Plastic surgery is today a wide specialty, with several areas of activity. With the primary goal of improving the quality of life of patients. It exists as a specialty for approximately 50 years, but two decades ago had a great development. We should not segment it into aesthetic and restorative, for in the restoration of function there must be aesthetics, and in the pursuit of beauty and youth the function must be preserved. Surgical procedures are performed on congenital deformities, such as lip-palatine fissures, prominent ears and unaesthetic nose; Or in deformities acquired by traumas, burns, or neoplasias. Changes due to obesity and skin aging are also repaired.
Areas of practice: Microsurgery, Burns, Restorative Oncological Surgery, Hand Surgery, Skull and Maxillofacial Surgery.
1. The treatment of burns, caused by thermal, chemical, electrical or radiation. The total rehabilitation of the patient should be considered the ultimate goal of the treatment, and thus, the correction of the sequelae should be an essential part of the performance.
2. Reconstructive plastic surgery in patients with neoplasias, which was developed after the introduction of microsurgery techniques in the 1970s, and has been essential for the improvement of the treatment of head and neck tumors leading to more extensive resections and better quality of life For patients. The association of the plastic surgeon with gynecology for the global treatment of breast cancer is now universally accepted as the best solution to the serious problem of these patients. Plastic surgery also treats different cutaneous and subcutaneous tumors whether malignant or benign, as well as hemangiomas and other vascular malformations.
3. Cranio-maxillofacial surgery has been developed over the last twenty years and deals with the treatment of deformities of soft and skeletal parts of the face and skull that have aesthetic and functional repercussions in the life of the relationship. Particularly noteworthy were advances in the correction of complex congenital craniofacial problems (craniostenosis and others), correction of cleft lip and palate, as well as craniofacial defects acquired in the mandible, maxilla and temporo-mandibular joint (orthognathic surgery). The performance of plastic surgery in the traumatized face is fundamental in large urban centers due to the frequency of accidents in traffic and work. The latest technology allows better results in the treatment of facial fractures thanks to earlier treatment and more complete maxillofacial rehabilitation.
4. Plastic Surgery works in all areas of hand surgery where it incorporates microsurgical techniques and currently has more reliable results, especially when dealing with severe upper limb traumas, finger and hand reimplants, nerve repairs and Tendons, hand fractures and hand deformities in children, among others.
5. Reconstruction of the soft parts in the lower limbs should be done in conjunction with orthopedic bone treatment using especially microsurgical techniques that have transformed the prognosis of these serious injuries and often avoiding amputations.
6. Plastic surgery actively participates in multidisciplinary teams dealing with congenital deformities in the trunk and genitals, including cases of intersex. Also important is their contribution to the reconstruction of genitals injured by trauma (penile amputation) or Fournier’s syndrome.
7. Surgery to correct deformities due to weight gain and skin aging is another important area of plastic surgery. These surgeries have the reparative character, with respect to the psychological state of the patient, since they improve the quality of life, restoring the self-esteem, with an improvement of the self-image. These are the most accomplished.