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Posts Tagged ‘cosmetic surgery’

Complication Rates in Cosmetic Surgery

Monday, January 18th, 2016

 

Cosmetic surgery, like all surgeries, has the risk of after surgery complications. But cosmetic surgery us unique is that it has two distinct types of complications…medical and  cosmetic. Medical complications are events like infection or DVT. Cosmetic complications are an undesired or unexpected appearance like an implant being too big or an out contour that is irregular or asymmetric What the exact type and risks of complications are varies for each type of cosmetic surgery.

CosmetAssure insurance for plastic surgery Dr Barry Eppley IndianapolisCosmetAssure is an insurance company that offers patients some financial protection against medical complications from approximately twenty of the most common cosmetic surgery procedures. Since this company provides such coverage they are in a position to have a unique insight into the rate of these complications. They have accumulated a large database from which the data has been statistically analyzed over a five year period. The data has shown the following top ten statistics.

The major or medical complication rates for cosmetic surgery is around 2%. Liposucton, which is often perceived by the public has having a relatively high risk, shows a major complication rate of less than 1%. That risk does increase considerably up to 4% when combined with a tummy tuck and at 12% when combined with multiple other body contouring procedures.

Medical complications rates in tummy tuck surgery were 3% and increased as high as 10% when combined with other body contouring procedures such as liposuction. Combining liposuction with a tummy tuck doubles the risk of a DVT (deep vein thrombosis) from 0.5% to 1%.

In breast surgery, placing breast implants had complication rates of 1.5% which was similar to that of a breast lift. However, when both implants and a lift are done are done at the same time, the complication rates increases to 2%.

While major complications in facelifts are rare, patients that were overweight (BMI greater than 25) have a higher rate of infection. (3%). Men are more prone to hematomas after a facelift than women at a rare of 4%.

There was no statistical difference between older vs. younger patients in complication rates from cosmetic surgery, supporting what has been believed for a long time. However, when looked at on the other end of the age spectrum, cosmetic surgery in teenagers (0.5%) was much lower than in in adults. (1.5%) This undoubtably is due to the more limited types of cosmetic procedure performed in young patients.

Sex did not make a difference in major complication rates with men and women being fairly equal at just over 2%. However, regardless of gender, being overweight increases the complication rates for both men and women.

Dr. Barry Eppley

Indianapolis, Indiana

Safety of Cosmetic Surgery in the Elderly

Sunday, August 30th, 2015

 

Cosmetic Surgery in Octogenarians Dr Barry Eppley IndianapolisThe popularity of all forms of cosmetic surgery is growing and it spans all ages from teenagers to senior citizens for a wide variety of procedures. Age knows no limits when it comes to self-improvement and the desire to look as good as physically possible. While younger patients do inquire as to the safety of certain cosmetic surgery procedures, that very question becomes much more relevant in older patients who may more ailments and medical problems. Even when very healthy older patients naturally ask if their age places them at greater risk for complications.

In the September 2015 issue of the Aesthetic Surgery Journal an article on this topic appeared entitled ‘Safety of Cosmetic Procedures in Elderly and Octogenarian Patients’. To evaluate the incidence of complications from elective aesthetic surgery in patients over age 65 (so called ‘elderly’), the authors looked at a data base of over 180,000 patients from the company CosmetAssure’s data base. Postoperative complications in elderly and younger patient groups were compared with a separate. analysis of postoperative complications in patients over 80 years old. From this database just over 6,700 patients over 65 years old were identified with an average age of 69 years old and with a higher number of men with higher body mass indexs.

They found that the postoperative complication rates was not higher than that of younger patients.When looking at the type of cosmetic procedure, only a tummy tuck had greater complication rates in older patients.The most common postoperative complications in older patients were infection and bleeding. (hematoma) Also the octogenarian patients had a complication rate of around 2% which was not different than that of any other age group.

Cosmetic Surgery in the Elderly Indianapolis Dr Barry EppleyAs the U.S. population grows an older number of cosmetic surgery patients have come forth more than ever before. The first question that both plastic surgeon and patient alike ask at older ages is…is having this operation safe? Is the patient at increased risk because the patient is older? It is the plastic surgeon’s perception and experience that this is not so. This study supports that belief using data from a company that knows complications from having to insure against them and pay for them if they should occur.

