Krithika, S (2013) Body Contour Surgery: A systemic review. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Having hourglass figure and great body are becoming the need of the hour for both men and women. It instills sense of pride among individuals by not only enhancing the personality but also by boosting the confidence level of an individual. Aesthetic surgery is one of the most effective ways of improving and enhancing the look of an individual. Unlike earlier days, where people were skeptic undergoing cosmetic surgery, there is an increase in the number of people in India undergoing them. People’s Lifestyle, socio economic status, awareness, professional need, self image, phases of life, globalization has motivated people towards cosmetic surgery. AIM AND OBJECTIVES: AIM:- To study the functional, aesthetic, and psychological outcome of body contour surgery. OBJECTIVES:- 1. To study the patient selection factors for body contour surgery. 2. To describe operative approaches for comprehensive spectrum of body contouring surgical procedures. 3. To identify complications and pitfalls related to body contouring and describe how to avoid them. MATERIALS & METHODS: The study was conducted in the Department of Plastic Surgery, Rajiv Gandhi Government General Hospital, and Madras Medical College over a period of 31 months September 2010 to March 2013. The proforma for the collection of data was made. All the relevant details of the patient during preoperative, surgical, and postoperative and follow up periods were collected and analyzed. This study is a prospective and retrospective study, where 62 patients are included, among them males, females, gender identity disorder –transgender females . Subject selection: Those patients needing body contouring 1. Obese patients with realistic concern about their contour deformity, 2. Obese patient with unsuccessful attempt at weight loss with diet and exercise, 3. Postbariatric-patients with steatomas (metabolically inert fat) producing deformity, 4. Post delivery. Exclusion criteria: 1. Facial contour surgery 2. Patient with intraabdominal pathology 3. Morbidly obese with co-morbid illness complicating anesthesia 4. Patient diagnosed to have body dysmorphic disorder 5. Those who are not willing to participate in my study will be excluded. Patient Selection: Good motivated patients with expectations and desire within realistic alm. DISCUSSION: Careful patient selection is important in ensuring success in body contour surgery.Patients who smoke, have coronary artery disease, have autoimmune disease requiring steroids, are diabetic with poor glucose control, have psychiatric problems, or are older than 50 years are at elevated risk for healing problems. Patients who are morbidly obese, particularly teenagers, are advised weight loss prior body contour surgery and clearly explained that these surgeries are not the management of obesity.the below discussed are our hospital protocol in approach to body contour surgery CONCLUSIONS: Having hourglass figure and great body are becoming the need of the hour for both men and women. It instills sense of pride among individuals by not only enhancing the personality but also by boosting the confidence level of an individual. globalization has motivated people towards cosmetic surgery. The national statistic rate of divorce is highest is Tamil Nadu 4.8%, especially in city like Chennai, common cause of divorce is body consciousness leading to mental dissatisfaction. Self confidence of patient mostly due to body imaging. aesthetic surgery improves self image with good body contouring, increases libido and attractiveness of individual ,binds the marital status. Even in the difficult scenario women in that age group get more confidence in more professional job , more self esteem and positive thinking. They Can even start new life after time pass by after social stigma passes through. Inspite of government chief ministers health insurance scheme not covering the cosmetic surgery, the lower strata income group now increasingly opt for cosmetic surgery .free surgical cosmetic procedures done in our government hospital, change in the policy, attitude in our department in the past 3 years, more and more esthetic body contour surgeries done for lower social strata. Good motivated patients with expectation and desire within realistic alm, get satisfied with the goal oriented aesthetic body contouring approaches. The number of dissatisfied patients, even with informed consent are less in our study. this may be related to the time devoted with patient, explaining all possible complication in the vernacular language, with early effective remedy for complication explained and reiterated to our patient in a considerate manner has brought this excellent result.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Body contour surgery ; systemic review. |
| Subjects: | MEDICAL > Plastic and Reconstructive Surgery |
| Depositing User: | Kambaraman B |
| Date Deposited: | 30 Sep 2017 06:57 |
| Last Modified: | 12 Oct 2017 02:04 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3492 |
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