance a broken nose, chipped teeth, a torn earlobe, and so on.

The final example of a reason that people may choose to get cosmetic surgery is where the patient actually looks quite normal, and what they want is quite simply to look more stunning!

All of these reasons for getting cosmetic surgery are quite legitimate, and there is no reason to consider one more valid than another. However, when it comes to teenage cosmetic surgery, we do have to be a bit more careful, and analyze the motives of the patient a little more.

Where a teenage feels that they are looking old for their years, this is probably the most concerning, and we should be careful that there is not an underlying psychological reason behind their wish for surgery. In the unlikely instance that a teenager is looking ravaged beyond their years, it will be better to be looking at the causes of this, rather than dealing with the cosmetic aspect.

Where a teenage potential patient knows that they look normal, but would like simply to look more beautiful, this is okay, and quite common, but they should be encouraged to wait. It is very normal for people to find that they "grow into" their appearance, and as we get older, many of us learn to love our imperfections, or at least accept them.

Surgeries that generally should be avoided while still growing include nose reshaping surgery, as very frequently a nose that seemed too big for the face when younger can seem more in proportion later on. For obvious reasons, breast surgery should definitely be a no-no until the mid-twenties at least. Cheek implants and similar should be discouraged until all "puppy fat" has gone, so again that is likely to be a bad idea until well into one's twenties. When the youthful fat has disappeared, the features can suddenly gain definition that they didn't have before.

There are those cosmetic procedures where it has become more acceptable, and even encouraged, to have while young. Ear pinning surgery is one of those, as it is one of the safer surgical procedures. Similarly, cosmetic dental work is often a good idea to have while young.

Where cosmetic surgery reaches its closest proximity to reconstructive plastic surgery, it becomes far easier to accept it as an option for young people. There is no compelling reason why a child should have a badly crooked nose as a result of an injury, or torn ear cartilage due to an earring being pulled out, and this should not be fixed until adulthood. This becomes more a matter for the parents to decide, finances permitting.

But in instances like these, it is quite possible that the benefits the child may get from the increase in confidence may pay dividends for their whole life. The important thing is that each separate case is looked at on an individual basis, and the benefits are weighed up against the risks and disadvantages.

Friday 20 August 2010

Why Transumbilical Breast Augmentation May Not be the Best Idea

Transumbilical Breast Augmentation, also known as its achronym TUBA, is one of those ideas that seems to good to be true.

Many women all over the world are drawn to the idea of breast augmentation, but are deterred by the idea of the scarring that inevitably takes place during the breast implant procedure.

Recent developments, however, allow cosmetic breast surgeons to insert the implants without creating any scarring to the breasts at all.

The technique that makes this possible is Transumbilical Breast Augmentation. Instead of the normal procedure, where incisions are made to the underside of the breast, at the natural crease, or around the areola, the only incision to be made is at the belly button. Due to the location, scarring is virtually invisible, and it is this that makes the idea so appealing to many women.

The TUBA technique is a very modern way of performing a breast augmentation procedure. Through the small incision at the navel, tunnel is created in the subcutanous fat, right the way up to the breast region. This is done using an endoscope, a tube with a light and a camera attached, so that the surgeon can watch the procedure on a monitor as it is performed.

It is this passageway through which the breast implants are inserted.

There are, however, several disadvantages to Transumbilical Breast Augmentation, that may cause you to rethink, and get a more conventional method of breast enhancement. One of these is that due to the method of inserting the breast implants, there is less choice of types of implant. A cohesive silicone gel implant is out of the question, as they are pre-filled, and would be to large for the apperture in the navel. This means that you are limited to getting saline implants, which often have a shorter lifespan, and can have a less realistic feel and appearance. Certainly, most cosmetic surgeons regard the cohesive silicone gel implant as the gold standard.

More worryingly, it seems that there is a far higher chance of the implants not being placed correctly, due to the way the the operation is performed remotely. It appears that a far higher proportion of implants placed transumbilically end up requiring revision work. This revision work all too frequently cannot be performed through the original incisions in the navel, and the end result is the same scarring to the breasts as would have occurred using normal incision techniques.

The same applies if the the implant is rejected by the body. The implants will have to be removed via incisions to the breasts.

There is an argument that these kinds of complications are more the result of less competent surgeons attempting Transumbilical Breast Augmentation, and this may be correct to an extent. Whenever you get any form of surgery, it is essential that the surgeon is experienced in that exact operation procedure. But it is also a fact that many reputable cosmetic surgeons who experimented with this technique have since stopped offering this option to their patients, believing the disadvantages to outweigh the benefits.

A golden rule, when considering cosmetic surgery is that the first priority is function, and then form. Scarring should come a distant third. So although the idea of breast augmentation without scarring may sound ideal, you should really think it through. Transumbilical Breast Augmentation may end up being more trouble than it is worth!