Dr. Barry Eppley

Indianapolis, Indiana

2013 Plastic Surgery Annual Statistics for Cosmetic Procedures

Friday, February 28th, 2014

 

Aerican Society of Plastic Surgeons Indianapolis Dr Barry EppleyEvery year at this time, the American Society of Plastic Surgeons releases the annual procedural statistics from the previous year. This is always a good snap shot of the state of the specialty. From a cosmetic standpoint, there were over 15 million  procedures performed in 2013. This includes both invasive surgery, minimally invasive and injectable and laser procedures. This represented an increase of 3% over the number performed in 2011.

Of the 15 million cosmetic procedures, 1.7 million were surgical which was a 1% increase. The top five cosmetic procedures were breast augmentation (290,000, up 1%), rhinoplasty nose reshaping (221,000, down 9%), blepharoplasty eyelid surgery (216,000, up 6%), liposuction (200,000, down 1%) and facelifts. (133,000, up 6%) Breast augmentation has been the leading cosmetic procedure for years. and the silicone implant is now used in the majority of them (72%) compated to saline implants. (28%) The introduction of a more form stable silicone material, shaped or teardrop implants and an increasing interest and use of injectable fat grafting to the breast continues to drive breast augmentation popularity.

Two of the fastest rising cosmetic surgery procedures are buttock augmentation and neck lifts. With over 10,000 buttock augmentations performed last year by fat injections (Brazilian Butt Lift), a 16% increase, changing this part of the body has come a long way from implants that have predated it. Neck lifts continue to increase in popularity as people are focused on this sign of facia aging, with more than 55,000 down in 2013. (up 6%)

The majority of cosmetic procedures were not surgery and consisted of injectable and device-related treatments. The top five non-surgical procedures were Botox and botulinum toxin equivalent injections (6.3 million, up 3%), injectable fillers (2.2 million, up 13%), chemical peels (1.2 million, up 3%), laser hair removal (1.1 million, down 4%) and microdermabrasion. (970,000, 0% change) The popularity of injectable treatments continues unabated and with three botulinum toxin options and nearly a dozen soft tissue injectable filler options, patients have a lot of treatment options from which to choose. In 2013, the hyaluronic soft tissue fillers rose a dramatic 18% from the year before.

Plastic Surgery Statistics 2013 Dr Barry Eppley IndianapolisThese annual statistics show that the demand for plastic surgery remains with small but consistent increases in facial rejuvenation and body contouring. With new products and devices coming out each year, patients get exposed to new options and choices to tackle their aging and body change desires.

Dr. Barry Eppley

Indianapolis, Indiana

The Stealth Approach To Plastic Surgery

Sunday, September 23rd, 2012

 

The popularity of plastic surgery is evident by the near 14 million procedures done in 2011. The vast majority of these improvements did not involve invasive surgery but still accounted for well over a million procedures.  Together these numbers mean that roughly 4.5% of the American population had some cosmetic improvement done last year. Using the calculated mean age in the U.S. by the CIA World Factbook of 37 years old (35.6 for males and 38.2 years for females) and assuming that the vast majority of these procedures were done for aging concerns, the percentage of people over age 37 that had some procedure rises to 9%. (14million/155 million)

With nearly 10% of the eligible population participating in cosmetic improvements, it is fair to say that it is a main stream societal occurrence. This is reflected in a study funded last year by the American Society of Aesthetic Plastic Surgery in which it was reported that more than 67% of Americans would not be embarrassed if their friends or neighbors knew they had had a cosmetic procedure. That of course still leaves a third of the people who do not want others to know. In providing cosmetic procedures every day, it sure seems that the number of patients who want to be discreet is much higher than those numbers.

Why are patients desirous of being discreet about cosmetic improvements? Some changes, particularly in facial surgery, are so obvious that it would seem impossible to hide the fact that something was done. Many of the more common non-invasive procedures like Botox and injectable fillers are subtle and discretion is easy. But whether hiding cosmetic changes is easy or hard, some people make great efforts to do it.

I have observed and heard numerous reasons for the stealth approach to cosmetic procedures. One of the most common is economics, one does not want their spouse or family to know they they are spending resources for this seemingly selfish endeavor. That is why Botox and injectable fillers is such a cash business. It is a low cost item compared to surgery that is easy to keep discreet and not be missed. Surgery is a different economic matter but many couples have separate banking accounts. How you hide having a facelift or some form of body contouring surgery is another matter…but I have seen it done more than once.

