What types of operations are within the competence of a plastic surgeon?

What does the surgeon treat? This is a doctor who is trained to diagnose and treat injuries and other conditions that require invasive intervention.

Almost any medical field has its own therapeutic and surgical branches. For example, a cardiologist/pulmonologist is a thoracic surgeon, a gastroenterologist is an abdominal surgeon, etc.

But not all ordinary people can imagine what each of them does.

Thoracic surgery

First on our list is a thoracic surgeon. What does this specialist treat? Based on the name, it deals with the elimination of diseases of the chest organs. It is in charge of the heart, lungs, trachea, esophagus, thymus, thyroid and parathyroid glands, as well as the pleura and contents of the mediastinum. In addition, sometimes breast pathologies fall under his competence, although oncologists more often deal with these diseases.

Of course, there are more specialized specialists who operate in the same area as a thoracic surgeon. What a cardiac surgeon or a breast surgeon treats, for example, is clear to everyone. But they cannot cover all diseases encountered on the medical path, so universal practices are needed.

Abdominal surgery

Number two is the abdominal surgeon. What does a doctor in this specialty treat? All diseases affecting the abdominal cavity in one way or another. These can be injuries, penetrating and non-penetrating wounds, inflammation, ruptures, bleeding, perforations, peritonitis and sepsis. Torsion and diverticula of the intestine, acute appendicitis, adhesive or other intestinal obstruction, ectopic pregnancy and many other pathologies, the names of which are scary for people far from medicine to even read.

Modern surgery is aimed at minimizing the consequences of the pathological process and subsequent treatment; new methods of access to organs and suturing techniques are being developed. This helps to avoid cosmetic defects, as well as limit the doctor’s contact with the internal environment of the body and, as a result, prevent the appearance of adhesions.

Vascular surgeon: who is he and what does he treat?

All organs of our body receive nutrients and oxygen thanks to an extensive network of blood vessels. But quite often this system malfunctions, and then a person is diagnosed with a heart attack, stroke, thromboembolism, varicose veins or organ necrosis. In such a situation, a vascular surgeon can help a person. Who is this and what does it treat? This is a specialist who specializes in the surgical treatment of vascular diseases.

They do not have a separate body part, since arteries, veins and capillaries are present literally everywhere. Therefore, it is common to see vascular and thoracic surgeons working in the same operating room.

Traumatologists, abdominal surgery specialists, and many others do not disdain their help.

In addition, their competence includes such diagnostic procedures as coronary angiography, angio- and venography.

Maxillofacial surgeon: what does he treat?

Dentists also have their own surgical specialist. Of course, such a doctor deals not only with teeth and jaws. He can come to the aid of ophthalmologists, neurosurgeons and traumatologists.

What does a maxillofacial surgeon do and what does he treat? He is in charge of inflammatory diseases of organs, tissues and bones of the face and neck, injuries in this area, oncological processes, congenital and acquired defects. Doctors in this specialty often work with plastic surgeons.

Neurosurgery

What does a surgeon of this specialty treat? He deals with pathologies of the most complex, but at the same time interesting system - the nervous system. It includes the spinal cord and brain, as well as all peripheral nerve endings.

As a separate specialty, this discipline appeared only at the turn of the 19th and 20th centuries, but even the ancient Incas were engaged in trepanation, and the Egyptians, when mummifying their rulers, used transnasal access to extract the brain.

Modern neurosurgery is, of course, more advanced. Doctors have learned to sew together nerves, remove parts of the brain without visible consequences, restore mobility after paralysis, and remove tumors from almost any location.

Science does not stand still in this area. Surgeons are trying to find new solutions to the problem of Parkinson's and Alzheimer's diseases, as well as stimulation of nerve cell division.

Surgery in otorhinolaryngology

What does an otorhinolaryngologist treat? Something that a therapist of the same specialty cannot cure. As a rule, these are pathologies of the outer and middle ear, nose, throat and larynx. He is in charge of all kinds of background and obligate precancerous conditions, removal of tonsils and tonsils, elimination of the cause of airway obstruction, and removal of foreign bodies.

It often happens that a doctor combines therapeutic and surgical directions in a given specialty. This allows you to improve the quality of assistance and speed it up. You can meet them both in the clinic and in the inpatient department of multidisciplinary hospitals that provide highly qualified care.

Plastic surgery

Many people are unhappy with the appearance that nature has given them. They strive to correct it or radically change it. And it also happens that cosmetic defects appear after an illness or an overly traumatic treatment. In such situations, plastic doctors come to the rescue. What does a surgeon of this specialty treat?

As a rule, it creates, not heals. Thanks to his skill, people get the desired shape, their lips and breasts become larger, and extra pounds and wrinkles disappear. If you wish, you can even change the shape of your face, the shape of your nose, skin color, even gender. But first of all, the task of this surgeon is to understand the reasons that prompted the person to decide to undergo surgery, and to convince him that he is already beautiful.

