
Plastic surgery is a broad term for surgical procedures that restore, reconstruct, or alter the human body. While plastic surgery can have positive outcomes, such as improving self-esteem and quality of life, it is not without risks and potential complications. These risks include abnormal scarring, blood clots, blood loss, nerve damage, infections, and slow-healing wounds. In rare cases, complications from plastic surgery can be fatal. Certain individuals, such as smokers, older adults, and obese people, may be more prone to experiencing these complications. Additionally, individuals with body dysmorphic disorder (BDD) may seek cosmetic surgery to correct perceived defects, but the procedures do not address the underlying psychological root of BDD and can even worsen the condition. Therefore, it is crucial for individuals considering plastic surgery to be well-informed about the potential risks and to select qualified healthcare providers to reduce the likelihood of adverse outcomes.
| Characteristics | Values |
|---|---|
| Complications | Hematoma, infection, nerve damage, scarring, blood clots, blood loss, complications of anaesthesia, fluid buildup (edema), slow-healing wounds, deep vein thrombosis (DVT), pulmonary embolism (PE), visceral perforations or punctures, abnormal swelling, pain, vomiting, fever, and discharge |
| Risk Factors | Surgery type, health history, lifestyle factors (e.g. smoking), age, obesity |
| Treatment | Additional treatments may be needed as part of recovery, including physical therapy, speech and swallow therapy, and occupational therapy. In some cases, further surgery may be required to address complications such as blood clots or visceral perforations. |
| Psychological Impact | Plastic surgery can improve self-esteem, confidence, and quality of life. However, it may also be sought by individuals with body dysmorphic disorder (BDD), which can worsen the underlying psychological problem and lead to suicide in some cases. |
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What You'll Learn

Blood clots and infections
Plastic surgery, like any other surgery, carries the risk of complications, which may occur during or after the procedure. Blood clots and infections are among the most common complications of plastic surgery.
Blood Clots
Deep vein thrombosis (DVT) is a condition in which blood clots form in the deep veins, usually in the legs. When these clots break off and travel to the lungs, it is called a pulmonary embolism (PE). DVT and PE are rare, affecting just 0.09% of all patients undergoing plastic surgery, but they can be fatal. The risk of developing blood clots is five times higher for people undergoing multiple procedures compared to those undergoing a single procedure. Abdominoplasty procedures have a slightly higher rate of DVT and PE, affecting just under 1% of patients. Liposuction can also be traumatic for the internal organs, and visceral perforations or punctures may occur when the surgical probe comes into contact with them. These perforations can be fatal and may require additional surgery to repair.
Signs of blood clots include abnormal swelling in the groin or lower leg. Blood clots can be life-threatening, so it is important to seek medical attention if you experience any of these symptoms after surgery.
Infections
Infections are a common complication of plastic surgery, despite postoperative care measures to reduce their risk. Infections can be external, such as the skin infection cellulitis, or internal, in which case they can be severe and require intravenous (IV) antibiotics.
Infections can cause a range of symptoms, including fever and yellowish discharge from the incision site. If you experience any signs of infection after surgery, you should contact your healthcare provider immediately.
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Nerve damage
The risk of nerve injury depends on the type of procedure. For example, rhinoplasty carries a risk of olfactory dysfunction, and breast surgery can affect the intercostal cutaneous nerve. Peripheral nerve surgery is a specialized branch of surgical expertise that treats conditions affecting the intricate network of nerves outside the brain and spinal cord. These nerves are responsible for relaying messages between the brain and the body and are crucial for sensation, movement, and coordination.
Symptoms of nerve damage can include numbness, tingling, weakness, or chronic pain in the limbs or extremities. Most often, nerve damage after plastic surgery is temporary, but it can be permanent in some cases. For instance, most women experience a change in sensitivity after breast augmentation surgery, and 15% experience permanent changes in nipple sensation.
Chronic nerve injuries can result in prolonged pain. Careful diagnosis and treatment of nerve damage can help relieve pain and restore normal function. Treatment options include nerve repair, grafting, or transfer. Peripheral nerve surgery can also address nerve-related disorders such as nerve compression, tumors, and chronic neuropathic pain.
Plastic surgeons with specialized training in peripheral nerve surgery can effectively treat chronic pain related to nerve compression and other nerve injuries. Their expertise in soft tissue injuries, many of which involve surrounding nerve damage, makes them well-equipped to address peripheral nerve issues.
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Unmet expectations
Plastic surgery is a broad term that covers both reconstructive and cosmetic procedures. Reconstructive surgery aims to restore function to abnormal body structures, while cosmetic surgery focuses on enhancing physical appearance for non-medical reasons. While plastic surgery can help individuals achieve their desired physical goals, it is not without risks and potential complications.
One of the main risks associated with plastic surgery is the possibility of unmet expectations. Patients may not achieve the results they were expecting, which can lead to dissatisfaction and negative psychological consequences. This is especially prevalent in individuals with body dysmorphic disorder (BDD), where patients have a distorted perception of their physical flaws. While cosmetic surgery can temporarily alleviate their concerns, it does not address the underlying psychological issues, and can even worsen the problem. In some cases, patients with BDD may remain unhappy with their appearance despite surgery, or develop new areas of fixation.
