The issue prompted the American Society for Aesthetic Plastic Surgeons (ASAPS) to initiate a safety campaign to educate the public about the number of botched surgeries performed by doctors who lack training. The ASAPS advises patients to seek plastic surgeons who are certified by the organization because it means they have received at least two years of specialized training and education in cosmetic surgery procedures. Dubbed “white coat deception,” this professional organization warns that certification in one area of medicine does not mean a doctor is competent to perform plastic surgery.
Some patients who fail to research surgeons before consenting to surgery end up with botched plastic surgery, such as asymmetrical breasts, scarring, or nerve damage. If liposuction is done incorrectly, fluid could form under the skin, leading to infection and swelling. Surgeon error could also cause puckering of the skin and the formation of blood clots, especially when surgery is done on the buttocks and pelvic areas. Risks increase for patients who smoke and women who use birth control pills or hormone replacement therapy. Certain vascular disorders, diabetes, genetic conditions and medications used to treat unrelated medical conditions can also lead to complications.
The use of general anesthesia also poses risk during cosmetic surgery, especially if more than one procedure is being done that requires a longer period of time under these drugs. A patient’s breathing might become obstructed, or disruption of the patient’s heart rate could lead to brain damage. Obese patients face greater risks of problems while under anesthesia.
Deep vein thrombosis could develop after plastic surgery, which defines a condition where blood pools in leg veins. The risk of this complication increases after liposuction procedures on the legs. If this condition develops, an additional surgery might be needed.
Surgeons who lack training in cosmetic surgery might make errors that permanently damage nerves, leaving patients with numbness in certain areas of the body. Breast implants done improperly could migrate if an unskilled doctor fails to properly insert implants in evenly spaced pockets. One 40-year-old, Los Angeles woman ended up with a single breast in the middle of her chest when her implants shifted after surgery.
The ASAPS recommends careful research before any plastic surgery procedure. Patients should ask if the surgeon is a board certified plastic surgeon, and the number of operations he/she has performed. Reputable doctors should be willing to offer photos of patients illustrating the results of cosmetic procedures. The ASAPS website lists the names of board certified doctors to help patients conduct research.