Today's legislation asks us to mention to patients all complications including exceptional ones related to the envisaged operation.
Neither medicine, nor surgery are exact sciences. The plastic surgery operation, even when they are made for purely aesthetic motivation, are nevertheless real surgical operations. Hence they involve as any medical act a certain number of uncertainties and risks.
If usual complication are explained to the patient, it is difficult for the surgeons to go into details of exceptional complications which are sometimes mentioned in world writings.
From one individual to the other it exists important variations concerning the anatomy, the reaction of the tissues and the capacities of healing. Therefore some risks exist and any operation whatsoever, might have tragic consequences even lethal ones.
Fortunately, the improvement of anaesthetic and surgical techniques and a rigorous selection of patients, make most of those major complications extremely rare.

 

The result of an operation in aesthetic plastic surgery is judged on the aspect of the scar.
Therefore, it seems important to give some precisions. The healing phenomenon depends on 3 factors :
- the surgical suture
- the patient
- the treatment of the scar before its maturation The surgical suture of course relies on the surgeon and takes up half the time of the operation.
A minimum of tension as well as the realization of intradermic overcast seams, permit to prevent unacceptable scars from looking like a "parrot's perch".
Patients, according to their age or ethnical origins heal differently. At 65 the scars are usually thin and discreet. At is, they have the tendency to be hypertrophic (red and getting broader). The African and Asiatic skins follow the same tendency.
A scar evolves on several months after the operation. At the beginning it is normally pinkish, occasionally red and will become white over 6 - 18 months. During that period, creams, massages, silicone patches, compression and avoiding sun is often required.
Therefore, if is important to understand that the healing process does not only depend on the surgical suture. Age, ethnical origins, and the care which you will give, by a regular supervision of this scar, are decisive as well.
Lastly, if "the invisible scar" does not exist, numerous techniques (covering, lasers) permit to soften them.

 





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© Dr van der Stegen 2001
Creation, conception: NIKOPOL