Why Plastic Surgeries Go Wrong Sometimes?

I read a news article earlier in the week which said The American Society for Aesthetic Plastic Surgery reported a decrease in the number of cosmetic procedures performed in 2009 by 9% as compared to the number of surgeries performed in 2008. Many entertainment websites or magazines are speculating this decrease is due to the number of celebrities who have come out in the open and spoken about their cosmetic surgeries gone wrong. There is a general feeling that with more celebrities talking about botched plastic surgery procedures, the more cautious the general public gets about undergoing cosmetic surgeries themselves. While this is a good thing that more talk about cosmetic procedures by celebrities create more awareness about the industry, but those individuals who are now afraid of going through any kind of plastic surgery must first learn why surgeries can go wrong sometimes.

The first and foremost reason why surgeries of any kind go wrong is due to the plastic surgeon. It is absolutely essential that you find the right plastic surgeon for you. Now when we say the right plastic surgeon, we do not mean someone who tells you exactly what you want to hear but someone who gives you the entire picture and goes through the post surgery risks at length. It is better to consult multiple surgeons and also take a look at their experience and the type of clientele they cater to. It would be great if you can talk to someone who has used the surgeon before and give you their feedback.

Of course it is not always the plastic surgeons fault for a surgery gone wrong. Sometimes it is all due to the patient. Before you go through any kind of cosmetic surgery, you need to provide your plastic surgeon with complete details regarding your medical history, current medications and any other information about you which they need to know. Remember not everyone is a good candidate for plastic surgery. Also depending upon the cosmetic procedure you wish to undergo, your medical history will come into the picture. Some people are so eager to go through plastic surgery that they do not reveal the truth to their surgeon. Needless to say these people are the ones who suffer the most post surgery.

Also a good plastic surgeon will give you a list of do’s and don’ts post surgery. You need to follow these strictly to ensure nothing goes wrong once the cosmetic surgery is completed. Not giving your body time to heal or not following your surgeon’s instructions can lead to several ill-effects such as heavy bleeding, swelling, discomfort and infections amongst others.

When Plastic Surgery Goes Wrong!

Hundreds of thousands of cosmetic plastic surgery procedures are being performed each year in several countries such as the United States or Canada. While modern plastic surgery is quite safe and often provides the desired result, once in a while things do not go as per plan. If you are one of the unlucky few for whom things have gone wrong after plastic surgery, then you should ensure the following points:

1) First of all, do not panic. Being stressed out will not help your situation whatsoever. Plastic surgery gone wrong would often mean that it will take a little more time and patience to get what you originally intended. Talk to your plastic surgeon to understand what the corrective measures are in your specific situation. At all times you need to keep in mind that getting stressed over the results or panicking will make things worse.

2) Take proper rest. Even though your plastic surgery has not given the desired results, you need to remember your body has still gone through something it is not used to. You need to take enough rest to ensure the affected body parts regain their vitality before taking corrective measures which could involve another surgery.

3) If there is bleeding or any kind of infection, talk to your plastic surgeon immediately. Ask him to prescribe appropriate medication and a diet plan. Note that without a proper diet, medication might not help. Hence you need to be aware of what kind of food you need to eat to heal as quickly as possible. Ask your plastic surgeon if the medication provided has any side effects and plan for the same if any.

4) Find out what will it take to reverse the problems you are facing and whether things can be improved with non surgical methods. Take a second or even third opinion if you have to but ensure you are aware of what needs to be done and follow a plan. Sometimes it is advisable not to jump in right away and go through another plastic surgery to correct the faults of the first one. You may have to wait a while before the corrective surgery in order to give your body the ability to take further surgeries.

5) Finally eat well! Plastic surgery takes a toll on the immune system of the body and you need to eat properly so that your immunity gets the much needed boost. A healthy body will ensure whatever problem you are facing goes away as quickly as possible. An unhealthy body on the other hand will end up making things far worse than they already are at the moment.

Tell us About Your Favorite Celebrity Plastic Surgery Gone Wrong

Earlier in the month, we did an article on how Sharon Osbourne had ruined all the good work done in the past with her latest cosmetic plastic surgery procedures. It struck a note with a lot of our readers on how certain celebrities go overboard with plastic surgery and actually end up looking worse. Of course it should to be noted that prior to Sharon Osbourne’s latest plastic surgery, she was always the one who got praised by everyone for not just being honest about her cosmetic enhancements, but as someone whom the plastic surgeries actually suited a lot.

