Risks of cosmetic surgery


Like any operation, cosmetic surgery naturally involves risks that must be considered in any case before an intervention and explained during a consultation. Specialists in plastic and aesthetic surgery are aware of these risks and explain them to their patients accordingly. Patients must be aware of these risks and deal with them responsibly – just as good doctors do in order to achieve the best possible result of the desired correction. But what are the risks of cosmetic surgery in general?

The anesthetic risk

In general, anesthesia involves the use of drugs that eliminate the patient’s sense of pain and, in some cases, his or her consciousness. For this reason, comprehensive anesthesia in particular may only be performed, dosed and controlled by trained anesthesiologists. When performed correctly and professionally the risks of anesthesia are very lowHowever, they cannot be completely ruled out. Vomiting, cardiovascular problems, wake-up complications, temporary paralysis or similar are possible risks of anesthesia.

The common types of anesthesia for cosmetic surgery.

General anesthesia/ general anesthesia

General anesthesia represents the most extensive of the types of anesthesia and provides a complete anesthesia of the sensation of pain and consciousness by means of administration of various drugs. Drugs such as hypnotics or sedatives are usually responsible for the loss of consciousness, while opioids or ketamine are administered to counteract the sensation of pain.

Additionally, muscle paralyzing drugs (muscle relaxants) are used. Due to the combination of these drugs, patients do not consciously perceive the operation and have no pain sensation.

Anesthesia also causes restrictions in autonomic functions, which is why patients must be ventilated during anesthesia. After the operation, the supply of medication is slowly reduced so that the patients regain consciousness and wake up. Before, during and after an operation, an explicitly trained anesthesiologist is responsible for the dosage and control of the anesthesia. General anesthesia is necessary above all for major operations in aesthetic plastic surgery – such as breast augmentation or a breast lift.

Dr. Martha Bernard has many years of experience in the field of breast surgery. She most recently worked as a senior physician in the Department of Plastic Surgery at the Vogtareuth Treatment Center, where she was responsible, among other things, for the special care of breast patients.

Local anesthesia/ local anesthesia

Many aesthetic plastic surgery procedures do not require general anesthesia. Injections, for example of the lips or upper eyelid lifts, only require local anesthesia. With this in the area that is to be treated is locally anesthetizedso that patients do not feel any pain there, but motor function and consciousness remain intact. Another way of locally anesthetizing a body region is an anesthetic – a cream or spray that is applied to the surface of the skin.

Local anesthesia involves a very low riskIn the worst case, temporary movement restrictions may occur. Therefore, the health condition of the patients does not need to be monitored, an anesthesiologist is not necessary with this type of anesthesia.

Twilight sleep/ sedoanalgesia

In twilight sleep, patients can continue to respond, for example, to instructions from the physician. This is made possible by a anesthesia of the pain sensation, while the consciousness is merely calmed down and is thus partially preserved. This is why sedoanalgesia is also called painless twilight sleep. Unlike general anesthesia, patients do not need to be ventilated during sedation; they continue to do this themselves. This method is often used for autologous fat injections, lower eyelid lifts or face lifts.

Risks due to medical errors

It’s not just anesthesia that poses some risk in plastic and cosmetic surgery. The way the doctor works is also crucial. Patients trustingly place themselves in the hands of their surgeons. But doctors are also “only” human beings who can make mistakes. – Unfortunately, this risk cannot really be influenced by the patient. However, in order to keep it as low as possible, when choosing a doctor you should make absolutely sure that the surgeon is experienced and has therefore already performed many operations. However, he or she should also know that every operation requires full concentration and therefore possibly not perform a marathon operation day after day. It is also important that the doctor has an appropriate specialist title.

Healing complications

Although, of course, with cosmetic surgery in particular, attempts are made to avoid as few Scars Although it is important to avoid scars as much as possible, they cannot be completely ruled out. Every human body has its own individual wound healing process, which is why it is not possible to make a general statement about how quickly and well wounds heal. In individual cases and depending on the procedure, swelling, inflammation, hematomas, pain or visible scars may occur. Patients can usefully support their body’s wound healing by adopting a healthy lifestyle.