Lisa Farris apprehensive {that a} nasty an infection from latest liposuction and a tummy tuck was quickly getting worse. So she phoned the beauty surgical procedure middle to ask if she ought to head to the emergency room, she alleges in a lawsuit.
The nurse who took the decision on the Sono Bello middle in Addison, Texas, advised her she “absolutely should not” go to the ER — regardless that Farris “had a large gush of foul fluid” leaking from the incision, in response to information within the malpractice case she filed in opposition to the beauty surgical procedure chain in 2024.
The nurse advised Farris she “only needed to reinforce her dressing to collect the fluid drainage and give it time,” filings within the lawsuit alleged.
“Thankfully, Ms. Farris did go to the ER where she was diagnosed with sepsis from her surgery complications,” a medical knowledgeable for her authorized staff wrote in a court docket submitting. Left untreated, sepsis can result in demise.
Sono Bello officers declined to debate malpractice instances filed in opposition to the corporate, citing affected person privateness legal guidelines. However in court docket filings, the corporate has disputed Farris’ claims. The case is about for trial early subsequent yr.
The Farris lawsuit is certainly one of dozens of medical malpractice instances filed over the previous three years that accuse beauty surgical procedure chains of failing to offer ample look after sufferers within the days and weeks after their procedures — in lots of instances by allegedly neglecting to promptly deal with painful infections and different critical issues — together with for 4 sufferers who died, a KFF Well being Information investigation discovered.
In some instances, sufferers who traveled lots of of miles or extra for seemingly routine surgical procedures allegedly suffered painful issues whereas recuperating in resort rooms or unlicensed “recovery homes,” which they stated lacked ample medical employees and supervision, in response to court docket filings.
Whereas issues, akin to infections, can happen after any surgical process, issues associated to postoperative care are blamed for contributing to accidents in over two-thirds of the beauty surgical procedure instances KFF Well being Information reviewed.
The surgical procedure corporations concerned — some, like Sono Bello, financed by non-public fairness buyers — supply elective procedures akin to liposuction and “Mommy Makeovers” to sufferers who pay 1000’s of {dollars} out-of-pocket or on credit score. Adverts promise life-changing physique reshaping methods with minimal danger and fast restoration instances.
Medical malpractice lawsuits have trailed behind the expansion of those corporations. Fits have accused the chains of hiring medical doctors who lacked ample coaching or had troubled pasts, and of utilizing high-pressure gross sales techniques and deceptive promoting pitches that downplay security dangers, court docket information present. The businesses dispute these allegations and have gained dismissal of some fits.
Patrick Schaner, a plastic surgeon and a Sono Bello medical director, harassed that the corporate has carried out greater than 300,000 beauty operations with minimal issues. “That context is very important,” he stated in an interview.
Schaner stated Sono Bello surgeons are “good at what they do” due to the big numbers of procedures they carry out. “We do a great job of getting safety protocols in place,” he stated.
Many sufferers who file lawsuits blame disfiguring accidents on what occurred after their operations, akin to workplace visits during which medical employees allegedly didn’t acknowledge, or dismissed, proof of worsening surgical issues, court docket information present.
A nurse at a Sono Bello middle outdoors Chicago allegedly did not alert medical doctors when Mary Anne Garcia, a affected person who had had liposuction on the middle about three weeks earlier, confirmed up there together with her aunt. Garcia was dizzy and so weak she required a wheelchair to get again to the automobile, in response to a lawsuit her property filed in September.
Slightly than inform Garcia to go to an emergency room, the Sono Bello nurse advised her to “drink more fluids and try to eat something,” in response to the criticism.
Garcia died the following day from cardiac arrest, in response to the lawsuit. Sono Bello has but to file a response to the lawsuit in court docket.
‘It Was Horrifying’
Susan Easley, 59, a veteran U.S. Company for Worldwide Improvement govt who spent twenty years engaged on AIDS initiatives in Africa, died in a Washington, D.C., short-term house final yr.
Her son Gavin discovered her physique Might 13, 2024, 4 days after she had an AirSculpt liposuction and fats switch operation at Elite Physique Sculpture in close by Vienna, Virginia, in response to a lawsuit filed in November.
“It was horrifying,” Gavin Easley advised KFF Well being Information in an interview. “My mother was the definition of kind, caring, and unconditionally loving. She was the most incredible woman I’ve ever known,” stated Easley, 29, who runs an natural farm in Arkansas together with his spouse.
The go well with alleges that surgeon Dare Ajibade gave Easley an extreme quantity of the anesthetic lidocaine through the 6½-hour process and failed to acknowledge persistent vomiting afterward as an indication of toxicity. She referred to as the clinic to report her situation, however her considerations had been dismissed, the go well with alleges.
“When she called to report complications, they didn’t take it seriously,” stated Virginia lawyer Peter Anderson, who filed the go well with. He stated Easley introduced “clear signs and symptoms” of issues.
AirSculpt is a model of Elite Physique Sculpture, a Miami Seaside-based chain based by beauty surgeon Aaron Rollins. The corporate, which is financed by non-public fairness buyers, has about 30 branches throughout the nation. Neither the corporate nor Rollins responded to repeated requests for touch upon affected person lawsuits. In court docket filings, the corporate has denied the allegations.
