Denis Sergeev, a plastic surgeon and trichotransplantologist at the Damas Medical Center, explained to socialbites.ca which procedures are most frequently redone.
Sergeev noted that liposuction often falls short of expectations. Irregular contours, uneven lines, and remaining fat pockets compel patients to seek follow up care, he said. The expert added that surgeons commonly warn about possible corrections after liposuction because 20 to 30 percent of patients require repeat interventions.
Breast augmentation and reduction surgeries also show a high rate of revision.
When implants are placed, Sergeev consistently informs patients that a second operation may be needed. In some cases patients request larger sizes, while others seek implant removal after ten to fifteen years due to back strain and other discomforts, including complications such as rupture or implant dislocation, he explained.
Breast reduction can also demand repeat procedures due to asymmetry and stubborn scars.
Blepharoplasty is another procedure prone to later revisions. Improperly removed skin or fat can cause functional issues and altered facial expressions, Sergeev noted. Patients may experience permanent eye dryness or trouble closing the eyelids altogether, the surgeon added.
Sergeev also addressed lipofilling, the process of transferring a patient’s own fat to improve body and facial contours. He said the technique comes with its own subtleties. There are frequent challenges with fat grafting that lead to additional sessions to achieve the desired look, and fat distribution can be uneven, necessitating adjustments.
According to the surgeon, the primary reasons for repeat procedures include a lack of experience on the part of the operating surgeon, inadequate preoperative planning, and noncompliance with postoperative recovery guidelines. Yet the core issue remains the gap between patient expectations and what plastic surgery can realistically deliver.
To minimize the need for revision surgery, Sergeev recommends a thorough discussion of all potential risks and complications and strict adherence to postoperative care instructions as explained by the medical team. The focus is on aligning goals with likely outcomes and making informed decisions before any procedure.
Recent discussions in North American practice emphasize realistic timelines for recovery and clear communication about long term results. This approach helps patients in the United States and Canada set appropriate expectations and plan for possible future consultations if needed.
Ultimately, a careful consultation that covers technique choices, anticipated results, and realistic limitations can reduce the likelihood of surprises after surgery. The emphasis remains on patient safety, informed consent, and an ongoing dialogue between patients and their surgeons to achieve satisfactory, durable outcomes.