Any plastic surgery is only performed after a psychological evaluation. But is it advisable for a child to have a rhinoplasty or for an adult to have an otoplasty? Dr Sahil Singla, the best plastic surgeon in East Delhi explains everything in this article.
Cosmetic surgeries have long ceased to be taboo, and more and more people are turning to medicine to change something they feel discontented with. Although an intervention can greatly change our self-esteem, Dr Sahil Singla, a specialist plastic surgeon in Delhi, warns that not all surgeries are capable of doing it and the fundamental thing is that people learn, above all, to like themselves.
Therefore, no cosmetic surgery is performed without the patients first going through psychological follow-up, because only in this way will it be possible to perceive the positive or negative impact that the intervention will have on the person. Dr Sahil Singla reveals that there are surgeries that are more requested at a young age and others at an older age.
With regard to breast augmentation in east Delhi, the spciealist identifies two major age groups that seek this type of intervention. “There is that group of girls who don’t have any breasts, and when summer comes, they feel that they are smaller than the others. In these cases, we analyze, and when we see that they have completed their entire body development and don’t have any breasts, we realize that they actually have hypomastia.”
In these cases, the plastic surgeon in Noida explains that he has no problem doing this type of surgery at younger ages. However, in situations in which the patients present breasts and in which there is a lack of psychological follow-up, before performing any type of operation, the young women have to undergo an evaluation.
In the case of reduction mammaplasties (although cosmetic surgeries are only recommended after the age of 18), these can always be performed earlier, as long as the parents consent. And, according to the expert, there are cases in which it is justified. “Juvenile gigantomastia and mammary hypertrophy, from 14/15 years old, for example. It makes no sense to deny them that because there are children of that age who can’t even run because they have big breasts. It has everything to do with a matter of good sense”, says the plastic surgeon in Noida.
The other major age group that seeks this type of surgery corresponds to women over 50 years old. According to the expert plastic Surgeon in Vaishali, many do it at this age because that’s when they feel they have the financial stability to make the investment. Despite this, there are details to take into account. “The skin no longer has the same quality and it is necessary to manage the volumes very well”, he warns.
“Rhinoplasty in children doesn’t make sense” and otoplasties in adults over 45 years old don’t either.
Although in the case of mammoplasty, age is just a factor of advice, there are cosmetic surgeries that should not be performed in certain age groups, as is the case with rhinoplasty in East Delhi.
“A rhinoplasty in a child, for example, does not make sense due to facial development. To do it at these ages it is necessary that the person has an important anatomical or functional deformity”, explains the plastic surgeon in Vaishali, referring to the example of cleft lip and palate extending to the nose.
“Here there is a protocol in stages that defines an attitude that we can take right away when babies are small. Then there is another attitude at 2 years old (which is the first rhinoplasty) and, later, there are others. the last one is carried out at age 14. But there are exceptions”, he explains, referring that in “pure aesthetics” these interventions are only carried out from the age of 18 “with the development of the complete skull”.
In the case of otoplasty in Delhi (aesthetic surgery that allows changing the shape and position of the ears), it is advisable that they are performed as soon as possible. “We know that between the ages of 4 and 5 we have 80% of the size of the cartilage of the ear formed, which is already an acceptable situation. So, we put in the balance what is the harm of a child entering an elementary school and being made fun of. for having big ears. This also has an important part from the psychological point of view, so, normally, from the age of 5, this surgery is performed”, explains the plastic surgeon in Delhi.
Later, it can continue to be done, but other techniques will be needed. Dr Sahil Singla also explains that, often, when children are very small, the ears can even be molded. According to the specialist, cartilage is a part of the human body that has a large component of hyaluronic acid and, as this component is fed by estrogen, “when a baby is breastfeeding, as milk has a lot of estrogen”, it is possible to shape the ears during the period of breastfeeding.
However, at older ages, especially after 40, the body loses estrogen and cartilage is no longer moldable. “While in the first half of life the best technique for this operation is the so-called ‘fascial technique’, which does not even touch the cartilage, when we reach an older age, the cartilage no longer has that elasticity”, says the plastic surgeon in East Delhi. Thus, the only option would be scarification (shaving and weakening the cartilage), which leads the specialist to choose not to perform otoplasty in Delhi on people over 45 years old.