Insecurity or not wanting to appear vulnerable certainly accounts for many ‘fibs’ that are told. Some would like us to believe that they really did get that better figure by going to countless Zumba classes or have developed a more wrinkle-free face by a great cream or going on vacation. Having a cosmetic procedure is still equated with a sign of weakness or being ‘fake’.  Having to submit to a needle or surgery somehow indicates an internal sign of  a personality defect or character flaw. As a plastic surgeon I realize that I have a tainted view, but it takes greater strength and constitution to go through surgery and recovery than it is to just let nature takes its course. There is no getting around that beauty is truly painful.

There is also those that simply don’t want others to weigh in on their thoughts about what they are contemplating. It is human nature for someone to tell a prospective patient the most horrid story of what they have heard or read about a certain procedure. Someone somewhere has died or been deformed, they took an eternity to recover or ended up with a bad result. This type of ‘supportive information’ is avoided by being stealthy.

There are many reasons why people are secretive about their cosmetic surgery improvements. Money, insecurity and avoidance of ridicule are the most common ones that I have come to appreciate. I often tell patients that no one else can understand your need if they do not have the same problem.  For many ‘run silent run deep’ is the best approach.

Dr. Barry Eppley

Indianapolis, Indiana

Cosmetic Surgery Goes From Head To Toe

Tuesday, July 17th, 2012

The cosmetic surgery field continues to expand both in the number of doctors performing procedures as well as in the types of procedures being performed. Conventional cosmetic procedures, such as breast augmentation, facelifts and tummy tucks, are well known and represent a few of the mainstream procedures. There are many other niche procedures, like earlobe reduction, lip lifts and nipple reductions to name a few, that are not as well known but are also commonly done. But like everything else in life, cosmetic enhancement marches forward and new innovations regularly appear. 

 

I was asked recently to be interviewed on a local radio show about the internet news article which appeared on the cosmetic surgery topic of ‘Toebesity’. While normally I might not have read this article even if I came across it perusing the internet, I was actually aware of it and had read it. A friend of mine who works for an internet marketing firm had sent it to me as a joke, incredulous that such an entity could actually exist.

 

Toebesity refers to the surgical procedure of defatting the toes. For those bothered by a fat toe or two, they can be reduced in size. I was aware of toe shortening but not actual toe size reduction. While I am not a podiatrist or a foot and ankle surgeon and do not perform this procedure, I can not comment on its merits and the risks involved in doing it. But I am not surprised that it exists or has been developed. Ultimately if there is a concern, a surgical procedure will appear to try and change it.

The normal comment to such a procedure would be ‘who would want to do that’…or ‘someone must be crazy if that bothers them’. But what you learn with a lot of experience in cosmetic procedures is that there is no accounting for what or why some physical feature bothers people. Trying to understand the  reasons why a certain physical feature is concerning cannot be logically done by another person.. Such concerns are undoubtably muiltifactorial but are deeply emotional. How you may feel about their physical concerns is just that…how you feel about it.

 

This is well illustrated to me by a set of procedures completely opposite to that of the toes…skull reshaping. I perform a fair number of skull or head reshaping procedures over the pasts few years and the number is growing. These are largely not reconstructive skull procedures per se, like from a craniotomy or a traumatic accident, but are cosmetic concerns about the way their head is shaped. Such issues may be a flat spot on the back of their head, protruding brow bones or a prominent midline skull ridge to name a few. Some of these issues are obvious to outside observers while others are clearly more discreet and are more ‘internalized’ concerns.

But what strikes me about the issue of skull reshaping is the deep emotional concerns and scars that their physical issue has caused them. Patients write me and describe why they want the procedure and how much it has bothered and embarrassed them over the years. Some of these skull issues have appeared as men lose their hair or now completely shave their head, exposing the full shape of their skull. Others, however, have hair and modify their hairstyles to try and hide these concerns.

 

The point being is that people have physical concerns and will try to change them if a surgery exists to address it. Like skull reshaping, just because cosmetic toe surgery is new doesn’t mean it doesn’t have great emotional value to certain people. The number of people wanting toe modifications today are small, but twenty years from now the procedure may be quite common. Placing breast implants in 1969 was far from how it is perceived and practiced today. Cosmetic surgery continues to evolve and really does cover the gamut of all concerns from head to toe.

