Oleg Stasevich, together with the plastic surgeon of the Blagoveshchensk City Hospital, Victoria Alekseevnina, performs a complex reconstructive operation to restore the patient’s nose. Photo: Sergey Petrukhin
— Oleg Valerievich, reconstructive rhinoplasty operations affect the sense of smell - won’t it turn out that the nose has become smoother and more beautiful, but the sense of smell has disappeared?
— Before any operation on the nose, we always ask about the person’s professional activity - what kind of work he does. If this is a professional smell taster, then we do not recommend touching the nose in principle - the sense of smell may change. I have not encountered this in my practice, but I can say with confidence that the sensitivity of the skin on the nose definitely changes in the first year after surgery. It may become dull or, conversely, worsen. When it’s +1 or +3 degrees outside, you and I are unlikely to feel small changes in temperature with the tip of our noses. And a person after rhinoplasty for the first year and a half or two will clearly distinguish how many degrees there are outside the window.
— Who is more difficult to do rhinoplasty - Europeans or Asians?
— I wouldn’t put the question that way, although there are ethnic characteristics. Even men and women of the same race have different nose shapes. One of the most common rhinoplasty operations in the world is to make a Caucasian nose for people of the Mongoloid race. But sometimes patients come and don’t know what they want. They say: I don’t like my nose, what can you offer me or how can you change it? You look, and the nose is quite normal and proportional, following common sense, you shouldn’t touch it.
— Did you have to dissuade anyone from the operation?
“I inform each patient as fully as possible not only about the external result that he hopes to get by contacting a plastic surgeon, but also about possible negative consequences, including complications. And only the patient himself makes the final decision on the advisability of the correction. Otherwise, problems cannot be avoided. It also happens that after a conversation a person decides to refrain from interfering.
— Over the 19 years that you have been in plastic surgery, has the patient’s portrait changed much?
— Previously, there was little information; only a few had access to plastic surgery. Nowadays, many people come to a consultation already very savvy. Moreover, the approach of men and women is somewhat different. Men are more interested in health. For example, when doing plastic surgery of the nose or ears, they first of all ask whether it will become easier to breathe, or whether the operation will worsen hearing. And women are more concerned about how long the swelling will last, when the scar disappears...
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plastic surgeries were carried out in 2016 at the Blagoveshchensk City Clinical Hospital, where aesthetic surgery is put on stream: the queue is scheduled for three months in advance. People come to us from Yakutia, Kamchatka and Sakhalin for plastic surgery
Beauty is an elusive and very individual thing, on the one hand, and very global and standardized, on the other. Modern man is dependent on the Internet and the images that are imposed by the media. More and more people are deciding to undergo plastic surgery in order to look better on social networks - for the sake of a beautiful selfie on Instagram or Facebook, they are ready to go to great lengths. For us plastic surgeons, globalization allows us to use some common approaches in operations to follow the trends that patients ask for. I go to Milan, where representatives of the beauty industry from all over the world share their experiences to learn and see trends.
— And what’s trending now?
— Talking about trends in plastic surgery, on the one hand, is strange: medicine is not fashion, where everything changes twice a season. There is no denying that beauty standards are changing. Exaggerated femininity and an appearance reminiscent of a Barbie doll are no longer in fashion. But in general, there have been no global changes; the main request of patients is sexuality.
— Dreaming of adjusting the size or shape of their breasts, many people worry whether plastic surgery will cause cancer?
— According to studies, the incidence of breast cancer in both women operated on for aesthetic reasons and those not operated on is exactly the same. If there was a risk of breast cancer, endoprostheses would be banned throughout the world. It is impossible to say that breast correction surgery has no effect on a woman’s health, but it is absolutely certain that it does not increase the likelihood of cancer. These women are at the same risk as everyone else.
— Does the operation affect lactation? Will the woman then be able to breastfeed her baby?
— The technology of breast augmentation surgery does not involve damage to the mammary glands, therefore, the woman will be able to breastfeed her child.
