Preconditions and Risks of Cosmetic Surgery

Plastic and cosmetic surgery is real surgery with all potential risks and complications. There is no absolutes in the outcome of your cosmetic procedure and no serious plastic surgeon will give you a guarantee. Be realistic about your expectation and consult with your surgeon. The ideal patient is one with realistic expectations. On the flipside, if a patient has minimal, almost ‘invisible’ problems but has an intense need for surgery, a good surgeon will always advise against surgery.

Though surgical techniques and surgeons’ expertise have improved dramatically in the last decade, our surgeons endeavor to carefully examine patients prior to surgery, to avoid unnecessary complications and advise against patients who shouldn’t be undergoing surgery especially if they have compromised health. And as a golden rule, patients are advised against smoking 4 weeks prior and after surgery as this increases the risks of wound healing.

In general, if patients are adequately ‘prepared’, complications are rare.

Medical conditions

All medical conditions and medical history must be fully disclosed to the surgeon – please note these on the medical form and discuss them during your consultations with your surgeon. Make sure the surgeon is aware of all the medications you are currently or previously taken and if you have had:

  • An allergy or bad reaction to antibiotics, anesthetic drugs or other medicine
  • Prolonged bleeding, bad scarring or excessive bruising
  • Any recent or long-term illnesses
  • A connective-tissue disorder, such as rheumatoid arthritis
  • Previous surgery
  • Psychological or psychiatric illness

Do not take any type of aspirin or medicines containing aspirin or anti-inflammatory medicines 10 days before surgery because they increase the risk of excessive bleeding

Please note our Non-smoking policy: Smoking can cause delayed recovery, wound breakdown and increased risk of infection. We strongly recommend that you stop smoking 4 weeks before and 4 weeks after surgery. You may be denied surgery if you smoke and the Beautiful You Holidays Guarantee is void for smokers.

Risks of Surgery

The following is an overview of the inherent risks and complications in all types of surgery.

We minimize risks and complications by careful patient selection and always having the most skilled surgeons, physicians and nurses carry out procedures.

The less common complications of all surgery includes:

  • Bruising and swelling – usually settles after 1-2 weeks, but sometimes can take up to month or more
  • Wounds may take longer to heal, there may be some bleeding and infection may require treatment with antibiotics
  • A chest infection may develop after general anesthetic
  • In extremely rare cases, a blood clot may develop, which could be risky if it moves to the heart, brain or lungs
  • A sore throat may develop after breathing through the breathing tube used during anesthesia
  • In few cases, surgical scars can develop that are pink, raised and irregularly shaped. These flatten and disappear over time

High risk patients

The risks of complications and having to have corrective surgery increase with:

  • diabetes
  • poor circulation
  • heart, lung or liver problems
  • if you smoke or have nicorette patches
  • if you have a family history of blood clotting
  • if you have more than 1 procedure
  • if you are over 50 years
  • If you are over a BMI of 30
  • if you depart Malaysia and the surgeon’s care before you are completely healed
  • if you stay less time than Beautiful You Holidays recommend

Specific Risks of Facelift

  • Assymetry
  • Hairline shift
  • Wound healing problems (especially in smokers)
  • Nerve damage (especially facial nerve)
  • Bleeding
  • Swelling
  • Bruising
  • Excessive scarring (wider scars) and keloid scars

Specific Risks of Rhinoplasty

  • Assymetry
  • Obstruction of nasal airways
  • Under-correction or over-correction
  • Bruising
  • Swelling
  • Bleeding

Specific Risks of Blepharoplasty (Eye Lid Surgery)

  • Swelling
  • Bruising
  • Blurred vision
  • Excessive tearing
  • Dry eye
  • Redness
  • Assymetry
  • Ectropion (drooping of the lower eyelid caused by overcorrection or scarring)
  • Blindness (extremely rare and may be caused by bleeding behind the eye)
  • Excessive scarring (wider scars) and keloid scars

Specific Risks of Breast Implant

  • Capsular formation – a fibrous layer that the body forms naturally around a foreign body such as a breast implant – may harden and contract, distorting the shape and feel of the breast. In rare cases, the capsule will need to be removed and the implant replaced. Newer implants have reduced this problem.
  • Nipple sensation can be affected following breast enlargement, with some women reporting an increase or reduction in the nipple. These changes are often temporary, but in rare cases can be long term.
  • Using modern implants, the chance of implants leaking or breaking is very rare. However, if this does occur, the look of the breasts may change in shape or feel, which may require removal of the implant.
  • Double bubble where the implant is sitting partially above and partially below the inframammary fold.
  • Skin ripples and wrinkles may form and appear on the skin near the implant.
  • The shape and size of the breasts before surgery will influence the outcome, and the surgeon cannot guarantee that the shape and size will be the same after.
  • There is no evidence to suggest that women with implants are at a greater risk of breast cancer or that detection of cancer is delayed.
  • Breast implants may affect your ability to breast feed though there is no evidence to suggest any health risks to the child.
  • Excessive scarring (wider scars) and keloid scars.

Specific Risks of Breast Reduction, Uplift (Mastopexy)

  • Wound healing problems
  • Excessive scarring (especially wider scars) and keloid scars
  • Infection
  • Loss of nipple sensation
  • Loss of ability to breast feed (rare)
  • Assymetry

Specific Risks of Liposuction

  • Contour irregularities
  • Indentations
  • Seroma (colleciton of wound fluid)
  • Infection
  • Fat cells that are removed by liposuction do not regenerate. However, if you gain a significant amount of weight, the remaining fat cells can grow and store more fat, you will gain in those areas that haven’t been previously liposuctioned.

Specific Risks of Abdominoplasty

  • Infection – Infection is unusual after this type of surgery. There is a greater risk of infection when body contouring procedures are performed in conjunction with abdominal surgical procedures.
  • Change in skin sensation- Diminished (or loss of) skin sensation in the lower abdominal area may not totally resolve after abdominoplasty.
  • Skin contour irregularities- Contour irregularities and depressions may occur after abdominoplasty. Visible and palpable wrinkling of skin can occur.
  • Skin scarring – Excessive scarring or keloid scars may be possible. Scars may be unattractive and of different color than surrounding skin. Additional treatments including surgery may be necessary to treat abnormal scarring. It is important to understand that in a full abdominoplasty, the scar may reach from one hip to the other. The surgeon will plan to make the incisions below the bikini line, however this cannot be guaranteed, as the incisions will be different from person to person, according to how they will get the best results.
  • Asymmetry- Symmetrical body appearance may not result from abdominoplasty. Factors such as skin tone, fatty deposits, bony prominence, and muscle tone may contribute to normal asymmetry in body features. Furthermore, the larger the patient is, and the larger the scar line, the increased chance of having an assymetrical scar line. The solution to this is to tidy up the scar with additional surgery, and sometimes liposuction may also be needed to improve the appearance of the scar line.
  • Seroma (collection of wound fluid)
  • “Dog ears” (remaining, bulging tissue at the end of the incisions at the hip)
  • Slightly increased risk of DVT (deep vein thrombosis)

Specific Risks of Arm Lift, Lower Body Lift, Thigh Lift

  • Seroma (collection of wound fluid)
  • Infection
  • Delayed wound healing (especially in the moist groin area)
  • Excessive scarring (wider scars) and keloid scars

You will be given a consent form for your surgery at the time of booking, please read this thoroughly.

If you do not agree with any of the risks outlined, please do not proceed with surgery.

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