With so many emails pouring in, we want to know from you – Which one is your favorite celebrity plastic surgery gone wrong story? Who do you think actually looked better before the cosmetic enhancements? Who had done a good job but with multiple surgeries ended up ruining things for themselves. Which celebrity plastic surgery made you laugh? Or which celebrity plastic surgery photos actually made you go – EEK!!

Of course if you would like to share positive news about celebrity plastic surgery, please go ahead with those as well. While there are many who get a kick out of seeing celebrities messing things up with bad plastic surgery, there are thousands of positive examples as well. As a matter of fact, we actually like the positive stories as it shows what can be achieved if you carefully plan out your plastic surgery procedures and take all the precautions before going ahead with any kind of cosmetic enhancement.

Before you send us your stories, just make sure that you are sure that the celebrity you are talking about has actually gone through a plastic surgery procedure. The topic of celebrities and plastic surgery is such that it gives rise to a number of rumors as well. Many a times people talking about a celebrity plastic surgery procedure don’t realize that either the celebrity has not really gone though the cosmetic surgery people are talking about or the photographs posted on the internet are heavily photoshopped. Unfortunately because of easy access to image manipulation tools, celebrity gossip websites have been altering photos for a long time now. Sometimes a bad photo is tweaked slightly to make it look even worse while the opposite is true in case of magazines trying to promote a celebrity on its cover or inner pages, where they digitally retouch the photos to make the celebrity appear far better than they actually are.

“Re-Do’s” on Plastic Surgery are up in Canada

With all the latest techniques there is not facial surgery that will stop the aging process and even patient who have undergone plastic surgery sometimes after time will be ready for another procedure. Some patients who find that their surgery  is not what they wanted or to their expectations will consider a “re-do”. But what if your face-lift never pleased you, not because of complications or monstrous scars, but because of aesthetics pure and simple? Perhaps your first surgeon’s technique resulted not only in a tighter jaw line, but also a flat wind-swept cheek and a stretched mouth. Or your nose no longer has an unsightly bump, but now, postsurgery, is asymmetrical

These days, there’s such a critical mass of plastic surgery patients dissatisfied with their results that many doctors market secondary surgeries, or re-dos. It’s not hard to find surgeons’ Web sites that describe in detail how an asymmetrical nose job or an unsatisfactory face-lift can be righted. Last month, Dr. Sam T. Hamra, a plastic surgeon in Dallas, published “The Facelift Letdown: When Results Don’t Meet Expectations” to arm patients with information so they can better articulate their desires to their doctors and avoid postsurgery discontent.

In this still-shaky economy, cosmetic surgery is down, and revisions for unhappy patients are included in that slump. But doctors who do a lot of revision face-lifts and nose jobs (two common redos) say demand for those operations is still strong.

Reasons vary, depending on the procedure. Rhinoplasty, for instance, is tricky because surgeons can’t control healing or how good the building materials are. Cartilage can be too thick or too flimsy; skin draped over a newly fashioned nose structure might not shrink to the shape the surgeon wants.

“It’s a difficult operation with a lot of variables,” said Dr. James C. Grotting, the editor of the textbook “Reoperative Aesthetic and Reconstructive Plastic Surgery.” “So even in the best of hands, people who only do rhinoplasty,” he said, there is still “a revision rate of up to 20 percent.” Some of the best fix-it nose doctors are sober about the limitations. Dr. Mark B. Constantian, a nose specialist in Nashua, N.H., whose practice is 75 percent revisions, said rhinoplasty is unique in that “you can lose ground every time.” With other kinds of plastic surgery, patients “are not worse off than when they started.”

Some doctors refuse to tackle secondary or tertiary rhinoplasties, and sometimes patients seeking these operations get unfairly labeled as “a fussy neurotic group,” Dr. Constantian said.

He pinpointed four reasons for dissatisfaction: breathing is worse, which can happen if a doctor doesn’t compensate for aesthetic changes; postoperative deformity that patients don’t like (perhaps removing a bump leaves the patient’s nose crooked); the patient never reached the original goal; and last, the patient got the requested change but now finds it unacceptable. “After, they feel they lost a familial or ethnic characteristic, and ask, ‘Can you do something to put my nose back to what it was?’ ” he said.

One of Dr. Constantian’s revision patients, a nurse in New Hampshire, got her first rhinoplasty in 2004 to fix her nose’s too-wide tip and a hanging columella, the tissue on the underside between the nostrils. As the post-operation swelling subsided, “Everyday I would look and wait for changes,” said the nurse, who asked to remain anonymous. But the nose tip “was still wide” and the columella didn’t look “touched at all.” She searched on Google for nose specialists and found Dr. Constantian. Today her profile is straight, her columella no longer hangs, and she breathes better. “My breathing was never a problem until after the first surgery,” the nurse said.