— What problems do patients most often come to you with?
— If we talk not about the popularity rating of “plastic surgery” in general, but specifically about my practical activities, then more often I have to do rhinoplasty, breast surgery, and anti-aging surgeries on the face. We are talking about plastic surgery of the upper and lower eyelids, various options for lifting facial tissues, plasma lifting, lipofilling, that is, transplanting specially treated adipose tissue of the patient himself into problem areas. By the way, lipofilling gives a very good effect on the face area, when the tissues seem to be “overwhelmed” due to age-related atrophy.
The problem of many modern people with our physical inactivity and poor nutrition is swollen figures: fat folds at the waist, the “breeches” area on the hips, a bulging belly. All this spoils the silhouette. Not only women, but also men are also increasingly deciding to undergo liposuction in order to get rid of excess fat without exhausting themselves with painful diets and workouts. Of course, you won’t be able to lose several sizes at once, but removing excess fat from the back, abdomen, thighs or chin is a feasible task for a plastic surgeon. A very fashionable procedure now is laser-assisted liposuction.
If we are talking about otoplasty, surgeons advise performing such an operation before the age of 5-6, so that later, when children go to school, they do not become an object of ridicule because of their strongly protruding ears.
— How is it different from regular liposuction?
— The principle is this: a laser beam “melts” adipose tissue, which allows it to be sucked out using thin tubes. The punctures are almost invisible. To carry out the laser liposuction procedure in certain areas, general anesthesia is not required; it is enough to use modern local anesthesia.
To be honest, the popularity of laser liposuction is most likely due to the fact that distributors are actively working to sell the relevant equipment. This also needs to be understood. Aesthetic medicine - in addition to some purely medical aspects, it is also a business. Even in Soviet times, such interventions were performed only on a paid basis. Although there are situations when “beauty surgery” has to be done for medical reasons. This is one of the sections of my dissertation.
— After liposuction, does fat grow again?
— No, because adipose tissue is completely replaced by scar tissue, but there are so-called fat traps. They can appear in the most unexpected places. After such an operation, the patient will have to change his lifestyle, because it is impossible to lose weight with liposuction.
— What kind of beauty operations are women booming in now?
— This is a change in facial sculpture to more clearly emphasize the cheekbones and lower jaw line, dimples and sunken cheeks, and removal of fat deposits in the cheek area. Among older patients, fat injections (fan distribution of own fat tissue over the face) are most popular. This improves the quality of the skin, rejuvenates it, and leads to the disappearance of age spots.
— As a microsurgeon, you also perform sex reassignment operations. But you don’t say anything about this in your interviews?
“This is largely due to the sensitivity of the issue. Such operations are multi-stage and very complex work. In addition, it is difficult to communicate with such patients. They often feel inferior. Transsexualism is an officially registered disease that belongs to the field of psychiatry. First, a person must go through a long medical and legal chain, and then we perform surgical correction for gender reassignment. I deal with gender reassignment from female to male and mostly communicate with such patients.
- And they don’t regret it later?
“For many years, I don’t remember a single case where a patient came and asked to change their gender back. This is precisely the section of plastic surgery where the cost of a mistake is human life.
Age category of materials: 18+
- Irina Voroshilova
- Amurskaya Pravda from 04/13/2017
– Oleg Valerievich, tell us why you chose the profession of a plastic surgeon?
“My father is a surgeon who devoted his entire life to this matter. His example was decisive for me in choosing a professional future: since childhood I wanted to do medicine.
Stasevich Oleg Valerievich
Plastic surgeon, doctor of the highest qualification category
– Are there plastic surgeries in your practice that are in greatest demand?
– Belarusian surgery keeps pace with global trends.
The most popular among our clients are various anti-aging interventions. First of all, these are plastic surgery of the upper and lower eyelids, various options for “lifting” facial tissues, fat grafting or lipofilling, contour plastic surgery, plasma lifting, and laser surgery.
