SECTION 602.22. Plastic Surgery and Surgery of the Integumentary System Treatments and Procedures

(a) Augmentation mammoplasty (breast enlargement with implant).

(1) Bleeding around implant.

(2) Sensory changes or loss of nipple sensitivity.

(3) Failure, deflation, or leaking of implant requiring replacement.

(4) Worsening or unsatisfactory appearance including asymmetry (unequal size or shape).

(5) Problems with or the inability to breastfeed.

(6) Capsular contracture (hardening of breast).

(b) Bilateral breast reduction.

(1) Skin flap or fat necrosis (injury or death of skin and fat).

(2) Loss of nipple or areola.

(3) Sensory changes or loss of nipple sensitivity.

(4) Problems with or the inability to breastfeed.

(5) Worsening or unsatisfactory appearance including asymmetry (unequal size or shape or not desired size).

(c) Rhinoplasty or nasal reconstruction with or without septoplasty (repairing the middle wall of the nose).

(1) Development of new problems, such as perforation of the nasal septum (hole in wall between the right and left halves of the nose) or breathing difficulty.

(2) Spinal fluid leak.

(3) Worsening or unsatisfactory appearance.

(d) Reconstruction and/or plastic surgery operations of the face and neck.

(1) Impairment of regional organs, such as eye or lip function.

(2) Recurrence of the original condition.

(3) Worsening or unsatisfactory appearance.

(e) Liposuction (removal of fat by suction).

(1) Shock.

(2) Pulmonary fat embolism (fat escaping with possible damage to vital organs).

(3) Damage to skin with possible skin loss.

(4) Loose skin.

(5) Worsening or unsatisfactory appearance.

(f) Breast reconstruction with other flaps and/or implants.

(1) Bleeding around implant.

(2) Sensory changes or loss of nipple sensitivity.

(3) Failure, deflation, or leaking of implant requiring replacement.

(4) Damage to internal organs.

(5) Worsening or unsatisfactory appearance including asymmetry (unequal size or shape).

(g) Nipple Areolar Reconstruction.

(1) Loss of graft.

(2) Unsatisfactory appearance.

(h) Panniculecotomy (removal of skin and fat).

(1) Persistent swelling in the legs.

(2) Nerve damage.

(3) Worsening or unsatisfactory appearance.

(i) Tendonitis, tendon release, and trigger releases.

(1) Recurrence of symptoms.

(2) Damage to blood vessels, nerves, tendons, or muscles.

(3) Worsening function.

(j) Breast reconstruction with flaps.

(1) Damage to blood vessels, nerves, or muscles.

(2) Loss of flap possibly requiring additional surgery.

(3) Damage to internal organs.

(4) Increased risk of abdominal wall complications with pregnancy.

(5) Abdominal hernias with abdominal flaps.

(6) Chronic abdominal pain with abdominal flaps.

(7) Worsening or unsatisfactory appearance including asymmetry (unequal size or shape).

(k) Flap or graft surgery.

(1) Damage to blood vessels, nerves, or muscles.

(2) Deep vein thrombosis (blood clot in legs or arms).

(3) Loss of flap possibly requiring additional surgery.

(4) Worsening or unsatisfactory appearance.

(l) Tendons, nerves, or blood vessel repair.

(1) Damage to nerves.

(2) Deep vein thrombosis (blood clot in legs or arms).

(3) Rupture of repair.

(4) Worsening of function.

(m) Reconstructive and/or plastic surgical procedures of the eye and eye region, such as blepharoplasty, tumor, fracture, lacrimal surgery, foreign body, abscess, or trauma. See §602.6(d) of this chapter (relating to Eye Treatments and Procedures).

Source Note: The provisions of this §602.22 adopted to be effective December 26, 2023, 48 TexReg 7985