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Aesthetic and Reconstructive Surgery in the Aging Patient
Daniel B. Allen, MD
Arch Surg. 2003;138:1099-1105.
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INTRODUCTION
Before discussing the many ways in which plastic surgeons interface with elderly patients, a preliminary question should be addressed: who are the elderly? Life expectancy continues to increase toward the maximum theoretical age of 120 years in humans. A life expectancy of only 21 years could be expected in the Bronze Age and 47 years in 1900.1 In 1998, the mean life expectancy was 72 years for men and 79 years for women. The number of centenarians in the United States is projected to increase from 60 000 in 1998 to 200 000 in 2020 and then to an incredible 5 million in 2046.2 Most recent studies arbitrarily designate "over 65" years as elderly, although it is clear that biological aging, which for so long eluded any attempt to quantify it, dwarfs chronological age in its overall reflection of an individual's health. Women aged 65 years can expect . . . [Full Text of this Article]
ANATOMICAL CHANGES IN AGING: THE BASIS OF AESTHETIC SURGERY
AGE-RELATED PATHOLOGIC CONDITION THAT MAY NECESSITATE RECONSTRUCTIVE SURGERY
OPTIMIZING PERIOPERATIVE SAFETY IN PATIENTS OF ADVANCED AGE
AGE-RELATED CHANGES IN WOUND HEALING
OPTIMIZING OUTCOMES IN RECONSTRUCTIVE SURGERY IN ELDERLY PERSONS
PREVENTIVE AND PUBLIC HEALTH STRATEGIES TO MINIMIZE THE NEED FOR RECONSTRUCTIVE SURGERY IN ELDERLY PERSONS
CONCLUSIONS
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Alameda County Medical Center, Oakland, Calif.
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