Complications

Complications after any sort of surgery are a recognized risk, be it cardiac surgery, brain surgery, orthopaedic surgery, abdominal surgery etc. Cosmetic Surgery is no exception to this rule. However most good surgeons know, understand and manage their operations and complication risks in such a way that the risks are minimized. Cosmetic surgery is also different in one other way. The complications can be in the body, i.e. physical complications or in the mind i.e. those related to your results, expectations, and limitations. In this section we shall only discuss physical complications.

The body itself also has its own limitations with skin, scarring, healing and ageing. These are facts. Of course, Linia surgeons have the years of training behind them, their expertise, acquired skills and technical knowledge but they can only deal with what is physically there and on occasions they may encounter complications when performing a procedure. At Linia, our surgeons will discuss this with you and draw your attention to the possibility of this happening and how they will deal with any complications if they arise before, during or after your surgery.

How Linia surgeons deal with the complications is by first knowing what could go wrong. When the surgeon knows what could go wrong, the surgeon takes all those steps and measures that will make sure the complications do not happen. Despite this occasionally a complication may happen. The accepted rate of complication in any surgical procedure varies from 6 to 9 %. Linia Surgeons audit their complications and we are proud to say that our complication rate is 5.6 %. Fortunately, when the complications happen in cosmetic surgery, these are normally mild in nature, and not severe. On occasions these may be so, such as severe infection. This would normally happen if you have ignored to follow instructions or have not reported a problem in time.

We will never promise that no complication will happen. Our promise is that when it does, we are there to look after you and sort it out until full healing and a good result has been obtained.

It is important to acknowledge that cosmetic surgery will not promise you happiness. It will not promise eternal youth, and it certainly won’t promise perfection. One must be realistic about their expectations and their future and the possibilities of what cosmetic surgery can bring. Patients who have a fixed image or idea in their head of a perfect look they desire make unsuitable candidates for aesthetic enhancements. One must look for improvements within a range of possibilities that fit better within their expectations.

Ultimately our goal is for you to be happy with your surgery and your expectations of what can be achieved must be realistic, in order for us to help you achieve this. Surgery always carries with it the risk of complications therefore revisions and refinements are sometimes necessary. Our surgeons will work in partnership with you to ensure expectations and limitations are managed and any complications that may arise through your surgery will be addressed, discussed and treated in close co-operation with you to enable satisfaction.

Subjective Nature of Cosmetic Surgery

It is always emphasised that, the final assessment of the result is a matter of subjective opinion. Hence, while a probable expected result has been advised, this is in no way a guarantee of a good result.

This list of complications is not exhaustive and includes only commonly encountered risks. Your surgeon will discuss additional risks with you.

General Surgical risks

  • Wound Infection
  • Wound healing Problems
  • DVT/PE,
  • Bruising and Swelling
  • Bleeding/Haematoma,
  • Seroma
  • Loss of sensation – Loss of sensitivity is a consequence of all surgery and it takes time for normal sensation to return.
  • Numbness
  • Scarring problems- risk of hypertrophy and Keloid, All surgery involves creating some scars. Although these are placed in locations to hide, any scar, in theory, can become prominent. It normally takes 12-24 months for scars to fade away completely.
  • Chest Infection
  • General Asymmetry
  • Pain and discomfort

Smokers – People who smoke are known to have a significantly higher risk of post -operative wound healing problems, with a subsequently higher potential of infection, operative and post- operative bleeding and scaring. Discontinuing smoking for two weeks before and two weeks after surgery does not completely eliminate the increased risks resulting from long-term smoking.

Revisions and Refinements – Every operation may sometimes need more refinement to achieve a satisfactory end result.

Time lag for final results – Every operation is followed by a period of healing, before tissues return to normal and the final result is apparent.

Procedure specific risks:

It is important to remember that the following list is not exhaustive, just a guideline. Your surgeon may point out more and other risks.

Breast Enlargement

  • Loss of sensation
  • Capsular Contracture
  • Implant rotation
  • Change in shape of implant or implant folding
  • Implant or breast rippling, wrinkling, or creasing
  • Implant rupture, leakage
  • Implant show
  • Being able to feeling the implant
  • Silicone and its related effects
  • Asymmetry of breasts
  • No final cup size guarantee after the enlargement can be given
  • Pregnancy can change breasts
  • Severe infection resulting in implant extrusion, and necessitating implant removal for a short period. The risk is approximately 0.3 %.

Breast Reduction and Uplift

  • Loss of sensation
  • Wound healing breakdown and consequences
  • Damage to the nipple
  • Partial or complete necrosis of the nipple
  • Shape and position asymmetry
  • Scarring problems- risk of hypertrophy and Keloid Fat necrosis and hard lumps
  • Bottoming out
  • Asymmetry of breasts
  • No final cup size guarantee can be given.

Face Lift

  • Scars
  • Pixie Ear/Tight earlobes
  • Mal positioning of earlobes
  • Facial nerve damage, transient, temporary or permanent.
  • Sensory nerve damage
  • Damage to the skin
  • Skin necrosis
  • Damage to the hair
  • Asymmetry will persist.

Blepharoplsty

  • Tight Lids
  • Incomplete Closure and its consequences
  • Dryness of the eyes
  • Prolonged dryness
  • Weepiness/Watering/Itchiness/Redness of the eyes
  • Hazy vision
  • Lid pulling
  • Lateral pull and shape changes
  • Ectropion and correction
  • Asymmetry of shape of eyes
  • Scleral show.

Liposuction

  • Lumpiness
  • Waviness
  • Unevenness
  • Wrinkling
  • Looseness of the skin
  • Skin laxity
  • Deep swelling
  • Irregularity
  • Dimpling
  • Asymmetry
  • Loss of sensation
  • Numbness and sensitivity
  • Ageing process and weight changes can change the treated area
  • Does not treat cellulite or tighten the skin.

Rhinoplasty

  • Numbness and sensitivity
  • Lumpiness and irregularity
  • Scarring inside nose and consequences of excessive scarring
  • Septal tendency to buckle and bend back
  • Bony ridges, excess bone formation.

Abdominoplasty

  • Wound healing problems
  • Numbness
  • Sensitivity
  • Deep swelling
  • Lumpiness
  • Asymmetry
  • Seroma
  • Scars
  • Long term swelling.

Otoplasty

  • Sensitivity
  • Sharp cartilage
  • Shape problems
  • Asymmetry
  • Scars
  • Numbness.