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The Four Basic Steps in Plastic Surgery- #4

February 23rd, 2010

Ice golf anyone! "Chilly Open" on Lake Minnetonka.

Step 4: Wound Closure.

The final step is suturing (sewing) the skin and deeper tissues back together, also known as wound closure or tissue approximation.   How well this is done will determine the physical appearance of the scar.   Underlying tissues (muscle, fat, breast tissue) must be brought back together beneath the skin. If not, the scar will look depressed or puckered when compared to the surrounding skin.   The underlying fat, muscle, and/or breast tissue must support the skin at the proper level.   In the most extreme instances, the skin can actually heal to the underlying muscle resulting in a severely depressed scar that moves unnaturally with muscle contraction.

Please check back next time: Lisa’s Rhinoplasty surgery (nose job) blog.

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The Four Basic Steps in Plastic Surgery- #3

February 22nd, 2010

 

Step 3: Sculpting.

Following dissection, the underlying tissues are revealed and the sculpting is performed according to the surgical plan designed for the desired changes.   I firmly believe that consistent natural results can only be achieved through an aesthetic understanding of normal human form.

Unnatural results are usually related to a surgeon’s distorted aesthetic.   This distorted look has become the frequent topic of our pop culture and the Hollywood media.   Surgical “before and after” photos are an excellent way to judge a surgeon’s aesthetic eye and the likelihood of a particular look following cosmetic surgery.

Please check back next time for Part 4 of this series and coming soon: Lisa’s  Rhinoplasty surgery (nose job) blog.

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