Traumatology

What else is a surgeon good for? What does a traumatologist treat? The answer to this question is quite obvious - bone damage. We experience trauma throughout our lives. Some of them heal on their own and do not require our attention, but sometimes we still have to seek medical help.

In hospitals there are special departments - trauma centers, where people with injuries come or arrive. There they are met by a doctor who, after a thorough examination and x-ray, finds out whether there is bone damage or not.

And then the person will either have a happy return home or be put in a cast in the manipulation room. In severe cases, the patient is transported to the operating room and there the fragments are fastened with metal screws, knitting needles or staples.

Such measures are necessary for the bones to heal correctly.

Traumatologists work closely with surgeons of other specialties, such as orthopedists, neurosurgeons, maxillofacial surgeons, sports and military doctors.

Surgery in a clinic

What does a surgeon treat in a clinic, because there is no amazing equipment, no team of assistants of various kinds, or even a place to perform operations. First of all, in the clinic, the surgeon sorts patients into those who can be helped at home or in an outpatient clinic, and those who must go to the hospital for further treatment.

To do this, he conducts a thorough survey and examination of the person who turned to him for help, and prescribes laboratory and instrumental examinations. And only after a thorough analysis of the information received, the doctor makes a decision regarding further treatment.

In addition, he is in charge of patients who are undergoing further treatment after discharge from the department. They should not be overlooked, as many require lengthy dressings and consultations.

Source: https://autogear.ru/article/307/270/chto-lechit-hirurg-i-chto-vhodit-v-ego-kompetentsiyu/

The most conscious plastic surgeons in St. Petersburg: who are they?

• 

We found the most conscientious plastic surgeons in St. Petersburg, who in their work measure more than seven times, cut strictly to the point and arrange for the patient a session of applied psychoanalysis on the subject “Do you need it?”

plastic surgeon at the GrandMed clinic

• 

A plastic surgeon does not perform operations “for prevention.” They come to us for radical changes. To preserve your beauty, go to a cosmetologist. Therefore, to complaints like “Doctor, something has begun to shift,” I answer: “We’ll wait until it really shifts.”

When a patient says she wants a lift because her husband, who is twenty years younger, needs it, I ask her to first ask her husband directly. Don't fantasize about the topic. As a rule, it turns out that someone else’s opinion was taken out of thin air. So, we exhale, cool down and meet again if the decision has already matured in our own head.

How to behave with a patient is a whole topic for a lecture on ethics at a medical university.

But in short, the commandment is this: treat him as you would treat your younger or older relative.

The person at the reception is trusting and confused, like a granny who comes to you for advice. Because the surgeon is in a stronger position by default. And arrogance is simply out of place here.

A good plastic surgeon must keep in shape: be thin, athletic and cheerful. In our work, this is not difficult - we often have to work with a decent amount of weight. I’m surprised how fragile female surgeons cope with, say, liposuction.

I immediately redirect people who came to the wrong address. There are related specialists who can do a better job. The plastic surgeon works on the surface of the tissue. If the problem lies deeper, at the level of muscles and bones, this is definitely not for us. There is absolutely no point in experimenting here.

Another reason for refusal is insensitivity to the doctor’s arguments. I can appeal to the patient’s mind for some time, convincing him that his desire, for example, for absolute facial symmetry is futile.

Each of us has one half smaller from birth, and throughout life, facial expressions add differences: we grin on one side and wink strictly with one eye! So it will not be possible to achieve complete equality, no matter how golden the surgeon’s hands are.

“No” in this case means “no”.

I will not be able to operate on a person whom I consulted only via Skype, if when we meet he is fundamentally different from the photos sent. Of course, I request pictures from certain angles; sending me a selfie at arm's length is useless. And yet, surprises when going offline are not excluded.

Like any normal plastic surgeon, I work part-time as a psychologist: I constantly analyze the neuroses of patients and console them. Unfortunately, we do not have a filter in the form of real psychiatrists, as was the case at the first Beauty Institute on Gorokhovaya.

And where can I get so much from? There are fifty-six clinics in the city where plastic surgery is performed, and they have three to five surgeons. You can’t assign a psychiatrist to everyone. Therefore, we cope on our own. But still, I’m not a pro and I can overlook an accentuated personality during a consultation.

In creative mode, this type is very charming and with a high probability can turn into a “serial” patient. However, if, in his opinion, the doctor did (or even said) something wrong, expect trouble.

So when the patient and I are already in antiphase during the consultation, this is the last reason for our separation.

Sergey Pavlovich co-founded the GrandMed clinic 18 years ago.

plastic surgeon at the SPIKA Beauty Institute

• 

The most irresponsible thing a surgeon can do is to authoritatively convince a patient of non-existent phenomena or deny existing ones. The person sees himself in the mirror.

