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Today, here, and around the world, many people have considered having Cosmetic Surgery, or Plastic Surgery performed. Many more have had plastic surgery done, some with multiple procedures. Plastic Surgery, by definition, is a broad term for operative manual and instrumental treatment which is performed for functional or aesthetic reasons. Medical treatment for Facial injuries dates back over 4,000 years. The word "plastic" is a derivative of the Greek word plastikos meaning to mould or shape; however, contrary to common belief, the term “plastic surgery” is not related to modern plastics at all.
Cosmetic Surgery was first known to have been performed in Roman times. The Romans had the ability to perform simple procedures such as repairing damaged ears, in modern times referred to as Otoplasty, this is one of the most simple of procedures. One report discusses a patient getting his earlobes repaired after years of wearing heavy earrings. The excess lobes were trimmed and the hole sewn together. One of the more expensive plastic surgeries performed at the time, the removal of branding and scars, was a commonly executed procedure. Freed slaves paid a high price indeed for this type of surgery. It was felt that this common practice reduced the stigma of having been a slave in this ancient times.
In ancient India physicians were able to use skin graft reconstruction techniques as early as 800 B.C. From ancient times to the early nineteenth century, we find a living tradition of plastic operations of the nose, ear and lip. The Kangra (correctly pronounced as 'Kangada') district in Himachal Pradesh was most famous for its plastic surgeons. Some scholars are of the opinion that the word 'Kangada' is made from 'Kana + gadha' (ear repair). The British archaeologist Sir Alexander Cunningham (1814-93) had written about the tradition of Kangra plastic surgery procedures. We also have information that in the reign of Akber ,a Vaidya named Bidha used to carry out plastic operations in Kangra.
The Charaka-Sanhita and the Sushruta-Sanhita are among the oldest known manuscripts on Ayurveda (the Indian science of medicine). Chronologically speaking, the Charaka-Sanhita is believed to be the earliest work, and deals with medicine proper and containing a few passages on surgery. The Sushruta-Sanhita, a work of the early centuries of the Christian era, mainly deals with surgical knowledge rather than medicine. The extant Sushruta-Sanhita is, according to its commentator Dalhanacharya (of twelth century AD), a amendment by Nagarjuna. The original Sushruta-Sanhita was based on a series of lectures between Kashiraj Divodas (or Dhanvantari) and his disciples, Sushruta and others.
In 15th Century Europe, a man by the name of Heinrich von Pfolspeundt , a German physician and a member of the Teutonic Order of Knights was one of the first known Europeans to have performed cosmetic surgery. Dr. Pfolspeundt was one of the first doctors of the late medieval and early Renaissance period to take medical practices beyond the very crude conditions that had existed through much of the Middle Ages. During his time, a good number of German physicians, especially those in Strasbourg, helped to serve the advancement of the study of medicine. Dr. Pfolspeundt described a procedure to make a new nose for a person who lacks one. He stated that by removing skin from the back of the arm and suturing it into place a new nose could be created.
From Italy we have records that would indicate that in the year 1442, Branca, a surgeon of Catania in Sicily, carried out plastic surgery of the nose, Also known as rhinoplasty, using a skin flap from the face. This procedure was very similar to the one described in the Sushruta-Sanhita, an Ayurvedic compendium composed in the early centuries of the Christian era. His son Antonio continued his work and was the first known to use a skin flap from the arm for reconstructing the nose. The Boinias family carried on with his work. The plastic operations carried out by the Boinia brothers are described in a book published in 1568 by Fioravanti, a doctor of Bologna, Italy.
At the hands of Gasparo Tagliacozzi (1546-99), a professor of surgery and of anatomy at the Bologna University, that plastic surgery attained wide fame in Europe. His book De curtorum chirurgia per insitionem (The surgery of defects by implantation), printed in 1597, was the first scientific composition on plastic surgery. Tagliacozzi had described a method of substitution of the nose by skin from the arm and of replacement of the ears and lips, demonstrating his work throughout his manuscript by way of a large number of illustrations.
The Church dignitaries of the time regarded cosmetic surgery as an interference in the affairs of the Almighty. After his death they not only excommunicated Tagliacozzi, but also had his corpse exhumed from its church grave, and placed it in unconsecrated ground. The great Voltaire (1694-1778) wrote a satirical poem on Tagliacozzi and his operation on the nose, using flap from the buttocks.
