Commentary on: Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

The authors presented 129,007 patients from the CosmetAssure database.¹ There were 183,914 cosmetic surgery procedures performed on these patients. Major postoperative hematomas occurred in 1180 (0.91%) aesthetic surgical patients. These patients, within 30 days after their procedures, required emergency visits, hospital admissions, or reoperations. In 2009, we published that there was a need to identify risk factors impacting complication rates associated with aesthetic procedures in order to minimize patient risks and improve outcomes.² This article determined the incidence of major postoperative hematomas in the CosmetAssure database. It assesses some risk factors to determine what predisposed 129,007 patients to hematoma formation. Patients were anatomically categorized in 3 groups: face, breast, and body. Patients were compared as to whether a hematoma was present or absent. The data set included 24 unique cosmetic surgical procedures.