Although fortunately quite uncommon, complications can occur with any surgery, and Cosmetic Surgery procedures are no exception. Most complications are relatively minor, and tend to settle without the need for further surgery, but occasionally, secondary surgery may be necessary.
Patient selection is paramount, as I tell all my patients that a successful outcome is really a partnership: I will be the best plastic surgeon I can be, but then the patient also needs to be the best patient they can be! In this regard, I do not operate on patients who are significantly overweight for their height, or who are in poor general health.
Smoking is a major potential cause of complications, and indeed, I will not perform facelifts or tummy tucks on patients who continue to smoke around the time of the surgery – a minimum complete abstinence from smoking of 4 weeks before and 4 weeks after the Cosmetic Surgery are required for these surgeries, in order to be considered a suitable candidate.
In super wet liposuction, the wetting solution is equal to the volume of fat removed, and requires general anesthesia. Finally, the tumescent Cosmetic Surgery has a wetting solution of two or three times the volume of fat removed.
It requires local anesthesia, and causes fat deposits to swell. This technique is the most common, because it has the advantage of having less bleeding, and bruising.
Throughout the history of the human race, there have always been traces of people pursuing physical improvement. A testimony to this is the fact that Cosmetic Surgery is one of the most ancient human practices.
Recorded evidences show that as early as 4000 years ago, skin grafts were already being utilized for reconstructive surgical work in India. And although it wasn’t until the eighteenth century, during the period of enlightenment and scientific thought that true progress in the field became evident, one can clearly say today that the practice evolved shoulder-to-shoulder with the advancement of human knowledge.
The 19th century saw two milestones in the field of plastic surgery; the first was an operation successfully performed on a British military officer who had suffered substantial injuries from action to the nose in 1814. The other one came in 1827, when Dr. John Peter Mettauer performed the first cleft palate operation in the US, using instruments he personally designed. It was then that the history of Cosmetic Surgery began in the country.
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