The Dr that answers the questions

Cindyc59
on 11/13/13 6:38 am

I was wondering if someone can tell me if you have complications with on plastic surgery is it more likely that you will have complications with the next round of plastics. I had my thighs done in June ended up with wound vac for three months very worried that when I get my arms done in Dec the same thing might be more likely to happen. Any thing you  can tell me would be great.

MyBariatricLife
on 11/13/13 9:07 am

I think it depends on the cause of the complication... Wound healing issues, diabetes, smoker, are all conditions that I know can interfere with healing... I hope this hellps

Living larger than ever,
My Bariatric Life

Dizzy

godzilla
on 11/13/13 11:37 am - Israel
Not to be a pessimist because I'm really not, and I am in email contact with a couple of people on this board, I don't smoke ;I have asthma and mild copd), I don't have diabetes with an HbA1C of 3.7 and yet with my TT (8/08/11) a few weeks after, I developed wound dehiscence, and at the T junction I had slough that turned to gangrene than smaller than a dime. I had debridement and wound vac for seven weeks in hospital as I live alone and 3 hours away by bus from the hospital where my TT was performed. On my BL/BR (31/07/12), I also had a wound complication that my right breast slowly opened around the areola into a crescent shape. It was stitched in a Day surgery with a local anesthetic but to say I was totally healed, I think it took a whole 3-4 months. As my HMO was paying the slotted areas for my surgeries were the minimum (I felt that any thing better than the jelly-belly or hanging pendulums: tummy is flat and mons pulled up and breasts are boobies that to me are little mangoes.
I was however left with dog-ears on the sides of the boobs and the area I call the "bra blubber". Due to my mysterious wound healing issues (we even checked my zinc levels and they are very high), the plastics department where I had my procedures, discussed my medical plastics history and if I am to be treated, it would only be in Day Surgery with Local Anesthetic and one side at a time. On 22/10/13 I had the left dog-eared area and bra blubber via W-plasty incision. It looks way better and smoother line and incision is great compared to my previous surgeries... However in my situation and where I live, my HMO clinic nurses will only do things they know and I end up as their errors and I suffer setbacks to the extent that I think a layman could treat me more correctly as the nurses do what they know and will not follow what they read from the ps of a hospital in another city. In my case, after I returned home I arranged to see the nurse in my HMO to remove the outer bandage shaped like a maxi pad. She did but then started to also remove the street strips and told me not to put anything on when my ps release papers were to put on antibiotic cream 2x/day; the next day the breast was warm and hot pink. I had no discharge or fever but I had started Augmentin antibiotic the night before my procedure.
My stitches are dissolvable and the knotted ends have still not fallen off; and just two nights ago I felt an itchy-hurt and took my iPhone to take a pic and I think a stitch has popped out. These things happen but when you live far away from where your procedure was done, every little thing feels bigger and concerning than it really is. And that is without the hassle and stupidity of the HMO that considers this to be "cosmetic" and even after appeal, I lost and I had no choice but to pay if I wanted to relieve myself of the constant pain caused by the dog-ear. I paid just over $1000 and have to argue with my HMO for every follow-up appointment.

So after my hogging your question on if it could happen to you again-yes it could but it does not mean that it will. If you smoke, try to stop a few weeks before your upcoming surgery. Up your protein before during and after; consider other supplements -I think pineapple bromalain and grapeseed extract but I'm not a nurse or doctor so don't take me at my word on this matter.
I hope you have no complications and if you are concerned, ask your ps if you can email frequently so as to be on top of things.
Mikimi in Israel
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