Ajibade has since relocated to Texas, the place he works for Sono Bello in San Antonio, in response to the corporate. Neither the surgeon nor the Virginia surgical procedure workplace, which can be a defendant within the case, returned requires remark. The defendants have but to file a solution in court docket.
A Booming Business
Sono Bello, with greater than 100 facilities nationwide, payments itself as “America’s #1 Cosmetic Surgery Specialist.”
Sufferers filed seven malpractice instances in opposition to Sono Bello in September — every in a unique state. In an interview, Marcy Norwood Lynch, a Sono Bello govt vice chairman and chief authorized officer, speculated that the spurt in instances was associated to reporting by KFF Well being Information and NBC Information in regards to the firm. There “could be alignment” between the protection and the submitting of the fits, she stated. The corporate has denied the allegations in court docket.
KFF Well being Information reviewed a pattern of greater than 100 medical malpractice instances filed in opposition to multistate surgical procedure chains from the beginning of February 2023 by November 2025. Malpractice fits don’t by themselves show substandard care, although many medical authorities and licensing boards take into account them a device for serving to to evaluate medical high quality.
Heather Faulkner, a plastic surgeon and affiliate professor at Emory College College of Medication in Atlanta, stated surgeons should rapidly acknowledge indicators of an infection earlier than they progress and change into critical, even life-threatening circumstances.
At Emory, she stated, surgeons should attend their sufferers’ first go to after beauty surgical procedure. “Ultimately, the physician is the one responsible,” she stated. “The patient has to be seen by the person who did the operation and knows how to recognize something is wrong,” Faulkner stated in an interview.
Sufferers suing beauty surgical procedure chains typically argue that they had been seen by nurses or different employees members who, they allege, lacked the coaching to acknowledge and cope with issues earlier than they required emergency wound care.
Schaner, the Sono Bello medical director, stated the corporate has a telephone messaging system that ensures sufferers can get in contact with their surgeon or different firm physicians. Whereas nurses see some sufferers, the “ultimate decision-making is passed to the surgeon,” he stated.
5 sufferers handled at Sono Bello facilities who sued the corporate throughout 2025 alleged that surgical wound issues had been dismissed after medical employees, together with surgeons, seen photos of the accidents, court docket information present. The instances are pending.
Schaner stated Sono Bello generally has sufferers submit pictures of wounds however the photographs are “not the sole means of triage” of affected person accidents or issues.
Joshua Kiernan sued Sono Bello after having liposuction on Might 28, 2024, on the department in Columbia, South Carolina. On June 8, 2024, he stumbled and fell in a health club parking zone, inflicting drainage across the incision in his abdomen, in response to the go well with. On June 17, 2024, Kiernan visited the workplace complaining of “redness and pain” across the incision, in response to his go well with.
The surgeon, Stancie Rhodes, didn’t look at him in particular person however had an workplace employees member take an image “so that she could view it from another part of the office,” in response to the criticism.
The surgeon despatched again phrase that the photograph “looked fine,” and Kiernan was advised to take Tylenol for the ache and observe up on the workplace every week later, the criticism alleged.
Two days earlier than his appointment, Kiernan required emergency hospital remedy for “abdominal hematoma and infection,” in response to the go well with.
Kiernan underwent six surgical procedures and ran up medical payments of greater than $325,000 to deal with his situation, in response to the go well with. In court docket filings, Sono Bello denied the allegations.
“Surgical care does not end at the last stitch,” stated Mark Domanski, a plastic surgeon in Virginia, who believes the chain clinics typically are more proficient at advertising and marketing than offering sufferers with top-notch care. “It involves postoperative visits with the surgeon who did the procedure, who is there to respond to the patient’s concerns, questions, especially if things are not going well,” he stated.
Restoration Homes
Many sufferers who journey for beauty surgical procedure, both to economize or as a result of providers aren’t out there of their space, can’t return residence straight away.
But there’s little settlement on the place sufferers ought to recuperate, for the way lengthy, and what medical providers must be available to them.
Scott Hollenbeck, speedy previous president of the American Society of Plastic Surgeons, stated legal guidelines or laws in most states don’t spell out necessities.
“This can create a wide variation of oversight, staff qualifications, and available medical support,” he stated.
The cosmetic surgery society has warned in opposition to a cottage trade of restoration homes that usually cost sufferers lots of of {dollars} an evening whereas they recuperate, regardless that they might lack medical employees able to dealing with doable surgical issues.
Courtroom filings in Florida present sufferers staying in restoration homes and resorts have died or suffered untreated issues, principally in South Florida, the place officers have struggled for a decade or extra to control unlicensed services. One native lawmaker not too long ago filed a invoice to rein them in.
Hollenbeck stated sufferers who recuperate in a resort or different facility want to search out out prematurely what “level of care” can be out there. He stated adverts touting “luxury” lodging or “conveniently located” don’t make a resort “clinically qualified to provide recovery care.”
