A New and Improved You

Plastic surgery is more common and more affordable than ever

With advancements in technology allowing for more procedural options and less downtime after surgery, more men and women of all ages and income levels are taking these medical measures to improve themselves. According to the American Society of Plastic Surgeons, 9.2 million procedures were performed nationwide in 2004. With 36 plastic surgeons and practices listed in the Worcester Yellow Pages, local residents have no shortage of options to pursue.

Surgical procedures vary greatly by age group. Patients in their twenties opt mostly for breast enhancement in the form of augmentation, reduction, or lift, and also head for liposuction, skincare, and laser hair removal. Older females are more likely to choose tummy tucks or Botox and other forms of facial rejuvenation like facelifts and eyelifts. Male patients come in for liposuction on problem areas such as the abdomen, back, and chest, and they too often opt for eyelid tucks. Some practices offer surgery for men afflicted with gynecomastia, a common disease of the male breast where there is a benign glandular enlargement.

Liposuction is believed to be the most popular procedure nationwide, but isn’t recommended for everyone; candidates need to be within a certain percentage of their ideal body weight to be considered healthy enough to undergo the surgery.

”Sometimes the actual weight loss is as little as two pounds,” said Karin Rokicki, a medical assistant at Salisbury Plastic Surgery, P.C., located at 39 Salisbury Street in Worcester. “It’s more about shaping and sculpting the area. Very rarely will a patient go down a whole pant size.”

Like any surgery, plastic surgery procedures carry risks – there is potential for infection, excessive bleeding, loss of sensation in the affected area, and complications from anesthesia.

People with complex medical problems, such as a history of cardiac troubles, certain forms of diabetes, or particular emotional disorders may not be recommended for plastic surgery. A thorough evaluation of the patient’s health is completed during the first consultation to determine eligibility for elective surgery.

”The initial consultation is also important for patients to think realistically about the results of their procedure,” said Rokicki.

If you decide that plastic surgery is for you, you will be joining a substantial number of local residents who have also chosen this route. Melissa Herron of UMass Memorial’s Cosmetic Surgery Center (Hahnemann Campus) estimates that the hospital sees anywhere from 60-90 of this kind of patient per day.

“Plastic surgery can be a great thing,” she says. “We have patients who work out, eat well, and lead healthy lifestyles, but
there might be one area of their body that bothers them – this can be the extra step to get them on their way to feeling wonderful about themselves.”

Here’s a quick look at today’s most popular plastic surgery procedures:

Liposuction:
Plastic surgeons remove excess fat from patients’ problem areas, including hips and thighs, buttocks, back, abdomen, the sides of the waist, or specific parts of the face and neck. The fat is removed by placing a small tube into the area through a small incision. Performed under general or spinal anesthesia, the procedure can take anywhere from one to four hours depending on the area. Liposuction is not meant to be a form of weight loss; rather, to sculpt and shape the body area. Rates for each procedure can range from $3,000 – $5,000.

Breast augmentation:
Surgeons place a salinefilled implant under the muscles of the chest wall to create body symmetry. This procedure is often performed to restore natural body shape after child bearing or to give individuals with naturally smaller breasts a more shapely bustline. Upon consultations prior to surgery, the individuals discuss their expectations for size and shape with the surgeon. Breast augmentation surgeries start at about $5,000. This procedure, like many other elective surgeries, is not covered by health insurance unless there is a problem with asymmetry (one breast is at least one cup size larger than the other).

Botox:
A solution designed to temporarily reduce or eliminate frown lines, crow’s feet and horizontal forehead lines is injected into the face. The results of each treatment last approximately 2-5 months. This is a relatively simple procedure, performed in an office as opposed to a hospital or surgical setting. Patients may return to daily activities immediately after treatments. Botox treatments range from $150-300 per injection, depending on the area(s) of the face targeted.

Facelifts:
Facelift procedures are intended to tighten sagging skin that results from aging, smoking, or sun damage and to create a more youthful-looking appearance. Through a series of incisions and lifts, the skin is pulled more tightly across the neck and jawline. The average surgeon’s fee for this procedure is about $5,300, but additional hospital fees and/or anesthesia may increase the price considerably.

Tummy tuck/abdominoplasty:
This procedure entails the removal of excess abdominal skin in order to create a smoother abdomen. An incision is made above the pubic bone across the entire lower abdomen and skin is lifted off the abdominal muscles up to the ribs. The excess is removed and the skin is tightened. A drain (plastic tubing) is temporarily placed underneath to draw off fluid and is removed after several days. Abdominoplasty is day surgery and is performed under general anesthesia (the patient is asleep) or with a spinal. This procedure is estimated at about $6,000.

Sources: Salisbury Plastic Surgery, P.C.,
Worcester, MA.
American Society of Plastic Surgeons