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border="0"></td> 											<td bgcolor="#ffffff"><img src="/images/global/nav_arrow.gif" width="14" height="14" border="0" name="arrow1"></td> 											<td bgcolor="#ffffff"> 											<a href="../dossiers/index.asp" class="black">Dossiers</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="97" height="4" border="0"></td> 										</tr> 										<tr> 											<td></td> 											<td id="td2a"><img src="/images/global/trans.gif" width="14" height="14" border="0" name="arrow2"></td> 											<td id="td2b"> 											<a class="black" href="../expert/index.asp" onmouseover="document.arrow2.src='/images/global/nav_arrow.gif'; changeBgColor('td2a','td2b');" onmouseout="document.arrow2.src='/images/global/trans.gif'; restoreBgColor('td2a','td2b');">Conseils<br>d'expert</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="10" height="4" border="0"></td> 										</tr> 										<tr> 											<td></td> 											<td id="td3a"><img src="/images/global/trans.gif" width="14" height="14" border="0" name="arrow3"></td> 											<td id="td3b"> 											<a href="../faire/index.asp" class="black" onmouseover="document.arrow3.src='/images/global/nav_arrow.gif'; changeBgColor('td3a','td3b');" onmouseout="document.arrow3.src='/images/global/trans.gif'; restoreBgColor('td3a','td3b');">Comment faire</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="10" height="4" border="0"></td> 										</tr> 										<tr> 											<td></td> 											<td id="td4a"><img src="/images/global/trans.gif" width="14" height="14" border="0" name="arrow4"></td> 											<td id="td4b"> 											<a href="../vecu/index.asp" class="black" onmouseover="document.arrow4.src='/images/global/nav_arrow.gif'; changeBgColor('td4a','td4b');" onmouseout="document.arrow4.src='/images/global/trans.gif'; restoreBgColor('td4a','td4b');">Votre v&#233;cu</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="97" height="4" border="0"></td> 										</tr> 										<tr> 											<td></td> 											<td id="td5a"><img src="/images/global/trans.gif" width="14" height="14" border="0" name="arrow5"></td> 											<td id="td5b"> 											<a class="black" href="../conso/index.asp" onmouseover="document.arrow5.src='/images/global/nav_arrow.gif'; changeBgColor('td5a','td5b');" onmouseout="document.arrow5.src='/images/global/trans.gif'; restoreBgColor('td5a','td5b');">Consommation</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="97" height="4" border="0"></td> 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onmouseout="document.arrow7.src='/images/global/trans.gif'; restoreBgColor('td7a','td7b');">Nos trucs</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><img src="/images/global/trans.gif" width="97" height="4" border="0"></td> 										</tr> 										<tr> 											<td></td> 											<td id="td8a"><img src="/images/global/trans.gif" width="14" height="14" border="0" name="arrow8"></td> 											<td id="td8b"> 											<a class="black" href="../liens/index.asp" onmouseover="document.arrow8.src='/images/global/nav_arrow.gif'; changeBgColor('td8a','td8b');" onmouseout="document.arrow8.src='/images/global/trans.gif'; restoreBgColor('td8a','td8b');">Liens</a></td> 										</tr> 										<tr> 											<td></td> 											<td></td> 											<td><hr align="left" noshade size="1" width="70" style="color: #000000"></td> 										</tr> 										<tr> 											<td></td> 											<td id="foruma"><img src="/images/global/trans.gif" 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#4B3F99">Connaissez-vous un enfant qui souffre dobsit?</p></td> </tr> <tr> <td colspan="3"><table border="0" cellspacing="0" cellpadding="0">  <tr valign="top"> <td width="10" align="left" style="font-family:Arial;font-size:10pt;"> <input type="radio" name="1552" value="7"> </input> </td> <td width="105" colspan="2" style="font-family:Arial;font-size:10pt;"><p>Oui</p></td> </tr> <tr valign="top"> <td width="10" align="left" style="font-family:Arial;font-size:10pt;"> <input type="radio" name="1552" value="8"> </input> </td> <td width="105" colspan="2" style="font-family:Arial;font-size:10pt;"><p>Non</p></td> </tr> </table> </td> </tr> </table> <table border="0" cellspacing="0" cellpadding="0" width="130"> <tr><td><div align="center"><a href="Javascript:document.frmPoll.submit();">Votez</a></div></td></tr> <tr><td><div align="center"><a href="HTTP://www.mokasofa.ca/Apps/Survey/Report_survey.asp?surveyid=1530">Rsultat</a></div></td></tr> </table> </td></form></tr></table>  								</td> 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												 												<table border="0" width="300" cellspacing="0" cellpadding="0"> 													