Hollywood Rag has a post on “Plastic Surgery Nightmares.” The reality is that these are mostly stories of celebrities who have had a fair amount of surgery. Some of them have freaky outcomes. It is all a matter of opinion in plastic land. Those are really not nightmares. Then again this stuff sells papers.
Source: hollywoodrag.com/index.php?/weblog/in_touch_plastic_surgery_nightmares/
Best Regards,
John Di Saia MD
Originally posted 2008-02-05 08:15:00.
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Image courtesy of Vivid Entertainment
We have discussed “all implant” boob jobs before. Breast implants help make breasts look the most natural when there is adequate tissue to cover them. When the size of the implant gets too large and/or they are put over the muscle, we get distortion and/or a more “fake” look. The breasts end up looking like balls or oranges. Some women of course desire this look. Many of them work in adult entertainment.
With the “bigger implant and little or no covering tissue” jobs, we also get the increased possibility for re-operation for pain, implant displacement, and rippling. In the breast implant case, “bigger” comes with “bigger risks.”
Women who choose to go progressively “bigger” and “bigger” flirt with disaster at some point. There are always compromises though. The woman in the image above seems far from that, but does have the balloon look – the implants are either over the muscle or have little tissue covering them.
Best Regards,
John Di Saia MD
Share on FacebookPatients who get massive silicone injections to enlarge their breasts or buttocks should expect trouble, local cosmetic doctors say. Especially if the silicone isn’t a medical-grade product, the procedure can lead to disfigurement or death. That’s what apparently happened to the patients of Guadalupe Viveros, who allegedly ran an unlicensed cosmetic-injection clinic out of her home in Sylmar, Calif. Police are seeking Viveros and her business partner, sister Alejandra Viveros, in connection with the death of a patient.
The buttocks are “one of the worst places for injections,” said plastic surgeon Dr. John Di Saia of San Clemente and Anaheim. Large quantities of material must be injected there to make a difference in their appearance, but that is risky, because the buttocks contain so many blood vessels, he said. That is reportedly what caused the death last year of former Miss Argentina Solange Magnano, who had died after getting buttock injections of microspheres of PMMA plastic, which apparently blocked an artery in her lungs.
I chimed in on this one as you can read. Silicone injections are bad news. You should steer clear of them.
Best Regards,
John Di Saia MD
Share on FacebookStephanie Kuleba was a vibrant 18 year old woman whose life was lost during a routine breast augmentation case in Florida in 2008. It is suspected that the case may have been due to malignant hyperthermia, a rare but potentially fatal reaction to anesthetics.
I am sure that the case was thoroughly investigated but can’t help but feel for the family. If this is as described, it could happen to anyone and although rare it is certainly tragic.
Palm Beach Post – link expired and removed
Best Regards,
John Di Saia MD
Originally posted 2008-03-26 15:55:00.
Share on FacebookNicola, an air hostess from Bolton, Lancashire, had endured a total of 30 hours on a Los Angeles operating table, all paid for by Brand New You, an ‘extreme makeover’ show on channel Five.
A few weeks ago, Nicola was disturbed to find that one of the expensive implants had burst, leaving her left breast like a shriveled balloon.
Breast implants do not last forever. They can burst and larger ones tend to do so sooner than smaller ones.
Now, worse still, the programme makers are refusing to pay towards corrective surgery.
Nicola, 35, claims that the American surgeon who carried out her breast augmentation in 2004 has already offered to put it right under a ten-year warranty.
I wonder if a UK surgeon is able to do the surgery under warranty. An interesting consequence of having surgery in a foreign country (to the patient).
‘When I do manage to get the money together, I have decided not to go back to the States to have the boob job. Next time I will stick to a surgeon in the UK just in case anything goes wrong again.’
That may be best.
Best Regards,
John Di Saia MD
Originally posted 2009-04-09 07:30:00.
Share on FacebookDenise Hendry, 42, nearly died seven years ago after a liposuction procedure at a private hospital went badly wrong.
She suffered nine punctures to her bowel and colon, causing blood poisoning and multiple organ failure and needed a 16-hour operation this month as part of the recovery process.
Clients coming for consultation are frequently interested in having a great deal of surgery performed in one operation. In these cases I frequently recommend Staging, the planned separation of large scale surgery into two (or more) parts, each which happens on a different date.
Long surgery taxes the bodies of the patient and surgeon. Each has a progressively harder time delivering the best results as the operation gets longer and longer. Infection rates climb and the body is asked to tolerate more stress as it attempts to heal. My opinion is a minority opinion as many surgeons are worried about “losing the case.” My plan is safer but less popular. I wonder if this Mrs Hendry’s surgery here could have been staged.
Best Regards,
John Di Saia MD
Originally posted 2009-06-11 07:30:29.
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I’m having a tummy tuck soon and have been reading about DVT vein clots travelling to my lungs. It scares me. My PS has given me Lovenox injections to administer daily after surgery to prevent DVT blood clots. But they can cause bleeding.
Is this safe?
As you have surmised, DVT is a rare but potentially serious problem that can follow a tummy tuck. In some patients the risk can be high and some form of prophylaxis is indicated. Some of us use prophylaxis in all patients. The question is what sort of prophylaxis should that be. There are many different types of treatment each with its own risk:benefit profile.
As an injectaed blood thinner, Lovenox has a risk of bleeding and in each individual case this should be weighted against the risk of developing an unwanted clot. In higher risk patients that risk can be reasonable.
Tummy tuck surgery is one of the largest scale plastic surgery operations a plastic surgeon can perform. It is also amongst the most gratifying in the right patient. Make sure you have discussed the procedure and your options thoroughly with the right choice of surgeon.
Best Regards,
John Di Saia MD
Share on FacebookAfter breast reduction surgery it frequently takes a while for the healing to be complete. During the process of healing, scar tissue can form along the incisions and also within the breast (fat necrosis.) Your body usually improves this scar tissue in a process called scar remodeling over the course of the first year to 18 months. If there are areas of discomfort afterward, a re-evaluation is appropriate to determine whether or not anything can be done to improve the result.
Not everyone gets these scarred uncomfortable areas. They are more common in larger reductions and in smokers.
Best Regards,
John Di Saia MD
Related:
Dr D’s Web Site Breast Reduction page
Share on FacebookReader Laura’s Comment:
Patient (Dr. Teresa Yagi ) was burned during a cosmetic laser treatment. She thought it would be no big deal and admits that she didn’t do her homework on this. She wound up with burns on her face and her hands. Another patient had lipo and experienced a side-effects of the lipo – a blood clot. When she went in for a consult she was told that it would be a simple procedure and that the way that they do the procedure there would be less risk than done the normal way.
The web site for Sono Bello and the promotional materials, said “We have ruled out the major risks and complications that existed with traditional liposuction by introducing the use of micro instruments and laser assistance! Many patients feel so good they resume normal activities the next day.”
Source:www.king5.com/news/investigators/liposuctionpart2-70325442.html
Sono Bello is a company breaking into the cosmetic market. They mainly do liposuction is in that way they resemble other such companies. They also advertise a fair amount. Take into account that the quality of individual surgeons and their practice philosophies vary quite a bit too.
Most of the promotional information of any commercial company is exactly that. Just check out your surgeon when you go for cosmetic surgery anywhere. Surgery comes with risk. Understand that and try to minimize it.
Best Regards,
John Di Saia MD
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