Steps You Should Take Before Cosmetic Surgery

Selection of the plastic surgeonA good start is to seek information about the plastic surgeon. You must make sure that the doctor has a specialty in plastic surgery. Check if the doctor belongs to any association or accrediting board such as the American Board of Plastic Surgery. Find out about their years of experience and, very importantly, how many years they have been performing the procedure that interests you. Avoid using the cost of surgery as a criterion for selecting your doctor. This should be the last thing on your priority list. Remember that “cheap is expensive”.

Soak Up Information

Finding information and getting oriented about the procedure to be performed is another important step prior to surgery or cosmetic procedure. An educated and well informed patient will have better communication with his surgeon. The internet is an excellent tool to obtain valuable information. Of course, be sure to visit reliable portals: the “.org”, such as the American Society of Plastic Surgeons, or the “.edu”. In these sites you can obtain more information about the type of surgery you are going to have, what it consists of, what the recovery process will be and how long it will take, among other things. Your surgeon should also have an informational brochure available that explains what to do before, during, and after surgery.

Preoperative Evaluation

Before performing a cosmetic procedure or surgery the surgeon has to make sure the patient is healthy. The laboratory tests that may be required will depend on the characteristics of the patient, their age, their medical history, the medications they use, and the surgery or procedure to be performed. Some of the tests that are ordered could be to know the levels of hemoglobin and sugar and the clotting times, among others. In certain cases, a chest plate and electrocardiogram may be required. When the procedure is performed in the same office or is minimally invasive, these tests are usually not necessary.

Interview With The Anesthesiologist

An important step in the preoperative process is the interview with the anesthesiologist. The anesthesiologist in addition to administering anesthesia, monitors the patient throughout the procedure. In this interview you will be able to discuss with him or her other aspects of the surgery that are also important, such as the type of anesthesia that will be used, what are the risks and possible complications. It is important that in that interview you mention all the medications you are taking and medical conditions you suffer from, as well as anything relevant to your medical history.  

One Last Visit To The Surgeon

Finally, be sure to clarify with your surgeon – before undergoing the procedure – any questions you may have. During this visit, it is advisable to review any previous details with the doctor and you can discuss any questions or last minute changes. It is important that your expectations about the results are real and that the doctor explains to you what is the result that he understands that you are going to obtain.

Treatment And Surgery of Rhinoplasty

Rhinoseptoplasty may be indicated in patients who have already completed their growth, usually between the ages of 15 and 18. However, if only functional surgery is decided, it can be at any age.

This nose job may involve repair of the nasal turbinates ,theseptum and morphological appearance . Its duration will depend on the complexity of the alterations to be corrected, it can be between one to three hours.

Turbinectomy corrects the nasal turbinates and in the vast majority of patients who undergo surgery for nasal obstruction, three types of resections are performed. The technique depends on the degree of hypertrophy of the turbinates.

One is to cut the turbinatesdefinitively , in case they are very large. It is an infrequent procedure, due to the fact that a longitudinal wound is left along the entire turbinate. There may be bleeding episodes, which are sometimes quite severe.

The second technique is a resection called submucosa . It is like a turbinate liposuction.

The most frequent surgery is by radiofrequency. Needles are used that are positioned inside the turbinate and heated with a pedal. This allows the turbinate to gradually shrink. Dr.Cabezas points out that “the advantage of this is that you have no injuries, therefore, the risk of bleeding is almost zero. It has the disadvantage that these patients have to be in healing much longer, because you generate much more scab and that period lasts approximately 8 to 12 weeks ”.

Septoplasty

In septoplasty a small incision is made in the anterior part of the septum, detaching the mucosa, which is the one that covers, and is exposed.

The nasal septum is mainly made up of bones: the ethmoid, vomer and the rest is cartilage.

If the cartilage is deviated, the cartilage becomes dry or weakened. If it is the bone, the ridge is removed using a chisel, which is painless.

Esthetic

The how will be the nose after surgery is a major concern in patients. There is a fairly high percentage of people who have functional pathology and require an aesthetic touch-up.

The doctor does not indicate cosmetic surgery , it is the patient who decides to undergo this intervention. It is a joint decision between the specialist and the patient, says Dr.Cabezas.

Once the decision is made, the surgeon performs a computational analysis of the nose where its deformities are exposed and repairs are simulated.

Recovery

The rhinoseptoplasty does not hurt , says the ENT, “it draws my attention because from the bone point of view it is sometimes traumatic and one has to put a chisel to be able to fracture the bones. However, it is not a painful surgery ”.

After surgery, patients must stay overnight in the clinic .