<tr> 														<td colspan="2"><img src="/sante/images/headerArticles.gif" width="300" height="17" border="0" alt="Dossiers"></td> 													</tr> 													<tr> 														<td valign="top"><img src="images/feature02mai06a.jpg" width="104" height="98" border="0" alt="Maigrir au scalpel: des rponses  toutes vos questions"></td> 														<td> 															<table border="0" cellspacing="0" cellpadding="0"> 																<tr> 																	<td></td> 																	<td><img src="/images/global/trans.gif" width="187" height="10" border="0"></td> 																</tr> 																<tr> 																	<td rowspan="2"><img src="/images/global/trans.gif" width="9" height="88" border="0"></td> 																	<td valign="top"><span class="head">Maigrir au scalpel: des rponses  toutes vos questions</span><br> 																	<span class="deck">La chirurgie esthtique promet tant de miracles qu'il est difficile de ne pas y songer. On nous offre le rve, mais  quel prix?</span></td> 																</tr> 																<tr> 																	<td valign="bottom"><span class="byline">par Claudine St-Germain</span><br> <span class="byline">pour </span><img src="../../../images/global/magazines/coupPouce.gif" alt="Coup de pouce" width="40" height="16" border="0"> 																	</td> 																</tr> 															</table> 														</td> 													</tr> 												</table> 											<br> 											<a href="#" onclick="javascript:TellAFriend();"><img src="/sante/images/sendthisArticles.gif" alt="Envoyez &#224; une amie" width="130" height="26" border="0"></a> 											<a href="#RR"><img src="/sante/images/readingLink.gif" alt="Rubriques connexes" width="126" height="26" border="0"></a> 											<br>  											<!-- beginning of article--> 											<p> 											La Dre Louise Duranceau, prsidente de l'Association des spcialistes en chirurgie plastique et esthtique du Qubec, voit des femmes de tous les ges dfiler dans son bureau. "a va de l'adolescente  la dame plus ge qui, aprs ses grossesses et sa mnopause, se dit: "Je veux penser  moi et me sentir bien."  											<br><br><strong>Selon leur ge, les femmes choisissent des interventions diffrentes.</strong> Les jeunes femmes consultent surtout pour les seins et les cuisses, les plus ges, pour le ventre (notamment  cause des grossesses). Aux tats-Unis, les femmes de 19  34 ans reprsentent 23% de la clientle ayant reu une chirurgie esthtique, celles de 35  50 ans, 41% et celles de 51  64 ans, 24%. 											</p> 											 											<p> 											<span class="healthHead">Des risques faibles, mais rels</span><br> 											<strong>Comme n'importe quel acte mdical, la chirurgie esthtique comporte des risques.</strong> Selon les interventions, les complications peuvent inclure des saignements internes (hmatomes), des saignements externes, de l'infection et des ncroses (mort de tissus). 											<br><br><strong>Mais il y a pire. Toute chirurgie comporte aussi des risques d'embolie pulmonaire ou de phlbite pouvant tre trs graves et mener  la mort.</strong> Ces risques sont extrmement faibles, mais ils existent. Un sondage men en 1999 par l'American Society of Plastic Surgeons a d'ailleurs montr que, entre 1994 et 1998, le taux de mortalit chez les personnes ayant subi une liposuccion tait de 1 sur 5000: un taux beaucoup plus lev que prvu qui a port l'Association  recommander des changements de pratique  ses membres (notamment  limiter la quantit de graisse prleve lors d'une intervention). 											<br><br><strong>"Les complications arrivent surtout quand la chirurgie est faite par des gens incomptents, </strong>affirme le Dr Andr Camirand, chirurgien plasticien et coauteur du livre La Chirurgie esthtique. Un chirurgien bien form, qui emploie mticuleusement les bons instruments, rduit de beaucoup les risques, mais ceux-ci sont toujours prsents."  											<br><br><strong>Les Drs Duranceau et Camirand se montrent trs proccups par le fait que des mdecins omnipraticiens peuvent pratiquer des chirurgies esthtiques</strong> sans avoir reu de formation approprie. "Pour pratiquer n'importe quelle chirurgie, il faut un entranement reconnu, et c'est pourquoi je crois que les omnipraticiens ne devraient pas faire de chirurgie esthtique", dit la Dre Duranceau. Le Collge des mdecins du Qubec tudie actuellement la question pour voir comment il pourrait rgir la situation et s'assurer que tous les clients reoivent des soins scuritaires et de qualit. 											