Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims to improve the appearance of it. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. "Palpebral" means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. A set of specialized hairs known as lashes grow from the upper and lower eyelid margins to further protect the eye from dust and debris.
Oral and maxillofacial surgery is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the oral cavity (mouth), head and neck, and jaws, as well as facial cosmetic surgery/facial plastic surgery including cleft lip and cleft palate surgery.
A facelift, technically known as a rhytidectomy, is a type of cosmetic surgery procedure intended to give a more youthful facial appearance. There are multiple surgical techniques and exercise routines. Surgery usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on the patient's face and neck. Exercise routines tone underlying facial muscles without surgery. Surgical facelifts are effectively combined with eyelid surgery (blepharoplasty) and other facial procedures and are typically performed under general anesthesia or deep twilight sleep.
Reconstructive surgery is surgery performed to restore normal appearance and function to body parts malformed by a disease or medical condition.
The canthus is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure.
Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With the excision and the removal, or the repositioning of excess tissues, such as skin and adipocyte fat, and the reinforcement of the corresponding muscle and tendon tissues, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, which is the area from the eyebrow to the upper portion of the cheek. The procedure is more common among women, who accounted for approximately 85% of blepharoplasty procedures in 2014 in the US and 88% of such procedures in the UK.
Facial rejuvenation is a cosmetic treatment, which aims to restore a youthful appearance to the human face. Facial rejuvenation can be achieved through either surgical and/or non-surgical options. Procedures can vary in invasiveness and depth of treatment. Surgical procedures can restore facial symmetry through targeted procedures and facial restructuring and skin alterations. Non-surgical procedures can target specific depths of facial structures and treat localized facial concerns such as wrinkles, skin laxity, hyperpigmentation and scars.
Epicanthoplasty is a rare eye surgery to modify the epicanthal folds. It can be a challenging procedure because the epicanthal folds overlay the lacrimal canaliculi . Although an epicanthic fold can also be associated with a less prominent upper eyelid crease, the two features are distinct; a person may have both epicanthal folds and an upper eyelid crease, one and not the other, or neither. Single eyelids are reshaped using East Asian blepharoplasty.
Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit, eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures.
David Ralph Millard, Jr. was a plastic surgeon who developed several techniques used in cleft lip and palate surgeries. He also popularized the double eyelid surgery or "Asian blepharoplasty" to “deorientalize” patients’ faces while stationed in South Korea during the Korean War. He was chief of the Division of Plastic Surgery at University of Miami's Miller School of Medicine for 28 years, and maintained a private practice in Miami.
Eyelid glue, commonly called eye putti, is a type of eye make-up used in East Asia designed to change the monolid. Eyelid glue is a water-soluble adhesive that is easy to remove.
Female Chinese beauty standards have become a well-known feature of Chinese culture. A 2018 survey conducted by the Great British Academy of Aesthetic Medicine concluded that Chinese beauty culture prioritizes an oval face shape, pointed, narrow chin, plump lips, well defined Cupid's bows, and obtuse jaw angle. The importance of feminine beauty in China has been deeply ingrained into the culture: historically, a woman's livelihood was often determined by her ability to find an eligible husband, a feat aided by fitting into the cultural ideals of beauty.
Aesthetic medicine is a branch of modern medicine that focuses on altering natural or acquired unwanted appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, spider veins and or any unwanted externally visible appearance. Traditionally, it includes dermatology, oral and maxillofacial surgery, reconstructive surgery and plastic surgery, surgical procedures, non-surgical procedures, and a combination of both. Aesthetic medicine procedures are usually elective. There is a long history of aesthetic medicine procedures, dating back to many notable cases in the 19th century, though techniques have developed much since then.
A lip lift, which in medical terms is known as 'SUBNASAL BULLHORN' is the most common plastic surgery procedure that modifies the cosmetic appearance of the lips, by reshaping them to increase the prominence of the vermilion border ; and to enhance the facial area above the lips into a more aesthetically pleasing shape. In corrective praxis, a lip lift procedure is distinguished from lip enhancement, the augmentation of the lips, which can be affected with a non-surgical procedure.
Babak Azizzadeh, MD, FACS is an American facial plastic and reconstructive surgeon. He is the founder and president of the FPBPF, a non-profit organization committed to the treatment of individuals with facial nerve paralysis and Bell's palsy.
Ethnic plastic surgery, or ethnic modification, refers to the types of plastic surgery performed frequently due to certain racial or ethnic traits, or with the intention of making one's appearance more similar or less similar to people of a particular race or ethnicity. Popular procedures which may have an ethnically motivated component are rhinoplasties and blepharoplasties.
Korean beauty standards have become a well-known feature of Korean culture. In 2015, a global survey by the International Society of Aesthetic Plastic Surgeons placed South Korea in the top ten of countries who had the highest rate of cosmetic surgeries.
Japanese female beauty practices and ideals are a cultural set of standards in relevance to human physical appearance and aesthetics. Distinctive features of Japanese aesthetics have the following qualities: simplicity, elegance, suggestion, and symbolism. Concepts of female beauty originate from its traditional culture which has lasted for more than a century, some of which include skin whitening, long straight hair, and slim eyes. According to Kowner and Ogawa, the modern concept of physical attractiveness in Japan emanates from distinct, native traditions that have persisted for more than a century despite pervasive Western influence of values and ideals.
Cosmetic surgery is voluntary or elective surgery for beauty enhancement. Motivation for plastic surgery has been debated throughout Korean society. Holliday and Elfving-Hwang suggest that the pressure of success in work and marriage is deeply rooted in one's ability to manage their body which is influenced by beauty. As companies helping with matchmaking for marriage and even job applications require a photo of the individual, it is inevitable that the Korean population feels pressure to undergo plastic surgery to achieve the "natural beauty".
