Glossary of Estetic Plastic Surgery Terms
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Abdominoplasty ("Tummy Tuck")
Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area becomes flacid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In both men and women, the procedure will remove excess skin and fat. Generally, an incision is made across the pubic area and around the umbilicus (navel). When skin laxity and muscle weakness is confined to the lower part of the abdomen, a modified abdominoplasty that limits tissue removal and muscle repair to the area below the umbilicus may be performed. This usually leaves a shorter scar and no scarring around the navel.

Alopecia
Medical term for baldness. From the Grek for ‘fox mange’

Alpha Hydroxy Acids
Alpha hydroxy acids are derived from foods, such as fruits and milk, and can improve the texture of skin by removing layers of dead cells and encouraging cell regeneration.

Anticoagulant
An agent that reduces the ağabeylity of the blood to clot

Antiplatelet
Platelets are tiny cells in the blood that play an essential role in blood clotting. An antiplatelet agent reduces their function and can initiate bruising or bleeding.

Augmentation Mammoplasty (see Breast Augmentation)

Blepharoplasty (see Eyelid Surgery)

Brachioplasty
A surgical procedure also known as armlift to correct saggying of the upper arms

Breast Augmentation (Augmentation Mammoplasty)
Breast augmentation is typically performed to enlarge small breasts, underdeveloped breasts or breasts that have decreased in size after a woman has had children. It is accomplished by surgically inserting an implant behind each breast. An incision is made either under the breast, around the areola (the pink skin surrounding the nipple) or in the armpit. A pocket is created for the implant either behind the breast tissue or behind the muscle between the breast and the chest wall.

Breast Lift (Mastopexy)
Frequently, a woman elects this surgery after losing a considerable amount of weight, or losing volume and tone in her breasts after having children. The plastic surgeon relocates the nipple and areola (the pink skin surrounding the nipple) to a higher position, repositions the breast tissue to a higher level, removes excess skin from the lower portion of the breast and then reshapes the remaining breast skin. Scars are around the areola, extending vertically down the breast and horizontally along the crease underneath the breast. Variations on this technique, in some cases, may result in less noticeable scarring.

Brow Lift
A surgical process to correct sagging of the brow and smooth furrows across the forehead and between the brows.

Breast Implants (Textured-Surface)
The shell of textured-surface breast implants are made with the same silicone elastomer that is used for the shell of other types of breast implants, but a special manufacturing process creates a textured surface.

Breast Reduction (Reduction Mammoplasty)
Breast reduction is normally classified as a reconstructive procedure, since oversize breasts interfere with normal function and physical activity. However, there is an important aesthetic component to the operation, since the plastic surgeon can improve the shape of the breasts and nipple areas. Breast reduction involves removing excess breast tissue and skin, repositioning the nipple and areola (the pink skin surrounding the nipple) and reshaping the remaining breast tissue.

Buccal Fat Pad
Buccal fat pads are located above the jawline near the corner of the mouth. They can be removed in individuals with excessively round faces to give a more contoured look, sometimes referred to as the "waif look." However, plastic surgeons warn that, in some individuals, removal of the buccal fat pads can lead to a drawn, hollow-cheeked look as aging progresses.

Buttock Lift
Excess fat and loose skin in the buttock area can be reduced by performing a buttock lift in combination with lipoplasty (liposuction). Incisions required for skin removal can often be hidden in the fold beneath the buttocks.

Calf Augmentation
Increased fullness of the calf can be achieved using implants made of hard silicone which are inserted from behind the knee and moved into position underneath the calf muscle.

Cannula
A hollow tube attached to a high-vacuum device used to remove fat through liposuction. The plastic surgeon manipulates the cannula within the fat layers under the skin, dislodging the fat and "vacuuming" it out.

Capsular Contracture
Capsular contracture is the most common problem associated with breast implants. It occurs when naturally forming scar tissue around the implant shrinks and tightens, making the breast feel firmer than normal and sometimes causing pain and an unnatural appearance of the breast.

