Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
Resublimed resorcin is also advocated, but the resultant peeling will not
prove thick enough to give a satisfactory result.
If, for any reason, the effect obtained is not as desired, the patient
should wait for several weeks and have the treatment repeated.
It is hardly necessary to say that the application used should not get
into the eyes. The upper eyelids should not be treated, since no benefit
arises from it. If there is a redundancy of tissue, it should be removed
surgically, as heretofore described.
CHAPTER XVIII
CASE RECORDING METHODS
Every case, whether of little consequence or of important nature, should
be properly and fully recorded in a thorough and systematic manner. Apart
from the value of such a record, to the operating surgeon it often proves
of the greatest importance in cases where operations of a purely cosmetic
nature are undertaken.
Patients who beg us to make them more beautiful, or less unsightly in the
eyes of the ever-critical observer, are the most difficult to please,
and often complain, after a few days of constant mirror study, of the
parts changed by methods that are the result of years of hard-earned
experience, that the nose or the eyes or the ears have not been changed
as much as they desired—in fact, so little that their closest friends
have failed to evoke ecstatic remarks about the improvement.
This is not unusual with the most intelligent patients and is due to
the fact that cosmetic operations performed on an ugly though otherwise
normal organ have not yet become very frequent, and while friends are
inclined to remark a change in lesser defects, they fail to credit this
to the cause, owing to a lack of the knowledge of cosmetic surgery, or
their ignorance of the art entirely.
=Photographs.=—Where a pathological defect, wound, or scar or traumatic
deformity is to be corrected, the patient is usually kind enough to
permit of photographs being made of the parts to be operated on, but
where the defect is hereditary, or the result of age, objections are
invariably raised by all concerned, for fear their pictures will be used
in some outlandish way.
The objection to photographs is obvious, since it usually requires
visits to a studio, and the necessary loss of time to the surgeon, whose
presence is nearly always necessary to secure the proper negative.
This is especially true of the nose. Very few photographers will make a
satisfactory sharp profile picture. It is less artistic, but most desired
by the surgeon, and when the patient is presented for a second negative
after the operation has been performed, the picture varies more or less
in pose from the first taken.
It would be well for physicians to have a camera for use in the operating
room, and those who can manipulate one will find that taking a 5 × 7
negative the most suitable.
=Stencil Record.=—For those who cannot provide themselves or bother with
a photographic apparatus, the stencil record is recommended.
Public-domain text, read in full here on John Shaqi.
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