We have a tendency to be very ‘down’ on those who have had cosmetic surgery and to view it as a highly negative procedure. We say it looks ‘plastic’ and that it’s selling out on ‘who you are’ and generally frown on people who resort to it.

However the reality is that it is really the choice of the person who is having it done, and that in some cases under the right circumstances it can be a good decision that makes the person feel a lot more confident and happy with their looks. Of course it also depends on the specific case of cosmetic surgery and while some are certainly distasteful, others can look quite attractive and be subtle enough to not be highly noticeable. After all, the vast majority of celebrities that we look up to and find attractive have admitted to using some cosmetic surgery and often on a regular basis. Like anything it’s about recognising the cons and using it sparingly and carefully, but at the end of the day it is a highly personal decision that only you can make. Here we will look at some of the potential risks involves to ensure that you have a fuller understanding before you go ahead with any of the procedures. We’ll also look at some of the ways to combat the various problems associated with cosmetic surgery and how to prepare yourself for the process.

Risk Factor

The vast range of cosmetic surgery techniques mean that the side effects and risks associated are just as varied and hard to pin down. However almost every form of cosmetic surgery carries with it some risk of things going wrong to some extent. With something like botox this can be more serious and there are many ‘horror stories’ of people who have become seriously ill or even died after a botox injection. Botox is after all a toxin that would be highly lethal if ingested. By injecting it into your face you are actually paralysing the muscles and so it’s not hard to imagine how something could go wrong.

Liposuction methods have also in some cases had serious side effects and can be potentially lethal but only really for those who attempt to have too many fat cells removed in a single sitting. Of course any surgery that involves going under the knife such as rhinoplasty or other facial restructuring, or a ‘tuck’, is always going to carry an element of risk. This is firstly because there is of course knives involved and accidents do happen, but also because it involves anaesthetic and this can cause different reactions depending on the patient. In the case of rhinoplasty in particular you will have your nose physically chiselled away while your skin is peeled back – and this of course could conceivably result in the chisel ‘slipping’.

Similarly any procedure involving the cheek bone is also highly risky due to its being attached to the eye socket. Of course you tend to only hear the ‘horror stories’ of things going wrong, and this can make it seem like cosmetic surgery is all highly dangerous. The reality is quite different and the chances of things going wrong are relatively slim – or obviously no one would use the techniques. It is important however to always ensure that you fully understand the procedure and the risks involved before you put yourself up for a procedure.

You also need to consider of course the possibility of it going wrong not in terms of your health, but in terms of your looks – and there is always a chance that you may be unhappy with the way your surgery turns out. This can be highly distressing and while it may be reversible it won’t be possible to get your ‘original’ look back completely in some cases. Be very careful then when getting irreversible procedures and be sure to use the very best specialists when you do.

Side Effects

You also need to find out about the side effects and the ‘down time’ associated with your specific type of surgery. Here even if your procedure goes smoothly you may find you are unhappy with the resulting discomfort. Again this will vary and procedures involving an injection such as botox will tend to be fairly quick with very minimal down time, while something like a tuck will result in a lot of bruising and pain. The other side effect of botox however is how it effects your ability to emote and as it paralyses the facial muscles this can cause your face to be frozen in a particular expression – if used excessively then this can cause you to look odd and unnatural – but at least with botox and similar procedures the effects will wear off after a short period of time.

More serious are the permanent side effects such as scarring that can occur as a result of some cosmetic procedures. With something like a tummy tuck for instance or breast augmentation, you will need to have a large incision made in your skin which will mean you have a large cut that turns into a scar. In some cases this can be more unpleasant for you than the initial problem so you need to find out precisely what lasting marks if any the procedure might incur. If you are unhappy with that then there are some ways you can avoid such severe scarring – by using liposuction rather than a tuck for instance, or by using slightly different methods – for instance having an incision in your belly button rather than under your breasts if you want to have implants which is more painful but doesn’t leave any noticeable scar.

Psychological Issues

Of course there are also some psychological issues associated with plastic surgery and these can be highly distressing depending on your disposition and your previous psychological stability. For instance some people will find that immediately following forms of cosmetic surgery they then want to return to their ‘own’ look and don’t like having someone different look back at them. This is why it is highly important to ensure that you are confident you want the procedure and that you are prepared for the consequences. It can also be a good idea to try getting less permanent forms of cosmetic surgery such as botox to see how you feel about changes to your face.

