Arizona Cosmetic Surgery
Chasby Sacks MD


Complications and risks of Cosmetic Surgery:

General complications:

                Many of the things that happen after surgery are not really complications but just normal results of having any surgery. The effects are usually mild and will dissapear with time. These would include swelling, which is just the bodies normal response to surgery and is helped by ice, rest and time. Sometimes papaya or pineapple can be eaten which has enzymes that help the swelling of inflammation. Swelling associated with liposuction may take more than a few weeks to completely subside.

                Bruising is slight bleeding into the tissues and is also helped by the methods described above.  Bruising will resolve in a few weeks.

                Pain varies according to the patients individual reaction to discomfort and also varies with the procedure that has been performed. Pain should usually be moderate and respond quite well to the prescribed pain medication. Patients are advised to carefully follow the instructions regarding pain medication.

               Numbness may occur if the operation stresses or disrupts the nerve supply. Numbness from cosmetic surgery, usually improves with time.

Complications of specific Cosmetic Surgery procedures: (Also see under specific procedures!)

Breast Augmentation:

                Assymetry  is a difference in the shape or size of the breasts and may be due to a difference in the size or shape before the surgery. Every effort is made to try and obtain symmetry but this may not be completely possible. Remember  "breasts are sisters - not twins".

               If a saline or salt water implant were to leak or rupture,  then the salt water is absorbed by the body with NO side effects.  The implant needs to be replaced at surgery and this cost is covered by the Manufacturers Warranty-secured at the time of surgery.

                If a silicone gel-filled implant ruptures, this is detected by an MRI or magnetic resonance imaging. This situation is treated at surgery by carefully wiping away the silicone gel from inside the breast pocket and then replacing the implant. This hardly ever results in ANY complications for the patient.

                 Bleeding or hematoma may rarely occur and this is around the implant inside the pocket that was surgically created for the implant. When this is significant, the patient may experience pain and/or pressure and bruising associated with a big increase in the size of the breast. The breast hematoma or bleeding is treated by return to the operating room, removing the blood and stopping the bleeding. Patients are advised to refrain from taking anything before or after surgery that would thin the blood and possibly cause the bleeding: Aspirin, Ibuprophens, Vitamin E, garlic, Gingko and Ginseng, Flaxseed oil and Fish oil are the most common of these. Please contact Dr. Sacks office for a complete list- 602 277-1111.

                  Infection  is an extremely unusual risk of breast augmentation .  Patients are placed on antibiotics the day before the surgery and continue taking this after the surgery for about a week. If infection develops, it may be neccesary to return to surgery and remove the implant  temporarily until everything has healed.

                  Sensation changes can occur in the breast skin and/or the nipple area. These are most commonly temporary but there rarely may be some pemanent changes in sensation. It may take months before all the sensation changes return to normal.

                   Scar contracture or capsule  is the developement of tight scar tissue around the implant which can distort the shape, make the implant too firm and/or too round and make the upper part of the breast look too full.  These changes while upsetting can be corrected quite easily with revision surgery.


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