Nausea After Surgery
February 18th, 2013
Nausea or feeling sick to ones stomach is common after any kind of surgery. The nausea alone does not pose a problem, and prescription medication is available to control it. However, if it persists and is left untreated, nausea can lead to vomiting. It is the vomiting which increases the pressure within facial blood vessels that is the problem. Patients having facial plastic surgery need to be particularly aware and alert their physician if nausea persists. The strain of vomiting can increase local vessel blood pressure, which disrupts the healing of small blood vessels after surgery. This strain may result in clot disruption causing bleeding, leading to extra swelling and bruising. I advise my patients to call me for immediate evaluation if this occurs.
Cosmetic Surgery Too Much of a Good Thing?
November 26th, 2012
When is cosmetic surgery too much of a good thing? I filmed a segment for the local Fox News Affiliate here in Minneapolis, hosted by Medical Correspondent, Dr. Archelle Georgiou. They filmed part of the segment while I was performing a lower blephaorplasty or lower eyelid surgery. My patient did have some other plastic surgery in the past and while gathering routine background information, Dr. Georgiou inquired whether I felt that the patient was perhaps choosing cosmetic surgery too often. In other words, did I think the patient suffered from a possible cosmetic surgery addiction? As with all my patients, I am careful to evaluate a patient’s motivations for surgery and attempt to uncover any unhealthy desires for seeking cosmetic surgery. In this case, I feel confident that my patient had legitimate concerns regarding the unsightly bags under her eyes and that she was an excellent candidate for eyelid surgery. She expressed realistic expectations from the surgery and in my opinion; she is certainly not a cosmetic surgery addict.
However, while we are on the topic, let me elaborate. There are several characteristics that are common among cosmetic surgery addicts and for the most part, they are not dissimilar to other addictions. Patients that have Body Dysmorphic Disorder are likely to seek cosmetic surgery to correct “perceived†physical flaws. This disorder has significant psychological components and it is unlikely that any amount of cosmetic surgery will correct feelings of having physical deformity that may not exist. This disorder leads some patients to have excessive cosmetic surgery. As a physician, I feel a professional and moral obligation to refer patients that exhibit these difficulties to the proper psychological care when it is appropriate.
Without a doubt there are patients who do suffer from this problem. The pop culture media machine is quick to point out the cosmetic surgery obsessions of Michael Jackson, New York’s “Cat Woman†and Joan Rivers, to name just a few.
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