He doesn’t know whether to believe the doctor or his own eyes, and is gradually going crazy. Mental trauma can be more dangerous than physical trauma.

And if you are a surgeon and not a psychologist, then you are allowed to understand the patient’s psyche only and exclusively after you have learned how to cut smoothly and carefully sew up. Courage should not extend beyond knowledge.

I am for any form of life. I understand and accept absolutely everyone. Even people about whose mental state there are obsessive and sad rumors circulating - they have tormented colleagues both in our clinic and in others. After all, they too can be helped.

To do this, I ask myself the main question: will I be able to do well for the patient? Not as “good” as I like, but as good as he needs? It doesn't matter what kind of body a person has. What matters is how he feels in it. I may be crazy about horses, but if I give everyone a horse out of the best intentions, I will significantly ruin the lives of those around me.

So you need to get into the patient’s head and look at the world through his eyes. To work with the request of this particular person, made of flesh and blood, with the whole cosmos inside.

Our profession requires knowledge of psychology. But mastering plastic surgery turned out to be easier for me than these abysses. The request for such information came when faced with a paradox: the operation was carried out cleanly, the result coincided with the planned one, but for some reason the patient continued to suffer.

For others, a crooked nose is as pleasing as meeting the love of their life. It turns out that happiness is not associated with the harmony of form. Or connected, but with a very tricky knot. To figure it out, I threw everything into one pot: from the film “The Matrix” to the works of Plato.

But the theory of mirror neurons turned out to be the most useful for me. The bottom line is this: there is bound to be a relationship between the doctor and the patient. And how they add up can be controlled using real-life cells, the activities of which are recorded by instruments.

Roughly speaking, they allow, being close to a person, to “read” his condition. This is how the empathy mechanism is launched: if your interlocutor is in pain, then at least you will feel uneasy. I think that in animals this system is even more developed due to the lack of speech. So we can try to pump her up better.

A function gives birth to an organ: if you want to feel people, then you give a kick to mirror neurons, activating their work.

A conscientious doctor is always a little scared during surgery.

Patient deception is unacceptable in any form. About the details of the operation, about its results, about your competence. If I can’t pole vault like Bubka, I won’t pretend that Bubka and the pole don’t exist. Since I don’t understand how to achieve any result, I will never claim that it is impossible. Maybe. I just need another doctor.

A conscientious doctor is always a little scared at the time of surgery. We are getting extremely close to the brain - in the most literal sense. I get goosebumps from such responsibility. And let them run on.

A plastic surgeon should not play blessed and be ashamed of the benefits of his work. I advise all of us to recognize that money exists and is one of the most important matters.

Not the only one, not the main one, not all-consuming. But if a specialist receives payment for his work, then this is correct.

He will think about the soul (both his and the patient’s) when there are no holes left in the foundation of Maslow’s pyramid.

I do not give comments about the work of my colleagues. If an indignant patient comes to secondary surgery and asks “Why is this?” - I answer that I don’t know why. But I know how to fix it. This is not shop solidarity. I really do not know. After all, the patient himself chose that doctor, and his fate turned out exactly like that. My coordinate system is close to Zen.

As part of the “Omorphia” lottery of unprecedented surgical generosity, Lyubov Safonova performed about 20 free operations for project participants over six years.

Chief Physician of the DEGA Aesthetic Medicine Clinic

• 

A plastic surgeon is a subject of increased danger. If a car hits a pedestrian, the driver is usually at fault. It’s the same with us. The patient is not required to know anything in advance. We must inform him as much as possible, and then take responsibility for the implementation of the expected result.

It is dangerous if the surgeon immediately interrupts: “Don’t explain, I understand everything.” You need to listen to the patient, and listen for a long time and very carefully. It’s better to ask to collect examples of the desired result on the Internet.

We try to do what the patient wants, and not what we consider obvious. If, of course, his desire fits within the relative scope of the indications and there is no risk of serious complications. Elf ears and a forked tongue, for example, do not fit into the testimony frames, although they are often asked for.

But, by the way, “beautiful breasts” is also a very vague concept.

People with some mental transformations often become our grateful patients.

Let’s say a person dreamed all his life about a nose of a certain shape, he couldn’t sleep, he couldn’t eat, he thought about it constantly.

If he is otherwise intelligent and socialized, then why not remove this fixation from him? Of course, you can understand all the nuances only after really long conversations, personal or in correspondence.

An experienced plastic surgeon will avoid Simons. Term from English scientific literature: SIMON - Single Immature Male Obsessive Narcissist. Lonely immature male narcissist with obsessive-compulsive disorder.

Usually he shows himself in the first minute of consultation, starting a sad story about how one of his nostrils is larger than the other and how this is ruining his life.

Such a person will be dissatisfied with any outcome of the interventions and is highly likely to turn into the surgeon’s personal stalker.

