Percy Bysshe Shelley and Steven Jobs worked at opposite ends of the spectrum, yet the world needed both of them. Shelley was an early 19th century romantic poet and Jobs, through the creation of Apple, became the personification of modern technological advancements. Each of them contributed to this world, making it a better place to live.
Aesthetic plastic surgery is a function of artistic perception and technology. They are, in fact, inseparable. The plastic surgeon must fully grasp the artistic and totally humanistic end point. The surgeon then uses all of his/her procedural and practical skills, employing all of the meaningful technology available, to achieve that goal, a goal which is the fusion of art and science.
The application of modern technology is less prevalent in plastic surgery than it has been in neurosurgery, cardiothoracic surgery or vascular surgery. The advances achieved, however, have been most welcome. Patient safety is greatly enhanced by devices that continuously monitor oxygen and carbon dioxide levels. Argon beam coagulators control bleeding and CO2 lasers precisely and gently divide tissues. Endoscopes, like arthroscopes or laproscopes, permit microsurgical minimally invasive approaches to surgery with smaller scars and more rapid healing time. Newer “barbed” sutures allow for rapid, precise wound closures with less tension and better scars. Breast implants that are now in the fourth and fifth generation of technological advancement are more natural and result in fewer problems than the earlier generations.
More advances will inevitably arrive, but the “Shelley” factor will never disappear from the equation. At the end of the day, it is the deft combination of artistic pursuit and aesthetic understanding that will always take precedence. Technology makes the journey a better one. The Jobs of the world will make it happen but without Shelley, none of it would matter.
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