Perioperative Care

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Periopertaive Care Cosmetic SurgeryPreoperative evaluation by the cosmetic surgeon, investigations required for anesthetic assessment, evaluation by the anesthetist, pre operative instructions, preoperative markings and photography and informed consent are essential part of all cosmetic procedures. Since all cosmetic procedures are performed on healthy individuals we take all possible precautions to evaluate and optimize patient’s general conditions before surgery. It is mandatory that all diabetic and hypertensive patients are adequately optimized so that their readings are within normal values.

 

General Preoperative instructions common to all cosmetic surgical procedures under general anesthesia would be as follows: 

  1. Antiseptic Scrub (Betadine Surgical Scrub) of the treatment area three times before surgery: (Patient is instructed to wash the treatment area with the antiseptic scrub three times before surgery. Twice the previous day and once on the day of surgery along with his regular bath)
  2. Prophylactic oral antibiotics to be started from the day before surgery
  3. Excessive hair in the treatment area is to be shaved on the previous day
  4. Nothing to be taken orally six hours before surgery
  5. Patient would be expected to report one hour before the surgical time
  6. Jewels/perfumes/talcum powders to be avoided on the day of surgery
  7. Light breakfast is allowed for patients undergoing procedures under local anesthesia.

General postoperative instruction common to all cosmetic surgical procedures performed under general anesthesia would be as follows

  1.  Oral antibiotics and analgesics (pain killers) to be continued for five days as per the prescription
  2. Normal diet would be resumed six hours after surgery
  3. Dressing if any is avoided from getting wet until further orders.
  4. Usually dressing would be changed every 48/72 hours until the patient is allowed to take a shower
  5. Antibiotic ointment would be prescribed for local application over suture line after the dressing is removed
  6. Sutures if any would be removed between the fifth to tenth day depending on the area
  7. Scar remodeling therapy would be started after all sutures are removed
  8. Outdoor activity like swimming/gym/driving varies with individual procedures

Postoperative instruction specific to Liposculpture:

  1. Compression garment to be worn after 48hours and thereafter 24/7 for 6 weeks and then as many hours as possible for next six weeks
  2. Driving to be resumed after all analgesics have been stopped for 48 hours
  3. Desk jobs could be resumed after five days and other activities after two weeks

Postoperative instruction specific to Hair transplant

  1. Hairs wash to be resumed after 72 hours.
  2. Sutures would be removed after 14 days
  3. Desk Job could be resumed after 1st hair wash
  4. Medical treatment to prevent further hair loss to be resumed after 10days
  5. Hair cut after three weeks from surgery

Postoperative instructions specific to Rhinoplasty

  1. Semi solid diet for one week
  2. Brushing with fingers for one week
  3. Avoid hot food for one week
  4. Nasal splint to be worn for two weeks
  5. Nasal drops to be used for two weeks

Postoperative instructions specific to Abdominoplasty

  1. Normal diet would be resumed after return of bowel movements
  2. Advised to walk with hips flexed for one week
  3. Desk job could be resumed after 10 days
  4. Swimming/Gym resumed after six weeks

Liposuction/Liposculpture

Liposuction is a cosmetic surgical procedure wherein the fat accumulated in an area is removed by suctioning. The procedure is not assessed by the amount of reduction in Kilograms but the ultimate contour attained by inch loss. Therefore diet and exercise become mandatory to maintain the results achieved by liposuction. Liposuction could be performed to any body part like the cheek/double-chin/arms/breast/abdomen/back/thighs/legs etc. Multiple areas could be combined in the same sitting. Liposuction for single area could be performed under local anesthesia but when multiple areas are combined general anesthesia is preferred. The technique used commonly is called tumescent technique. In this method saline containing Adrenalin (to reduce blood loss) and local anesthesia is injected into the area to be sucked out. Fat is then aspirated using cannulas (tubular instrument) without or with assistance of power (Microaire)/Ultrasonic waves (lysonix/vaser)/laser (smartlipo/cool touch). Liposuction is commonly performed as a day care procedure wherein the patient could be discharged six hours after the procedure. It is common to notice skin discoloration(Echhymosis) after liposuction which usually disappears over six weeks. Patchy areas of numbness would be felt over the liposucked area. Edema (Swelling due to accumulation of fluid) would be present upto two weeks after surgery. Noticeable inch loss would be evident after all the edema settles. Scars less than one cm in size would remain at the port site

Pre Operative Instructions

  1. Antiseptic Scrub (Betadine Surgical Scrub) of the treatment area three times before surgery: (Patient is instructed to wash the treatment area with the antiseptic scrub three times before surgery. Twice the previous day and once on the day of surgery along with his regular bath)
  2. Prophylactic oral antibiotics to be started from the day before surgery
  3. Excessive hair in the treatment area is to be shaved on the previous day
  4. Nothing to be taken orally six hours before surgery
  5. Patient would be expected to report one hour before the surgical time
  6. Jewels/perfumes/talcum powders to be avoided on the day of surgery
  7. Light breakfast is allowed for patients undergoing procedures under local anesthesia.

Post Operative Instructions

  1. Oral antibiotics and analgesics (pain killers) to be continued for five days as per the prescription
  2. Normal diet would be resumed six hours after surgery
  3.  Dressing is avoided from getting wet until further orders.
  4. On the 2nd postoperative day the entire dressing is changed and a compression
  5. girdle is fitted before counteracts swelling and pain and to help adapt the skin to the         changed contours of the body. This compression girdle also encourages the skin to tighten and should be worn for at least 4 weeks after the operation.
  6. Antibiotic ointment would be prescribed for local application over suture line after the dressing is removed
  7. Sutures if any would be removed between the fifth to tenth day depending on the area
  8. Scar remodeling therapy would be started after all sutures are removed
  9. Compression garment to be worn after 48hours and thereafter 24/7 for 6 weeks and                                                            then as many hours as possible for next six weeks
  10. Driving to be resumed after all analgesics have been stopped for 48 hours
  11. Desk jobs could be resumed after five days and other activities after two weeks
  12. Two weeks after the operation the skin can be treated with moisturizing body lotion, massaged gently on a daily basis into the areas of skin treated. Physical exertion, sport, and exposure to direct sunlight are permitted after 4 weeks.
  13. We recommend training in the gym after liposuction. A “top body” or “washboard stomach” can normally only be achieved by liposuction in combination with strenuous physical training, not by liposuction alone.
Scientific Committee Team - TAMIRA
Scientific Committee Team - TAMIRA
Tamira is a healthcare services brand for Aesthetic Medicine, Laser & Cosmetic Surgery in Chennai & Bangalore. We specialize in procedures like Hair Transplant, Liposuction, Gynecomastia (Male Breast Reduction), Tummy Tuck, Breast Reduction, Brest Enlargement, Rhinoplasty & Laser Hair Removal.

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