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Day: 6 March 2024

The Comprehensive Care Provided by Plastic Surgeons

The Comprehensive Care Provided by Plastic Surgeons

A medical professional who performs plastic surgery must undergo rigorous training to become a member of the American Board of Plastic Surgery. This includes a medical degree, surgical residency and plastic surgery fellowship.

In trauma bays, plastic surgery services often interact with other surgical specialties to manage cases with exposed skeleton or orthopedic hardware. Small upper extremity-related cases were also common submissions to plastic surgery.


Many patients are confused by the terms “reconstructive surgery” and “cosmetic surgery.” Generally speaking, plastic surgeons perform both reconstructive procedures to restore function and normal appearance as well as cosmetic enhancements.

When choosing a surgeon, it is important to check the doctor’s credentials and make sure they have completed an accredited residency training program specifically in plastic surgery. A comprehensive training program will have taught the surgeon the full spectrum of reconstructive and cosmetic procedures.

A good plastic surgeon, certified by the American Board of Plastic Surgery, such as those at Dr Dean White (, provides assurance that the surgeon has completed a year of additional fellowship training in cosmetic surgery, including facial, breast, and body procedures.

Before cosmetic surgery, the surgeon will review a patient’s medical history to evaluate any health concerns that might affect their surgical results. They will also discuss the desired outcome of the procedure. This is an opportunity for the patient to ask any questions they may have and for the surgeon to explain the process of achieving that result.

Depending on the patient’s health, the type of surgery and their desired outcome, some cosmetic procedures may be performed in a freestanding surgical facility or the physician’s office under local anesthesia. Often times, these procedures require some time to heal, and it is important that the patient prepare by understanding what to expect afterward, such as bruising and swelling.


For patients who have suffered severe injuries to parts of their bodies, plastic surgeons can reconstruct damaged tissues to provide function and a normal appearance. These surgical procedures may involve skin, muscle, bone or tendons. Some of these reconstructive surgeries may be performed through a technique called tissue-based reconstruction, in which surgeons use a patient’s own body tissue (such as skin from the belly) to reconstruct a part of the patient’s body. This helps reduce damage to the donor site, improves surgical results and decreases rates of complications.

Many health plans cover reconstructive procedures that have been deemed medically necessary. This is unlike cosmetic procedures, which are not typically covered by insurance.

This includes treating congenital conditions like cleft lips and palates, craniofacial abnormalities, hypospadias and other genito-urinary defects; trauma to the face, skeleton, trunk and limbs; burn wound care; and complex wound reconstruction using free flaps and skin grafts. In addition, plastic surgeons are often involved in level 1 trauma centers where they perform a variety of reconstructive procedures including skeletal injury management, limb-saving free tissue transfers and complex wound repair.

Many of these procedures are interdisciplinary and require coordination with physicians from other specialties. For example, four of our plastic surgeons at Nationwide Children’s Hospital are trained in velopharyngeal dysphagia (VPD), a condition that affects the network of nerves that control arm and shoulder/hand function. This condition can result from birth trauma or later injury and causes difficulty in breathing, swallowing and speaking.

Head & Neck

For patients who have had cancer of the head or neck, reconstructive plastic surgery can repair the damage caused by the removal of a tumor, preserving as much function as possible. At MSK, our head and neck surgeons work closely with plastic surgeons to offer a coordinated care experience that enhances patients’ ability to function normally.

In addition to repairing skin damage and restoring a patient’s appearance, head and neck reconstruction surgery can restore function that was lost during tumor removal or prior radiotherapy treatment. For example, if a facial bone has been removed as part of radiation treatment for a tumor, the plastic surgeon can rebuild the bone using pedicled or free flaps, alloplasts, and/or grafts.

Medical students, residents, and fellows learn innovative three-dimensional planning techniques and surgical procedures for head and neck reconstruction to optimize both function and physical appearance. They also participate in a multidisciplinary clinic where they can evaluate and treat head, neck, thyroid, and upper aerodigestive tract benign and malignant tumors and abnormalities in a high-volume setting.

In addition, our surgeons have expertise in skull-base tumors including sinonasal carcinoma and nasopharyngeal carcinoma. They use a minimally invasive technique called transnasal endoscopy, which allows them to remove these tumors without the need for open surgery and with fewer complications. Patients with these tumors can often return home the day of or the day after their procedure.


Surgical procedures that improve and enhance body contours include reduction mammaplasty (breast surgery), abdominoplasty (“tummy tuck”), liposuction, rhinoplasty (“nose job”), and otoplasty (“ear surgery”/”ear pinning”). Other body procedures can help you feel more confident about the way you look by restoring your body’s proportional balance.

When you meet with a plastic surgeon, your doctor will discuss your goals and explain the procedure in detail. You’ll also learn about recovery, including home care instructions and what to expect during your healing process. Your doctor will also explain the concept of asymmetry — how one side of your face or body looks naturally different from the other — and might recommend additional cosmetic procedures to achieve greater balance.