Easley, whose mom died in Washington, D.C., stated he’s struggling to know what occurred after a medical transportation service took her from the Virginia surgical procedure middle to a short lived house.
He stated his mom, who was born in a small village in Uganda earlier than emigrating to the U.S. as a teen and becoming a member of the U.S. Military, “had so many plans” for the longer term.
Susan Easley had been medically cleared for a new task in Africa. After that, she deliberate to retire and begin a farm in Tanzania, amongst different issues, in response to her son.
The lawsuit alleges the surgical procedure middle discharged her prematurely given indicators of a harmful situation referred to as native anesthetic systemic toxicity attributable to an overdose of lidocaine.
Susan Easley referred to as the surgical procedure middle that day and reported “multiple instances of nausea and vomiting,” however there’s “no evidence” that anybody advised her to go to an emergency room, in response to the go well with.
“I don’t know what they said to her,” Gavin Easley stated. “It’s a horrifying thought for me. I have no idea how to get to the bottom of that mystery.”
‘Preventable Death’
Some lawsuits take intention at selections made by assist employees members, who assist monitor sufferers after surgical procedure.
That’s a essential challenge within the case of Mary Anne Garcia, the Illinois girl who died after her aunt drove her to the Sono Bello workplace in Oakbrook Terrace, Illinois, on June 4, 2024.
Garcia “was feeling sluggish, dizzy, and nauseated,” in response to the go well with. She additionally had a speedy heartbeat and low blood strain, in response to the criticism. However registered nurse Lucia Raddatz didn’t notify the surgeon or urge Garcia to hunt emergency care regardless that Raddatz had to assist her again to the automobile in a wheelchair on account of Garcia’s “severely weakened condition,” in response to the go well with.
Filed on behalf of Garcia’s property, the go well with names Raddatz and Sono Bello as defendants. An emergency room doctor employed as an knowledgeable within the case opined that had Garcia gone to the emergency room on June 4, “she would have received care which would have avoided her death,” court docket information state. Sono Bello had no remark and has but to file a solution in court docket.
Established plastic surgeons say they’re typically referred to as upon to deal with sufferers who arrive within the emergency room with issues as a result of surgeons working for the chains could lack native hospital privileges or are in any other case not out there for consultations.
“There is not one colleague of mine who has not dealt with the complications of these types of facilities or med spas on more than one occasion,” stated Charles Pierce, president-elect of the New Jersey Society of Plastic Surgeons.
‘Angry and Betrayed’
Medical doctors at an Austin, Texas, hospital expressed such frustration whereas caring for Anna Palko, a 33-year-old mom of 4, in response to a malpractice go well with she filed in November in opposition to surgeon Rambod Charepoo and his employer, Mia Aesthetics. The Miami-based beauty surgical procedure firm, which operates in a few dozen cities, together with Austin, advertises that it delivers the highest high quality of cosmetic surgery at inexpensive costs.
A health care provider at St. David’s Medical Middle in Austin wrote in Palko’s medical report: “Unfortunately patient has had postoperative complications from a physician who is well-known to our emergency department for similar post-op complications associated with cosmetic surgery through MIA (sic) Aesthetics,” in response to the go well with.
Palko is certainly one of 5 Texas ladies who sued Charepoo and Mia Aesthetics for malpractice this yr, between mid-July and the tip of November, court docket information present.
4 ladies allege the surgeon and the corporate did not adequately deal with infections that developed after surgical procedure, whereas the fifth alleged different issues. Mia Aesthetics was dismissed from one case. The surgeon and the corporate have denied the allegations in court docket filings, court docket information present.
Charepoo additionally has been the topic of a prolonged investigation by the Texas Medical Board, which licenses medical doctors.
In August 2021, the board alleged that the surgeon “failed to meet the standards of care” in treating six sufferers, together with one he positioned “at risk” by permitting the affected person to depart the surgical procedure middle for the emergency room in a non-public automobile after the particular person “experienced significant hypotension and hemorrhagic shock.”
In October 2024, the medical board discovered that Charepoo had failed to fulfill requirements of look after 5 of the six sufferers. The board required him to have a surgical proctor oversee 20 of his operations per quarter for 2 years. The board additionally ordered him to take medical training programs, move an examination, and pay a high quality of $4,000.
Charepoo is preventing the order in court docket. Charepoo, Mia Aesthetics, and legal professionals representing Charepoo and the corporate didn’t reply to requests for remark.
In January, he sued the Texas Medical Board, arguing the penalty is “both excessive and unjustified” and must be invalidated. The medical board declined to touch upon the go well with, which is pending in Travis County District Courtroom.
Listening to of the surgeon’s issues got here as a shock to affected person Palko, who stated she had chosen Mia Aesthetics due to adverts promising high-quality medical doctors.
“I felt so disgusted, angry, and betrayed,” Palko stated in an electronic mail despatched by her lawyer.
Have you ever had liposuction, a “Mommy Makeover,” a tummy tuck, a Brazilian butt raise, or one other kind of beauty surgical procedure? We’d like to listen to about your expertise. Click on right here to contact our reporting staff.