When they return home, they are left with silicone tubes for 5 to 7 days, which stabilizes the septum, and a plastic patch that lasts for a week. This is then removed and a cloth is placed over the back of the nose to decrease edema.

ubsequently, massages – which are done periodically – and cures should be performed.

The final result is 6 months after surgery.…

The Ideal Candidate For Plastic Surgery

Any surgery has a risk, but the existence of chronic diseases makes this risk increase a lot.

People suffering from diabetes, high blood pressure, lung disease, hypercholesterolemia, arthritis, emphysema, malnutrition, severe depression, obesity and smokers are not ideal candidates for cosmetic surgery.

Excessive alcohol consumption such as smoking will turn into people who can no longer be said to be the ideal candidates for a cosmetic intervention.

If you are a smoker, you must give up two weeks before the operation and at least two weeks postoperatively, in order to obtain the best and uncomplicated cure.

You should know that smokers have an increased rate of infections, wound dehiscence, skin necrosis and anesthetic complications. There are clinical studies that show that smoking patients can develop skin necrosis 15 times more often than non-smokers.

And yet who is the ideal candidate?  

Those who are not smokers, those who are emotionally stable, those who lead a healthy life.

Your expectations must be realistic, no surgeon in the world will be able to change your life, you must be able to accept the disadvantages of these interventions (postoperative discomfort and the risks of the intervention, the price).

It is important to know:

– your medication, including whether you are taking aspirin or vitamins

– hormones (contraceptives or estrogen substitutes)

– natural medication

all these products can interfere with coagulation or other drugs which can cause an increase in surgical risk.

Before you sit down on the operating table you must have the answer to a few questions:

– your expectations are realistic

– how you will manage an unexpected result

– you are fully informed of risks and complications

– you have time to recover

– the price of the operation will create a extra stress

– hide your plan from friends and family – can create extra stress

– ask for intervention for yourself or at the suggestion of someone else

Risks and complications

The rate of complications in plastic surgery is very low, but like any intervention, it involves risks, so it is good to be well informed.

General risks

Anesthetic complications, some patients have a hyperreactivity during anesthesia and sedation, the most common anesthetic complications are:

– cardiac arrhythmia

– airway obstruction

– embolism, brain damage, death

– myocardial infarction

– hyperthermia

– malignant

Obstruction of the airways during anesthesia can occur by their irritation causing a laryngeal spasm with airway blockage.

Brain damage is caused by a lack of oxygenation in the brain.

Malignant hyperthermia is a rare complication in which temperature, blood pressure and heart rate are elevated. Unrecognized and treated in time can cause death.

Temporary paralysis occurs if the administered muscle relaxants have not been eliminated postoperatively, it is easy to detect and treat.

Patients with heart , respiratory or obese conditions have an increased risk of complications during anesthesia so to reduce the risk tell your doctor about any previous medication or condition.

Blood loss ; Bleeding exists in any surgery if it is excessive it can cause major complications. If it occurs intraoperatively the surgeon can solve this problem, postoperatively its appearance can cause the accumulation of blood under the skin with the production of a hematoma, requiring surgery.

Venous thrombosisdeep represents the thrombosis of a vein, can be fatal, occurs in the case of long-term and large-scale operations, can occur due to prolonged immobilization or due to pre-existing conditions.

It’s hard to predict.

Avoid prolonged immobilization, move your legs, use compression stockings.

Hypotension is a marked decrease in blood pressure that can cause cardiac arrhythmias or myocardial infarction.

Infections , their incidence is very low below 1% under antibiotic therapy, their occurrence is extremely serious. Patients who have vascular disease, are being treated with steroids or are smokers have an increased risk of infection.

Suture dehiscencedetermines the possibility of bleeding and requires reintervention.

General risks for cosmetic surgery

Necrosis follows an infection, hematoma and occurs more frequently in smokers. It requires excision of the necrotic area, which determines an inappropriate cosmetic result.

Severe and moderate asymmetries require surgical retouching, minimal ones are inevitable. Difficult healing depends on age, skin type, non-compliance with the doctor’s instructions.

Hypoaesthesia, paresthesias are often temporary and sometimes permanent with loss of sensitivity, due to damage to a nerve thread.

Serum can appear after breast augmentation, liposuction and tummy tuck and consists of fluid accumulation under the skin, requires drainage and evacuation of serum.

Women are at increased risk if they use oral contraceptives or have recently stopped taking them.

Studies by the American Society of Plastic Surgery show that the rate of complications from cosmetic surgery is very low below 1%.

The mortality rate is 1/57,000 interventions, which is a very small percentage. Postoperative risks and incidents are the same in both private and university clinics.