 

Dr. Barry Eppley

Indianapolis, Indiana

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Downward Age Trend in Cosmetic Plastic Surgery

Thursday, November 24th, 2011

The great boom in plastic surgery over the past decade has been largely spurned by the use of injectable treatments and lasers for aesthetic facial rejuvenation. This has arisen to a shift in the average age of patients seeking cosmetic changes with a younger age group than ever before. Recent statistics put forth by the American Society of Aesthetic Plastic Surgery confirms what most of us have known for some time…patients are getting younger.

According to the Society’s numbers, Generation Xers as defined by those 31 to 45 years of age accounted for nearly 45% of all reported procedures. Conversely, the Baby Boomers as defined by ages 51 to 64 accounted for less than 30% of all reported procedures. This is a major shift from a decade ago and throws out the historic perception of plastic surgery being for the older crowd.

With this younger patient population, it is now clear that Americans are thinking in droves about early treatment and prevention of facial aging. While facelifts and other true surgical approaches will always be around, much more effort in numbers is directed towards minimalistic techniques. Whether it is light therapies, fractional laser resurfacing, Botox, fillers or skin tuck-up procedures, people now want to embark on treatments early to allay the both the onset and the severity of the physical signs of aging.

One aspect that underlies much of these newer aesthetic facial treatments is skin rejuvenation. Besides light, laser and chemical peels, there has been a virtual explosion of topical agents. Many of these skin therapies have provided antioxidant, growth factor and even purported stem cell compositions. Women, and a few men, are investing in their skin early with the knowledge that they will need to make a continuing effort over their lifetime.

From a surgical standpoint, this newer generation is more body conscious than ever before. From breast implants, Smartlipo fat removal to mommy makeovers, women are being driven by the trends seen in the fashion world and Hollywood. Men, particularly those younger, want to have a more defined facial shape and athletic-appearing bodies.

One thing that is very clear in the shift to the younger ages is that patients are no longer seen as a one-time surgical effort, but rather more of a lifetime. What starts as Botox and skin care today may eventually become a tummy tuck or a facelift a decade later. This makes seeing patients as a concept over decades rather than an isolated surgical procedure. Patients should also see their plastic surgeon as a lifetime resource, providing suggestions and solutions to their aging concerns over their lifetime.

Dr. Barry Eppley

Indianapolis, Indiana

Who Is Your Cosmetic Surgeon? – Part 1

Thursday, September 15th, 2011

A front page article in USA today reviewed a burgeoning problem in the world of cosmetic surgery…a growing number of complications spurned by surgeons of dubious training backgrounds. As insurance reimbursements have continued downward to abysmal levels, doctors who are trained in many other medical specialities than plastic surgery are either doing or opening their own cosmetic surgery practices.

Because federal and state laws have little to no governance over what goes on in an office setting, cosmetic operations are popping up everywhere. When combined with the ease of having a professional and slick-looking presence on the internet, it is seemingly hard for the public to separate legitimate from questionable doctors and practices. With a growing age and body conscious society, there is no shortage of potential patients who are willing to spend money on a wide variety of cosmetic procedures.

We live in world now where just about anything seemingly goes. ER doctors and internists are performing liposuction, Ob-Gyns are inserting breast implants, Dermatologists are practicing facelifts and Eye doctors are having their hand at rhinoplasties, to name just a few incongruous combinations that a decade ago were unthinkable.

The unsuspecting general public understandably asks how can this be? With no oversight in a doctor’s office or in some private surgery centers, any doctor with a medical license can do whatever they want. With the allure of cash payment upfront and no interference from insurance companies which don’t oversee cosmetic surgery, little more than a doctor’s conscience separates some cosmetic operations from prospective patients.

For those procedures that require expensive equipment to perform, the manufacturers actually exacerbate this problem. They will sell any piece of equipment, lasers and liposuction machines as the most common devices, to any doctor that has a medical license regardless of their background. With such devices that cost anywhere from $25,000 to $150,000, they apparently need to expand their potential sales market. In my city of Indianapolis, I know of ENT surgeons that perform breast augmentations in their own facilities. When asking the local sales representative why would a breast implant manufacturer sell breast implants to a doctor with no formal breast surgery training, he shrugs and says we have to because that is company policy.

When you don’t have good training and a long history of satisfied patients, one of the most appealing pitches is that of a lower cost. Offering steep discounts over many board-certified plastic surgeons, lower prices help drive many non-discerning patients through the doors. With the growing discount concept like Groupon, price will continue to be a driving motivation for new cosmetic patients. But lower prices almost always reflect that the procedure will be done in the office under local or sedation anesthesia where costs can be saved. But it may also reflect that the doctor lacks adequate training and qualifications to perform the procedure in a hospital-associated or accredited facility.

