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About the risk of secondary operations

Media 05 May 2015

Dr. Pataki attended the 4th SOS Meeting in Stuttgart, where he met important collaegues from all over the world. This advanced symposium is intended for plastic surgeons and residents in expanding their knowledge about the current management of problems after aesthetic surgery. The name SOS comes from “Secondary Optimizing Plastic Surgery”. Dr. Pataki had the opportunity to meet the Italian Dr. Giovanni Botti, who is an author of several books an is expert in breast and facial plastic surgery.

What about the future of aesthetic plastic surgery? How to choose the best surgeon? An interesting conversation with the Italian Plastic Surgeon Dr. Giovanni Botti, a reportage of

Photo: dr. Botti has a conversation with dr. Pataki in StuttgartWhat are the main reasons of secondary operations?

There are many reasons for secondary operations.

They can be related to the experience and the ability of the surgeon, related to the reactions of the body, and sometimes even to unlucky situations which may occur. We don’t have to forget that esthetic surgery is always surgery.

What is really important is to operate in good conditions, with the right indications using the right technique and even in these cases we can get complications, but the rate is very low.

What can a patient do to minimize the risk of secondary operations?

Well, first of all choosing the right surgeon. I know it might seem difficult, but the patient could take in consideration a surgeon who is a member of an association or a surgeon’s society, such as the national society of plastic surgery. Generally those doctors are safer, of course that’s not guaranteed for all the members of the society: for example only experienced surgeons are allowed to be members of the association I belong to. This can be a good tip to start from.

And then, how to choose?

Of course it should be avoided to just look for spot information on the internet, because often that’s not the right way to find the right surgeon: the information might be used only for advertising or commercial purposes. Then it is very important to talk with other patients who had got the same operation by the same surgeon. There are many ways to find that information.

Is the future of esthetic plastic surgery in specialization on specific treatments? Let’s say some surgeon would do only rhinoplasty, someone else facelift and blepharoplasty…?

Yes, I’m sure the future will lie in specialization. Nowadays the plastic surgery procedures are very technically demanding and need super-specializations. The future will be for surgeons who are extremely specialized and only do rhinoplasty or facelift or breast surgery etc…

I’m old enough and I’ve been doing for the last 30 years any kind of esthetic surgery, nevertheless I think now the young surgeons should just find their own field and be the best in that specific field.

Do you ever do re-operations which are based on the psychology of the patients? Let’s say the patient got a nose-job. The result of the operation is good but she/he insists on doing it again, maybe a mental problem, behaving just “psichy” about it. Do you do the re-operation?

In such a situation, surgeons should not perform re-operations because the patient won’t be happy again. Best would be to send him/her to the psychologist. Generally they don’t realize they have this kind of problems…

How do you send mental patients to the psychologist? What the surgeon should do?

Generally speaking, the majority of this kind of patients are already followed and treated by some psychologists. Maybe asking some questions can help to find it out and they will say “Yes, I’ve been on therapy for the last three years” or “I’m taking antidepressants / pills / treatments”.

Some of them really don’t know or don’t realize the issue, and become the most difficult patients to deal with, because they will never be happy. In these cases the experience of the doctor can help, but it’s not easy at all. Sometimes even the most experienced surgeons can have big issues with that kind of situations.

So is certification not enough for qualification…?

Not at all, you need experience.

Do you think it’s a good idea to ask advice to other doctors, such as “who would you go to for liposuction…” etc.?

Sure, that would be a good idea indeed.

Would you personally be so altruistic to recommend some of your colleagues?

Of course, why not? If they are better than me in a certain field. For example I don’t do any buttocks augmentation because I’m too old to learn these techniques, since it might be too much effort and time-consuming for me, so I send the patient to doctors I trust for this kind of operations.

(From: Estheticon 2014-04-15 )

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