Sometimes earnest miscommunication between patient and doctor is at the heart of the matter. “What the patient is seeing in their mind is hard to describe to the doctor,” said Dr. Jack P. Gunter, who devotes 40 percent of his nasal-surgery practice in Dallas to redos. “Patients will say, ‘I just want a little taken off.’ How much is a little?” Other doctors sweet-talk patients into thinking the perfect nose or face-lift is within reach, leading to discontent. “People are marketing things they cannot achieve,” Dr. Gunter said.

When it comes to plastic surgery, Dr. Hamra said, the “customer is always right.” A gynecology patient isn’t the one to determine if she wishes to spend less money to remove fewer of her uterine fibroids. A plastic surgery patient, however, can choose a minimally invasive face-lift instead of a more complete one, said Dr. Hamra, who favors comprehensive face-lifts that address upper cheeks and foreheads. If one surgeon won’t give him what he wants, the patient finds one who will.

Celebrity cases of too many face-lifts overshadow a common problem these days: paying thousands for small improvements that don’t last.

“In face-lifts, you see undercorrections,” said Dr. James M. Stuzin, a plastic surgeon who specializes in face-lifts in Miami and does a “big volume of redos.” Mini face-lifts, he said, require “little recovery,” but have “little longevity.” He also cautions that some surgeons who do only occasional face-lifting “don’t reconstruct the internal anatomy, and that has more longevity.”

In other words, you get what you pay for. “I’m seeing more people who have gone to clinics where price is a major concern for them going there, and often they are dissatisfied with the result,” said Dr. Stuzin, a past president of the American Society for Aesthetic Plastic Surgery. “Instead of muscle work, they are oversuctioning the neck, so the neck looks skeletal.”

Furthermore, not every plastic surgeon tailors his work to each face, but instead “do it the same way every day, and that doesn’t work for faces,” said Dr. Mark E. Richards, a plastic surgeon in the Washington, D.C., area. Patients have sought out Dr. Richards for revision face-lifts ever since Linda Tripp announced on TV that he redid her botched face-lift in 2000.

Other experts caution to be wary of the doctor whose technique is stuck in the dark ages. “There are still a lot of surgeons who just redrape the skin — that’s it,” Dr. Grotting said.

For decades, doing face-lifts hasn’t been about simply pulling the skin toward the ear. At the very least, underlying layers of tissue and fat should be repositioned; some doctors also try to restore the curves and volume lost to aging.

Lately, Dr. Richards says that he has found that many of his unhappy patients are missing “cheek curves.” Pulling the connective and fatty tissue layers just below the skin “doesn’t make an attractive face,” he said. “It just makes a tight face.”

Surgeons’ philosophies vary widely, so it’s crucial to meet with a few to ascertain which one will best achieve your goals. Some love a high full cheek or use transplanted fat to fill out that area. Others think a face-lift that doesn’t address the eye area is incomplete. And some aim to deliver simply a tight neck and a defined jaw line. Dr. Hamra’s guide advocates the composite face-lift, a fairly aggressive surgery that also addresses hollow eyes and lifts cheeks vertically. (If readers can get past the book’s dollops of self-promotion, its descriptions of post face-lift issues prove useful.)

Dr. Constantian, for his part, wrote a new textbook “Rhinoplasty: Craft and Magic” because he feels the “basic ideas of how to fix a nose aren’t correct.” Two misconceptions get surgeons started on the wrong foot, he said. First, the mistaken notion that if a surgeon fashions a good-looking skeletal shape, skin draped over it will “take on the nose shape.”

Not so. The skin of the lower nose “won’t necessarily shrink to the shape the surgeon wants,” Dr. Constantian said.

“We were taught if you just change one area in the nose, nothing else changes,” he added. But “if you reduce the tip cartilage to make it prettier, you can also weaken the ability of the cartilage to support the nostrils,” he said. So he compensates for that weakness.

But some surgeons think impaired breathing is an acceptable trade-off for aesthetic improvement. “Breathing worse after a rhinoplasty is so common that I’ve heard surgeons say on panels at meetings that they expect it to happen, they tell their patients it will happen,” Dr. Constantian said. “I don’t think it should ever happen.”

Dr. Joseph M. Gryskiewicz, the vice president of the Rhinoplasty Society, a nonprofit educational organization for surgeons, wrote in an e-mail message, “Only a sadist would say breathing compromise is O.K.”

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