As a result of any operation, certain complications may occur, some inherent to the medical and / or anesthetic procedure, and others specific to abdominoplasty and rhinoplasty.
Good safety practices limit serious risks but do not remove them.
Some risks, fortunately exceptional, can be unpredictable and involve the vital or functional prognosis (embolism, paralysis, septicemia …). Anesthesia has its own complications that will be explained to you during the interview with the anesthesiologist.
Specific risks to the abdominoplasty
Even if operative follow-ups are mostly simple, the possible complications related to the abdominoplasty are to know:
Thrombophlebitis: A risk of post-operative thrombophlebitis (clot) appears to be higher than the average of other cosmetic surgical procedures. As a result, to prevent this phenomenon low anti-thrombosis will be provided. These should be worn during surgery.
Unfavorable evolution of the scars: it is normal that the scar thickens and redden in the first months. This aspect of the inflammatory response of any wound healing takes twelve to eighteen months to improve and stabilize. Sometimes the scar has an abnormal evolution, thickening or blistering persisting beyond one year. We speak of hypertrophic scars or even keloids (more frequent on the black skins). These may occur unpredictably and may require special treatment. It is important to know with regard to scars in general, that they fade and will be little visible, but will not disappear.
Infection: The contamination of a wound, scar or drainage orifice is usually not severe. It rarely requires antibiotic treatment but rather dressings that will be performed with greater frequency.
Hematoma: postoperative bleeding is almost systematic and bruises on the skin for one to two weeks. It can cause a hematoma which results in swelling and painful tension. It is sometimes necessary to re-intervene: to evacuate the hematoma and to control the cause of it. In case of heavy bleeding, a blood transfusion may be necessary.
Impairment of predominant abdominal sensation in the sub-umbilical region. At the end of 3 to 12 months, in general, sensitivity reappears.
Necrosis: very rare, generally limited and localized It is the loss of a more or less extensive cutaneous area that can alter the aesthetic result. It is favored by the taking of tobacco. This is why smoking cessation is strongly recommended at least three weeks before and after surgery. In case of necrosis, a complementary gesture at a distance (one year) may be necessary.
Thromboembolic accidents (phlebitis, pulmonary embolism) are very rare thanks to strictly observed preventive measures (eg wearing compression stockings, anti-coagulant treatments, and rapid lifting).
It is not uncommon to observe on the 8th postoperative day an effusion related to a lymph flow. Such an effusion can sometimes be punctured.
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