However, due to the many dangers of surgery in those times, cosmetic surgery was rarely performed until around the 1900’s. The United States first plastic surgeon was Dr. John Peter Mettauer, born in Virginia in 1787, who in 1827 performed the first cleft palate surgery on record with instruments he himself designed.
There are two very broad fields of aesthetic surgery, Cosmetic Surgery and Reconstructive Surgery. Reconstructive surgery, including microsurgery, focuses on undoing or masking the destructive effects of trauma, previous surgery or disease. Examples of such operations are the rebuilding of amputated or damaged arms or legs; repairing cleft palates or lips, badly formed noses, and ears; and reconstructing a breast after mastectomy. Reconstructive surgery may include moving tissue from other parts of the body to the affected area.
Cosmetic surgery however, is an elective surgery, usually done more for aesthetic reasons rather than to repair an injured area. In many cases, however, there are medical reasons for having some procedures done, such as breast reduction (for back pain relief) and Mastopexy (also known as a “breast lift). Cosmetic Surgery includes, but is not limited to, Abdominoplasty, or “tummy tuck”, Blepharoplasty, or “eyelid surgery”, Augmentation Mammaplasty, or "breast enlargement”, and Rhytidectomy, or "face lift".
There are many more procedures not listed here that are commonly performed as well. The top five surgical procedures in 2004 Liposuction (325,000), nose reshaping (305,000), breast augmentation (264,000), eyelid surgery (233,000), and facelift (114,000).
As you can see, Plastic Surgery has a longstanding history across the ages. It has helped not only in the reconstructive plastic surgery field but also has allowed people to feel more comfortable with their bodies and more confident about themselves.
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Impotence or, more clinically, erectile dysfunction is the inability to maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. The recent introduction of effective medication has increased awareness of this previously little appreciated disorder.Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse. ED affects 15 to 30 million American men. ED is treatable at all ages.
Its Signs and symptoms is characterised by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other causes leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease.The researchers also say that "ED is a predictor of depressed status in men".The association between depressive symptoms in men and erectile dysfunction (ED) appears to relate to decreased sexual activity and dissatisfaction with not being able to have a healthy sexual life, research indicates. Viagra is sold as a medicine... as a treatment for "erectile dysfunction".
VIAGRA DOES NOT PROTECT YOU FROM GETTING SEXUALLY TRANSMITTED DISEASES, INCLUDING HIV.
Viagra Facts:
*Percentage of time Viagra use results in sex: 66%
*Percentage of Viagra users who have sex at least once after using the drug for a few weeks: 83%
*Average duration of erection with 100 mg of Viagra and 20 minutes of sex videos, among men with erectile dysfunction: 1 minute
*Average duration of erection with a placebo and 20 minutes of sex videos, among men with erectile dysfunction: 3.6 seconds
*Percentage of men who don't refill their Viagra prescription: 50%
*Number of times Pfizer says men should try Viagra before giving up: 8
*Percentage of men who suffer at least one side effect while using Viagra: 48%
*Percentage of men who stop using Viagra because of side effects: 1%
*Decline in erectile function for every decade increase in age: 12%
*Decline in erectile function for every 20 pounds of weight gain: 3%
*Price of a single Viagra pill in the U.S.: $9-$10
For more assistance visit: http://www.viagrapunch.com/viagra_info.html
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Girls believe, or better say, perceive many things about reproductive health that is simply not true. They are nothing more than mere myths. Following are some of the facts that girls must know in order to have a better and protected sex life.
Having Unprotected Sex On Menstruation Period This is one of the most common perceptions in girls that they will not get pregnant if they have unprotected sex during menstruation period or during the first or last part of their menstrual cycle. This is not completely true because you can guarantee anything. You may not get pregnant, but at the same time, sometimes, you may be more likely to become pregnant during that period. What is more, sometimes the probability of conceiving may be much higher than it might be at any other time of the month. Last, but not the least, as a girl you must know, after having unprotected sex, the sperms can live up to five days in your body.
