Preparing you for surgery

We believe that the success of a cosmetic surgery lies in the information on what to do and not do before and here you will know how to:

You are already decided. You have seen the plastic surgeon of your choice, you have decided with whom you are going to operate. You have the money ready, and you even asked for work permission to miss the days following the surgery.
Whats missing?
The time before surgery is important. It is not a futile time and no action, but a time in which the right decisions can help a faster recovery and without problems. On the contrary, if at that time we do not follow the indications, it is possible to even spoil the result of the surgery.
How to help.
Many times, the doctor only tells us the time and place to be present for surgery. But you have doubts about how to do it. You should contact the doctor’s office and ask him or her all the questions you need, until everything is clear to you. In our case, we give the patient a sheet detailing the details of care before surgery, but not everyone is used to it. We truly believe that the success of a surgery lies in the information about what to do and not do before.

Diet
Diet is essential, and it will help you get a speedy recovery. Among the most important foods to avoid are those very spicy. This is because when one is subjected to stress, the stomach is more prone to gastritis, and if already sensitive by an irritant feeding, it is possible that the patient does not tolerate the medications that are necessary and indispensable for their Recovery. So be careful what you eat at least about 3-5 days before surgery.
Fasting
Fasting is usually indicated from the night before, especially if the surgery is in the morning. Fasting is suspending all kinds of food, including water. Nothing should be ingested since the beginning of the fast. Not even the next day. But a grooming may be done, and if you are accustomed to taking a medication on a daily basis, you should consult your doctor to see if you should take it or not. This will be the only exception to the rule. If it is necessary to take a medication, usually antihypertensive, thyroid medicine or diabetes, it should be taken at the indicated time with the minimum of water only to ingest it without problem, and must indicate it when arriving at the hospital where it will be operated.

Bath.
It is recommended to take a bath from a day before, because if you take an hour before the appointment, you will come to surgery with hair still wet and it is very easy to go cold for this reason.
Perfume and makeup.
Patients are asked not to come with makeup or perfume to surgery because we usually apply some chemicals on the skin, mainly disinfectants, which could cause some reaction with the applied chemical.
Nail.
To monitor any patient that is operated, a device called a pulse oximeter is placed in one of the fingers of the hand. That small device is basic to monitor that the patient oxygenates properly and in case it is not so, take the necessary measures so that it can oxygenate well and stay well. Having nails painted, or even worse, with placement of stones and other elements as bright, make reading very difficult. That is why patients should come with free nails, and remove them before and not the same day of surgery.

Smoke.
Obviously, one should quit smoking before surgery. But how much before?. The ideal is a month before. The least is a day before. But without doubt the most important thing is that an already operated patient suspends altogether every cigar. Why? Well regardless of all the effects of cigarette smoke on the lungs and can make recovery more difficult after general or regional anesthesia, the main problem is that nicotine, is a substance that is vasoconstrictor and affects the blood supply to all tissues. That is, it does not allow a tissue to reach blood and oxygen adequately. And this can be a problem in recovery mainly when surgery is performed with long scars, such as the case of abdominoplasty, and what can happen when the patient does not stop smoking, and actively smokes during recovery is that the wounds may not close as one foresees and take more time than desired, or in some cases even open in some parts; this is called wound dehiscence. The way to solve it is with time, local treatment, or even re-place stitches again. But the best solution is certainly prevention. So you have to stop smoking. Even if you stop smoking actively once you do not prevent 5-10 years of previously smoked cigarette smoking, you can still have a problem, but there are fewer possibilities if you stop smoking.

High blood pressure.
One should take the medications to control the pressure that were prescribed previously by the specialist. Do not suspend them.

Other medications.

Your doctor will often tell you what medications to take before your surgery, usually 7-15 days before your surgery. These drugs have the function of achieving optimal conditions for your surgery. Usually these are medicines to raise your hemoglobin, or medicines to improve your healing or coagulation. DO NOT FORGET THEM. It is very important that you take them in the right way and without fail. It is possible that not taking them, really change the prognosis of the surgery, so take it into account and be disciplined with these indications. If any of these medications are not included within the indications given to you, Congratulations! It usually means that your health and your labs are in optimal condition for surgery. But if you were told it does not mean that something is wrong. For example, in liposuction or lipocontour or combined procedures (breasts augmentation plus lipectomy for example) are often indicated to try to maximize your hemoglobin and to give better results in surgery. If you have any doubts, it never hurts to ask. Talk to your doctor or doctor and ask if you do not need to be premedicated.

