Plastic surgery is generally very safe when performed by a board-certified surgeon in an accredited facility. However, like all surgical procedures, it carries risks. Understanding those risks and taking steps to mitigate them is the most important thing any patient can do before elective surgery.
Choose a Board-Certified Plastic Surgeon
The single most important safety decision you will make is choosing your surgeon. Always verify that your surgeon is certified by the American Board of Plastic Surgery (ABPS). This certification confirms that the surgeon has completed an accredited residency in plastic surgery, passed rigorous written and oral exams, and adheres to ongoing education standards. Avoid surgeons who:
- Offer unusually low prices that seem too good to be true
- Operate in non-accredited facilities or hotel rooms
- Cannot provide documentation of their board certification
- Pressure you into making quick decisions
Ensure Your Facility Is Accredited
Surgery should always be performed in an accredited surgical facility, whether a hospital, ambulatory surgical center, or in-office suite. Accreditation by organizations such as AAAASF or JCAHO means the facility has met strict safety, staffing, and equipment standards. Unaccredited facilities lack the safety systems needed to manage emergencies.
Know the Highest-Risk Procedures and Combinations
Some procedures carry higher risks than others, and combining multiple surgeries increases that risk. The BBL is historically associated with the highest mortality rate among cosmetic procedures, largely due to fat embolism risk. To minimize danger:
- Avoid combining too many procedures in a single session
- Limit total anesthesia time to under 6 hours when possible
- Choose a surgeon experienced in the specific procedure you are seeking
- Be honest about your medical history and all medications you take
Follow All Pre- and Post-Operative Instructions
Many preventable complications, including blood clots (DVT), infections, and anesthesia reactions, can be reduced by following your surgeon's instructions closely. This includes stopping blood thinners and smoking before surgery, staying well-hydrated, walking early after surgery to prevent clots, wearing compression garments, and attending every follow-up appointment. If you notice any warning signs such as shortness of breath, chest pain, excessive bleeding, or high fever, seek emergency care immediately.