Sometimes a trained eye allows you to identify not only problematic patients, but also “professionals” during consultations. That is, those who visit doctors in order to extract money from them in court.

There is a voice recorder in your pocket, and a lawyer in the role of a supporting “mother”. My colleagues and I exchange intelligence data if we detect something like this.

I never draw conclusions about the professionalism of my colleagues based on the result of one operation. Simply because everyone makes mistakes, and it is the mistakes that are heard. Let's say a person is doing a thread lift. If everything went well, he won’t go around bragging about it to other surgeons. And if not, meet me.

The main difference between a conscious surgeon and an unconscious one is that he does not abdicate responsibility for the result obtained and does not refuse to correct the force majeure result with repeated plastic surgery.

On the eve of 2018, Denis Genrikhovich became the chief physician of the clinic, the name of which was formed from his initials.

plastic surgeon at Medici Clinic

• 

A professional does not persuade anyone - and often refuses. This is the norm. We select from a huge number of potential patients those whom we can really help. Only those who will be happy from it and whose quality of life will improve as a result should be operated on.

Nothing saturates a person with possibilities as much as plastic surgery. And it's not that a new breast or face opens all doors. It would be absurd to assume that it is so simple. Only when a new body shape changes a person’s attitude towards the world, the world in response changes its attitude towards him.

Communication with the patient is a very delicate matter. Without empathy and mutual trust, nothing will work. The first thing I try to find out is the patient's needs and whether there is an element of input into them.

Some people are subject to pressure - from loved ones or fashion, it doesn’t matter. The grain is opened in dialogue. For example, I ask how a person sees the outcome of his transformation. He answers: no way, but mom says it will be great. This is a warning sign.

Operations that are not an internal need do not bring happiness to people.

If everything was done technologically correctly, but the patient is still unhappy, this means I missed something, committed a selection defect, or incorrectly determined his motivation.

Understanding that the patient wants changes that lead him away from aesthetic harmony, I am forced to refuse him. Or I wonder if he wants to get a more comprehensive analysis of his appearance. Believe me, the person who reaches the surgeon’s office wants it! And then I, with a clear conscience, inform him about other options for manipulation.

Only those who will be happy should be operated on

I am sure that several operations should not be combined into one. The imaginary saving of effort results in an increase in anesthesia time and rehabilitation ten times longer than usual.

It seems to me that this approach is due to the surgeon’s unwillingness to guarantee the result of a separate intervention, after which the patient will return to the next planned stage.

Some people find it convenient to do operations in bulk, but this is more a matter of the doctor’s financial interest.

I always redirect patients to colleagues if we do not communicate well or if I feel that we see the result too differently. When the bride leaves for someone else, it is not known who was lucky.

At each consultation, I give the patient strict numbers. For example, I inform you that in the case of such an intervention the success rate is 90, in Russian clinics it is 82, for me it is 94.

The person has data from me and from other specialists - and I count on his adult, informed choice.

There is no point in making comments about colleagues. Everyone has their share of failures. Some are higher, some are lower, but macro statistics are only available within the clinic. In my opinion, if out of 300 operations 250 were carried out with an A+, 40 with a B, five with a C and five with a rework, then this is luxurious. Those who do nothing have no problems.

My task is to solve the problem, not to look for the guilty and hand out assessments. For them, you can contact clinical expert commissions, which will provide legal information on the issue. I'm a member of one of them, so I know what I'm talking about.

35-40% of my operations are redoing other people's unsuccessful results. The market is large, and the patient is not always able to immediately find a qualified surgeon. A normal doctor will try to correct his one and a half percent of failures as quickly as possible.

With a minimum of financial costs for the patient and his discomfort.

plastic surgeon at Medici Clinic

• 

I often perform secondary operations to correct the results of the previous one. It happens that with a decrease in the size of the nose, the surgeon at the same time narrows the airways - there is a risk if a high-quality diagnosis was not carried out in advance, which would show disturbances in nasal breathing.

And patients end up worrying not only because of the external defect, but also because of the inability to breathe freely. People get depressed and put their hopes on me as a savior. But I am convinced that without improving their mental health, they will not be able to adequately perceive the result of the operation.

Therefore, the first thing I do is refer such patients to a psychiatrist to correct their condition.

Sometimes it can be difficult to recognize a person who is not completely healthy at an appointment. When communicating, he is absolutely normal, but after the operation he goes into psychosis - suddenly both for us and for his relatives.

But when I talk with a patient, I, of course, analyze what the indications for the intervention are and how satisfied he can be with its results. You see, the need for plastic surgery is usually completely subjective. We need to understand motivation.

That is, if the patient sees meeting her future husband and a fairy-tale wedding as a direct consequence of her rhinoplasty, then this can easily be discovered during a conversation. The main thing is to ask the right questions. All plastic surgeons are a little psychologists.

Our task is to find the line between neurosis and a person’s natural desire to become better. The line, to be honest, is very, very thin.