</p> 											<p> 											<span class="healthHead">Et les rsultats? </span><br> 											Clarifions d'abord une chose: la chirurgie esthtique n'est pas un moyen pour maigrir. Elle ne peut rien contre les kilos en trop dus  une mauvaise alimentation ou  une vie sdentaire et rpartis de faon diffuse sur tout le corps. Il est d'ailleurs recommand, s'il y a lieu, de perdre son poids excdentaire avant de subir une intervention. Ce que la chirurgie peut faire, c'est liminer les bourrelets impossibles  dloger autrement, ressouder les muscles affaisss de l'abdomen, enlever un excdent de peau et rduire le volume des seins.  											<br><br><strong>Sur le plan esthtique, le rsultat dpend de l'habilet du chirurgien, mais aussi des prcautions prises pendant la convalescence, de la sant de la patiente et de la capacit de sa peau  gurir.</strong> Plus notre peau a subi les assauts du temps, moins elle pourra se raffermir et bien cicatriser aprs une chirurgie. 											<br><br><strong>Il faut aussi tre raliste.</strong> "On ne peut pas prendre une femme de 60 ans et lui donner le corps d'une fille de 15 ans, dit le Dr Camirand. On peut diminuer la quantit de gras  un endroit du corps, mais a ne changera pas la personne. Elle va simplement tre plus  l'aise, pouvoir s'habiller plus facilement." Dans le cas de la rduction mammaire et de l'abdominoplastie, il faut aussi tre prte  vivre avec les cicatrices que laissera le bistouri.  											</p> 											<p> 											<span class="healthHead">Une opration coteuse</span><br> 											<strong>Voici les prix approximatifs pour quelques chirurgies esthtiques.</strong> Ils ne comprennent que le tarif du mdecin: il faut ajouter le cot de l'anesthsie (autour de 500$), les frais de salle d'opration (qui peuvent tre onreux: 1000$, par exemple) et le prix des accessoires et prothses destins  favoriser la gurison (gaine, soutien-gorge, etc.).  <br>	Rduction mammaire: 2500$  3500$ <br>	Abdominoplastie: 2000$  3000$ <br>	Liposuccion: 1500$  3000$ (selon le nombre de rgions du corps traites) <br><br><strong>Le rgime d'assurance-maladie ne dfraie pas les cots de la chirurgie esthtique,</strong> sauf si l'intervention vise  rsoudre un problme fonctionnel. C'est notamment le cas de la rduction mammaire lorsqu'on enlve plus de 250 grammes par sein. 											</p> 											 											 											 											 											 											<p class="footnote">Photo: PhotoDisc</p> 											<!-- end of article-->  											<!-- beginning of author content--> 											<table border="0" width="300" cellspacing="0" cellpadding="0"> 												<tr> 													<td><img src="/sante/images/line.gif" width="238" height="1" border="0"><br> 													<a name="01"></a> 													<span class="authorPub">Publi pour la premire fois dans Coup de pouce, avril 2001.</span></td> 													 												</tr> 											</table> 											<!-- end of author content--> 											<br>  											</td> 											<!-- end left content column--> 											 											<!--spacer column--> 											<td rowspan="2"><img src="/images/global/trans.gif" width="19" height="10" border="0"></td> 											<td> 											 											<!--end spacer column-->  				<!-- New This Week --> 												<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <table cellspacing="0" cellpadding="0" border="0" width="136" bgcolor="#f2f5ef"> 													<tr> 														<td colspan="2"><img src="/sante/images/newThisWeek.gif" alt="Primeurs de la semaine" width="136" height="26" border="0"></td> 													</tr> 													<tr> 														<td><img src="/images/global/trans.gif" width="13" height="1" border="0"></td> 														<td width="117"> 														 															<table cellspacing="0" cellpadding="0" border="0"> 																<tr valign="top"> 																	<td><img src="/sante/images/arrow.gif" width="11" height="12" border="0" hspace="3"></td> 																	<td width="113"><a href="../../../sante/theme/dossiers/03avril21a.asp" class="black">Mon enfant a des kilos en trop. 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border="0"></td> 														<td class="tips" width="117"><p><b>Si vous tes tente...</b><br><br>	Assurez-vous que le mdecin choisi possde un diplme en chirurgie plastique et qu'il est membre d'une association professionnelle. Prenez aussi des rfrences dans votre entourage. <br><br>	Au moment de la consultation, n'hsitez pas  poser des questions au chirurgien et assurez-vous d'avoir parfaitement compris les risques, tant sur le plan de la sant que des rsultats esthtiques. <br><br>	Soyez prte  suivre les recommandations du mdecin pendant votre convalescence (arrt de travail, repos, soins du corps). La qualit des rsultats en dpend. <br><br>	Prenez votre dcision  tte repose, quand vous aurez toutes les informations en main. 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