Post Pregnancy Cosmetic Surgery
July 14th, 2009
Yesterday’s post reveals a great deal. Women who are comfortable with their physical appearance before pregnancy are frequently bothered by the changes they see after delivery. Most of the women we see are concerned that their breasts have decreased in size when compared to their pre-pregnancy state. In addition, some of these women notice considerable sagging. Finally, others are concerned that their breasts are way too big following pregnancy. Their breasts have actually increased in size and stayed that way. On rare occasion, women who have had breast enlargement surgery before children, come in afterwards asking to have their implants removed.
Unfortunately, it is impossible to predict what is going to happen to a patient’s body after pregnancy. Changes which bother one person, often do not bother the next. The notion of a perfect breast size and shape is a very personal aesthetic. Fortunately, there are many options available to restore breast fullness, correct sagging or reduce volume. A patient should seek out the necessary information, so that they will be fully aware of what choices they have regarding surgical correction.
Women who choose to have post-pregnancy surgery or “mommy make-overs” are most often happy with the decision to correct breasts and sometimes tummies, that have changed and no longer appear the way they feel their best. Often times times women report a boost in their self-esteem and general sense of well being. Many also echo the sentiment, “Why didn’t I do it sooner?”
Female Genital Surgery
July 10th, 2009
New York City now boasts of an art exhibit featuring before and after plastic surgery pictures. According to Allure Magazine, all aspects of plastic surgery are featured in the exhibit, including cleft lip and palate correction, nose surgery, and face lift surgery. The surgical photos which drew the greatest attention were the before and after pictures of genital surgery for women. It was not clear if the fascination was because this type of surgery was so novel to the viewers or because there was a genuine interest in the procedure.
It was pointed out that this seems to be inconsistent in a world where female mutilation still occurs. Yet it is embraced in some circles as an acceptable alternative for women. In fact, women who have undergone genital mutilation often turn to reconstructive surgery once they have emigrated to western cultures. Female genital mutilation is an involuntary lay practice carried on outside the purview of medial care. Genital aesthetic surgery is an elective surgery performed by physicians in appropriate hospitals and clinics. In addition, mutilation is designed to minimize sexual desirability while cosmetic genital surgery is designed to maximize sexuality. They are completely different and unrelated.
An interesting study is now underway by the World Health Organization. The title, “Female genital mutilation and other harmful practices, a multi-country study on gender, sexuality and vaginal practices” seems to be inconsistent with its own findings. It was supposed to be, “A study on harmful sexual practice that is being conducted in: Indonesia, Mozambique, South Africa and Thailand.” The study seems to be confusing and perhaps attempts to avoid any politically incorrect findings. Their findings seem to minimize harmful aspects and focus on some of what genital aesthetic surgery is trying to accomplish:
- “Vaginal practices to tighten the vagina during sex are more common than acknowledged”
- “Practices are not always aimed at “drying” the vagina; women focused more on “closing, warming and tightening”
- “Motives for the practices are linked to anxiety and competition among women to gain or hold on to sexual partners”
- “Many practices are linked to a desire to improve sexual relations and necessitate ‘skin to skin’ contact and thus eliminate the possible use of condoms”
- “There are similar practices in different countries.”
The Allure article goes on to quote 2008 statistics from the American Society for Aesthetic Plastic Surgery which report a sharp decline in female genital aesthetic surgery among plastic surgeon members. I suspect this number is inaccurate overall, since much of this surgery is being done by gynecologists, not plastic surgeons. In fact, recently a med-spa dedicated solely to vaginal and female genital surgery, called Phit, has been established in New York City. You have to give them credit on the name!
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