Another concern that can come from cosmetic surgery is that you have a foreign object as a part of you, which is the case if you have dental implants or breast implants. Many people struggle with the implications this can have for their identity and feel like it’s not all ‘them’ any more. One way around this is to avoid getting foreign objects as implants such as in the case of ‘natural breast augmentation’ which uses your own fat resourced from other areas using liposuction to increase the size of your breasts. This technique then means that there is no part of you that is no longer ‘you’ as it is all your own tissue. As your breasts are made mostly of fat anyway this can be a lot easier to come to terms with and leave you feeling a lot better about yourself.

Finally there is a danger that plastic surgery can be addictive and that you will end up getting more and more procedures and not being happy with the way you look. This can sometimes occur alongside an inability to view yourself objectively in what is called ‘body dysmorphia’ – which is likely what Michael Jackson suffered with. Anyone who has had botox will describe it as addictive as you enjoy the results and the ease with which they’re possible. As such it is important to use cosmetic techniques only for things you are very serious about and to always listen to the advice as friends. Try not to view cosmetic procedures as something you do on a whim, but as an important and big decision each time. Ask yourself if you really need it and whether you are truly unhappy with the way you currently look. (James Madhok)

Chemotherapy is the most common treatment for a range of cancers and can significantly improve your chances of recovery. However despite this it is still an important decision to make and one that isn’t entirely straightforward as chemotherapy can in many cases have some unwanted side effects. It is not possible to predict precisely the side effects that you personally will experience as these differ from case to case. For some people there will be very few or even no side effects – but this is very rare.

How Does Chemotherapy Work?

To more fully understand the side effects of chemotherapy and why they occur it can be helpful to have a basic grasp of how the treatment works. To understand this it helps to understand how a cell reproduces. To reproduce a cell will go through ‘mitosis’ in which is splits in half to create two unique copies, however this process only lasts 30-60 minutes. The majority of a cell’s life cycle will be spent in the ‘G0 Phase’ which can also be referred to as the ‘resting phase’. This can last anywhere from a few hours to several years. After this the cell will move into the G1, S and G2 phase wherein it makes proteins, copies and checks the DNA ready to split. Chemotherapy drugs will then work by attacking cells that are in these various stages – generally the M phase and those building up to it. Different drugs will attack cells at different phases of their cycle and this is how doctors choose the best ones to use; but generally those in the resting phase will be left unharmed. Cancer is caused by the spread of damaged cells that have mutated DNA, and so to fight cancer it is a matter of destroying these cells before they take over too much of the body.

However in some cases of course there are casualties of war and healthy reproducing cells will also be attacked causing the vast range of symptoms that are associated with chemotherapy. It is up to doctors and patients to find a balance between the destruction of the cancer cells and the preservation of other healthy cells. This means that the areas that are affected are those with cells that naturally are intended to rapidly reproduce. This includes the hair follicles which explains hair loss, as well as the cells lining the stomach wall which explains why nausea, vomiting and fecal problems are also common.

Here we will list the common side effects of chemotherapy in more detail so that you may make an informed decision about whether you wish to go ahead with the treatment.

Note: While most of the side effects of chemotherapy are merely unpleasant or distressing, others can be potentially very dangerous if left unseen to. These include: shivering, breathing difficulties, high temperature, flu symptoms, bleeding from parts of the body that will not stop, mouth ulcers or diarrhea. If you suffer any of these symptoms then you should get immediate medical attention.

Likely Side Effects of Chemotherapy

Fatigue

This is a highly common effect of chemotherapy and occurs in the vast majority of cases. This can be general lethargy – consistent tiredness – or just difficulty continuing with regular tasks. When you are receiving chemotherapy it is important to ensure that you rest a lot and that you avoid strenuous activity that you don’t feel able to perform. It may be worth taking time off work. However that said, light moderate activity such as walking may help to increase energy levels.

