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The Complete Idiot's Guide to Cosmetic Surgery by George Semel, Jeff St. John

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ISBN: 0028639936
Publisher: Alpha
Pub. Date: April 2001
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Synopsis

If you are considering having cosmetic surgery, this book will tell you about the most common procedures. Besides learning the costs and the risks of the operation, you can learn what to look for in selecting a doctor and what questions you should ask before undergoing surgery.

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Biography

George Semel, M.D., is a Board Certified Plastic Surgeon in the cosmetic surgery capital of the world-Beverly Hills, California. He is published in several medical journals and has made numerous television appearances related to the pros and cons of cosmetic surgery. He received his M.D. from the Boston University School of Medicine and his plastic surgery certification from the Mayo Clinic. Dr. Semel is a member of both the AMA and the American Board of Plastic Surgery. .

Jeff St. John, Ph. D., was the lead therapist at Washington Medical for three years, where he counseled patients suffering from eating disorders and body dismorphia. He recently completed a training series with Cory Everson, Coping with Stress Through Food and Exercise, and is the author of two health and fitness titles on the upcoming Complete Idiot's Guide Web site. .

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Table of Contents

I. ALL YOU NEED TO KNOW TO PLAN A SUCCESSFUL SURGERY.

1. Beauty Rules!

Defining Beauty.
Beauty Is a State of Being. Own Your Beauty. Look at Yourself in a New Light. Set Your Own Beauty Standards.
International Standards of Beauty.
A Fair Complexion. A Narrow Nose with the Tip of the Nose as the Highest Part (sticking out farther than the chin, cheek, or forehead). Noticeable Cheekbones. A Strong Chin. Well-Defined Eyes. Full Lips. Symmetrical Features.
The Psychology of Cosmetic Surgery.
The Right Beauty Mind-Set. How You Feel Going in Determines How You'll Feel Coming Out.
Beauty Marks. Beauty Procedures and Age. Beauty Rules!
Rules for Physical Preparation. Rules for Mental and Emotional Preparation. Rules for Financial Preparation. Get Ready for a Beautiful Journey!

2. Are You Right for Cosmetic Surgery?

When You Are Right for Cosmetic Surgery.
Eating Disorders and Other Psychological Problems.
When Cosmetic Surgery Is Right for You.
Are You Healthy? Does Cosmetic Surgery Make Sense with Your Lifestyle? Do You Have the Time for a Cosmetic Procedure?
Defining the Problem. Knowing When to Say When. The Next Step.

3. Nonsurgical Options.

Improving Beautiful Features Begins with Motivating Factors.
To Look the Same, Only Better. To Delay the Appearance of Aging. To Create a Feature Change. To Create an Ethnic Change. To Feel Better. To Increase Energy. To Function More Effectively. To ImproveProductivity. To Prevent Disease. To Manage or Reduce Current Health Problems. To Improve a Moderate Health Status. To Live Longer. To Gain Attention. To Maintain Sexual Interest in a Relationship. To Receive Preferential Treatment. To Avoid Having a Major Surgery Performed Later. To Save Money.
Quick Fixes vs. Long-Term Goals.
Eat Well-Balanced Meals. Eat Regularly and Moderately. Take Vitamins and Minerals. Drink Plenty of Water. Don't Smoke. Avoid Drinking Alcohol. Avoid Recreational Drug Use. Avoid Damaging Rays of the Sun. Exercise Regularly. Maintain a Healthy and Stable Weight. Get Plenty of Rest.
Mother's Little Helpers.
Facials. Galvanic Current.
Defying Your Aging Process.
Estrogen. Testosterone. HGH or Somatotropin. Finistride.
Beauty Supplements.

4. Choosing a Doctor Who's Right for You.

What You Should Know About Your Doctor.
Board Certification. Track Record. Don't Become a Guinea Pig!
Taking Charge of Your Surgery.
Idiot-Proof Tips for Selecting the Right Doctor.
Things to Bring Up During Your Consult.
When can you return to your normal, everyday routine? When will you see your final results? How can you camouflage the fact that you've had surgery? What happens if a revision is needed? What will the total cost of your surgery be? Will your doctor be available for aftercare?
Choosing the Right Doctor.

II. HEAVENLY HEADS AND NECKS.

5. Turning Heads and Breaking Hearts: Face-Lifts.

Your Face and Aging.
The “Fix It as You Need It” Approach. Fat Transplants.
Face-Lifts.
Taking Your Neck with You When You Go. Foreheads and Eyes Alert! The Face-Lift Procedure.
Face-Lift Alternatives. Not Necessarily Younger, but Better. Facing Your Face-Lift Recovery.
A Face-Lift Checklist.
Facing the Money Facts.
Anesthesia. Operating Room Costs. The Check, Please…

6. Smoothing Out Your Forehead.

Your Forehead and Aging. Nonsurgical Forehead Improvements. When Surgery Is the Best Way.
Endoscopic Lift. The Coronal Lift. Subcutaneous Lift. What a Forehead Lift Can't Correct.
Is All This for You?
Do You Have the Right Characteristics for a Forehead Lift? When a Forehead Lift Might Not Be Right for You.
The Cost of Your New Forehead. Before Your Surgery: Evening Out the Rough Spots. Smoothing It Over.