While on the surface this appears nothing more than a turfbattle between board-certified plastic surgeons and cosmetic surgeons, the issues go way beyond trying to stifle competition. This is an issue of adequate training, competency, and patient safety. Being trained in a plastic surgery residency program (cosmetic surgery has no residency program and is not a recognized specialty of the American Board of Medical Specialities) assures patients that the doctor has already done his/her learning on other patients beforehand.

Dr. Barry Eppley

Indianapolis, Indiana

Preoperative Testing and Evaluation Before Cosmetic Surgery

Monday, January 18th, 2010

As of Jan. 1 this year, a new law took effect in California whose intent is to provide greater safety for patients undergoing plastic surgery.

Known as the “Donda West Law”, it is named after rap artist Kanye West’s mother who died a day after cosmetic surgery in 2007. According to reported autopsy results, Donda West died of pre-existing coronary artery disease and other unspecified postoperative events a day after she had undergone a tummy tuck, breast surgery and liposuction. The exact details of these events is not known by this writer but the surgeon who performed this surgery has apparently surrendered his medical license, suggesting there are deeper issues at work here as well.

This new law requires a physical examination within 30 days before a procedure and clearance from a doctor, nurse practitioner or physician’s assistant before cosmetic surgery is performed. In essence, this makes it illegal for doctors to perform elective cosmetic surgery without a physical examination and clearance from a medical professional.

This new law will actually change very little in most plastic surgeon’s practices because reputable plastic surgeons do take a medical history and perform a physical examination before any major procedure. But it does bring to light and reinforce several important concepts about cosmetic surgery and a patient’s preparedness for it.

First, a cosmetic procedure like Donde West went through is major surgery. It should be viewed in the same light by a patient as having a hip replacement or gastric bypass surgery. While it may not be exactly the same, the extent of the procedure does pose risks which can be magnified based on one’s medical history or pre-existing health conditions. It is therefore paramount that any medical problems be well controlled, one should try and be in the best physical condition as possible and make sure that your own physician is aware of what you doing. While the desire for privacy and discretion is understandable, this should not be done at the expense of your own health.

Secondly, while not every procedure needs laboratory testing beforehand, many do and that expense should be seen as just part of the procedure. In an otherwise healthy person (no known medical problems) under age 50, no laboratory testing is needed. This will change based on if the patient has medical problems. For any patient over 50 years of age, preoperative labs are needed and include blood work and and EKG. More may be needed if other medical problems warrant it.

Lastly, be concerned if this information is not required of you before any major cosmetic surgery. Taking a medical history and filling out such on forms is almost always the very first step you do even before you ever see a plastic surgeon in their office.

While the potential changes that cosmetic surgery can create can be somewhat euphoric when one is pondering the procedure(s), the most important consideration is your safety. If a plastic surgeon suggests that you should not have the operation or recommends a less extensive approach than you want, you would be wise to heed those suggestions. This is usually an issue in major body contouring surgery. In some cases, doing the procedure in stages is both easier and safer for you. It may cost somewhat more to do so and be an additional inconvenience to your life, but that is a small sacrifice to pay for your health.

Dr. Barry Eppley

Indianapolis, Indiana  

Taxing Cosmetic Procedures and Surgery in Health Care Reform

Wednesday, November 25th, 2009
There is sure to be much discussion to a provision in the U.S. Senate’s version of Health Care Reform which would impose a tax (penalty) on elective cosmetic procedures. With a tax rate of 5%, the measure presumably will raise close to $6 billion of the projected $850 billion price tag of the healthcare bill. (everyone knows that this projected cost is fancifully low)
Given the name of “Botax” by many, the intent of it is to clearly tax those who can ‘afford’ to pay it…some call it a tax on the wealthy. But those who do so clearly have no idea who really makes up the cosmetic population. The Botax name is a clever variation of Botox facial injections which have become the beacon procedure for non-surgical or office procedures used for wrinkle reduction. In theory, the Botax could impact about 12 million cosmetic procedures and surgeries performed each year in the U.S.