Food supplements.
These are a constant source of complications since they are generally not identified previously by doctors either because they do not ask them, or by patients since they do not mention them since they do not consider them of importance. Many supplements, including vitamin E, Ginko biloba, arnica and others, seriously interfere with surgery, mainly because they alter the normal way of coagulation, exposing the patient on to bleeds that can be difficult to control and subject to an increased risk of re-interventions. That is why it is important not only to identify them earlier by commenting with your surgeon, but also to suspend them, at least one week before the surgery. The same happens with aspirin or acetyl salicylic acid, which many patients may be accustomed to ingest preventively indicated by their cardiologist. One must suspend it at least a week before too. It also applies to patients taking medicines to improve circulation in the case of varicose veins.
Mention aside and that is very frequent also that the patients take these last 5 years are medicines for weight loss and nutritional supplements for the gym. Many of these alter thyroid function, or contain ephedrine or caffeine-type stimulants, which can lead to a high blood pressure crisis that can cause surgery to be discontinued. They must be suspended at least a week before. If you are about to operate and realize that none of these products are identified, do not hesitate to call your doctor immediately and let him know. It may even stop the surgery and re-program it, but this is much better than exposing it to unnecessary risk.

Long trips.
Many patients come from remote cities, and require very long ways to get there. This carries a very important risk since when a trip is more than 4 hours, it implies a lack of movement of the legs, which increases the risk of a venous thrombosis of inferior members, that is of the legs. This risk is really considered, since if you detract from it, it can be subject to the release of a clot to the circulatory system and reach the lungs, becoming a very urgent and serious delicate situation called pulmonary thromboembolism and is currently responsible for most of the deaths in plastic surgery. However, it has a solution in prevention. If you anticipate that the trip will be 4 hours, you should buy some hesitant compression stockings for the legs called TED or Goicotines, to reduce this risk considerably. Another way is to mobilize by walking for 5 minutes in the aisles of the plane or bus once every half hour. It is not worth moving your legs in the seat where one is. Walking is required for at least 5 minutes as this activates a lower limb pump system and promotes circulation, decreasing risk. But the same care applies not only to get, but also to return home after the surgery. Now, if you have to take a trip of 8 hours or more to get there, it is best to take care of the care given to you, at least two or three days before the surgery. This has been shown to reduce risk or eliminate it.

• Hair.

It will always be important to wear hair collected, especially if the surgery is in the face. Certainly not just for hygiene, but also because it helps us not to interfere with the site of surgery. But even if the surgery is corporal, having a hair collected allows the anesthesiologist to have quicker, non-distracting access to the face that is where the ventilation is controlled. So make yourself two braids, one on each side, as only one can be annoying for you when lying down

• Lab tests

Another factor that may seem obvious but often overlooked is that patients should have blood tests or tests originals at the time of surgery. In many cases these are sent by WhatsApp or scanned email, and it is assumed that the doctor is already aware. And even if it is so, during your surgery also the whole surgical team should know their results and the best way is to bring them in originals. So do not forget them, please, they are for your safety.

Allergies

Always, whenever you come, discuss your drug allergies. This will give a reminder to the entire team that will operate it, which although surely already has it pointed there, it will be much safer if you remember them.?

Clothes.
Your clothing should be simple, loose and can easily be placed when you are discharged, considering that often when leaving you will have cotton bandages and drainage, so a simple clothing and easy to place with play, will be the most appropriate. Also remember that often patients will not be able to bend down to put their shoes on, so they should preferably be easy to put on

Company.

Must be accompanied by a person of legal age, friend, partner or family so that not only company, advise of your status and make decisions, if not also to help you to transport once you have surgery.

Payment.

Lastly, remember how your payment will be. Cash? with card? Do not forget to also consider it, since on some occasions, especially patients that are operated on weekends or are foreigners, do not consider that the banks are closed generating more inconveniences.

 

I hope these care and recommendations will be useful to make it easier to prepare for the surgery and also its recovery. We are committed to your safety, and we are interested in everything going well. It will surely be a success, as the surgery starts from the moment you make the decision. Congratulations