These can be constitutional like protruding ears, post-traumatic like abnormalities of the nose or acquired like for example, after weight loss. The management of these anomalies sometimes makes it possible to put an end to a malaise thus confirming the true therapeutic role of the cosmetic surgery which answers a vital need and in no case to a fantasy. Disgrace of the face exposed to the eyes of others constitutes an important demand for reconstructive surgery. Whether it is the nose, ears, chin or sagging folds of the face, facial surgery or aesthetic medicine will help to regain self-confidence and thus to face existential difficulties. Your cosmetic surgeon in Paris 16 and Paris 11 is at your disposal to remedy your physical anomalies. Today, the significant after-effects on the body of weight loss, in particular after bariatric surgery, come under reconstructive and cosmetic surgery, in particular via the body lift. Indeed the belly, the breasts the arms and the thighs then suffer from an excess of skin which will have to be removed in order to shape a new body which will make it possible to relive, to dress, to play sport without complex in other words, to change life, as patients often say. Certain sequelae in women sometimes result from one or more pregnancies which will have damaged the skin which will become flabby and stretched with a distended muscle wall. Here too, the excision of this skin (abdominoplasty) which has suffered with the re-tensioning of the muscles of the abdominal wall will make it possible to find a female silhouette. Finally, unsightly localized fatty deposits can be eliminated by liposuction or buttock surgery (stomach, saddlebags, hips, thighs, knees, back, pubic area, labia majora ...) which can be performed by your plastic surgeon, operating in Paris and Île-de-France. Should I quit smoking before surgery? Tobacco is indeed the main enemy of the plastic surgeon and the patient. Tobacco, through its vasoconstrictor effect on the capillary sphincters of the micro blood vessels, prevents good oxygenation of the tissues and seriously compromises healing, as numerous studies have shown. For example, a non-smoker will heal in 2 to 3 weeks while a smoker may take 6 months to heal completely with ugly scars. It is also important to understand that passive smoking (husband, smoking friends) is as bad as if the patient smokes. It is therefore important to ask the entourage and the visitors to refrain from smoking in the presence of an operated or future operated. It is recommended to stop all smoking at least 6 weeks before an operation and especially not to resume it after reconstructive or cosmetic surgery. Is there a particular order to rehabilitate a bruised body after bariatric surgery? It is important to begin bodily rehabilitation after significant weight loss by the central element of the body, the true center of gravity of the individual, that is to say by the belly. This first intervention can judiciously be combined with a first liposuction if necessary. In a second step, 3 to 4 months later, it will be advisable to consider the rehabilitation of the chest then again 3 or 4 months after the surgery of the arms and thighs. These different surgeries will therefore allow over 9 to 12 months a complete bodily rehabilitation for a new start. Can this surgery be performed on an outpatient basis? A certain number of surgical procedures, if the patient's condition allows it, can be performed on an outpatient basis, that is to say admission in the morning and discharge the same day. This is most often the case for corrective surgery for protruding ears, rhinoplasty, liposuction or even surgery of the limbs ... Certain other acts of cosmetic surgery or reconstructive surgery will only require a night's stay. in a hospital environment.