Your Partner Pulls Out Before Ejaculation This is another one of the biggest wrong perception that girls have that they will not get pregnant if their partner pulls out before he ejaculates. Again, there is no guarantee as such. You can certainly become pregnant even if your sex partner pulls out before ejaculation. The reason is before he ejaculates, a small amount of lubricating fluid is already released and that contains sperm. In fact, medically, no matter if your partner pulls out before ejaculation or not, each penetration of your vagina by the penis can make you pregnant.
Use of Vaginal Douches after Sex Some girls perceive that if they use vaginal douches or take bath or shower after sexual intercourse, they will prevent pregnancy. Well, this is also a baseless myth. The fact is no matter if you take bath or use vaginal douches after the intercourse, the sperm has already traveled up towards the egg. Therefore, if you think it works, let me tell you frankly taking bath or using vaginal douches has nothing to do with preventing pregnancy. What is more, vaginal douching is almost never a good idea. It is not a healthy habit.
Having Sex for the First Time Again, the perception that you will not get pregnant if you make love for the first time is also simply untrue. In fact, the truth is that younger girls are supposed to be more fertile than older women. If you have started your period, you can certainly get pregnant even if you have sex for the first time. Therefore, never believe your boyfriend if he sweet talks you by saying that you will not get pregnant as he wants to have sex only once, not again. If you agree, insist for protected sexual intercourse.
This way, we see most of the popular conceptions in younger girls are sheer perceptions and has nothing to do with the reality. As a prudent girl, you must keep in mind these things if you want to enjoy a better sex life.
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If you are over sixty, you probably don’t like to have your picture taken. Older faces are prime victims to harsh lighting, deep shadows, sharp lenses and unforgiving close ups. You probably look fine at night with candle light on your face but once your grand daughter shows up with her digital camera, your pleasant image is history. Arcsoft, Adobe and Corel all sell image editors with the necessary tools.
There are a few measures you can take to alleviate the situation. One is to insist on a full length shot far enough away to produce a small and indistinct face. Another is to slather on the make up and hope for the best. Finally, you can beg to be out of the picture. This last punishes you as well as your loved ones and makes one look vain.
A favorite picture of you that everyone likes can be improved digitally quite easily. It just requires a little effort on the photographer’s part to familiarize yourself with the necessary tools and methods.
Starting at the top, there are stray hairs and dark roots ruining the hair dew. Stray hair is easily cloned out of existence by copying the adjacent area with a feathered clone stamp set at fifty per cent transparency. Dark roots require cloning an area of the hair of the proper color and running in the same direction if straight. I recommend a thirty per cent transparency using several passes for a realistic effect. Work at the highest enlargement of the working area that fits on your screen.
Shiny foreheads are tricky, but can often be improved with a touch of the disturb brush. Set the brush at medium strength and at fifty per cent transparency. Place the size at twice the area of the highlight and feather at 100%. Don’t try to darken the area but a slight fill with the air brush will do wonders. Use the eye dropper to choose an adjacent skin color and fill in the highlight at three per cent transparency.
Blemishes will disappear using the clone at seventy per cent transparency, copying from a near by unblemished area of skin. At eighty five per cent transparency, drag the clone over the bags under the eyes for a younger look. Don’t over do this effect.
The whites of the eyes can be lightened if done carefully. Outline the whites of the eyes with the dotted line mask and make an object of the masked areas. In the brightness/contrast box click on the brightness once at three per cent. Don’t try to make any other adjustments to this area of the eyes. It is possible to open the eyes somewhat but the method is quite advanced. If there is no highlight in the eye, you can place one with a two or three pixel brush using a light warm gray color. A round 100% feathered shape is normal or a crescent shape for an out of doors picture. If the highlight looks too prominent you can use the softener brush to dull it down without removing it.
Teeth often come out dark and yellowish in digital photographs. Draw a dotted circle around the teeth and using the brightness/contrast box, lighten the teeth at five per cent strength and change the color balance with a three per cent magenta adjustment. Crooked teeth can be fixed by reverse cloning a good tooth from the other side of the mouth. However, this method requires a little practice and advanced training to be successful.
Too pale skin can be corrected by using the histogram center arrow. Slide this arrow slightly to the right for darker skin. Conversely, sliding it to the left will darken the middle tones for a simulated sun tan. The ends of the histogram representing the whites (right side) and blacks (left side) remain attached to the extreme ends.