Cellulite
Cellulite is the dimpled-looking fat that often appears on the buttocks, thighs and hips. While there is no treatment that will eradicate this problem, aesthetic plastic surgeons are exploring new techniques which may improve the condition. One method is to cut the fibrous tissue that binds the fat down in these areas and creates the lumpy appearance, and then to inject fact withdrawn from elsewhere in the body to smooth out the unevenness. Another technique, called the cellulite lift, surgically removes excess skin and fat, leaving a thin scar that may extend around the full circumference of the abdomen but is placed discreetly within bikini lines.

Chemical Peel
Fine lines and wrinkles around the mouth and on the forehead and cheek areas may be improved with a wide range of skin treatments. A chemical peel solution is applied to the entire face or to specific areas to peel away the skin's top layers. Several light to medium-depth peels can often achieve similar results to one deeper peel treatment, with less risk and shorter recovery time. Peel solutions may contain alpha hydroxy acids, tricholoracetic acid (TCA) or phenol as the peeling agent, depending on the depth of peel desired and on other patient selection factors.

Chin Augmentation (Mentoplasty)
Chin augmentation can strengthen the appearance of a receding chin by increasing its projection. The procedure does not affect the patient's bite or jaw. There are two techniques: one is performed through an incision inside the mouth and involves moving the chinbone, then wiring it into position; the other approach requires insertion of an implant through an incision inside the mouth, between the lower lip and the gum, or through an external incision
underneath the chin.

Coagulant
An agent that helps the blood to clot

Collagen Injections
Collagen is an injectable natural protein that can be used to treat facial wrinkles. Patients to be treated with collagen should first be tested for any allergic reaction. The results of collagen injections are not permanent, and treatments must be repeated periodically to maintain results.

Cosmetic Surgery
Surgery that aims to change the appearance fort he beter in the absence of any pathology. It is also known as aesthetic (or beautifying) surgery. If there is an obvious pathology such as a burn or scar then the surgery is spoken of as being plastic or reconstructive.

Dermis
The deep layer of the skin. It is mainly made of collagen with a few elastic fibres. It is the main constituent of leather. It also contains the glands and hair follicles.

Dermabrasion
Dermabrasion is a procedure in which a high-speed rotary wheel, similar to fine-grained sandpaper, is used to abrade the skin. It may be recommended when there is extensive sun damage and heavy skin wrinkling. In addition, dermabrasion can be used to improve the texture of pockmarked skin resulting from severe acne or chicken pox. Following treatment, the skin should appear firmer and smoother, but permanent pigment changes may occur.

Earlobe Reduction
A simple, 30-minute procedure, earlobe reduction can be performed in a plastic surgeon's office or at the same time as a facelift operation. The earlobe should not comprise more than 25 percent of the total length of the ear. In cases where it exceeds this dimension, an L-shaped wedge is cut away, the earlobe edges are brought together and sutured.

Elective
Of an operation’ it means at the option of the doctor or patient’ and implies that it is not urgently or medically necessary.

Epidermis
The outside layer of the skin. It is made up or several layers of cells. New cells are being continuously produced in the deeper layers and they gradually get flatter as they near the surface anda re eventually shed.

Eyelid Surgery (Blepharoplasty)
Aesthetic eyelid surgery can brighten the face and restore a more youthful appearance by reducing the fat that causes bags beneath the eyes and removing wrinkled, drooping layers of skin on the eyelids. Blepharoplasty is often performed along with a facelift or with other facial rejuvenation procedures. Incisions follow the natural contour lines in both upper and lower lids, or can be done through the lining of the lower eyelid, providing access to skin and fatty tissue. The thin surgical scars are usually barely visible and blend into the eyes' natural lines and folds.

Facelift (Rhytidectomy)
A facelift can reduce sagging skin on the face and neck. Incisions are placed in the hairline and then pass in front of and behind the ears; the exact design of incisions may vary from patient to patient and according to the surgeon's personal technique. For younger patients, more limited incisions may be appropriate. When necessary, removal of fatty deposits beneath the skin and tightening of sagging muscles is performed. The slack in the skin itself is then taken up and the excess removed. Scars can usually be concealed by hair and makeup.