We often perform operations to change the shape and size of the breasts and nose. In recent years, we have also seen a steady increase in the number of intimate plastic surgeries.
– Do men often come to you with a desire to change something in their appearance?
– The ratio of men to women in the practice of a plastic surgeon is approximately 1:10. But the strong half of humanity is concerned about the same problems as the beautiful half. Men also strive to maintain their youth longer - they are interested in eyelid surgery, rejuvenation of other areas of the face, and the fight against alopecia (baldness).
The strong half of humanity is concerned about the same problems as the beautiful half. Men also strive to maintain their youth longer.
– If we talk about the age of your patients, which age category predominates?
– Among women, patients over 30 years of age predominate, financially independent and independent in decision-making. The most demanding part of our clients wants to be beautiful and attractive in everything: this applies not only to the face, but also to other parts of the body.
– Have there been cases in your practice when a patient came with a desire to have an operation, but later changed his mind?
– Sometimes situations arise when people simply do not understand what they are asking for, and after communicating with a doctor who correctly and comprehensively informs the patient, they decide to refrain from intervention. In addition, some clients' expectations are, to put it mildly, unrealistic.
I never tire of repeating that a plastic surgeon is not a magician or wizard; he will not solve all your problems with one small operation.
The doctor’s task is to inform the patient as fully as possible not only about the result that he can count on, but also about the negative consequences and possible complications that may occur.
– Have you ever dissuaded your patients from operations, for example, to change their appearance??
– I do not “persuad” or “dissuade”; only one of the relatives or close friends has the right to do this.
The doctor’s task is to inform the patient as fully as possible not only about the result that he can expect when contacting a plastic surgeon, but also about the negative consequences and possible complications that may occur. It’s not for nothing that they say: “Who is forewarned is forearmed!”
After such a consultation, the patient – and only he – independently makes the final decision on the advisability of the correction. This helps to avoid a number of problems.
Find an individual approach to each patient, win his trust, achieve mutual understanding: here you will inevitably become a psychologist!
– What, from your point of view, should a plastic surgeon be? Should he be some kind of psychologist?
– A plastic surgeon, like any other doctor, must first of all be a qualified specialist. And any medical specialist who constantly works with patients uses principles and approaches from the field of psychology in his work. After all, you simply won’t be able to run a successful practice any other way.
Find an individual approach to each patient, win his trust, achieve mutual understanding: here you will inevitably become a psychologist! Then the result of my help will really benefit the patient in every sense, incl. and psychologically.
– Do you think that in recent years people in Belarus have begun to resort to plastic surgery more often than 10 years ago?
- I suppose so. This is popular these days.
– How does the medical center compare favorably with other centers that provide services in the field of plastic surgery? Why should you contact Confidence?
– I would dwell on a few points.
Firstly, all Confidence are specialists with many years of experience who constantly improve their practical skills and theoretical knowledge by taking part in conferences, internships, and master classes, both in Belarus and abroad.
Secondly, we use high-tech innovative medical equipment from the world's leading manufacturers.
To make an appointment with a plastic surgeon at a medical clinic and find out more information, please call:
+375 (17) 363-70-73 +375 (17) 202-59-09 +375 (44) 715-69-14 +375 (29) 865-20-90 +375 (25) 744-49-66
We are waiting for you at:
Minsk, st. Pritytskogo, 39 (Sportivnaya metro station)
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Plastic surgery
- Breast augmentation, reduction and lift
- increase in the volume of the legs
- abdominoplasty
- autologous hair transplantation (HFE)
- otoplasty
- blepharoplasty
- liposuction and lipofilling
- mastectomy in men with gynecomastia
- subcutaneous mastectomy
- removal of Bisha lumps
- intimate plastic surgery
- hand surgery
- phalloplasty, endophalloprosthetics
- surgical correction for penile deformities
- plasmolifting
- injection correction with botulinum toxin and hyaluronic acid preparations
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