There is no point in agreeing to everything the patient suggests. If the result of an operation is not obvious and if a person does not understand the consequences, then I dissuade him from it. And when the patient is already beautiful. But in this case, it can be difficult to convince - women strive for imaginary perfection and on the way to it they can demolish any obstacles. Including a boring surgeon.

Many of our heroes regularly perform free surgeries on patients referred from the Pediatric Academy and the Wreden Institute of Traumatology. Or at the behest of the heart - for pensioners and low-income people who came for consultation. But they asked not to talk about this in detail. S - consciousness.

text: Alla Sharandinaphoto: press service archives

Source: http://www.sobaka.ru/health/health/73125

How to choose a plastic surgery clinic

If nature has not endowed you with the external characteristics that you would like to have, a plastic surgeon can correct the situation. How to choose a clinic that will become the “forge” of your happiness and not fall into the hands of dubious specialists in white coats? MedAboutMe talks about all this.  

Plastic surgery is surgery on a whim 

Representatives of the fair sex turn to a plastic surgeon to become more beautiful.

There is no limit to perfection: almost every woman has thought about adjusting her appearance at least once in her life. A strong desire to change something usually arises during adolescence, during puberty.

This period is often accompanied by unjustified complexes - the nose seems longer than necessary, and the lips are too thin. 

Plastic surgery is a surgery of whim and should be taken seriously. Beauty should not be the price of health and life.  

A good plastic surgery clinic: what is it like?

When choosing a clinic, you should focus primarily on the documentary base. The institution where you will go under the surgeon’s knife should not be a one-day LLC that rents out rooms for individual practice of specialists. Why is this so important? If something goes wrong during the operation or the result differs from what was planned, the company, which is not a medical institution, will not be responsible for the consequences.  

Before the operation you don’t want to think about the bad, but you definitely need to be on the safe side. When health, attractiveness and even life are at stake, daydreaming is unacceptable, be realistic! Always request a license to carry out medical activities!  

The list of clinic services should include the procedure you want to do. If it is not there, and the doctor convinces you that this is just a “formality”, the list pages have not had time to be replaced, and the information on the website has not been updated, immediately refuse the service. It is definitely not worth having surgery in a clinic that does not officially provide services, and therefore is not responsible for their consequences.  

A good clinic must have high-quality equipment for performing operations. First of all, anesthesia and monitoring. The latter is necessary to monitor the patient’s condition during and after surgery. In a decent institution, the patient is under round-the-clock supervision of a doctor and nurse for at least one day after surgical correction of appearance.  

Ideally, the clinic where you plan to have the operation is multidisciplinary. You can get advice from all specialists on the spot and not worry about collecting the necessary tests. Before surgery, it is necessary to visit an anesthesiologist, as well as specialized specialists if you have a history of chronic diseases or serious pathologies.  

The initial examination of the patient includes: blood tests - clinical, Wasserman reaction, determination of the general biochemical profile; testing for HIV infection, hepatitis B and C, general urine test and coagulogram.  

Trust the best! How to find “your” doctor?

You can draw conclusions about the clinic by carefully studying its medical staff. There is an opinion that you need to look not for a clinic, but for “your” doctor. There is a grain of truth in this, but we must remember that good equipment, as well as an adequate sanitary and epidemiological situation in the institution, play an equally significant role. Doctors should have access to the latest equipment and outpatient testing.  

The course of the operation largely depends on the competence of two specialists - a plastic surgeon and an anesthesiologist-resuscitator. Thus, a plastic surgeon must have a diploma and certificate as a specialist in plastic surgery.

Entrusting your appearance to a doctor who has a background in medical school and short-term courses in plastic surgery is, at a minimum, unreasonable.

Beauty experts determine the level of skill of a surgeon by his work experience and the number of operations performed in the profile of interest to you. 

Arkhipov Denis Mikhailovich, plastic surgeon, candidate of medical sciences, head of the department of reconstructive and plastic surgery of the Lapino Clinical Hospital 

When choosing a surgeon, you need to make sure that he is certified in the specialty “plastic surgery” and has at least 10-15 years of experience in plastic surgery after residency.

Personal recommendations from previously operated patients are also important – I would not completely trust the Internet in this regard.

And of course, a personal impression of the doctor’s consultation and intuitive impressions of how “your” doctor he is. 

The clinic must be highly specialized or multidisciplinary, have a 24-hour hospital and an intensive care unit, good anesthesiology service, and modern medical and diagnostic equipment. The institution must ensure the safety of the entire technological chain.  

Concluding a contract and predicting the result 

If you are satisfied with the tour through the corridors of the clinic and meeting the plastic surgeon, it’s time to move on to the most important thing - studying the contract for specifying services and predicting the result of the operation. Lawyers, who are competent in sad cases of medical errors and unfavorable outcomes of surgical interventions, insist: the contract must be read carefully, noting every nuance and, if necessary, asking any questions that arise.  

