To gain the best possible results from aesthetic surgery requires careful patient selection. Not all procedures are suitable for all patients, therefore it is impossible to offer anything other than very general advice before seeing a patient. It is certainly better to have no procedure than an inappropriate one. To undergo aesthetic surgery is a major decision requiring appropriate discussion and thought.
Cosmetic Procedures

Cosmetic or aesthetic surgery is surgery designed to alter or improve appearance in the absence of a physical 'deformity'.

Although it is generally thought of as being a recent phenomenon, the practice of aesthetic surgery of a sort dates back to the ancient Egyptians who were known to alter the shapes of ears and ear lobes. Aesthetic surgery as we now know it began in the latter part of the 19th century and expanded in the first three decades of the 20th Century. Contrary to popular belief, its beginnings were not in the United States but in continental Europe. Operations to improve the appearance of eyelids, the nose and the face were all carried out before 1920.

In the last 25 years, there has been an explosion of interest and enormous advances in technique, combined with a much better understanding of anatomy. This has facilitated the development of safer, much more effective operations, which limit the visibility of scars to a minimum. Nowhere is this more apparent than in facial rejuvenation surgery where what once was a standard facelift has become a potential combination of many different techniques to address individual patient needs.

New techniques such as liposuction have facilitated body contouring with minimal scarring for suitable patients. The endoscope (surgical telescope) enables some facial surgery to be carried out with very minimal scarring. Other aspects of body contouring surgery, including tummy tuck (abdominoplasty), lower body lift and breast reduction, have evolved to provide much better shaping and reduce the visibility of scars. Breast augmentation has been under intense scrutiny in recent years and, as a consequence, implant safety and knowledge about the effects of implants, has expanded enormously.

There are now a plethora of options available in the field of aesthetic surgery and to obtain the best outcome requires not only skilful surgery, but sound clinical judgment and patient selection.

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