Plastic surgeons are uniquely trained to provide both reconstructive and cosmetic services for all parts of the body. They are also experts in craniofacial surgery, microsurgery and hand surgery. In addition, they have extensive experience in the treatment of burns. Research has shown that patients who are seen by plastic surgeons at level I trauma centers have better outcomes than those who do not.

The Powerful Effects of Remedial Massage Therapy

The Powerful Effects of Remedial Massage Therapy

Remedial massage is a targeted approach to treating musculoskeletal injuries and conditions. It can improve posture, reduce muscular imbalances, promote flexibility and enhance joint health.

Remedial massage is also known to decrease stress levels and boost the immune system. It can help to reduce pain and stiffness, increase mobility and control symptoms for patients suffering from chronic illnesses like MS and Parkinson’s Disease.

Increased Immunity

Remedial massage Glenroy therapists uses a combination of techniques to treat injuries and pain. They can include trigger point therapy and joint mobilisation techniques to improve mobility, flexibility and reduce the risk of further injury. They also focus on the rehabilitation of muscles that have been damaged through injury, overuse or poor posture.

Before a remedial massage begins the therapist will take you through some range of motion and joint tests to get a better understanding of your symptoms, these shouldn’t take more than a few minutes and can help identify any areas of concern. The majority of your appointment will be the remedial massage itself which is performed using specific and targeted remedial massage techniques.

The physiological effects of a remedial massage include increased endorphins, serotonin and dopamine which are all ‘feel good chemicals’ that encourage feelings of happiness, calm and wellbeing. The massage also stimulates the vascular system encouraging blood flow to the tissue being treated which promotes healing and decreases inflammation by decreasing cortisol levels in the body.

Remedial massage also helps to realign joints by releasing tension around the joint that can prevent movement, allowing the joint to function normally. It can also improve the flexibility of tendons and ligaments by stretching them. It can help with a range of conditions including back and neck pain, frozen shoulder, sports injuries and postural imbalances.

Increased Blood Circulation

Remedial Massage improves circulation, which helps to deliver nutrients and oxygen to muscles, cells, tendons and ligaments. This allows the body to repair itself faster, particularly when it is injured. It also reduces inflammation and increases muscle flexibility.

When you see a remedial massage therapist, they will run through your health history and gain an understanding of the problem area. They will use physical assessments such as range of motion tests, functional muscle testing and special orthopaedic tests to understand the problem better.

They will then manipulate the superficial and deep muscles to encourage relaxation, stretching and loosening of the muscle fibres. The massage techniques used include effleurage, wringing and lymphatic drainage to improve the movement of blood and decrease pain.

This massage technique has also been shown to increase the function of your immune system, boost natural killer cells and help in the elimination of waste products such as lactic acid. This process speeds up the flushing of toxins from the muscles and joints, which can help prevent chronic injuries.

Remedial Massage is most effective when performed on a regular basis, however the frequency depends on your unique circumstance and therapist recommendation. Many clients benefit from a monthly remedial massage, others may benefit from a weekly appointment. Our remedial therapists can advise you on the best recurrence rate for your particular problem and help work out a maintenance schedule that works for you.

Reduced Stress

Remedial massage is used to identify and treat injuries. However, it also has many other therapeutic benefits. It helps with relaxation and boosts the immune system by encouraging the body to expel toxins. It also reduces muscle tightness and improves posture. Hence, it is often recommended for people with chronic pain, including sports injuries, muscle cramps and arthritis.

During a remedial massage, the therapist will first assess your health history to see what’s causing you discomfort. They will then ask you to move and walk around so they can observe your posture and understand how the affected area works. They might also perform range of motion and orthopaedic tests to find out the extent of your injury or problem.

The pressure applied during a remedial massage will improve your blood circulation, which in turn will help heal the damaged muscles. The increased blood flow will also eliminate toxins from the body, which reduces fatigue and increases energy levels. The therapist will also reposition misaligned bones and joints, which will alleviate your pain and discomfort.

Stress is a common cause of muscle tension and headaches, and regular remedial massage can lower your stress levels significantly. This is because massage has been shown to reduce cortisol, increase dopamine and serotonin levels, and lower excitatory hormones like norepinephrine and epinephrine.

Better Sleep

If you suffer from chronic back pain, neck or shoulder pain, knee problems or other joint issues, remedial massage can help. It addresses the underlying imbalances that lead to these issues by identifying and treating damaged tissues with the aim of restoring alignment, flexibility and mobility.

It is important to choose a massage therapist with whom you are comfortable and who has the qualifications and skills to treat your particular issue. It is also advisable to ask around for recommendations from family, friends or health care providers. You should also check out the therapist’s approach and communication style, and schedule consultations with several potential therapists to ensure you find the right one.

Regular remedial massage can help improve sleep quality. It aims to relax the muscles and the nervous system to reduce musculoskeletal pain and tension that can keep you awake at night. It also encourages a smoother transition from wakefulness to sleep, which is critical for good health and wellbeing.

Adding remedial massage to your wellness routine can have powerful effects on the body and mind. If you suffer from high stress levels, chronic pain or other physical conditions, consider booking a remedial massage with a trained practitioner. It will be a smart investment in your wellbeing.