Improving On Nature
Continued from Page 55
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Southeastern Michigan. Each
graduate two to three residents
each year in this specialty, and up
to now, the trend has been to
leave Michigan and set up
practice on one of the coasts,
where the demand for these
procedures has been greater.
The demand in this part of the
country is changing, however.
Sinai Hospital had developed
such unique and specialized
operations as moving bones
around in the face, and boasts
one surgeon who can operate on
tissue to move it from one part of
the body to another. "Twenty-five
years ago, 90 percent of our
cosmetic work was doing noses.
The field has expanded so that
now it is only about ten percent of
what we see," Dr. Kapetansky
adds.
Dr. Argenta agrees. "There is
more pride in noses these days. A
lithe Irish scooped out nose was a
very popular look 20 years ago.
Some doctors almost had a
template for them. That kind of
radical nose is rarely done now."
If attitudes have changed and
relaxed on the part of patients,
they have changed on the part of
physicians as well. There is much
less "secrecy" about technique,
and most physicians take a more
open and honest attitude toward
their patients' requests and
expectations. Dr. Argenta cites
the first surgeon who did nose
bobs in Germany early in the
century. "You had to pay to see
him perform an operation." Both
doctors observe that the general
trend is toward less radical
"tightening," a more natural look,
and a result that will improve
specific problem areas.
Because this type of surgery,
for the Fic.si part, is elective rather
than essential, most physicians
feel that there is a joint sense of
responsibility required from
patient as well as physician. Most
plastic surgeons spend at least
45 minutes with a prospective
patient to discuss the surgery and
the realistic limitations.
Continued on Page 67
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Jewish News