7. Raising Eyebrows: Eyelid Surgery.

Why Operate on the Eyes?
Opening Your Eyes to a More Youthful Appearance. Changing the Shape of Your Eyes.
Eyelid Procedures.
Upper Eyelid Surgery. Lower Eyelid Surgery. The Eyelid and Midface-Lift Combo. The Eyelid and Chemical Peel Combo. Be Careful About What You Ask For ... The Incredible Shrinking Eye Syndrome.
Raising Eyebrows.
When in Doubt, Cut It Out! Stay in Shape! A Stitch in Time Saves Nine. Create a Feature Change. Create an Ethnic Change. Just a Quick Trim and Lift! A Longer Look. Lift It Up or Cut It Out? Watch for Thinning. Get the Skinny on Fat. You Can't Get Bigger Eyes!
Your Beauty Checklist. Consider the Cost. Surgery at a Glance. Watch Out!

8. Follow Your Nose! Nose Jobs.

Knowing Noses. Putting Your Nose to the Grindstone.
The Procedures Available. Perfect Imperfections. Crooked Noses on Symmetrical Faces. Crooked Noses on Crooked Faces. Cartilage Grafting.
Be Aware of Limitations.
Unforeseen Complications. Revision Surgery.
Picking Your Nose (Type, That Is!)
And the Total Is…
Postnasal Tips.

9. Face Your Facial-Implant Options.

Building a Beauty Foundation.
Facial Feature Beauty Standards. Be a Beauty Conservative!
Chin Up!
Chin Changes That Work. The Procedure. Potential Chin Problems. The Cost of a Good Chin.
Let's Talk About Jaws.
Who Might Be a Candidate for Jaw Surgery
Getting Cheek to Cheek with the Facts About Cheek Implants
Cheek-Implant Candidacy. When Surgery Is Not a Good Option. The Procedure. Cheek Charge.
Nosing Around.
Natural Implants vs. Semisolid Silicone Implants. How Much for That Nose?
Preparing for the Face-Off.
Pick your anesthesia. Let nature take its course. Anticipate numbness. Anticipate seeing your final result in one year for nasal surgery.
Facing Recovery.

10. Pucker Up! Lip Enhancement.

Common Lip Woes. Lip-Reduction Techniques.
The Cost of Lip Reduction Surgery.
Puckering Up for Lip Augmentation.
Collagen Injections. The Cost of Collagen. Fat Injections. The Cost of Fat Injections. Alloderm, Fascia, and Gore-Tex.
The Best Alternative. Is Lip Surgery Worth It?
Fashion Trends. Living with Your Decision.
Preparing for Lip Surgery. Preventing the Kiss of Death.

11. Now Hear This! Ear Procedures.

Now Hear This!
Poorly Attached Ears. Lop Ears. Earlobe Adjustments. The Cost of Ear Surgery.
Ear Surgery and Children. Earrings and Ear Problems. Listen Up. Now Hear This!

12. Let's Neck! Neck Liposuction.

The Miracle of Liposuction.
Neck Liposuction Candidates. The Importance of Youthful Skin.
Is Neck Liposuction Right for You?
How Much for a New and Improved Neck?
Preparing for Neck Surgery. Necking No-No's.

13. Say Cheese! Cosmetic Dentistry.

Ways to Improve Your Smile.
Bonding. Gum Reshaping. Teeth Reshaping. Teeth Bleaching. Veneers.
Preparing for Your Dental Procedure.
Initial Consult. A Full Periodontal Evaluation.
What Happens Next.
You can return to work the same day. Your teeth may be sensitive. Avoid extremely hot or cold foods and beverages-ouch! No crunching! Just say “no” to staining agents. Don't forget to brush regularly. Stimulate those gums! Always floss ... always, always, always.

III. BETTER BREASTS AND CHESTS.

14. Busting Up! Breast Augmentation.

The Biggest Isn't Always the Best-But Sometimes It Is!
The Lay of the Land.
Sizing Up Your Breast Implant Options.
Implant Materials. Implant Texture. Risks Involved with Implants. Eyes on the Size. Repeat Customers. Implant Positions and Breast Incisions. Where Will Your Implant Rest in Your Breast? Incision Decisions.
Busting Out the Bucks.
Free Sample? Breast-Implant Checklist.
After Your Surgery. When Your Cup Overflows.

