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Plastic and reconstructive surgery is a broad field divided into two primary categories: Reconstructive, which focuses on restoring function and a normal appearance to parts of the body damaged by injury or disease, and Cosmetic, which focuses on enhancing the appearance of normal body parts.
Below is a comprehensive list of common procedures categorized by their primary goal.
1. Reconstructive Surgeries (Restorative)
These are typically considered medically necessary and are often covered by insurance.
Breast & Body Reconstruction
Breast Reconstruction: Building a breast mound after a mastectomy or lumpectomy (using implants or the patient’s own “flap” tissue).
Breast Reduction (Reduction Mammoplasty): Performed to alleviate chronic back, neck, and shoulder pain caused by excessively large breasts.
Panniculectomy: Removal of a large “apron” of excess skin and fat (pannus) after massive weight loss to prevent hygiene issues or infections.
Lymphedema Surgery: Procedures like Lymphaticovenous Anastomosis (LVA) to restore lymphatic drainage.
Face & Craniofacial
Cleft Lip and Palate Repair: Correcting birth defects to restore normal eating and speech function.
Septoplasty: Straightening a deviated septum to improve breathing.
Maxillofacial Surgery: Repairing facial fractures (jaw, nose, or eye socket) after trauma.
Craniosynostosis Surgery: Reshaping the skull of an infant where the bones have fused too early.
Trauma, Skin & Extremities
Burn Reconstruction: Skin grafting and tissue expansion to restore mobility and reduce scarring after severe burns.
Hand & Foot Surgery: Repairing tendons, nerves, or congenital deformities (like webbed fingers) to restore function.
Skin Cancer Reconstruction: Repairing the face or body after the removal of tumors or Mohs surgery.
Scar Revision: Minimizing the appearance of scars that restrict movement or cause significant distress.
2. Cosmetic Surgeries (Elective)
These are performed to improve aesthetic appeal and are generally self-funded.
Facial Enhancement
Rhinoplasty (Nose Job): Reshaping the nose for better facial balance.
Blepharoplasty (Eyelid Surgery): Removing excess skin or fat from the eyelids.
Rhytidectomy (Facelift): Tightening facial muscles and removing sagging skin.
Otoplasty: Ear pinning or reshaping.
Body Contouring
Liposuction: Removing localized fat deposits from the stomach, thighs, or arms.
Abdominoplasty (Tummy Tuck): Tightening abdominal muscles and removing loose skin.
Breast Augmentation: Increasing breast size using silicone or saline implants.
Mastopexy (Breast Lift): Raising and firming the breasts by removing excess skin.
Brachioplasty (Arm Lift): Removing “bat wing” skin from the upper arms.
Key Surgical Techniques
Regardless of the procedure, surgeons use several foundational techniques:
Skin Grafting: Taking healthy skin from one area to cover another.
Flap Surgery: Moving a piece of tissue (including its own blood supply) from one part of the body to another.
Tissue Expansion: Using a balloon-like expander to stretch the skin, allowing the body to “grow” extra skin for reconstruction.
Microsurgery: Using a microscope to reattach tiny blood vessels and nerves.
Note: The line between “cosmetic” and “reconstructive” often blurs. For example, a Rhinoplasty can be cosmetic (to change shape) or reconstructive (to fix a broken nose from an accident).
