Top 10 Plastic Surgey Procedures to Avoid in 2009

Plastic surgery has reached far beyond a medical sub-specialty. Plastic surgery is the pop culture of reality TV shows and rumors of celebrities who had cosmetic surgery. Some of the procedures that appear to the most attention on the "fringe" plastic surgery procedures.

There are a number of procedures, an excellent track record of safety, efficiency and satisfaction of patients. I think after procedures such as breast, stomach tightening, facelift, blepharoplasty, liposuction, and would fit into this criteria.

There are other processes which, on a routine basis, in principle at least, stupid, and possibly even dangerous. This is the authors current top-ten list of plastic surgery procedures to avoid:

1. Lipodissolve and Mesotherapy - This is the injection of a non-standard mixture of chemicals, the exposures, the fat away. The amount of fat dissolved unpredictable and usually little to none. The fat and cholesterol-cells are reported to be excreted as waste. There is some concern that these deposits in the arteries leading to premature heart disease. Mostly, this is a waste of money with little proven benefit.

2. Buttock augmentation - I am not talking about the correction of irregularities with fat grafts. I speak of implants used to buttock fullness. High risk of infection and implant complications. I think the trend is running faster than the pain of sitting on these implants.

3. Permanent Fillers - Silicone never let someone in your face. Temporary fillers (Radiesse, Restylane ...) or natural fat injection is OK

4. Injection for breast enlargement - injection of soft tissue fillers to increase the breast-band. The procedure is expensive and the duration of effect may be short-lived. Risks include breast lumps, which are hard from breast cancer.

5. Breast Transumbilical (Tuba) - The scar for breast enlargement is almost never a question after the operation. The scar around the belly is in a bra or bikini. The review is very high, and the implants tend to be wide and with perception unnatural. Silicone implants can not be used. When a change is required, a much longer cut on the chest is required. This is marketing hype and has no place in breast enlargement.

6. Leg extension Cosmetic Surgery - The leg bones are broken, and during the period of time, in a procedure called "distraction osteogenesis". Actually, a very rare operation.

7. Pectoral Implants - Like buttock implants.

8. Laser LiPo or smartlipo - no advantage tumescent liposuction, but there are also disadvantages. Disadvantages are the costs for the technology and the generally poorly-trained doctors currently using this technology. Very few plastic surgeons have this technology, because the studies have not demonstrated benefit. In the future this may change if they can study, improve the safety, efficacy, or even in comparison to the proven techniques.

9. Phenol peels - Very deep chemical peel may be that a patient is pale like a burn victim. There are much better alternatives, including laser therapy and moderate peels like TCA peels.

10. Doctors without proper training - This is really very important. Select a specialist for plastic surgeons, and you are on the right step. To board by the American Board of Plastic Surgery, a plastic surgeon must begin intensive training at an accredited training. Thereafter, the surgeon must be rigorous written and oral examinations by the board. The American Board of Plastic Surgery is one of only 24 accredited specialty boards of the American Board of Medical Specialties (ABMS) and is the only board recognized by the ABMS to certify a surgeon in plastic surgery. There are a number of other organizations on board the "face", "aesthetics" or "cosmetics" in the title. These are not covered by the ABMS and do not have the same training.

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This operation changes the hip bone and the load-balancing architecture over time, and may require additional surgery after ten to five ten years. With resurfacing, less bone is removed. A small shaving is on the top of the femur, it may take a smooth metal cap, which the new joint surface.