Nausea/Vomiting

This is another very common side effect that occurs in roughly 60% of cases. Fortunately if this is the case then you can be prescribed ‘anti-enemics’ which will help to prevent these symptoms. You should continue to take these even once the problem has cleared up to avoid the symptoms reoccurring. If the anti-enemics do not prevent the nausea then this may be a serious cause for concern and you should contact your doctors immediately.

Hair Loss

This is another common side effect and one that is best known – though it is not guaranteed. In some cases rather than losing hair you will simply find your hair becomes thin and brittle. When it does occur it tends to do so within the first few weeks of chemotherapy. It won’t necessarily effect the head though either and can also focus on the arms, legs, face, pubic area etc. This can be a very traumatic experience, but there are several ways you can manage it. Speak to your care team if you are struggling with hair loss and consider using wigs or other ways to counter the problem. You may also be able to limit your hair loss by using a ‘cold cap’ during treatment. This cold cap limits blood flow to the scalp and so reduces the amount of the dose that reaches the head. This will be effective in some but not all cases.

Infection

Chemotherapy decreases the number of white blood cells in the blood. The main role of these white blood cells is to fight infection, and so that will weaken your immune system and make you more prone to infection. It is important then to make sure that you take extra care in avoiding infection by maintaining good hygiene, avoiding those with infections such as the flu, and by trying not to cut or graze your skin – sterilize and protect the wound if you do.

Anemia

Chemotherapy does not just lower white blood cells – it lowers red blood cell count too. These blood cells are responsible for carrying oxygen through the blood and so that means you end up feeling more lethargic still. You are also likely to find that your skin appears paler than usual. In severe cases you can feel shortness of breath and experience an irregular heartbeat. As the red blood cells are composed largely of iron, increasing the iron in your diet with supplementation or by eating nuts, beans, fruits, red meat and spinach etc can help combat this.

Bruising/Bleeding

Chemotherapy additionally lowers platelets. These are the blood cells which normally clot excessive bleeding both external and internal. This means that wounds and cuts may not stop bleeding and that you might bruise very easily. If this becomes dangerous you may require a blood transfusion. It is of course important to avoid damaging your skin too.

Oral Mucositis

This is pain caused to the inside of the mouth alongside ulcers and tends to occur as a result of high-dose therapy usually after 10 days of chemotherapy. There are medications designed to reduce this symptom and fortunately it should clear up shortly after you finish your course.

Lack of Appetite

A reduced appetite is also a side effect of chemotherapy and this can of course be exacerbated by other symptoms such as nausea and ulcers. It is very important that you continue to eat and drink to give your body the energy, minerals and protein it needs to stay healthy. In serious cases you may need a nasogastric tube which can feed you while bypassing the mouth and throat by going through the nose.

Skin

You may find that your skin becomes dry and sore as a result of chemotherapy and this is worst in the extremities (the hands and feet). Your nails may also become flaky and brittle and you may be sensitive to sunlight. Avoid the sun to reduce this problem, make sure to use sun block, and moisturize regularly.

Memory

Chemotherapy can in some cases cause memory loss as well as difficulties with concentration. Often this is as a result of the fear and anxiety caused by other symptoms along with the fatigue.

Sexuality

Libido and fertility are often affected by chemotherapy. Apart from anything else your interest in sex can be diminished as a result of the other symptoms. In some cases depending on the type of therapy, chemotherapy may come with a risk of permanent infertility. If this possibility exists however, then your doctor will bring it to your attention before you undergo the treatment and it is then your decision to make – and you may still be able to conceive using other methods such as IVF (where women would have embryos frozen prior to the treatment and men would have a sperm sample taken). In most cases any loss of fertility will be temporary.

Diarrhea/Constipation

This tends to happen a few days after chemotherapy if it occurs. It is important that you inform your doctor in cases of diarrhea as this can lead to dehydration and malnutrition. There are medications which are able to prevent this problem.

Depression

Depression is a common side effect of chemotherapy – both directly as a result of the symptoms (lethargy and anemia) as well as a result of the stress caused by those symptoms. If you experience depression then this can exacerbate these symptoms too – leading to more tiredness and weakening the immune system. If you have depression as a result of your chemotherapy you should consider therapy or support groups. (Health Guidance)

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