The document should be extremely clear to you, written in simple language for an ordinary patient, and not a “luminary” of the world of science. It must clearly state what medical procedures will be performed on you, from admission to the clinic to discharge from the hospital. The drugs that are planned to be administered to you are described, as well as a step-by-step operation plan.  

A well-drafted contract does not ignore the possible consequences and complications of the operation and the rehabilitation period. Learn how long after the operation the doctor should monitor you, what kind of adverse consequences there may be, who should eliminate them and at whose expense.  

The duration of the rehabilitation period must be indicated and instructions must be drawn up on how to behave and what the patient needs to do for a speedy recovery and return to normal. 

And, of course, an important point in the contract is the indication of the cost of the operation. It must correspond to the amount you pay to the clinic. A situation in which the document contains one amount, and you are offered to pay another, is alarming. In the event of a lawsuit, the cost specified in the contract, and not in words, will be compensated.  

To summarize: what determines the success of the operation? 

Vasily Tarasenko, Candidate of Medical Sciences, Head of the Department of Plastic Surgery of the international group of clinics MediEsthetik (St. Petersburg) 

The result of plastic surgery depends on many factors, including, of course, the quality of its execution.

And if it is quite difficult for a patient to influence factors such as the formation of connective tissue and immunity, then it is quite possible to ensure that the operation is performed at the best level.

To do this, you need to find your doctor and your clinic. How to do it? You need to search, compare and choose.  

A good clinic values ​​its patients, and they carefully monitor not only comfort, but also compliance with all hygienic and sanitary-epidemiological requirements and standards. In “your” clinic the documentation is always in order, they won’t be rude to you and they will do everything to ensure that your stay there leaves only a pleasant impression. Naturally, professionals should work there.  

The surgeon to whom you entrust your beauty must be fluent in the operations you are planning and have sufficient experience and knowledge.

This can be confirmed by certificates, diplomas and other documents, but to a greater extent by the results of his work.

Look through photographs posted on clinic websites, read reviews, and ask your doctor during your consultation to show cases similar to yours. The most convincing will be meetings and contacts with patients who have already walked this path.

Having decided on the choice of a doctor and clinic, to get the best result you need to prepare your body for the operation. You need to start with an examination, which the doctor will prescribe during your consultation, in order to identify possible contraindications or “weak points” in your health. Sometimes, there is a need to take certain medications before the intervention. They should also be prescribed by a surgeon.  

The psychological attitude and confidence in the need to change your appearance is very important. You should be clear about the changes you want from plastic surgery, and you should be sure that you are talking to your surgeon about the same changes.

After all, even a brilliantly performed operation, the result of which is not exactly what the patient wanted, will be a failure. The main result of any plastic surgery is patient satisfaction.

Source: https://MedAboutMe.ru/obraz-zhizni/publikacii/stati/krasota/kak_vybrat_kliniku_plasticheskoy_khirugii/

Operations

Modern facial plastic surgery has in its arsenal a lot of techniques for correcting completely different defects in appearance. With the help of blepharoplasty, lipofilling and facelift, unnecessary signs of aging and fatigue are removed, the look becomes more open and expressive, and the face becomes more youthful.

The most narrowly focused plastic surgeries - rhinoplasty (nose correction), cheiloplasty (lip surgery), otoplasty (ear surgery), mentoplasty (chin surgery) - are performed on individual parts of the face, but significantly change the entire appearance of the patient.

Plastic surgery to remove Bisha's lumps allows you to rid yourself of problems with jowls and gives your face a more sophisticated look.

Mammoplasty represents the entire range of plastic surgeries aimed at correcting the appearance of the mammary glands. This includes:

Modern implants used are made of high quality materials and have a lifetime manufacturer's warranty.

Every person wants to have a beautiful, toned body, but, unfortunately, not everyone has been blessed by nature with such an advantage. But thanks to modern technologies, surgeons have such plastic surgeries as liposuction, lipomodeling and abdominoplasty in their arsenal. With their help, you can remove excess fat deposits in any, even hard-to-reach places, correct parts of the body that lack fat and tighten your tummy.

These types of plastic surgery have become increasingly popular in recent years. Gluteoplasty, or buttock surgery, allows you to tighten your butt and increase its volume.

The entire range of plastic surgeries in the intimate area is aimed at removing defects and giving the genitals an attractive appearance:

Age-related changes cause irreparable damage to a person’s appearance. And the hands are the first to reveal the age. Plastic surgeries - liposuction and lipomodeling - are classic operations to eliminate such deficiencies. In addition, there are a number of specific operations - femoroplasty (thigh lift), cruroplasty (leg surgery), brachoplasty (arm skin tightening).

Source: https://plastic-club.ru/operations.php

How to choose a plastic surgeon?

