January 1, 1970

Scarred of Having Surgery? Your Most Common Concerns Explained.

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For some people, the simple thought of surgery can cause them to break into the sweats. While surgery needs to be taken seriously, many of our patients feel a huge sense of relief when we help put their most common fears into perspective through the use of some statistics.Terrified of Having a Serious Medical ComplicationThe chance of having a serious medical complication is extremely low. Far lower than the chance of getting in a car accident. I'm going to discuss the two medical risks to consider when it comes to rhinoplasty, but I am making the assumption, however, that you have done your due diligence and selected a surgeon who is experienced, reputable and does surgery in an accredited facility.BleedingYour surgeon spent years in a surgery residency learning how to stop bleeding - a normal and expected part of every surgery. However, in some extremely rare cases, uncontrolled bleeding can occur, either during or shortly after the surgery. The chances of having a life threatening bleed are extremely low. While there isn't any official data on this, some research suggests the risks is less than 1/10,000. The risk of bleeding isn't specific to rhinoplasty - it can occur in any type of surgery. To put this risk into perspective then, 2 people a year are reported to have died as a result of a bleed that occurred during cosmetic surgery. 300,000 people in BC died in car accidents.The important thing to note about bleeding is that it is dangerous when it isn't controlled. It is controlled by having your surgeon or another medical expert treat you. So as a cosmetic patient, there are some important questions you need to ask your surgeon:Do you have admitting privileges at a hospital nearby?While I can't comment on what goes on elsewhere in the world, in British Columbia, having admitting privileges means that if you have a dangerous bleed occurs, your surgeon can admit you to a hospital and treat you. Without admitting privileges you would have to show up at the emergency department and be treated by the ER staff there. The ER staff and the surgeons at the hospital will be able to help you. But it would be nice if your surgeon could be the one to do that for you.How Will I Get Ahold of You if I Need To?So what happens if you have a bleed in the middle of the night when your surgeon's office is closed?In summary, if your surgeon has processes in place for ensuring that you are treated quickly in the extremely rare event that you have a dangerous bleed, then you are taking a measured risk.InfectionInfections can be really serious if not treated quickly, so be sure to ask your surgeon how you will contact them quickly in the event of an infection. Some surgeons will prescribe antibiotics as a precuationary measure. While every practice has different ways of responding to patients with complications. Dr. Buonassisi's patients are given his cell phone number. . Policies on infection control vary from practice to practice and you should be sure to ask your sugeon what they do to minimize the chances of infection. At our practice, Dr. Buonassisi presecribes antibiotics to all of his rhinoplasty patients as a precautionary method. Patients are also preppred in the pre op period.Poor Wound Healing2. Worried About Having a Serious Complication from AnestheticX thousand people per year undergo surgical procedures each year complication free.It is, however, important to evaluate the practice you choose for your surgery and their anesthesia guidelines. Regulation of non-hospital surgery centres varies from province to province and country to country, so if you aren't in BC, check yours carefully. In British Columbia where Dr. Buonassisi practices, all non-hospital surgery centres are regulated by the College of Physicans and Surgeons of BC. Unless your surgery is being done as an office procedure with local anesthetic only, then you can rest assured that the surgery centre is safe. While some cosmetic procedures are safe to do as in office procedures withWorried You Won't Get the Result You Hoped For? This is a Fear that is Founded.The risk of having an unsatisfactory cosmetic result is 100 times greater than having a medical complication. Cosmetic complications are a reality and rhinoplasty surgeons expect to do revisions. However, patients can reduce their chance of unsatisfactory results by seeing a specialist for their rhinoplasty.copied from internetI did extensive research for a book I recently published on women and cosmetic surgery. I would like to help put cosmetic surgery deaths into perspective by including an excerpt from my book pertaining to safety and cosmetic surgery:"Every activity we undertake portends some degree of risk. The risk to your life from cosmetic surgery is very small, so small that when such a death occurs it makes big headlines. A total of 1,822,788 cosmetic surgeries were performed in the United States in the year 2007. How many times have you read about a cosmetic surgery fatality?In a study reported in Plastic Reconstructive Surgery evaluating the safety of office surgical facilities, only one death occurred in 58,810 surgical procedures, a statistic comparable to the overall risk for hospital-based surgeries. Here is the caveat: All of these procedures were performed in office surgery facilities accredited by the AAASF (American Association for Accreditation of Ambulatory Surgery Facilities), which mandates that each doctor be board certified in the medical specialty recommended for that procedure and that he has been granted hospital privileges to perform those same procedures in a hospital setting. No statistics exist for surgeries performed in non-accredited surgical facilities, but such statistics undoubtedly would present a different, more disturbing picture.'"You can see that it is rare for someone to actually die while undergoing cosmetic surgery in a hospital or accredited surgical facility, but very occasionally a death does occur. To put these cosmetic surgery statistics in better perspective, consider the following facts:'"Recent statistics from the U.S. Department of Transportation indicate that one female highway fatality occurred for every 12,200 women between the ages of twenty-one and sixty-four, the gender and age range within which most cosmetic surgeries occur. This is nearly five times the number of deaths that occurred as a result of cosmetic surgeries performed in accredited facilities by board certified plastic surgeons.'"But highway deaths are relatively commonplace and don’t raise the same eyebrows as deaths reported about those seeking beauty."If you are in good health, have selected a qualified, experienced board certified surgeon, have scheduled your surgery at an accredited facility and have followed all your surgeon’s instructions carefully; you life is far safer in his operating room than on the roads or highways."

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