plastic surgery, surgical repair of congenital or acquired deformities and the restoration of contour to improve the appearance and function of tissue defects. Development of this specialized branch of surgery received impetus from the need to repair gross deformities sustained in World War I. By the grafting of tissue or the use of artificial materials such as silicone, some remarkable restorations have become possible. Severe burns and the removal of fairly extensive skin cancers leave scars that must be covered by skin grafts; breast reconstruction after mastectomy is another application.

In addition to correcting a disfigurement, plastic surgery is often needed to restore vital movement and function of tissues that have been destroyed. It is also performed for purely cosmetic purposes, such as improving the shape of a nose, bringing outstanding ears closer to the head, or lifting the skin to erase wrinkles, and the term cosmetic surgery is often used to refer to such surgical procedures. Modern plastic surgeons often employ CAT scans to produce computer-generated images that are used to plan or simulate complex reconstructive surgeries.

plastic, any organic material with the ability to flow into a desired shape when heat and pressure are applied to it and to retain the shape when they are withdrawn.

Composition and Types of Plastic

A plastic is made up principally of a binder together with plasticizers, fillers, pigments, and other additives. The binder gives a plastic its main characteristics and usually its name. Thus, polyvinyl chloride is both the name of a binder and the name of a plastic into which it is made. Binders may be natural materials, e.g., cellulose derivatives, casein, or milk protein, but are more commonly synthetic resins. In either case, the binder materials consist of very long chainlike molecules called polymers. Cellulose derivatives are made from cellulose, a naturally occurring polymer; casein is also a naturally occurring polymer. Synthetic resins are polymerized, or built up, from small simple molecules called monomers. Plasticizers are added to a binder to increase flexibility and toughness. Fillers are added to improve particular properties, e.g., hardness or resistance to shock. Pigments are used to impart various colors. Virtually any desired color or shape and many combinations of the properties of hardness, durability, elasticity, and resistance to heat, cold, and acid can be obtained in a plastic.

There are two basic types of plastic: thermosetting, which cannot be resoftened after being subjected to heat and pressure; and thermoplastic, which can be repeatedly softened and remolded by heat and pressure. When heat and pressure are applied to a thermoplastic binder, the chainlike polymers slide past each other, giving the material "plasticity." However, when heat and pressure are initially applied to a thermosetting binder, the molecular chains become cross-linked, thus preventing any slippage if heat and pressure are reapplied.

See epoxy resins; polyacrylics; polycarbonates; polyethylene; polyolefins; polypropylene; polystyrene; polyurethanes; polyvinyl chloride; vinyl plastics.

Molding of Plastic

Plastics are available in the form of bars, tubes, sheets, coils, and blocks, and these can be fabricated to specification. However, plastic articles are commonly manufactured from plastic powders in which desired shapes are fashioned by compression, transfer, injection, or extrusion molding. In compression molding, materials are generally placed immediately in mold cavities, where the application of heat and pressure makes them first plastic, then hard. The transfer method, in which the compound is plasticized by outside heating and then poured into a mold to harden, is used for designs with intricate shapes and great variations in wall thickness. Injection-molding machinery dissolves the plastic powder in a heating chamber and by plunger action forces it into cold molds, where the product sets. The operations take place at rigidly controlled temperatures and intervals. Extrusion molding employs a heating cylinder, pressure, and an extrusion die through which the molten plastic is sent and from which it exits in continuous form to be cut in lengths or coiled.

Environmental Considerations

Plastics are so durable that they will not rot or decay as do natural products such as those made of wood. As a result great amounts of discarded plastic products accumulate in the environment as waste. It has been suggested that plastics could be made to decompose slowly when exposed to sunlight by adding certain chemicals to them. Plastics present the additional problem of being difficult to burn. When placed in an incinerator, they tend to melt quickly and flow downward, clogging the incinerator's grate. They also emit harmful fumes; e.g., burning polyvinyl chloride gives off hydrogen chloride gas.

Development of Plastics

The first important plastic, celluloid, was discovered (c.1869) by the American inventor John W. Hyatt and manufactured by him in 1872; it is a mixture of cellulose nitrate, camphor, and alcohol and is thermoplastic. However, plastics did not come into modern industrial use until after the production (1909) of Bakelite by the American chemist L. H. Baekeland. Bakelite, made by the polymerization of phenol and formaldehyde, is thermosetting. New uses for plastics are continually being discovered. Following World War II optical lenses, artificial eyes, and dentures of acrylic plastics, splints that X rays may pierce, nylon fibers, machine gears, fabric coatings, wall surfacing, and plastic lamination were developed. More recently a hydrophilic, or water-attracting, plastic suitable for use in non-irritating contact lenses has been developed. Among the trade names by which many plastic products are widely known are Plexiglas, Lucite, Polaroid, Cellophane, Vinylite, and Koroseal. Plastics reinforced with fiberglass are used for boats, automobile bodies, furniture, and building panels.

Surgery to correct disfigurement, restore function, or improve appearance. It may involve reshaping or moving tissues to fill a depression, cover a wound, or improve appearance. Cosmetic surgery solely to improve appearance is not the main focus of plastic surgery. It is utilized after disfigurement by burns or tumour removal or for reconstructive work, and it may involve hiding incisions in skin folds or using buried sutures to hold wounds closed. Reconstructive plastic surgery corrects severe functional impairments, fixes physical abnormalities, and compensates for tissue lost to trauma or surgery. Microsurgery and computerized diagnostic imaging techniques have revolutionized the field.

Learn more about plastic surgery with a free trial on Britannica.com.

Polymers that can be molded or shaped, usually by heat and pressure. Most are lightweight, transparent, tough organic compounds that do not conduct electricity well. They fall into two classes: Thermoplastics (e.g., polyethylene, polystyrene) can be melted and formed again and again; thermosetting plastics, or thermosets (e.g., polyurethane, epoxy), once formed, are destroyed rather than melted by heating. Few plastics contain only the polymer resin; many also contain plasticizers (to change the melting point and make them softer), colorants, reinforcements, and fillers (to improve mechanical properties such as stiffness), and stabilizers and antioxidants (to protect against aging, light, or biological agents). Traditional plastics are not biodegradable (see biodegradability); recycling of plastics, especially thermoplastics, has become an important industry, and the development of low-cost biodegradable plastics and plastic substitutes is a significant pursuit of industrial research. Major commercial uses of plastics include cars, buildings, packaging, textiles, paints, adhesives, pipes, electrical and electronic components, prostheses, toys, brushes, and furniture. Common plastics include polyethylene terephthalate, or PET (beverage bottles), PVC (pipes and hoses), foamed polystyrene, or Styrofoam (insulated food containers), and Lucite (shatterproof windows). Seealso Leo Baekeland.

Learn more about plastics with a free trial on Britannica.com.