plastic surgery procedures

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cosmetic surgery procedures
  • BOTOX Cosmetic
  • Restylane
  • Perlane
  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Radiesse
  • Sculptra
  • TCA Chemical Peel
  • Cosmelan Mask
  • Refinity Peel

General Risks of Cosmetic Surgery

Introduction to the Risks of Plastic Surgery
Bleeding and Hematoma
Suture Reactions
Skin Reactions
Wound Separation
Nerve Damage



Suture Reactions
Since a suture is technically a foreign body, it is not uncommon for your body to react to it. This can be manifested as a "spitting suture", a suture granuloma, or a suture abscess.

A spitting suture can occur weeks to months after surgery if your body rejects the suture and tries to get rid of it by pushing it out to the surface of the skin.

A suture granuloma appears as a bump under the skin and occurs when your body makes a tiny wall of scar tissue around the suture to separate it from the body.

A suture abscess occurs when bacteria enter the area around the suture and cause a small-scale infection. This can manifest as redness, tenderness and pus around the suture. If left untreated, the infection may spread through the skin.

If you know from previous surgeries that you have had problems with sutures such as sensitivity or sutures that don't dissolve in a timely manner, let your doctor know before surgery. He or she may be able to adjust the technique or choice of suture material to minimize your risk of problems.

Skin Reactions
Your body can react to medications used during or after surgery or to topical products applied to the skin after surgery. The most common reaction is to the adhesive in bandages or tapes that causes redness, itching, and small blisters under the adhesive.

Neomycin, Neosporin, or triple antibiotic ointments also can cause an allergic reaction in about 5% of the population, so many doctors recommend Polysporin, Bacitracin or a generic double antibiotic ointment instead. (The third ingredient in a triple antibiotic is the Neomycin).

If you develop a rash, hives, or itching all over your body, call your doctor immediately. This is a systemic reaction, usually to a medication and can progress to breathing problems if severe.

Most mild cases of skin reactions can be treated with hydrocortisone cream and Benadryl or other antihistamine pills. More severe cases of sensitivity or allergy may require oral steroid medication and admission to a hospital.

Wound Separation
Anytime an incision is made, there is a chance that it will not close properly. Bleeding, swelling, nicotine use, excessive movement, shearing forces, oral steroid medication, uncontrolled blood sugar, hematoma, and infection can all contribute to poor wound healing. Surgical technique, the amount of tension placed on the wound, and premature suture removal are also contributing factors that your plastic surgeon has some control over.

If your wound separates, your plastic surgeon may prefer to let it heal on its own without tension and then revise the scar once it's healed. In some cases, it may be possible to re-suture the incision immediately, especially if it's still within the first 24 hours after surgery.

To Next Section - Necrosis, Nerve Damage, and Anesthesia

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