Introduction 1
Cosmetic Medicine at the Millennium
The New Cultural Paradigm
The Business of Cosmetic Medicine Today
What Is It? The Vendors
The Customers The Procedures
Altering the Body
Public Alterations: Cosmetic Medicine as
Entertainment
Private Alterations: The Quest for Beauty,
Youth, Sex, and Transformation The Body in the Eye of Society
The Body in the Eyes of Those around Us
The Body in the Mind’s Eye: Body Image and
Transformation Body Fashions
A History of Body Enhancements
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Contents
You Can Be Pretty, Too: A Century of
Selling Beauty and Cosmetic Medical Care
The Beauty Doctors
Potions and Patent Medicines
Physicians Just Say “No” to Ads
The Birth of the Specialty of Plastic Surgery
Plastic Surgeons Take on Cosmetic Surgery
Cosmetic Surgery after World War II
Opening the Floodgates
Marketing Beauty: Getting the Word Out
Sex and Youth Sell
Marketing Cosmetic Medicine
Commercialism in Medicine
Targeting the Cosmetic Medical Consumer
Industry Providers
One-Stop Shopping and Vendor Networks
Medical Tourism
Rags to Reality Television: Cosmetic Medicine
as a Pop-Cultural Phenomenon
Media and Cosmetic Medicine
Magazines and Newspapers
The Internet
Radio and Television
Cosmetic Surgery on Television
Anatomy of a Cosmetic Surgery Reality Show
Reality Television Plastic Surgery and
Real Plastic Surgeons
Ethics and Cosmetic Medicine: Medical
Care off the Rails
Physician-Patient Relationship
Follow the Money: Honesty, Science, and
Financial Conflicts of Interest
Physicians and Patients in the Media Spotlight
Patients on Television: A Different Standard
of Care?
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Contents
The Value of Bribery
Providers Dictate, but Producers Rule
More Is Better
Leaving Out the “Care” in Medical Care
The Public Interest: The Impact of Entertainment
Medicine on Viewers
Do People Respect Their Doctors Anymore?
Ethics and Professional Organizations
The Price of Patient Autonomy
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seven:
First Things First: What You Can Do
To Stay Safe
The Florida Story
Responsibilities Patients Must Accept
The Five Elements of the Safety Equation
Full Disclosure
Research the Provider Research the Facility
Learn about the Products
Learn about Procedures and Their Risks
International Cosmetic Surgery
Beyond the Hype: Finding a Good Doctor
How to Get Started
Getting Information
Closing In on the Targets
The Value of Skepticism
Taking Your Time
Finding a Good Cosmetic Provider
Scope of Practice
Credentials
Labels
Licensure
Medical Specialty Training and Continuing
Education
Board Certification
Society Memberships
Hospital Privileges
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Experience 137
References 137
The Consultation
Whose Agenda Is It Anyway?
Consultation Fee
History and Physical
Discussion
Decision Making
Financial Obligations
Coverage of Complications Treatment
Informed Consent
Facility, Staff, and Anesthesia
Record Keeping
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The Cosmetic Medical Care Product Line:
What Works and What Doesn’t and
How Physicians Choose
Specific Procedures
Body Contouring
Cellulite Treatments
Liposuction Tummy Tuck
Trunk and Extremity Lifts
Buttock, Thigh, Calf, Biceps, Triceps, and
Pectoral Implants
Mesotherapy
Breast Surgery
Breast Augmentation
Breast Lift
Breast Reduction
Ear Surgery
Facial Rejuvenation/Reshaping
Eyelid Surgery
Facelift
Forehead Lift
Injectables and Implants
Injectables
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Contents
Facial Implants
Lip Enhancement
Jaw and Chin Surgery
Nose Reshaping
Skin Rejuvenation/Resurfacing
Chemical Peels
Dermabrasion and Microdermabrasion
Laser Resurfacing and Photorejuvenation
Radio Wave Treatments
Nitrogen Plasma
Other Skin and Hair Procedures
Hair Transplantation Laser Hair Removal
Skin Pigment Correction
Scar Revision
Stretch Marks Treatment
Micropigmentation
Destruction of Skin Blood Vessels
Vascular Lasers
Sclerotherapy
Drug Delivery Systems
A Few More Words about Lasers in Cosmetic
Medicine
Dental Cosmetic
Skin Care and Products
Cosmetic Medical Grab Bag
The “We Just Don’t Know” Category
The “We Don’t Know AND It Could Be
Dangerous” Category
The “Too Good to Be True” Category
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What They Don’t Always Tell You:
Cosmetic Medical Care Risks, Complications,
Outcomes, Satisfaction Rates, and the
Dissatisfied Patient
Risk Factors
Complications
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Contents
Early Wound Complications
Systemic Complications
Late Complications
Psychological Complications
Outcomes
Goals Versus Outcomes
Physical Results—Less May Be Better
Patient Satisfaction
The Dissatisfied Patient
Equal Opportunity: Cosmetic Interventions
for Men
Male Rhinoplasty
Male Facelift, Eyelid Lift, and Brow Lift
Hair Transplantation
Body Contouring for Men: Liposuction and
Implants
Male Breast Reduction
Outcomes for Men
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twelve:
No Color Barrier: Cosmetic Medicine for
Non-Caucasians
All in the Family: Cosmetic Interventions
for the Very Young, Teens, and the Very Old
Children
Teens
Statistics
Psychological Considerations
Eating Disorders
Marketing to Teens
Specific Cosmetic Procedures for Children
and Teens
Decision Making for the Parents of Teens
Elderly—Over Seventy-five
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