Fat Injections
Fat withdrawn from one body site can be injected into another -- for example, to smooth lines in the face or build up other features such as the lips. In most cases, a percentage of injected fat is resorbed by the body, and the procedure must be repeated. Injection of fat to enlarge the breasts is a dangerous procedure and is not recommended because of the possibility of dense scarring that may seriously hinder accurate interpretation of both breast self-exams and mammograms.

Fibrel
Fibrel is a synthetic substance which is an alternative to collagen and fat injections for the treatment of facial wrinkles. As with collagen and fat, fibrel treatments must repeated at intervals to maintain correction.

Forehead Lift (Brow Lift)
The forehead lift is designed to correct or improve skin wrinkling, as well as loss of tone and sagging of the eyebrows that often occurs as part of the aging process. The procedure may also help to smooth horizontal expression lines in the forehead and vertical frown lines between the eyebrows. Incisions are placed behind the hairline above the ear and pass over the top of the head. In some cases, incisions may be placed in front of the hairline. Some patients may have the procedure performed with the use of an endoscope, requiring much shorter incisions. Improvements are made beneath the skin and on the deep muscles; skin and muscle are then tightened to give a fresher, more youthful appearance.

Glabella
The area between the eyebrows

Hydroxyapatite Granules
Hydroxyapatite granules are a bone substitute made from coral that can be used to enhance facial contours, such as forming more prominent cheekbones. The substance also has reconstructive uses in craniofacial surgery.

Injectable Fillers
Substances used to restore volume and restore a youthful appearance.

Invasive Treatment
Treatment, such as surgery in which the body’s surface is cut or opened to allow access beneath the skin.

Lasers
Lasers can be effectively used to eliminate surface blood vessels on the face that become reddened and enlarged due to sun exposure. The problem is most often seen in fair-skinned individuals who cannot tan or have difficulty tanning. The use of lasers for skin resurfacing is effective in reducing the effects of sun damage. Laser resurfacing is an alternative to chemical peel for some patients.

Lip Augmentation
A permanent method of augmenting the lips is accomplished by surgically advancing the lip forward, with incisions placed inside the mouth. A dermal-fat graft, taken from the deeper layers of the skin, may then be positioned under the mucosa (the lining of the lip) to add additional "plumpness." Injecting fat collagen or other substances for lip augmentation is another alternative. The correction is not permanent, and injections must be repeated periodically to maintain results.

Lip Lift
A technique that surgically lifts the corners of the aging mouth can eliminate the pronounced droop and unhappy facial expression that often develops with advanced age. By cutting away small diamonds of skin just above the corners of the mouth, the vermilion (border of the lips) is raised into a slight smile.

Lip Reduction
To reduce the lips, a small strip of the mucosa (the lining of the lip) is surgically removed to narrow the lips to the desired proportion. The small scars on the outside of the lips are barely noticeable.

Lipoplasty (Liposuction)
Lipoplasty allows the plastic surgeon to remove localized collections of fatty tissue from the legs, buttocks, abdomen, back, arms, face and neck using a high vacuum device. The procedure leaves only minute scars, often as short as one-half inch in length or less. The use of refined equipment allows removal from delicate areas such as calves and ankles. Lipoplasty removes fat, but it cannot eliminate dimpling or correct skin laxity. If a patient's skin has lost much of its elasticity, the plastic surgeon may recommend a skin tightening procedure such as a thigh lift, buttock lift or arm lift, all of which leave more extensive scars.

Malar (Cheekbone) Augmentation
The cheekbones may be built up by placing an implant over them. This is usually performed through an incision within the mouth, but it may be done through a lower eyelid or brow lift incision.

Mastopexy (see Breast Lift)

Maxillofacial
Description of a branch of surgery that specialises in treating the face, especially the mouth and jaws. Maxillofacial surgeons are usually qualified dentists as well as medical doctors.

