8. Cosmetic surgery complications and treatment at the Department of Plastic and Cosmetic surgery, Bach Mai Hospital

Nguyen Hoang Dang, Phan Tuan Nghia, Pham Thi Viet Dung, Ta Thi Hong Thuy

Main Article Content

Abstract

Aesthetic surgery has become more and more popular in Vietnam. However, the incidence of complications after Aesthetic surgery also increases in both quantity and severity. We have encountered many cases of complications after Aesthetic surgery, primarily due to non-professional factors, and there are no specific statistics on these cases in Vietnam. Therefore, we conducted this study to collect statistics on complications after Aestic surgery at the Department of Aesthetic Plastic Surgery, Bach Mai Hospital from January 2021 to December 2023. Out of 94 cases of complications, there were 62 cases suffer from complication in the head, face, and neck area (66.0%), in which, the complications in the nasal area were most common (42.6%). 51 cases (54.3%) of complications were performed by non-physicians, and 55 cases (58.5%) of complications occurred at unlicensed facilities. 37 cases (39.4%) of complicated cases caused by fillers which, and all substances are not licensed by the Ministry of Health. Among complications, infection was the most common with 49 cases (52.1%), and tissue necrosis and embolism with 15 cases (16.0%). Those complications are alarming and must be focused on by the health system in prevention.

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References

1. Global Survey 2022: Full Report and Press Releases. Accessed January 30, 2024. https://www.isaps.org/discover/about-isaps/g lo bal-statistics/reports-and-press-releases/glob al-survey-2022-full-report-and-press-releases/
2. Cuong Nguyen, Minh Nguyen, Phuoc Tranc. Factors that Motivate Young People’s Intention to Undergo Cosmetic Surgery in Vietnam. International Journal of Pharmaceutical and Healthcare Marketing. 2020;7-22.
3. Khunger N. Complications in Cosmetic Surgery: A Time to Reflect and Review and not Sweep Them Under the Carpet. J Cutan Aesthetic Surg. 2015;8(4):189. doi:10.4103/0 974-2077.172188
4. Hummel CE, Klein HJ, Giovanoli P, et al. Complications arising from aesthetic surgery procedures in foreign countries and Switzerland. Swiss Med Wkly. 2023;153(4):40077-40077. doi:10.57187/smw.2023.40077
5. Klein HJ, Simic D, Fuchs N, et al. Complications After Cosmetic Surgery Tourism. Aesthet Surg J. 2017;37(4):474-482. doi:10.1093/asj/sjw198
6. Yong Ju Jang. Rhinoplasty for the Asian Nose, An Issue of Facial Plastic Surgery Clinics of North America. Elsevier Health Sciences. 2018;26(3). Accessed February 1, 2024. https://books.google.com/books/about/R hinoplasty_for_the_Asian_Nose_An_Issue.htm l?hl=vi&id=jMdlDwAAQBAJ
7. Haneke E. Managing Complications of Fillers: Rare and Not-So-Rare. J Cutan Aesthetic Surg. 2015;8(4):198. doi:10.4103/0974-2077. 172191
8. Melendez MM, Alizadeh K. Complications From International Surgery Tourism. Aesthet Surg J. 2011;31(6):694-697. doi:10. 1177/1090820X11415977
9. Miyagi K, Auberson D, Patel AJ, et al. The unwritten price of cosmetic tourism: An observational study and cost analysis. J Plast Reconstr Aesthet Surg. 2012;65(1):22-28. doi:10.1016/j.bjps.2011.07.027
10. Birch J, Caulfield R, Ramakrishnan V. The complications of ‘cosmetic tourism’ – an avoidable burden on the NHS. J Plast Reconstr Aesthet Surg. 2007;60(9):1075-1077. doi:10.1016/j.bjps.2007.03.030
11. American Society of Plastic Surgeons. Plastic Surgery Statistics. 2022. Accessed February 1, 2024. https://www.plasticsurgery.org/news/plastic-surgery-statistics
12. Rzany B, DeLorenzi C. Understanding, Avoiding, and Managing Severe Filler Complications. Plast Reconstr Surg. 2015;136(5 Suppl). doi:10.1097/PRS.0000000000001760
13. Beleznay K, Carruthers JDA, Humphrey S, et al. Avoiding and Treating Blindness From Fillers: A Review of the World Literature. Dermatol Surg Off Publ Am Soc Dermatol Surg Al. 2015;41(10). doi:10.1097/DSS.0000000000000486
14. Carruthers JDA, Fagien S, Rohrich RJ, et al. Blindness caused by cosmetic filler injection: a review of cause and therapy. Plast Reconstr Surg. 2014;134(6). doi:10.1097/PRS. 0000000000000754