There are other effects that will improve the face. The softening brush used judiciously will smooth the skin, the soft focus filter has the same effect but might be too strong a result. The color balance can be used to warm up the face by masking the face and head and adjusting the color balance two per cent yellow and two per cent red. If the effect is too noticeable, try one per cent. Remember blemishes, windy conditions and dark shadows are temporary conditions. A photograph is forever.
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I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say.
It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened.
“Hey human Bob! This is your best friend speaking! Wake up!”
Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet.
“Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.”
My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me.
“Don’t think so.”
I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible.
“Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.”
I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level.
“Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.”
“You’re breaking me up. Put the phone down human Bob.”
It was Parker talking. I was certain of it. Nah, it had to be a sick trick.
“Okay, good one Steve. You wired up the dog with a little speaker. Very funny.”
My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged.
“Don’t think so. Nope it’s me, Parker,” the dog mumbled.
I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on.
“Parker? Are you talking to me?”
“Well I’m not talking to myself.”
I leaned back against the headboard. He yawned.
“This can’t be. I’ve got to stop watching Animal Planet.”
“Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …”
“You are talking!” I interrupted incredulously.
“Should you want I bow wow?”
“Holy cow! Parker you are talking.”
“Yup. But I’m not sure for how long. So can I say a few things before …”
“I can’t believe this.”
“Yeah I know. Either can I but if you don’t mind.”
I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued.
“I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.”
“You’re kidding me right?”
“Afraid not.”
Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own.
“Hey, can I ask you something before you get to your stuff?”
“Make it quick. I haven’t got all night.”
“You like smell things a hundred times more than we do, right?”
“Four hundred.”
“Okay, four hundred. Wow! Then I really wonder about this.”
“Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?”
“Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.”
“That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?”
“Yeah.”
“She has stomach cancer and her humans don’t have a clue.”
“You are kidding me?”
“She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.”
“Why?”
“Cause there is a rabid possum living under the porch. That’s why.”
“You know this from the smell of possum poop?”
“Excrement.”
“Whatever.”
“Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?”
“Well there is that thing you do with that licking your, you know, your …”
“Penis?”
“Well, yeah.”
“Jealous are we?”
“Well, it’s just that …”
“It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.”
“Oh yeah, sorry about that. I had no idea you knew any different.”
“No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.”
“No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.”
“You done? Can I get to my concern?”
“Sure. Sorry. Go ahead.”
“How can humans be so smart supposedly, while they single handedly are destroying the Earth?”
“You mean global warming?”
“It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.”
“Oh come on. You’re being a little dramatic.”
“We don’t know dramatic.”
“Well give me examples of what you mean.”
“First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.”
“I don’t smell a thing.”
“Yeah, that’s part of the problem. And you can’t taste the troubled water either.”
“Scientists don’t seem to be complaining. So I should be listening to a dog?”
“We have no agenda. Dogs call it as they smell it.”
“ ‘call it as they smell it’; I’m suppose to just accept that?”
“Yeah, there is a lot you should just accept.”
“Oh yeah, like what else?”
“Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.”
“What?”
“You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized.
An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.”
“Can you give me a for instance?”
“God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.”
“Well, I don’t know what to say.”
“You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.”
“This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.”
“In a nut shell, yeah.”
It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping.
“That’s it. I’m pretty much done. Just one last thing while I have the chance.”
“What? World hunger? String theory?” I asked sarcastically.
“You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.”
“Then what, already?” I asked impatiently.
“You know that thing you do occasionally where you empty the dish washer in the buff.”
“Ummm … yeah I guess.”
“Put some clothes on. It’s disturbing. I’m beggin’ ya, please!”
“All right, but only if you lick your privates in private.”
“I’ll see what I can do. No promises.”
“So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.”
“It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking.
“Parker?”
Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket.
“Parker … are you done? Is that it?”
He slowly closed his eyes and floated off to sleep.
“Parker … just like that?”
He began to twitch; in hot pursuit of a fox I imagined.
“Holy smokes. I must be dreaming myself.”
I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream.
As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. One can’t be too dismissive of the unexplainable these days.