MRI - magnetic resource imaging
A painless test to view tissue similar to an x-ray.

Nosalabilial Fold
Deep creases between the nose and mouth.

Oralotomy
An operation that cuts into something. From the Grek word ‘to cut’.

Otoplasty (Ear Surgery)
The ears are positioned closer to the head by reshaping the cartilage (supporting tissue). This is usually accomplished through incisions placed behind the ears so that subsequent scars will be concealed in a natural skin crease. Otoplasty can be performed on children as early as age five or six.

Pathological
Involving or caused by the nature of disease or illness

Pathologicalopexy
An operation to place something in a better position. From the Greek word meaning ‘to fix or put together’

Pathologicaloplasty
An operation to change the shape. From the Latin word that means ‘to mould’. A plastic is a substance that can be moulded’ such as when it is heated.

Peel: Buffered Phenol
Buffered phenol offers yet another option for severely sun-damaged skin. One such formula uses olive oil, among other ingredients, to diminish the strength of the phenol solution. Another slightly milder formula uses glycerin. Buffered phenol peels may be more comfortable for patients, and the skin heals faster than with a standard phenol peel.

Phenol
The chemical phenol is sometimes used for full-face peeling when sun damage or wrinkling is severe. It can also be used to treat limited areas of the face, such as deep wrinkles around the mouth, but it may permanently bleach the skin, leaving a line of demarcation between the treated and untreated areas that must be covered with makeup.

Platysma
The muscle which, when tight and firm, gives the neck underneath the chin and jawline its youthful contour. The platysma muscle can be tightened during a facelift or as a separate procedure.

Revision
A second or subsequent operation or procedure that aims to improve the result of the first.

Rosacea
Medical condition in which the blood vessels in the skin enlarge’ producing a flushed look. Often the skin thickens in chronic cases. Tends to be seen over the cheeks and on the nose and is exacerbated by sun exposure.

Reduction Mammoplasty (see Breast Reduction)

Retin-A
Retin-A cream or lotion may be applied to enhance the overall texture of the skin and is often prescribed as a pre-treatment prior to a facelift or chemical peel.

Revision
A second or subsequent operation or procedure that aims to improve the result of the first.

Rhinoplasty: Open
The open rhinoplasty technique can sometimes benefit patients who need more complex correction or are undergoing a secondary rhinoplasty procedure. A small incision is made outside the nose across the columella (the tissue that divides the two nostrils). This enables the plastic surgeon to turn the outer tissue of the nose back, providing visualization of the structures inside. Additional incisions, like those used in the traditional closed approach, are made inside the nose as well. The scar resulting from the incision on the outside of the nose eventually becomes barely visible.

Rhinoplasty (Nose Reshaping)
Rhinoplasty is usually performed to alter the size and shape of the bridge and tip of the nose. Reshaping is generally done through incisions inside the nose, but there may also be an incision passing across the central portion of the nose between the nostrils. It is sometimes necessary to narrow the base of the nose or reduce the size of the nostrils, which involves removing small wedges of skin at the base of the nostrils. The nose is reduced, or sometimes built up, by adjusting its supporting structures, which is done either by removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new "scaffolding."

Rhytidectomy (see Facelift)

Saline implants
Breast implants filled with a salt water solution.

Silicon implants
Breast implants filled with an elastic gel solution.

Skin resurfacing
Treatment to improve the texture, clarity and overall appearance of the skin.

Soft tissue augmentation
The use of injectable fillers to restore volume and youthful appearance.

SMAS
The superficial musculoaponeurotic system (SMAS) is a layer of tissue that covers the deeper structures in the cheek area and is in continuity with the superficial muscle covering the lower face and neck, called the platysma. Some facelift techniques lift and reposition the SMAS as well as the skin.

Subdermal
Just underneath the skin. Subcuticular means the same

Superficial Syringe Liposculpture
Use of a syringe to withdraw fat, instead of vacuum suctioning pumps, allows for less blood loss and speedier postoperative recovery. Superficial syringe liposculpture is performed on the layer of fat just beneath the skin.