A plastic surgeon is a specialist who will change you forever and will bear full responsibility for this. That is why the choice of such a specialist must be approached extremely carefully.

The situation is complicated by the fact that in Russia there is still no official licensing in the specialty of plastic surgery.

Most practicing specialists are licensed to practice “surgical cosmetology,” however, to obtain this document, it is enough to have two years of experience in maxillofacial surgery - obviously, such a short experience is not enough to acquire a full qualification.

Thus, you will have to collect and analyze information about surgeons yourself.

What to look for and how to avoid common mistakes when choosing a plastic surgeon? In almost every one of the several dozen interviews that I had to conduct with practitioners in this industry, I asked this question in one form or another (regardless of the general topic of the conversation) - and based on the specific recommendations and advice received, this article was compiled.

The first step is to create a list of candidates, each of whom must meet two key parameters:

• Performs the operation you need
• Available geographically (practices in a city convenient for you)

The list will be quite voluminous, especially if we are talking about Moscow or St. Petersburg. To thin it out, we begin to dig deeper, finding out exactly what significant facts are behind loud advertising slogans.

Clarify qualifications and experience, draw conclusions about the quality of work, etc. - not an easy task. When choosing a plastic surgeon, it is important not only to study the information available in the public domain, but also to attend at least 3-5 consultations (this is kind of a reasonable minimum, and ideally there should be 7-8 or more consultations)

In any case, the main quality criteria when choosing a surgeon will be the following:

• Education
• Qualifications and experience
• Specialization
• Portfolio
• Reviews
• Cost of services

The specialty “plastic surgery” was approved in our country relatively recently - by order of the Ministry of Health and Social Development dated July 7, 2009 No. 415. In accordance with this document, any person who:

• Received higher professional education in one specialty: “General Medicine”, “Pediatrics” or “Dentistry”
• Completed residency in the specialty “Plastic Surgery” or residency in one of the specialties: “Obstetrics and Gynecology”, “Pediatric Surgery”, “Thoracic Surgery”, “Urology”, “Surgery”, “Maxillofacial Surgery” and professional training in the specialty "Plastic surgery"
• Regularly, at least once every 5 years, improves qualifications in plastic surgery.

Accordingly, the minimum set of documents confirming the surgeon’s right to perform plastic surgery includes:

• Document of higher education and specialist certificate (according to residency profile)
• Certificate or other document confirming advanced training in plastic surgery

Of course, such training is not enough for the full development of professional skills, despite the fact that in some cases particularly capable representatives of the profession begin to carry out independent operations already in senior years of medical school. Surgery (including plastic surgery) is mastered by trial, error and, no matter how blasphemous it may sound, experiments - therefore, when choosing a specialist, it is necessary to clarify where, for how long and under whose leadership he underwent this stage of training.

In addition, it is important to have appropriate specialized education , which guarantees that the surgeon is aware of the anatomy of the part of the body with which he will work. For example, it is highly desirable that a surgeon intending to perform rhinoplasty have additional ENT training, and a specialist in male intimate plastic surgery has a deep knowledge of urology and andrology.

The next and, perhaps, key point that you should pay attention to when choosing a plastic surgeon is his professional experience . Mastery is developed exclusively by practice, tens and hundreds of operations performed. Of course, a surgeon with 2-3 years of experience cannot have such experience in principle. Different experts talk about different “formation” times; on average, it is 8-10 years of active practice in one or several clinics.

“Here it is important to understand that the famous name of a particular clinic is not a 100% guarantee of the professionalism of a particular surgeon. When choosing a specialist, you must be guided solely by his personal “track record,” says plastic surgeon Tair Aliyev.

At the same time, there is no reliable way to find out exactly how many operations a particular surgeon has performed - the answer to this question can only be obtained from the surgeon himself and it is not a fact that he will be sincere.

Nevertheless, you need to ask, at least in order to understand whether they are trying to deceive you (if in response we hear about thousands of operations performed without a single complication, we are definitely dealing with an unscrupulous specialist)

A credible argument when choosing a surgeon is his membership in the Russian Society of Plastic Reconstructive and Aesthetic Surgeons (OPRESH) . This organization imposes a number of strict requirements for the qualifications of its members, partly compensating for the lack of a full-fledged state licensing mechanism.

Unfortunately, many specialists, including some representatives of the Top 10 most popular Russian surgeons, are not very conscientious in this matter (in other words, they ascribe to themselves the status of a member of the OPREH, but in fact they are not one), so this information must be checked. The current list of surgeons-members of the OPREH is posted on the organization’s website, and you can further clarify the fact of membership from its secretary.

Certificates of completion of various types of training seminars and practical courses are considered to be another confirmation of the professional skills of a plastic surgeon .

These certificates are issued by dozens, if not hundreds of organizations - from fly-by-night companies to reputable international communities.

