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| COMPLICATIONS |
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Notwithstanding the
progress made in aesthetic surgery and the spectacular technological
developments of the last few years, one is never entirely exempt from
the possibility of complications; these may be brought on by different
factors.
In a general way,
possible complications can be divided into two categories: non specific
complications and specific complications:
A. Non specific
complications include:
1) Anesthesiological
risks |
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 | Serious risks
In north America, among all the health care needing population, the
very serious risks (fatal) is evaluated at one over 200,000
patients. This includes very bad condition patients.
If we exclude the bad condition patients and consider only cosmetic
surgery clientele, chances are that these risks can constitute one
case over 1,000,000.
| Less serious
anesthesiological complications can include allergical reactions to
medecins or other toxic effect of some drug but with a favorable
development.
| Mild
anesthesiological complications include very mild reactions without
any unfavorable effect on the patient.
| Reaction to local
anesthesiology is also possible and can go from the simple
allergical redness of the skin to a very serious allergical
reaction. |
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2) None
anesthesiological complications
| Bleeding: may be
external such as haemorrhaging or internal such as haematoma. As
soon as it is diagnosed it can be treated by tying the blood vessels
and draining of the accumulated blood.
| Infection: as soon
as diagnosed it can be treated, and if not neglected can be halted
quite rapidly.
| Unsightly scars:
scars always go through an inflammatory phase which can last from
one to two years during which they will be red in colour, sometimes
swollen and even tender. Only after this period will the scars
mature, whiten, become supple and blend in with the rest of the
skin, thus less evident. In general, massaging and putting pressure
on them can bring about their maturation faster as well as the
application of products containing silicone for a fairly long period
of time, etc.
| Oedema (swelling)
Secondary to all surgical trauma an inflammatory phase of healing
will occur. After the redness of the scar we will experience an
infiltration of the surrounding tissues by oedemas of swellings;
these are fortunately temporary and will depending on cases last
from one to six and even twelve months under certain conditions.
| Imperfect results
Considering the multiplicity of factors acting in wound healing,
some imperfections could happen in the results. These imperfections
will range from about bad scars to an unsatisfactory shape to an
asymetry in bilateral surgeries to deforming scars, etc. |
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B) Specific
complications
| Specific
complications will depend on the type of surgery and will be
subsequently enumerated into each different chapter. |
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