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REALITY CHECK     

No matter how meticulous the technical mastery of the surgery, which is totally under control of the surgeon, there comes the healing phase which has a mind of its own. Every patient heals differently depending on the mysteries of their genetic code.

The best we can do is set up the conditions for optimal healing, (delicate tissue handling, tissue plane dissection, atraumatic suture techniques, drains, dressings, etc.) and the rest is up to nature.

Identifying potential complications early (hematomas, cellulitis, hypertrophic healing, allergic reactions, etc.) and dealing with them before they progress to disasters requires checking the patient the day after surgery now that in-hospital observation and recovery is unaffordable.

We have seen some rare but crazy anomalies and fortunately had the training and experience and luck to deal with them without worsening the condition.