General Remark

If I may be permitted another remark here:

The author's philosophy and the philosophy of the Bodenseeklinik is interdisciplinary cooperation, instruction and further training of young doctors, cooperation with all professional societies for the promotion of good patient care, and further development in the field of aesthetic surgery.

The Manual of Aesthetic Surgery has thus come about through tireless work. My clinic at Lake Constance is the largest clinic of its kind in Europe, a training clinic with interdisciplinary cooperation between all specialties that provide a stimulus for aesthetic surgery. Doctors from the disciplines of plastic surgery, ENT and dental surgery, dermatology, aesthetic dentistry, and anti-aging medicine all work in the clinic at Lake Constance. There are also dietary assistants, specialist beauticians, hairstylists, color consultants, and psychologists.

Long-term success can only be achieved when aesthetic surgery is seen to be holistic medicine and the correct indications are available. Many patients have serious psychological problems that cannot be solved even by the best cosmetic surgery. These patients are then dissatisfied with the surgeon and try to find a cure from other surgeons. If these surgeons do not then cooperate with the surgeon who carried out the previous operation, the patient will complain. Medicolegal problems have an important role in aesthetic surgery throughout the world.

The specialty can only have a long-term future if doctors are well-trained, act as good colleagues towards one another, and do not want to make their name at the cost of others. I would therefore like to pass on this message to all the surgeons in the world: be considerate and fair to colleagues, regardless of their specialty. The Hippocratic oath should apply to cosmetic surgeons, too.

The philosophy of the Mang school is naturalness. Less is more. Health before beauty. Cosmetic surgery is not "alteration surgery" but rather "well-being surgery."

The aim of every operation, whether it is a facelift, rhinoplasty or a breast implant, should be a natural result. The patient should feel good and the surgery should not be conspicuous. Faces that are perfectly smooth, unnaturally augmented lips, and huge breasts are no longer the trend of the twenty-first century. The two volumes of the manual therefore present surgical techniques that provide natural and normal results.

Aesthetic surgery is not beauty surgery. It is instead high-tech surgery with the highest surgical standards. As with every other surgical procedure, the risks mean that specialist surgical personnel, anesthesia, recovery rooms, and inpatient monitoring are essential. Surgery on a day-case basis is only advisable for minor procedures carried out under local anesthesia, such as eyelid corrections, spacelifts, hair transplantations, and laser operations. Otherwise, an inpatient stay is necessary, as most complications, e.g., severe bleeding, occur within the first 24 h after the operation.

The current worldwide problem of medicolegal issues in cosmetic surgery procedures should be combated with extensive expert activity. In addition to providing accurate oral and written information in the presence of witnesses and photographic documentation, use of the correct surgical techniques and postoperative monitoring are extremely important in avoiding the possibility of becoming liable for compensation. More and more patients are happy to take legal action and this means that good training, quality assurance, good relationships between colleagues, and professional interaction with patients are even more essential.

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