Cosmesis
Cosmesis refers to the preservation, restoration, or enhancement of ]]physical beauty]]. While it inherently encompasses a broad scope, in medical terminology, it usually specifies surgical interventions aimed at correcting disfiguring defects or improving appearance following surgical incisions.
Etymology
The term "cosmesis" is derived from the Greek word "kosmesis", meaning "order" or "ornament".
Medical Implications
Surgical Correction
In the realm of medicine, cosmesis often pertains to the surgical rectification of visible defects or disfigurements. Beyond merely addressing functional concerns, surgeons might undertake additional measures to ensure that the resulting scars are as aesthetically pleasing as possible. Such measures might include:
- Removal of damaged tissue
- Reducing tension on the wound to prevent pronounced scarring
- Utilizing fine (thin) sutures for closing the outer skin layer to minimize visible scar lines
Relation to Cosmetic Surgery
Cosmetic surgery is a subset of plastic surgery specifically focusing on elective procedures to enhance one's physical appearance. While all cosmetic surgeries concern cosmesis, not all cosmetic interventions are surgical.
Prosthetic Limbs and Cosmesis
The pursuit of lifelike prosthetics, often crafted from materials like silicone or PVC, represents a significant application of cosmesis. Modern advances have allowed for the creation of:
- Artificial limbs, such as hands, that can replicate the appearance of real ones down to details like veins, freckles, hair, and even fingerprints and tattoos.
- Standardized cosmeses available in various sizes, albeit with less realism compared to custom-made ones.
- Custom silicone covers tailored to match an individual's skin tone, though without capturing finer details like wrinkles or freckles.
Attachment Methods
Prosthetic limbs and cosmeses can be affixed to the body through various methods, including:
- Adhesives
- Suction mechanisms
- Form-fitting, stretchable skin
- Skin sleeves
Economic Aspects
Customized cosmeses, owing to their detailed craftsmanship, tend to be more expensive, sometimes costing several thousands of US dollars, contingent on the level of intricacy. Conversely, standard cosmeses, while less expensive, may not offer the same level of realism.
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Contributors: Prab R. Tumpati, MD