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Anaesthesia for aesthetic surgery 

Anaesthesia for aesthetic surgery
Chapter:
Anaesthesia for aesthetic surgery
Author(s):

Sandip Pal

and Chandra Kumar

DOI:
10.1093/med/9780199564217.003.0010
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date: 19 July 2018

There is evidence in the literature to suggest that plastic surgery originated in India more than 2500 years ago and it is believed that an ancient Indian surgeon, Sushruta, performed a rhinoplasty, the oldest plastic surgery operation, in 600 bc. In ancient times, amputation of the nose was performed as a punishment for committing adultery, amongst other crimes. This explains the need for nasal reconstruction during that period. Sushruta, known as the ‘father of Indian plastic surgery’, wrote Sushruta Samhita, a compendium written in Sanskrit about most advanced surgical practices prevalent at that time. As well as introducing an ethical code, he highlighted all of the basic principles of plastic surgery, such as pedicle flap techniques, repair of ear lobe defects, and repair of both traumatic and congenital cleft lips. In addition he classified burns, described surgical instruments, the practice of mock operations, cadaveric dissection, and used wine to dull the pain of surgical incisions.

Aesthetic or cosmetic surgery on the face is performed to improve the appearance of the face and is one of the fastest growing medical practices in the United Kingdom. An increasing number of women as well as men are opting for cosmetic surgery to address dissatisfaction with their body image. Physical appearance plays an important role in how we are perceived by others. Each individual has their own perceptions as to what constitutes beauty. This in turn is influenced by current standards and fashions in the society within which they live. These issues have led patients to consider aesthetic surgery to enhance their self-esteem and attractiveness. As demands for aesthetic surgery increase, it becomes important to understand why patients are prepared to undergo invasive aesthetic surgery. Aesthetic surgery is performed both with and without surgical instruments, and sometimes both modalities are used.

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