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Complications in Cosmetic Surgery: A Time to Reflect and Review and not Sweep Them Under the Carpet

Niti Khunger

Published 2015 in Journal of Cutaneous and Aesthetic Surgery

ABSTRACT

The trend in aesthetics is clearly toward minimally invasive surgeries and techniques as can be seen from the statistics of the American Association of Plastic Surgeons.[1] Cosmetic surgical procedures showed an average decline by 12% from 2000 to 2014 as compared to minimally invasive procedures, which showed a dramatic rise of 154% in the same period. The top five minimally invasive cosmetic procedures performed were botulinum toxin injection, soft tissue fillers, chemical peels, laser hair removal, and microdermabrasion. However, with the rise in numbers and longer follow-up periods, we are more frequently seeing complications, particularly with soft tissue fillers.[2] Long-term adverse events such as persistent granulomas and infections are being reported. These may be due to laxity in aseptic procedures or formation of biofilms. In this issue, Haneke reviews the complications with soft tissue fillers and cautions against taking fillers lightly.[3] Adverse events with fillers can not only be persistent but can also lead to serious complications such as permanent blindness.[4,5] Blindness can occur due to inadvertent arterial injection or if it is injected forcefully. The trend is now to use cannulas instead of sharp needles that can make injecting safer.

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