As one would expect, all sides of the cosmetic surgery industry from physicians to patients are voicing opposition. Their argument is that such a tax unfairly targets the middle class and working women in particular. Statistics from the American Society of Plastic Surgeons (ASPS) show that only a minority of people who undergo any form of cosmetic surgery has a household income greater than $90,000 per year and the vast majority (greater than 80%) are women between the working ages of 18 to 65. Clearly this is not a tax on the wealthy and is a discriminatory tax that falls largely on women.

While the idea that it is a tax on the wealthy is fallacious, it is a tax on the healthy. Contrary to what many would guess, the vast majority of cosmetic procedures are done are health conscious individuals. Most are already reasonable fit and are appearance focused. Obese, smokers, and other ‘unhealthy’ patients make up just a fraction of whom ever undergo cosmetic procedures or surgery. This proposed discriminatory tax is targeting those who do take care of themselves to help some who have made poor health choices along the way. It would make more sense to tax unhealthy food items, for example, that have incredibly high fat content…and it would bring a hundred fold increase in revenue to support health are reform.

This tax idea is not new as one currently exists in the New Jersey. Using a tax rate of 6% since 2004, tax revenues have fallen far short of projections. Other states such as New York, Illinois, Texas, Washington, Arkansas, and Tennessee have had similar legislation proposed or introduced but none has passed to date.

This type of tax bill is also troubling because it treds on choppy waters that health insurance companies have trouble deciphering.  What is the official or tax definition of a cosmetic procedure? IRS rules for tax deductions state that any procedure necessary to treat a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or disfiguring disease is a medical procedure. Anything else is a cosmetic procedure. Some delineations are quite clear…Botox for wrinkles or migraines for example. But what about a tummy tuck to treat the effects of pregnancy. Are the effects of childbirth on a woman’s stomach a cosmetic or reconstructive procedure?

Supporters of this tax proposal state that this is no different than taxes on luxury goods and services. These are not viewed as medical procedures even though they should and are generally performed by licensed physicians.

With some many differences between the House and Senate Health Reform bills, it is difficult to say what will eventually shake out. But this hidden tax will largely penalize health conscious women. It is a troubling signal of how far reaching your legislators will go to get more of your hard earned money. And once again the beneficiaries of your ‘generosity’ will likely be those that have sacrificed less.

Dr. Barry Eppley

Indianapolis, Indiana

 

  

 

New Cosmetic Surgery Law in California

Wednesday, October 21st, 2009

The well publicized death of Donda West  in November 2007 after undergoing cosmetic surgery has given rise to a new California law. Governor Arnold Schwarzenegger has taken a step towards making more strict laws pertaining to cosmetic surgery following the tragic death of rapper Kanye West`s mother. The new bill is designed to provide greater safety for people who seek cosmetic surgery.

The bill introduces the Donda West Law which requires anyone undergoing plastic surgery in the state to receive a mandatory physical examination first. The Governor had vetoed the first phase of the bill last year, but has now finally signed it after it was resubmitted in February this year. Ensuring that a patient is  healthy enough to go through surgery is an obvious important consideration to decrease risks after the procedure. While some patients may think they are well enough for cosmetic surgery, in reality, they may not be for certain types of procedures.

While this law is certainly only a good thing, it is a shame to see that the government has to enact legislation that is really only good medical practice. All practitioners of cosmetic surgery are physicians who graduated from medical school and are licensed in their state. Regardless of what specialty they come from before performing cosmetic surgery, every physician has the medical training to evaluate a patient’s health status. At the very least, they have a medical history which lists their medications, allergies, past surgeries, and known medical problems. Based on this information, they can make the judgment whether further medical testing and work-up is warranted by the patient’s own physician. To require legislation to ensure this is completed (we are talking about a simple physical examination here) suggests that cosmetic practitioners can get a little complacent and forget that we are still practicing medicine, albeit not life-saving.

But despite a good medical evaluation and/or work-up before surgery, risks and complications can and do occur after cosmetic surgery. Even a clean bill of health does not guarantee a complication-free recovery. Fortunately, such significant complications are rare given the millions of cosmetic surgeries that are performed per year in the United States. Certain plastic surgery procedures of the body, particularly tummy tucks and liposuction, present higher risks of potential significant complications (e.g., deep vein thrombosis, pulmonary embolism) given the surface area that is being traumatized. Limiting the length of the surgery, recovering patients overnight under medical supervision if necessary, and encouraging early physical activity is just as important as a good preoperative evaluation.

Dr. Barry Eppley

Indianapolis, Indiana

 


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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