Plastic Surgery

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What is it?

Plastic surgeons perform a variety of surgical procedures to improve the appearance and function of the body following illness or trauma, including reconstructive surgery and cosmetic/aesthetic surgery.

Managing the Medicolegal Risks of Body Dysmorphic Disorder in Cosmetic Surgery

by Mr Pundrique Sharma, Consultant Plastic Surgeon

When performing cosmetic surgery on patients with Body Dysmorphic Disorder (BDD), surgeons should attempt to identify psychological traits and use validated diagnostic tools to avoid unnecessary procedures and prioritise mental health referrals over ineffective surgical interventions.

Case study: brachial plexus

Patient A was born via forceps delivery after shoulder dystocia. Shortly after birth she was noted to have abnormal function in her left arm, which was subsequently diagnosed as an obstetric Obstetric Brachial Plexus Injury (OBPI). Initially managed conservatively with physiotherapy, she showed some improvement — but later required two surgical procedures to improve shoulder movement. Despite surgery, she was left with restricted shoulder function, permanent scarring, and a reduced strength and range of motion in the affected arm.

The medicolegal challenges of breast surgery

Breast surgery, encompassing both augmentation and reduction techniques, is one of the commonest procedures performed by cosmetic surgeons. As with all surgical procedures, there are risks, and there are also some issues specific to individual procedures that both surgeons and patients should be aware of.