The pandemic does not stop the desire for beauty and indeed many have taken advantage of the long times of social distancing to make some adjustments without attracting too much attention. “The mask in this sense was an accomplice also helping to hide some post-operative signs”, explains Erik Geiger, specialist in plastic surgery and aesthetic medicine to Adnkronos Health.
In short, from the end of the lockdown to today, the aesthetic interventions have never seen a slowdown. “We were able to work even during the pandemic and to do it in extreme safety – explains Geiger – so much so that there was no case of contagion following the interventions, and this – he proudly claims – thanks to all the protocols that Italian companies of plastic surgery have put in place to make them safe “. However, Covid “has changed the priority in the type of interventions required, registering an increase in treatments for the body”. At the top is confirmed mammoplasty “which together with liposuction, blepharoplasty and rhinoplasty continues to be and has remained even during the pandemic – explains the surgeon – among the most requested interventions”.
However, these requests vary according to the age of the patients. “We have a very wide fork ranging from 20 to 70 years – the expert says – with a prevalence always female”. The percentage of men who resort to a plastic surgeon “is even much lower”. And those who ask for tweaks usually do so to ‘get back on track’. “I noticed – reveals the doctor – that often men come to us when they separate or when they get together with younger people and therefore want to keep up with the pace”. For them, the must-have interventions are “rhinoplasty but also liposuction for the hips and abdomen and the new type of liposuction which – explains Geiger – sculpts the abdominals, highlighting the famous turtle without making too much effort in the gym”.
More and more young people are resorting to surgery due to social media
More and more very young girls are resorting to the scalpel. “Compared to before, they have come closer to plastic surgery – says the specialist – also because of the social networks that give a much wider showcase to the world. Today the comparison is no longer like a time limited to a small circle of friends and children. they feel the need to strive more and more towards perfection in order to keep up with stereotypes that in reality – the doctor warns – do not exist. We must never forget – he stresses – that even people who seem more perfect use photographic filters, they get longer the legs and the cellulite is erased “. For this reason, in some cases the doctor’s role is also to say ‘no’.
“When you behave as a doctor and therefore do not treat the people who enter your practice as clients but as patients – says Geiger – you also have the authority to say no. We make a diagnosis and within ours diagnosis we understand what the cure is. Logically – he clarifies – within our diagnosis there is always a psychological component to take into account, we need to dig a little and not stop at the technical aspect but understand what are the reasons that exist When a motivation is effective and, especially in the case of younger patients, it is endorsed by a ‘healthy’ family, i.e. by mothers who do not negatively affect their daughters, then one can proceed because in that case – says the surgeon – you are actually solving a problem. ”
No to low cost interventions, the savings are on safety standards
But how can a patient understand during the visit if he is dealing with a doctor whom he can trust or not? “The most important thing – replies the expert – is that he gives all the information also in terms of complications. The person must seek the loyalty of the doctor and be made aware of what may not be right so that it is not trust between patient and surgeon is never lacking. It is up to the doctor – recalls Geiger – to clearly explain both the pros and cons of the intervention, including all the complications that may occur during and after the operation, so that the patient is prepared and informed of the risks that are taken with respect to that treatment “.
However, financial availability often determines the choice of doctor. “It is true and this is the heart of the problem but I say no to plastic surgery ‘at all costs’ because – warns the doctor – the costs of an intervention are linked to the safety standards that can be guaranteed to patients. a price that is too low compared to the average must alarm people because the savings will not be for the surgeon but precisely because of the safety requirements that can be guaranteed “. It must be borne in mind that “a clinic has costs, a trained anesthesiologist has costs, materials of a certain level have costs and consequently if an intervention must be done – admonishes Geiger – it must not be decided on the basis of the price but in based on quality. Carrying out an intervention in suitable places that can allow the management of any type of unforeseen event is essential, the presence during the intervention of qualified doctors with years of experience makes the difference as do the materials that are used “.
In aesthetic medicine it is also important to be careful. “It has happened to me several times – says the specialist – to see people with bumps or swelling six months or a year after having done a ‘simple’ filler. And the most incredible thing is that after asking the patient what filler if it were, I heard the answer ‘I don’t know’. Here – he underlines – you must know that it is good practice for the aesthetic doctor to always issue a coupon certifying which product was injected even if, fortunately, today with hyaluronic acid it is really difficult to do big damage “.
‘No more twisted faces, now we drive aging’
However, the desire for a rejuvenated face often clashes with the fear of being transformed into a circus mask. “In this regard – reassures Geiger – it must be said that aesthetic medicine has changed radically because it allows us to treat the face at 360 degrees, giving a real education of what the natural process of tissue aging can be. ‘a strategy – explains the doctor – that we inherited above all from the American school. Reason why if a patient came to me 5 or 6 years ago and asked me for the nasolabial grooves which are those that go from the nose to the sides of the mouth, I would have concentrated only on those. Today instead we know that those wrinkles are an effect and the cause is the cheekbones, which is why it is possible to use even minimal quantities of hyaluronic acid on the cheekbones without this being seen but in such a way as to obtain a lifting effect “. Obviously, to avoid the redone effect “it all depends on the quantity and where the filler is made. Paracelsus said ‘everything is poison, it depends on the dose'”.
But who starts young don’t risk the accumulation effect? “No – assures the expert – because the treatments that are done at 35 are not the same as those that are done at 60. There are a whole series of treatments that do not swell but that can support this aging process and even slow it down. – he underlines – the sooner you intervene the better. Logically not on a 20 year old girl. Even if the right age is not really there because – he explains – everything is very much linked to the type of skin you have. You can start even as young people with creams and then move on towards the 30-35 years of treatments that serve to help the aging process of the tissues that inexorably arrives for everyone. Plastic surgery – he concludes – must absolutely not be understood as something that swells or upsets “.
Body treatments to get back in shape
As for the body instead, is there anything we could do today to see ourselves in great shape in June? “First of all, at the base there is always motor activity and diet – replies Geiger – this cannot be replaced by anything because otherwise everything is nullified. But beyond this there are many non-invasive treatments, in which today technology has helped us tremendously, which can be done on the body and which is good to start doing now so as not to be too late “.
“They range from radiofrequencies – explains the doctor – which can help for skin laxity, to lasers combined with cross technologies such as diode lasers associated with vacuum that can instead be used for cellulite as well as medical pressure therapies not to be done though – he warns specialist – in beauty centers. Finally, with cryo lipolysis, useful for combating accumulations of localized fat “. But, he reiterates, “always starting from the assumption that these interventions must be made after a visit that can allow us to understand if that person is suitable for that type of treatment because not all relaxed skin, cellulite or fatty deposits can be treated in the same This is why – the surgeon insists – contacting a professional with a capital ‘P’ allows you to make that diagnosis to avoid errors in terms of results and in terms of post-treatment complications “.
Would you even have time to show off new breasts on the beach? “Absolutely yes – ensures Geiger – usually in fact we have a surge in requests between February and May. Of course – he concludes – for interventions that involve scars arriving too close to summer can be a problem for proper healing of the tissues”.
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