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0 We talked with a plastic surgeon on botched plastic surgeries, their consequences, and possible options for correction. Spoiler: the science and the industry of aesthetic medicine does not stand still, and today virtually all cases of unsuccessful operations can be adjusted.
George Dastaan
Specialist in plastic and reconstructive surgery with experience in the United States
Let define what we mean by failed surgeries. Aesthetics is subjective, and the boundaries of the concept “unsuccessful case” is very blurred. You must first understand what the patient wants. That is, the surgical plan should be built towards the patient, his wishes, if that is not contrary to surgical laws or the specifics of the anatomy in a particular case. But let’s talk about the most popular today in Russia plastic surgery: rhinoplasty, breast augmentation surgery and correction of age.
Rhinoplasty
Rhinoplasty is one of the most complex operations. Statistically, from the point of view of aesthetics, unsuccessful operations mainly in the field of rhinoplasty (according to different sources it is even about 15-20%). After nose surgery has a number of features. First and foremost is to work with cartilage and bone structures, and the cartilage has a shape memory. That is, if your nose was quite crooked, during surgery, the surgeon tries to build the entire cartilage and bone structure. We are talking about a fairly complex relationships and complex technical process. But even build up this structure, still no one can guarantee that the cartilage will not seek to occupy its former position. Now the current trend is that rhinoplasty becomes fully sparing. Aggressive operation, when the cut cartilage structure, removed all the “extra” to noses became small and fragile, fading. Advanced plastic surgeons in the European and American communities rhinoplasty advocating a new approach. The trend stems from the fact that began to show the effects of operations old format: gross changes the shape of the nose over time can cause difficulty with nasal breathing up to its full difficulty. And the shape of the nose-pipecock no longer in fashion.
Breast implants
Mammoplasty is probably the most common operation today, and therefore complications more than the vast majority of plastic surgeries. When working with Breasts, it is important to take into account many aspects: the shape of the thorax, chest length, human height, body weight, breast shape, which is completely different — wide, narrow, conical. So breast surgery is not as simple as it might seem to the inhabitants and the majority of patients who do not want to understand that the body is a much more complicated structure than LEGO. It so happens that the surgeons make a mistake, which can be considered aesthetically unsatisfactory. It would seem that the doctor did everything right, went the smooth way, but this time it turned out differently. The situation suggests that each patient is unique and the skill of the surgeon in the ability to see these nuances. It is important to evaluate the original patient data. If we’re talking about breast augmentation, it is very important to pick the right size implant. The more you implant, the more he is beyond the natural size of the breast, the higher the risk of complications that can be found in the postoperative period. Important as surgical technique and implants: what is the manufacturer, what is the structure of the implants. Of great importance is how the body will react to these implants, so you should focus on a high technical level, use the right technology, expensive implants that are proven.
Blepharoplasty
Blepharoplasty is a very popular on the Russian market the operation. In blepharoplasty, there are several approaches: either excess fat is removed or redistributed, or combine these methods. The method is chosen depending on the indication and the competence of the doctor. Unsuccessful can be considered as a blepharoplasty, when removed too much fat and the result is the syndrome of “emptiness” of the eye. Such sunken, empty eyes due to the fact that removed many of the soft tissues. This is one of the signs of aging, and it looks aesthetically not very appealing. A plastic surgeon needs to understand where the line that you cannot cross, to the age-related eye to do even more age or even my bad eye, and the “empty” eye looks that way. Second, the most frequent complication is ectropion of the lower eyelid. Happens when done overly aggressive skin removal and aggressive manipulation of the circular muscle of the eye. Circular muscle and lower eyelids lose their tone, the skin begins to pull down the eyelid is inverted. Found one more complication: the improper location of the incisions, that is, visible postoperative scars. Very often I see that it is done without evidence. For example, young people who perform this kind of operation but this is. At a young age removal periorbitalnah fat, which some surgeons consider it unnecessary, over time, will lead to a very aesthetically unappealing consequences. To correct them, will, on the contrary, do microchipping, carry the fat through a cannula in the area of the upper eyelid to recreate that youthful volume. Much depends on the chosen strategy. I recommend to look towards the trends in the redistribution of fat while performing blepharoplasty than excision, or proper combination of these methods. The last option, in my opinion, the most preferable.
