TREATMENT FOR COSMETIC MEDICINE COMPLICATIONS

Various types of complications can happen after plastic surgery. Usually, another surgical intervention is necessary. A large proportion of complications include cartilage or bone irregularities and collapses after rhinoplasty. They are difficult to reverse, much more costly than the initial surgery, and is a much more difficult procedure.

A procedure that has gained popularity and very often gives complications is a cortisone crystal nasal injection. Even the Polish Society of Plastic, Reconstructive and Aesthetic Surgery has issued a warning against this procedure:

“In recent years, we have heard information on the use of crystalline cortisone for nonsurgical nasal correction. Percutaneous administration near the tip of the nose is aimed at its narrowing, slimming and lifting. Taking into account both theoretical and practical knowledge, this procedure should be considered dangerous and incompatible with the art of medicine. Its imprudent use in the nasal region for aesthetic indications raises justified concerns about distant consequences in the form of nasal cartilage, subcutaneous tissue and skin atrophy. As a consequence, it may result in irreversible deformation of the nasal shape.”

In case of both a failed rhinoplasty and after a crystalline cortisone procedure, deficiencies may be compensated with minimally-invasive administration of hyaluronic acid. At Princesse we have extensive experience in this type of corrective procedures.

Nerves run shallowly beneath the skin. Improperly performed injection can easily irritate them, leading to chronic pain. This can also happen after injecting the filler in the wrong place – then the filler presses on the nerve, causing various types of neuropathy. There are also more and more frequent cases of nerve paralysis after incorrect thread lifting. In case of nerve palsy, it is necessary not only to remove the cause but also to apply pharmacotherapy.

Another type of nerve palsies is caused by complications after botulinum toxin administration. These manifest themselves as drooping eyelids, drooping mouth corners or even breathing problems. There is no effective antidote for botox injections, the only solution is waiting for about 3-6 months and applying conservative treatment or performing a corrective procedure to help hide the defect.

Thread lifting is a safe procedure, however, like any procedure that interrupts skin continuity, they can cause complications. The most common cases of complications after thread lifting include too shallow insertion of a thread, which makes it palpable or even visible, and an incorrectly cut thread, making its tip stick out of the skin, which is an open way for bacteria and leads to infection. Incorrectly placed threads usually have to be removed and in case of infection, antibiotic therapy is implemented.

A keloid is an oversized scar that requires treatment. It can also form on badly sutured wounds or after an infection. This is a very unfortunate situation when it appears after plastic surgery, which was supposed to improve appearance and not disfigure it with an unattractive scar.
At Princesse we use combined strategy for keloid treatment, designing it precisely according to the Patient’s needs. We have a whole arsenal of measures at our disposal: fraxel laser, platelet rich plasma, steroid drugs administered through topical injection, as well as supporting repair procedures.
Another type of scars are those caused by burns as a result of unprofessional laser procedure. Their treatment is long and difficult, but possible.

Non-resorbable fillers, such as Aquamid, Bio-Alcamid or liquid silicone, were commonly used 10-20 years ago. Their negative effects were not known then. Today, many Patients struggle with their late side effects, such as displacement, granulomas, tissue necrosis, bacterial biofilm and even severe inflammation, which can be life-threatening. Therapy for these side effects can be very difficult and lengthy, but the Patient needs to realise that the longer they delay it, the more difficult the situation becomes. At Princesse we apply both surgical and pharmacological procedures.

Hyaluronic acid is virtually non-allergenic; however, substances used for its crosslinking, such as BDDE or PEG, may cause allergies. Apart from that, practically any substance used in aesthetic medicine, from botulinum toxin to vitamin preparation used for mesotherapy, may be allergic. Symptoms of allergy include itching, redness and swelling in the application site, and in more serious cases swelling of the tongue and throat and breathing problems. Never delay in getting help, one dose of medication is usually enough to cure postoperative allergies.
And what is a perioperative infection? It occurs after an unsterile procedure or after unhygienic care for the treatment site by the Patient. Is symptoms include redness, swelling and pain at the injection site, as well as by pus oozing from the injection wounds. Another possible symptom is high temperature. An untreated infection after a aesthetic medicine procedure can spread and even lead to sepsis. Treatment usually takes the form of appropriately selected antibiotic therapy.