15. Making Molehills out of Mountains: Breast Reduction.

Sizing Up Large Breasts. Exchanging Old Breasts for New.
T-Incision Technique. The Vertical-Incision Lift. The Doughnut Lift. The Suction Lift. Suction and Quadrant Trimming. Implants and Breast Lifts.
For Men Only. Letting It All Hang Out. Costs. Lightening Your Load. The New, Smaller-Breasted You!

16. For Men Only: Pectoral Implants.

Rising to the Occasion: Who Can Benefit from Pectoral Implants?
Anabolic Steroids and Your Health.
Perking Up!
The Surgical Procedure. Making an Informed Decision.
Getting Big Ideas: Preparing for Surgery.
How Much for Those Pecs? Preoperative Tips.
Inflating Those Pecs.

IV. AWESOME ABDOMENS AND BUTTOCKS.

17. Meeting in the Middle: Liposuction of the Midsection.

This Thing Called “Liposuction” .
Spot Liposuction. Full-Circumference Liposuction. What to Watch Out For.
A Word About Abdominoplasty. Qualifying for Liposuction…and the Winner Is!
Not for Obese People.
Going the Liposuction Distance: Preop Tips.
Give blood…to yourself! Take protein powder to give your body the necessary building blocks for surgery. Take a multiple vitamin or vitamin powder. Take Vitamin K before surgery. Get accustomed to a healthy diet and exercise.
How to Take Care of a Skinnier You: Postoperative Tips. The Price of a Slimmer Midsection. If at First You Don't Succeed ...

18. Bringing Up the Rear: Fanny Tucks and Liposuction.

Not Your Grandmother's Fanny Tuck! Bringing Up the Rear.
Butt Sculpting. Butt Liposuction. When Your Fanny Is on the Line. Don't Expect Miracles Without Exercise and Diet. Fanny Tucks Revisited.
Telltale Signs of Candidacy.
The Cost of a New and Improved Fanny.
Cover Your Fanny! Fannny-Tuck Tips.

V. EXTREMITIES AND OTHER THINGS.

19. Thinning Your Thighs.

Look at My Eyes, not My Thighs.
Why Thighs?
Pulling Your Leg…for Real.
Leg Liposuction. Circumferential Liposuction. Spot Liposuction of the Legs-Leg Reshaping. Liposuction Incisions. Possible Side Effects.
Getting a Leg up on Leg Liposuction.
What's a Thinner Thigh Worth To You?
Now That You've Decided To Have Liposuction…Break a Leg!

20. To Arms! To Arms! Arm Reshaping.

The Right to Bare Arms. Liposuction Options.
Spot Liposuction.
When to Bare Arms? A Few Words About Old-Fashioned Arm Lifts.
Ugly Incisions. It's Probably Not Worth It. How to Get Better Results Without Ugly Scars. How Much for New Arms?
Get Ready!
Don't fill yourself up with “feel goods” and anticoagulants before surgery. Know your allergy history. Schedule someone to supervise you after your surgery. Don't go into arm-liposuction surgery dehydrated. Plan to have general anesthesia during your liposuction surgery. Know what an arm looks like postoperatively before your surgery. During your preoperative consultation, you might want to plan to have some of your fat that is suctioned from your surgery transplanted to another area of your body. Be weight stable. If you have recently lost weight, allow plenty of time for your skin to contract before scheduling surgery.
After the Party's Over.
Plan for comfort! Wear a long sleeve leotard top. Eat a high-protein, low-salt diet. Don't ice your arms. Use magnets to reduce bruising. Elevate your arms above heart level and do not sleep on them. Stay out of the sun or tanning booth.

21. A New Leg to Stand On: Calf Implants.

Having a Leg To Stand On.
The Procedure. The Cost of More Shapely or Muscular Legs.
Getting a Leg up on Surgery.
Listen to your doctor's advice. Plan to take two weeks off work. Make sure help is available. Stop all steroid use. Avoid working out prior to surgery. Avoid strenuous leg activity prior to surgery. Wear comfortable clothes. Stop tanning one month before surgery. Shave behind your knees two days before surgery. Don't wax your legs right before surgery.
Standing on Your Own Two Feet.
It will be difficult to walk for 7 to 10 days after surgery. Walk with knees slightly bent. Plan to walk in heeled shoes. Elevate your ankles. Bandages and ice are your friends. No bathing for one week. Use crutches for the first few days after surgery. Expect swollen and bruised calves for two to three weeks. Expect sore and stiff calves for three to four weeks after surgery. Don't work out your calves for one to two months after surgery. Avoid running for two to three months after surgery. In case of infection, call your doctor.