“Sometimes the surgeon uses such paraphernalia and skillfully arranges decorations that mislead even the most “experienced” patient,” says Ruslan Yurievich Petrovich, a specialist at the Federal State Institution “Treatment and Rehabilitation Center of the Russian Health Service.” Diplomas, certificates and patents displayed on the website, on the reception door and inside the office itself contribute to the formation of the image of a true professional, but often do not carry any real meaning.

When choosing a plastic surgeon, you need to make sure that the desired operation is one of the main, priority ones in his practice. It is one thing when a surgeon can perform a certain operation in principle, and quite another when he specializes in performing it, performing it regularly, and sometimes daily.

Many specialists declare ownership of certain operations, but in reality they carry out no more than one or two per year. Of course, you won’t be able to hone your skills in this situation even if you want to. “A competent surgeon operates a lot and often - not occasionally, but literally every day,” says plastic surgeon Sarvar Bakirkhanov (owner of the Mont Blanc clinic).

Each practicing surgeon has his own portfolio of photographs taken before and after operations. It is not necessary that these photos will be presented on his website or in advertising materials (for reasons of confidentiality), but the surgeon is obliged to show them during the consultation.

Based on these photos, three important conclusions can be drawn:

• The surgeon's experience in performing a particular operation. Everything is simple here - the more photos, the more operations. Doubts should arise in the competence of any surgeon with many years of experience who does not have at least several hundred similar photos.
• Quality of work. If you don’t like the “after” results for one reason or another, then you should think about visiting another specialist.
• The ability to find an individual approach to the patient. Be sure to pay attention to how individualized the final result of the operation is. This, in particular, is the sin of many rhinoplasty specialists: at the end of the day, they end up with perfectly straight, carbon-copy noses, regardless of the type of face and other characteristics of each individual patient.

“If possible, it is advisable to familiarize yourself with the video portfolio,” says one of the leading andrologists in the capital, Konstantin Menshchikov.

“By observing the operation, you can understand how efficiently and responsibly a particular specialist works.”

Of course, certain nuances captured in the video will not always be understandable to a person far from surgery, but at least it should be comfortable to watch the surgeon’s work.

This is perhaps the most difficult component to assess. On the one hand, it would seem, what could be simpler? The more positive reviews about the surgeon, the better. However, it is precisely this misconception that many not very conscientious specialists take advantage of in the hope of attracting additional clientele.

Reviews that you can definitely trust are the opinions of your friends and acquaintances, those people you know personally.

When communicating with such people, you can have complete confidence that we will hear a sincere opinion, and not well-paid advertising. An important nuance: we are talking about the same operation.

If you need, for example, a facelift, then it is not at all a fact that a wonderful breast plastic specialist will be able to perform it at the same high level (see the section on specialization).

In the case of the Internet, with all its accessibility, most of the reviews presented here belong specifically to the “custom” category.

speaks extremely frankly using the example of an agency offering to carry out the campaign “by specially trained girls who, at our choice, depending on the amount of money, will post laudatory odes about our work on various forums and websites.” .

Of course, this does not apply to all reviews presented online, but it will be extremely problematic for a person unfamiliar with the underside of this area to make the right conclusions when choosing a plastic surgeon based on reviews alone.

Surgeon Konstantin Menshchikov advises not to look for this kind of information on the Internet. It is known that we like to complain much more than to praise. Therefore, if there is something negative, it will, of course, appear online. But if everything is good, then most likely there will be no reviews.

The surgeon’s pricing policy depends both on the popularity of his name and on the “appetites” of the clinic. In both cases, we are talking primarily about advertising budgets - it is advertising costs that are designed to “beat off” high price tags.

“In plastic surgery, prices are very arbitrary,” says Dmitry Krysin. – In Hollywood, for example, breast replacement can cost $200,000. Such operations are performed by stars who receive millions for films or commercials. But they pay mainly for advertising campaigns and the names of famous clinics.

Because breast surgery is one of the most well-established aesthetic operations. At a certain stage, all experienced surgeons perform it at approximately the same level. Next comes pure status. And in Moscow there are clinics where the same mammoplasty costs a million or more. Each center and doctor has its own patient.”

In general, this is a normal situation and it is not at all necessary that we are talking about a well-advertised charlatan. Moreover, there are slightly more truly professional surgeons in the high price segment than on average. However, it is important to understand that price should not be the determining factor when choosing a plastic surgeon - unless it is clearly too low.

“A too high price in itself cannot be a guarantee of quality. But the price shouldn’t be super low either. Do not buy advertisements about seasonal and other discounts on plastic surgeon services. This is a lie. Leading surgeons do not offer discounts as unnecessary due to the consistently large flow of patients,” explains plastic surgeon Otari Gogiberidze.

//Natalia Kushchenko, journalist, specialist in aesthetic medicine

Source: https://www.tecrussia.ru/patient/302-kak-vybrat-plasticheskogo-hirurga.html