I feel it is important that anyone having surgery with me is aware of the possible negative sides of surgery and understands the small but real risks. The following paragraphs cover what happens when things occasionally don’t go as expected.
Like all surgery there are risks of complications whoever does your surgery. If they are treated promptly many have no obvious effect on the final outcome.
All operations have a risk of bleeding. In abdominoplasty there is a small risk that there may be bleeding inside the operated tissue leading to a collection of blood (haematoma), which needs to be removed under an anaesthetic (less than 2%). Infection is rare (less than 5%) and antibiotics are given around the time of surgery to reduce the risk. A seroma (a collection of straw coloured fluid) can collect under the skin (about 10-15%) and can need to be removed several times before it stops returning. Occasionally further surgery is required to deal with this. Some people form bad scars (about 2%) and these can be troubling for a while although often respond to treatment over several months. All operations can result in long-term discomfort. All operations have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)
Risks particular to abdominoplasty are problems with skin sensation, which may be lost or significantly reduced above the scar. Fat necrosis can occur where the fat cells die and sometimes a yellow oily fluid seeps from the wound line and there is some redness and firmness, this is almost always self limiting. The end of the scar can stick out (dog ear) this can require a small local anaesthetic procedure. There can also be problems with wound healing (minor problems requiring small dressings are not uncommon) and even skin loss (very rare). These respond in the main to dressings and have little if any impact on the final result. However they can require further surgery to correct and can lead to a permanent reduction in the quality of the result and patient satisfaction, but that is very rare (1-2%).
As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost.