Hands are among our most important body parts, but we rarely think about them. As instruments that accomplish our will, it’s difficult to imagine life without them. Think about all our hands do for us throughout our life.
As children, our hands helped us explore and learn about our big, wide world. They steadied us as we learned to walk, caught us as we fell, helped us get back up, and tied our shoes for the first time. Hands feed us and clean us. Their gestures communicate meaning to others. Hands are our most important tools for lifting, carrying, grasping, and manipulating. Our hands use man-made tools for writing, grooming, driving, sports, making music, building, and for every activity in our daily life. We’ve used them to dry the tears of loved ones. Our hands might have a shiny, metallic ring on them as an exclamation to the world that we’ve found the love of our life. They also might have trembled and shook as we held our children for the first time or as we said good-bye to a loved one for the last time.
Our hands have always been there for us. Our hands and faces represent us to others. Our hands are always on display. A large portion of the grey matter in our brain is devoted to the functioning of our faces and hands. Perhaps that’s why they are the two leading characteristics of our body image and self-esteem.
When it comes to our faces, we are experts with our anti-aging routines-cleansers, toners, masks, scrubs, serums, oils, creams, oh my! But when it comes to our hands? Yeah, not so much. Even if we do have an anti-aging hand-care regimen, we often apply it only once or twice a day and rarely reapply after every hand wash. It’s no wonder that our hands can be a dead giveaway of our age. But that needn’t be the case for these sun-exposed appendages that do so much for us.
Hand rejuvenation therapies have been around for years, and help our hands look younger. As we age, skin and soft tissue on the exposed areas of the hands changes (‘tis a cruel joke that the fat seems to leave our hands and go to our stomachs and thighs). Hands lose fullness of contour, and skin elasticity diminishes. Knuckles may appear more prominent. Veins and tendons may impart a bluish color and bumpy texture. Sun exposure and other influences add tan or brown irregular patches or spots, and the skin becomes loose and wrinkled.
Treatment with a soft tissue filler restores lost volume and improves the appearance of aging hands instantly. Radiesse® is a natural product (Merz Pharmaceuticals) that we’ve used successfully for this application. Radiesse® is FDA approved to use with lidocaine (an anesthetic) to reduce discomfort of the injection. The filler is massaged into place and hands appear softer and smoother.
Radiesse® lasts for about a year, so treatment may need to be repeated. However, it has been found that Radiesse® has some long-term benefits as well as. It can actually stimulate natural collagen production in the treatment sites thus helping the skin’s matrix repair itself over time.
Other hand rejuvenation therapies improve skin surface aging: Our GOLD Rx resolves pigment spots and stimulates collagen production within the skin. Laser treatment or Intense Pulsed Light fades surface pigment, and sunblock should also be applied on top of the hands to protect these sun exposed areas and prevent further aging changes.
Greeting others with our hands is a universal element of humanity. Every culture has a greeting involving hands…a hand shake, a wave, a salute. Hands are always on display and should match the age of our face. In caring for your face and body with your hands, don’t forget the hands themselves!
You want the best result, and the best surgeon. How can you tell? Truthfully, the surgeon with the highest standards for his or her own performance reliably holds the highest standards across the board. The best surgeon will have the highest level of training and certification, and will offer you the best care, and likely the best result.
So how can you know? Plastic surgeon or cosmetic surgeon? The differences may surprise you. Because of common misconceptions surrounding cosmetic plastic surgery, you should understand what’s behind the scrubs and the white coat.
Operations that improve the human body are called Plastic Surgery after the Latin plasticus: that may be molded. The two types of plastic surgery are reconstructive surgery, after injuries, and aesthetic (cosmetic) surgery, to improve appearance. Cosmetic surgery is only a part of plastic surgery, but to perform it well, the physician must be fully trained in the entire specialty.
1. All plastic surgeons are cosmetic surgeons but not all cosmetic surgeons are plastic surgeons.
Board Certified Plastic Surgeons have more training and ARE qualified to perform both reconstructive and aesthetic/cosmetic surgery.
A Cosmetic Surgeon is NOT certified to perform plastic/reconstructive surgery.
2. The American Board of Plastic Surgery (ABPS) is the ONLY board approved by the American Board of Medical Specialties (ABMS), which accredits surgical training programs.
Plastic Surgeons ARE certified by the American Board of Plastic Surgery (ABPS).
The American board of Plastic Surgery does NOT acknowledge Cosmetic Surgeons.
3. Don’t all certifying boards have high standards? My surgeon said he’s board certified.
Confirm not only that that your doctor is “Board Certified,” but that he/she is certified by the American Board of Plastic Surgery (ABPS).
Cosmetic Surgeons who claim to be board-certified may have received their certificate from the American Board of Cosmetic Surgery; the American Board of Medical Specialties (ABMS) does NOT recognize this board.