Sutures
Stitches used by surgeons to hold skin and tissue together

Tattooing (Cosmetic)
Cosmetic tattooing, or micropigmentation, can be used for permanent eyeliner, eyebrows or lip color. It can also be used for permanent blush and eyeshadow, though this is infrequent. Other uses by plastic surgeons include recreating the coloration of the areola around the nipple following breast reconstruction; restoring the color of dark or light skin where natural pigmentation has been lost through such factors as vitiligo, cancer, burns or other scarring; and eliminating some types of birthmarks or previous tattoos. Micropigmentation should be performed only under medical supervision by appropriately trained personnel.

TCA
Trichloroacetic acid is used for peeling of the face, neck, hands and other exposed areas of the body. It has less bleaching effect than phenol, and is excellent for "spot" peeling of specific areas. It can be used for deep, medium or light peeling, depending on the concentration and method of application.

Thigh Lift
A thigh lift can be performed to tighten sagging muscles and remove excess skin in the thigh area. Because a thigh lift leaves noticeable scars in the inner or outer thigh area that some patients find undesirable, it is not a frequently performed procedure.

Tissue Expansion
Tissue expansion is a technique in which skin or other tissue is stretched using inflatable balloons. It can be of particular value in performing breast reconstruction, breast enlargement or treatment of male pattern baldness.

Transconjunctival Blepharoplasty
Transconjunctival blepharoplasty (eyelid surgery) is performed by making an incision from inside the lower eyelid. It avoids any scarring on the lower lid. It is a useful technique when only fat, and not skin or muscle, needs to be removed from the eyelid area.

Tummy Tuck
A process to correct the excess skin hanging over the abdomen.

Ultrasound
A diagnostic procedure that projects high frequency sound waves into the body and changes the echoes into pictures.

Viable
Lıkely or able to survıve or live. In medical usage, if part of the body such as an area of skin is deprived of its blood supply it may not be viable in which case it will die. The resulting skin defect will cause a bad scar. Viability means having the attribute of being viable.

Vital Signs
Specific features of a body that are associated with life. In medical terminology it means the pulse rate, the blood pressure, the oxygen level in the blood and the breathing rate. All of these are monitored continuously during a general anaesthetic.
 

Glossary of Dentistry Terms
 

A
Abscess - When the nerve of the tooth becomes infected, it can result in an abscess. Abutment - a term used to denote the teeth on either side of a missing tooth
Adjustment - a modification made upon a dental prosthesis after it has been completed and inserted into the mouth.
Alveolus - the bony socket in which the root of the tooth sits
Amalgam - or silver filling an alloy in which one of the metals is mercury.
Anatomical Crown - the portion of the tooth that is covered with enamel.
Attrition - the wearing away of tooth structure through normal use (i.e. Chewing, biting etc).
 

B
Bacteria - Saliva is an excellent natural anti bacterial agent as it contains enzymes which keep the mouth clean. Keep bacteria under control by regular brushing and dental check-ups.
Bleaching - cosmetic whitening of teeth using peroxide.
Bonding - the covering of a tooth surface to correct stained or damaged teeth
Bridge - a fixed appliance (prosthesis) that replaces missing teeth. A bridge is a series of attached crowns (abutments and pontics).
Bruxism - or grinding of teeth, usually occurs during sleep.

C
Calculus - hard deposit of mineralised material adhering to crowns and / or roots of teeth.
Cariogenic - promotes tooth decay.
Caries - common term for tooth decay.
Cast - reproduction of the mouth in stone or plaster.
Cavity - Acids cause the erosion of tooth enamel breaking it down to form cavities. Limit sugary foods and drinks and observe good oral hygiene.
Cement - a dental material used to seal inlays, onlays, and crowns - also used for pupal protection.
Composite filling - tooth coloured restorative material. The word "composite" refers to the mixture of filler particles in a liquid resin. Commonly, the resin used is BIS-GMA (bis-ammamethylmetacrylate). Filler particles are added to alter the colour and wear characteristics.