by MD Michael Rosenberg

February 6, 2012

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As February arrives and our thoughts turn to Valentine’s Day and affairs of the heart, I am reminded of an interesting medical phenomenon that is quite rare.  Broken Heart Syndrome is characterized by temporary ballooning of the left ventricle of the heart, usually presented in postmenopausal women.  Because it is associated with acute emotional distress, the name “Broken Heart” has taken hold. As with other medical conditions, early recognition and treatment result in faster recovery.

This syndrome has been reported in only two patients in the plastic surgery literature (Aesthetic Surgery Journal Volume 32, No. 1, January 2012, pages 58-60). But I bring it up to remind all my readers that plastic surgery procedures, like any other medical treatment, have inherent risks and should not be undertaken lightly. When considering any cosmetic treatment, from Botox injections to eyelid surgery, the prudent consumer will analyze two important factors. The first is his or her own suitability for the procedure, and the second is the training, experience and expertise of the person providing the treatment. Most of us would not simply walk into any store and pick out a diamond or fine watch, and we are wise to be just as or more careful when choosing a provider of cosmetic surgery services.

A careful medical history is critical in determining the safety and suitability of any treatment. For example, for someone who has chronic issues with dry eyes, eyelid surgery is probably not a good option. Smoking should be avoided prior to any surgical procedure as it has adverse effects on healing.  Good nutrition and vitamin balance can improve healing, on the other hand.  Aspirin can increase bruising when getting filler or other injections.  In sum, you always want to be sure you are a good medical candidate for any procedure and want to optimize conditions for a speedy, uneventful recovery. 

With that addressed, you can decide which plastic or cosmetic surgeon is right for you. Background and training are important considerations. Board certification in a specialty that provides cosmetic surgery services is an important indicator of a solid foundation of knowledge. Next you want to look at a doctor’s experience with the procedures you are interested in, and there are a number of ways to try to get a handle on this. Word of mouth (or text, email, etc.) from friends, relatives and trusted physicians is often a good start. 

For plastic surgeons, you can also evaluate photographs (in person or online) that represent a selected body of their work. Testimonials from their patients can be helpful and often can allow you to ask questions about recovery and the overall experience as well as the result of treatment. 

Finally, don’t forget to ask as many questions as you need in order to feel comfortable with your physician. Getting a feel for his or her personality and style before beginning treatment can help get you through your treatment as comfortably as possible. 

Please send any questions or comments to mrosenberg@nwhc.net

by MD Michael Rosenberg

February 6, 2012

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