General Plastic Surgery Risk Profile

General Plastic Surgery Risk Profile

All surgery, including cosmetic and reconstructive plastic surgery, carries risks. I believe it is essential that patients have clear, balanced information about possible complications so they can make fully informed decisions.

This page provides general information only. It does not replace a personalised consultation with a qualified specialist plastic surgeon. Individual risks vary significantly depending on your age, overall health, medical history, lifestyle factors (such as smoking), and the specific procedure(s) proposed. During your consultation in my Sydney rooms, we will discuss the risks relevant to you in detail, including any procedure-specific complications.

Important AHPRA note: All invasive cosmetic surgery carries risks and requires a recovery period. Results vary from patient to patient and cannot be guaranteed.

Risks Related to Anaesthesia

Most plastic surgery procedures are performed under general anaesthesia in accredited facilities.

Possible anaesthesia-related complications include:

Acute medical events, such as heart attack, stroke, or chest (lung) infection/pneumonia.
Death (extremely rare in otherwise healthy patients undergoing elective surgery).
Deep vein thrombosis (DVT) or pulmonary embolism (PE) — blood clots that may form in the legs and travel to the lungs.
Sore throat, breathing difficulties, swelling, or discomfort caused by the endotracheal tube used during general anaesthesia.
Short-term nausea and vomiting following anaesthesia.

Surgical and Wound Healing Risks

Infection of the surgical site, which may require antibiotics, drainage, or additional surgery. This risk is higher in smokers and patients with diabetes or certain other medical conditions.
Heavy bleeding (haemorrhage) from the wound that may require further treatment or return to theatre.
Wound discharge or fluid collections.
Poor or delayed wound healing, wound breakdown, or skin necrosis (death of skin tissue).
Wound dehiscence (separation or splitting of the wound along the incision line).
Collection of blood (haematoma), pus (abscess), clear fluid (seroma), or swelling (oedema).
Bruising and swelling — these are common and usually begin to improve within 1–2 weeks, but can take several months to resolve fully.
Pain and discomfort during the recovery period, which varies between patients.

Sensory and Scarring Risks

Altered sensation or numbness in and around the operated area. This is often temporary but can occasionally be permanent.
Allergic reactions to surgical materials, including sutures, dressings, antiseptic solutions, or other products used during or after surgery.
Adverse scarring, including thickened (hypertrophic), raised (keloid), wide, or otherwise unfavourable scars. Scarring is an inevitable part of any surgical incision.

Cosmetic and Other Outcomes

Unsatisfactory cosmetic result or asymmetry.
The possible need for revisionary (additional) surgery to improve the outcome.
Psychological effects associated with a change in physical appearance (positive or negative).

Factors That Can Increase Risks

Certain factors are known to increase the likelihood or severity of complications. These include:

Smoking (active or recent) — strongly associated with wound healing problems, infection, and skin necrosis.
Diabetes, obesity, high blood pressure, or a history of blood clots.
Certain medications or medical conditions.

I will assess your individual risk profile thoroughly and may recommend additional precautions, optimisation, or, in some cases, advise against surgery if risks are considered too high.

Our Approach to Safety in Sydney

All procedures are performed by a Dr Kelly Thornbury a fully qualified Specialist Plastic Surgeon (FRACS) in accredited private hospitals or day surgery facilities in Sydney and Wollongong. I use evidence-based techniques and follow current Australian standards to minimise risks where possible. This includes appropriate use of antibiotics, blood clot prevention measures (such as compression stockings or medication), and close post-operative monitoring.

Recovery and aftercare form an important part of reducing complications. You will receive detailed written instructions, and I provide regular follow-up in our Sydney and Wollongong clinics.

Next Steps

If you are considering plastic or cosmetic surgery in Sydney, the first step is a thorough consultation. I will:

Discuss the specific risks and benefits relevant to you
Provide written information
Allow you time to consider your options (in line with current cooling-off requirements where applicable)

This information is general in nature and is intended to be educational. It is not personalised medical advice. Every patient is unique, and only a face-to-face consultation with a specialist plastic surgeon can provide advice tailored to your circumstances.

To book a consultation with Dr Kelly Thornbury please contact our rooms.

This information is educational and based on current Australian medical standards and AHPRA/Medical Board guidelines for advertising cosmetic surgery. Last reviewed April 2026.