4. Is my surgeon trained to perform my surgery?
After graduating medical school, a Board Certified Plastic Surgeon must be selected among many applicants for residency training in Plastic Surgery. If chosen, the physician learns how to be a surgeon for three to five years, then trains for at least three more years in plastic surgery. Training involves closely supervised continuous evaluation and management of many complex clinical situations, and matures the surgeon personally and professionally. Successful completion of the post-graduate residency years qualifies the surgeon for written and oral examinations administered by the American Board of Plastic Surgery. Surgeons must submit an entire year of his or her surgical accomplishments for the exam. Surgeons are not eligible for the exam until they have been practicing plastic surgery independently for two years or longer.
There are no such requirements for Cosmetic Surgeons. Cosmetic surgeons are doctors who merely decide to perform cosmetic surgery in their practice. They may be certified in any medical specialty such as a gynecology, dermatology, family physician, ear,-nose-throat, etc. Their training may consist of several short weekend courses to a one-year cosmetic surgery fellowship.
5. Why do hospitals and surgery centers only allow doctors certified by the American Board of Plastic Surgery(ABPS) to perform cosmetic procedures?
Because they know the difference! Board Certified Plastic Surgeons CAN perform both reconstructive and aesthetic/cosmetic surgery in hospital or outpatient surgery centers.
Cosmetic Surgeons are NOT privileged for cosmetic surgery at these facilities and are not allowed to perform reconstructive plastic surgery. For this reason, cosmetic surgeons usually perform surgery in office based operating rooms which are subject to more relaxed accreditation standards.
6. The American Society of Plastic Surgeons (ASPS) embraces excellence in plastic surgery. Education, research, intellectual exchange and promoting unity are core values.
Only doctors certified by the American Board of Plastic Surgery(ABPS) can become a member of the American Society of Plastic Surgeons (ASPS)
7. The American Society for Aesthetic Plastic Surgery (ASAPS) is an exclusive privilege and requires proven excellence in aesthetic/cosmetic plastic surgery.
- Members MUST be certified by the American Board of Plastic Surgery(ABPS).
- Participate in accredited Continuing Medical Education (CME) programs.
- Document the performance of a significant number and variety of cosmetic surgical cases to demonstrate a wide range of experience
- Be sponsored by two ASAPS-members to ensure that the applicant’s professional reputation meets the high standards required by The Aesthetic Society.
- Abide by ethical standards for professional conduct outlined by the Society’s Bylaws, Code of Ethics, and Conflict of Interest Policy observed by all ASAPS members.
ASAPS does not offer membership to doctors who are trained in specialties other than plastic surgery; therefore Cosmetic Surgeons do NOT meet these requirements.
For cosmetic surgery, your safest choice is a surgeon certified by the American Board of Plastic Surgery who is also a member of the American Society of Plastic Surgeons and/or the American Society of Aesthetic Plastic Surgeons. Quality is the difference.
Marilyn Monroe had plastic surgery
Wow. Marilyn Monroe wasn’t born that way. Medical records and X-rays of the Hollywood legend to be featured in a Beverly Hills auction next month show evidence of plastic surgery. The actress likely had a cartilage chin implant, as well as rhinoplasty (aka a nose job) on the tip. The memorabilia came from her plastic surgeon, Dr. Michael Gurdin, reports The New York Daily News. Monroe, 36, was found dead at her home on Aug. 5, 1962, of acute barbiturate poisoning.
Attitudes vary, but surgery is the last event most would volunteer for. Women without children wouldn’t go for it, why should they? Their abdomen hasn’t been s-t-r-e-t-c-h-e-d o-u-t beyond its limits yet, so it’s still flat and easily toned. Many shrink back magically after baby (or babies, or even twins), and many do not. As it turns out, no amount of Medifast, Weight Watchers, South Beach Diet, pilates, yoga, sit-ups, running, weight lifting, or Greco-Roman wrestling will tighten the abdominal wall that has irreversibly expanded during pregnancy, or remove loose skin stretched by your quickly growing child before he/she departed from your womb. While surgery ALWAYS takes a back seat to healthy living habits such as fitness and dietary moderation, tummy tuck (abdominoplasty) is a great way to improve proportions, fit into more trim styles, and restore some body confidence if you don’t like what’s become of your mid-section after baby.
A bit of advice: Before proceeding, be reasonably sure that future pregnancy (pregnancies) are unlikely. If it happens, the pregnancy goes well, but you may lose some of your result. Smokers, poorly controlled diabetics, and the obese are not good candidates for tummy tuck. You will need about two weeks off (from work and child care responsibilities) to recover following typical tummy tuck, and even after that, your capacity for physically strenuous exercise returns slowly over several months. Seek a board certified plastic surgeon for the procedure. Consulting with more than one if possible helps you become a more informed consumer, and a better prepared patient. See results of the doctor (our before and after photos are HERE ) to understand what type of result you should expect. Ask questions, and expect frank answers with regard to such issues as scar size and location, complication rates, and accreditation of the surgery center or office surgical suite. If your surgeon is certified by the American Board of Plastic Surgery, you like his or her results on other women, and your intuition is that you trust the doctor, you are likely safe to proceed. The vast majority of women are very pleased with the lifelong result of contemporary abdominoplasty.