22. Bigger Isn't Necessarily Better: Penis Enlargements.

All Men Are not Created Equal. Making a Big Deal out of It.
Penis-Lengthening Surgery. Silicone Injections.
Penis Enlargement Options.
Suspensory-Ligament Release Surgery. Pubic Liposuction. Scrotum-Recession Surgery. Penoscrotal-Webbing Release Surgery. Dermis Fat Grafts or Fat Injections. Combination Surgery.
When Size Matters: Nonsurgical Treatments.
Penis Pumps. Testicle Extenders or Penis Rings.

VI. HAPPIER SKIN AND HAIR.

23. Now You See It, Now You Don't: Scar Revision.

Common Scars. Scar-Revision Treatments of Choice.
Cortisone Injections. Pressure Dressings and Bandages. Collagen Injections or Other Filler Substances. Z-plasty Technique. W-plasty Technique. Reexcision. The Cost of Scar Revision.
Gearing Up for Your Procedure.
Let Mother Nature work her magic. Wait at least nine months before deciding on scar revision surgery. Some skin types are more prone to keloid. Get several opinions! Learn about your nonsurgical options.
What To Expect Afterward.
It takes a year to see final results. Some bruising is common. Expect some swelling. There is a risk of infection. Don't wear makeup immediately after surgery. Follow your doctor's instructions. Try Vitamin E. Avoid the sun for one full year.

24. Deep Facials: Chemical Peels and Laser Resurfacing.

Chemical Peels and Your Skin. The Price of Beauty.
Superficial Treatments. Medium Peels. Deep Peels.
Laser Skin Resurfacing.
Chemical Peels and Laser Resurfacing Aren't for Everyone.
Get Ready!
Avoid sun tanning. Cleanse and moisturize daily. Consider using antiwrinkle creams. Drink plenty of water regularly. Maintain a well-balanced diet. Remember, these are not face-lifts.
Now That It's Over.
Superficial Peels. Medium Peels. Deep Chemical Peels and Laser Resurfacing.
Take a Sneak Peak.

25. Get the Skin You Want Now! Soft-Tissue Augmentation.

Decisions, Decisions.
Fat Injections. Dermis Fat Grafts. Fascia Transplants. Fascian Injections. Collagen Injections. Zyderm and Zyplast Implants. Isolagen Injections. Autologen Injections. Dermologen Injections. Alloderm Sheets. Gore-Tex Grafts. Botox Injections. Silicone Injections.
The Most Popular Choices. Gearing Up!
Harvesting. Patience Is a Virtue. It's Not Right for Everyone. Skin Test-No Need to Study! The Occasional Biopsy. Give Yourself Enough Time.
On the Road to Recovery.
Minor Burning and Stinging. Minor Bruising and Swelling. An Exaggerated Appearance. Temporary Numbness. Speedy Recovery. Redness or Small Bumps. Watch for Infection. Follow-Up Treatments.
Flash Forward!

26. Hair Transplants and Removal.

Learn the Hairy Facts About Hair Loss. Common Hair-Transplant Procedures.
Minigrafts. Micrografts. Follicular Units.
Hair Ye, Hair Ye!
Rogaine. Propecia.
Hairy Up and Get Ready!
Don't expect to gain back all the hair you've lost. How to know who your doctor should be. Ask your doctor how much hair is lost during an average surgery. Choose a doctor who specializes in hair-transplant surgery. Avoid aspirin. Reduce activities and sports that might cause damage to your scalp. Cut your hair short. Buy a hat or cap. Wash your hair the night before surgery.
Avoid a Hair-Raising Experience!
Plan to take three to five days off work. Rest for the first 24 to 48 hours. Keep your head elevated. Use cold compresses. Take all prescribed Medications. Avoid getting your hair wet. Avoid strenuous activities for one to two weeks. Stay calm. Be patient.
Hair Today, Gone Tomorrow. Going, Going, Gone!

VII. Let the Healing Begin!

27. Fast-Track Healing.

You Pay Your Money and Take Your Chances.
Where We Heal Well, Where We Heal Poorly. Don't Gamble with Your Appearance-It's the Only One You've Got!
It's the Environment.
Who Heals Well? Sun-Free and Healthy. Chronic Illness and Poor Nutrition. Hormones and Skin. If You're Over 45 ...
Some People Get All the Breaks.
When It Comes to Your Health, You're the Expert! Ways You Can Create Your Own Breaks.
Here's to Healthy Healing.

28. Taking Care of Yourself.

The First Seven Days After Surgery.
Don't Let Your Inner Perfectionist Interfere with Your Recovery. Sit Back and Avoid the Mirror.
The First Few Weeks After Surgery.
Maintain a Proper Diet. Confide in Others.
The First Few Months After Surgery.
Don't Become Complacent.
Six Months After Surgery.

Index.

The Complete Idiot's Guide to Cosmetic Surgery by George Semel, Jeff St. John

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