Plastic surgery was said to first be preformed in ancient Roman times. The word "plastic surgery" is actually derived from the Greek word plastikos, which means to mold or shape. They preformed minor procedures such as Otoplasty, which is the repairing of damaged ears, and more complicated procedures like scar removal.
The Romans preformed plastic surgery for reconstructive purposes on wounded soldiers and cosmetic purposes for freed slaves and rich upper classmen. Cataract operations became almost routine in ancient Rome. Branding or scar removal was a pricey yet sought after procedure that many freed slaves paid for to reduce the stigma of being a slave. Some women received Otoplasty because their ear lobes had stretched from wearing heavy earrings.
There are three big names that came out of Rome during the practice of medieval surgery. A Greek physician Galen, a Roman physician Aulus Cornelius Celsus, and a Greek surgeon Paul of Aegina. These three laid the grounds for big developments in plastic surgery. Galen wrote best selling books on human anatomy and Celsus wrote a book entitled "De re medicina" which mentions the reconstructive surgery of a mans face and a primitive nose job. Celsus's book was so great it was used for more then 1,700 years. From the Byzantine and Arabian empires, medicine was developed to help foster surgery. Although there was no anesthesia yet, surgeons used opium poppy capsules (morphine) henbane seeds (scopolamine) and alcohol for minor pain relief. Romans knew little about germs and how they related to disease but they did use techniques to kill germs before and during surgery like boiling their tools and washing wounds with acetum, a mild acetic acid solution.
The tools used in ancient Rome were a primitive version of what you would see a cosmetic surgeon use today. They included forceps, scalpels catheters and bone drills. The scalpels were made of steel or bronze and were used to make a variety of incisions. Bone drills and bone hooks were used to remove diseased or unwanted tissue and were helpful when maneuvering small pieces or raising blood vessels during plastic surgery. Bone Levers were also used during early facial reconstructive surgery and were also said to have been used for levering out teeth.