In addition to psychological factors, several physical factors can contribute to unmet expectations. Scarring, for example, is an inevitable aspect of surgery, but abnormal scarring can be a source of disappointment. Hypertrophic scarring, characterised by raised, red scars, can be particularly troublesome following cosmetic procedures. Nerve damage is another potential complication, resulting in numbness, tingling, and, in some cases, permanent loss of sensation. This is a common occurrence after breast augmentation surgery, with 15% of women experiencing permanent changes in nipple sensation.
Furthermore, the complexity of plastic surgery procedures means that complications can arise during or after the operation. Liposuction, for instance, carries a risk of visceral perforations, which can be fatal and may require additional surgery to repair. Blood clots are also a serious concern, with deep vein thrombosis (DVT) and pulmonary embolism (PE) affecting a small percentage of patients. These clots can have fatal consequences if they travel to the lungs.
To mitigate the risk of unmet expectations, patients should thoroughly research their doctor's credentials and the facility where the surgery will take place. Educating oneself about the procedure, potential risks, and recovery process is crucial. Discussing concerns and managing expectations with the doctor beforehand can also help reduce the likelihood of disappointment. While plastic surgery can offer physical enhancements, understanding the potential pitfalls is essential for making informed decisions.
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Body Dysmorphic Disorder (BDD)
Plastic surgery is a group of procedures that alter certain areas of the body, including the face, neck, breasts, stomach, arms, and legs. These procedures can be reconstructive (repairing defects or injuries and restoring function) or cosmetic (enhancing appearance for non-medical reasons).
The increasing popularity of cosmetic procedures means that physicians are more likely to encounter patients with BDD. However, BDD may be under-diagnosed by cosmetic professionals. Accurate identification and appropriate selection for procedures are crucial given the ethical, safety, and legal considerations involved in aesthetic procedures for patients with BDD.
Plastic surgery can negatively impact individuals with BDD. In a sample of 200 patients with BDD who received cosmetic surgery, the most common outcome was no change in the severity of BDD symptoms. In another study, 25% of individuals with BDD who received surgical and minimally invasive procedures showed longer-term improvement in their preoccupation with the treated body part, but only 2.3% of procedures led to longer-term improvement in overall BDD symptoms.
It is important to note that all surgical procedures come with risks, and plastic surgery is no exception. Complications may occur during or after surgery, and they can be severe or even fatal. Some potential risks of plastic surgery include hematoma (a pocket of blood that resembles a large, painful bruise), infection, nerve damage, scarring, slow-healing wounds, blood clots, blood loss, and complications of anesthesia.
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Postoperative care
While plastic surgery is often sought to enhance one's appearance, it is still a serious medical procedure that requires careful postoperative care. The post-operative instructions are specific to each procedure and are individualized for each patient. Here are some general postoperative care guidelines to follow after undergoing plastic surgery:
Medication
It is important to take your medications as prescribed by your doctor. Be sure to inform the medical staff of any allergies or sensitivities you may have. If antibiotics are prescribed, be sure to finish the entire course and do not skip any doses. It is recommended to eat something before taking medications, especially during the first 24 hours after surgery, to avoid nausea and dizziness.
Activity
Strenuous activity should be avoided, as an increase in blood pressure or pulse rate can cause bleeding. If you have had facial surgery, it is recommended to sleep with your head elevated above heart level for three weeks to reduce soreness, bruising, and swelling.
Wound Care
Incisions and suture lines take many months to fully heal and require proper cleansing and care. If you have a dressing, keep it clean and dry for at least 48 hours. If you have a clear plastic film dressing, you may shower, but avoid immersing the wound in water for at least two weeks. If you have sutures, apply bacitracin antibiotic ointment twice daily.
Scars
Scars can take up to a year to assume their permanent appearance. During this time, it is important to wear sunscreen with an SPF of at least 30 when exposed to the sun or wear protective clothing. Scar massage can be started two weeks after surgery to help improve the appearance of the scar.
Smoking
Smoking should be avoided after surgery as it can reduce oxygen levels in the blood and significantly impact the healing process.
Complications
While rare, plastic surgery can result in complications such as hematoma (a pocket of blood that resembles a large, painful bruise), infections, nerve damage, blood clots, and abnormal scarring. It is important to be aware of these potential complications and seek medical attention if you experience any signs of complications, such as excessive bleeding, fever, persistent vomiting, or abnormal swelling.
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Frequently asked questions
Plastic surgery is not known to cause diseases, but there are several complications that can occur as a result of surgery, including:
- Blood clots
- Blood loss
- Abnormal scarring
- Nerve damage
- Infections
Infections are one of the most common complications of plastic surgery, despite postoperative care to reduce the risk.
There is no evidence to suggest that one type of plastic surgery will cause fewer complications than another. The likelihood of complications depends on various factors, including the type of surgery, the patient's health history, and lifestyle factors such as smoking.
You can reduce the risk of complications by fully vetting your doctor and their credentials, as well as the facility where the surgery will take place. Educating yourself about the procedure and discussing your concerns with your doctor will also help manage your expectations and reduce risks.
Signs of an infection may include fever or yellowish discharge from the incision site. Contact your surgeon or healthcare team immediately if you experience any of these symptoms.










































