Preparation for a surgery

Stage 1. Doctor’s consultation

The base of plastic surgery is consultation.
Of course, you can learn much about plastic surgery studying various materials that are published in mass media, books or Internet. It may give a general idea of the procedure, however; only real meeting with a plastic surgeon who will perform a surgery will allow understanding the results of surgery and what he will need to do for it.

It is extremely important that patient’s expectations would be realistic, and only an experienced surgeon having good grounding can estimate the conditions, which define the result that can be expected from the surgery.

During consulting plastic surgeon will examine and evaluate that body part, on which a surgery will be done, and will determine, whether there are physiological factors, which may negatively influence the surgery’s result.

During consulting it is very important to analyze the risks connected with a surgical procedure. A plastic surgeon will always inform the patient about expected risk in his (or her) specific case.

Stage 2. General preparation

Before a surgery it is important for the patient to notify his doctor about all taken medical preparations. In post-surgery period it is frequently required to stop taking preparations lowering blood coagulation, for example, aspirin. One must avoid taking of similar preparations 14 days before and during a week after the surgery. In case of necessity of taking of pain killers, it is recommended to take preparations containing paracetamol or codeine instead of preparations containing acetylsalicylic acid. Other pain anti-inflammatory preparations may also increase hemorrhagic diathesis. Thus, it is very important for the patient to inform the doctor about all preparations taken.
Patients, who have tendency to lasting bleedings, must inform the doctor about this during consultation. They must check arterial pressure several times during the least weeks before surgery.

In some cases the doctor recommends to stop taking oral contraceptives, because it is known that contraceptives increase risk of thrombi formation.

Alcohol per se makes no direct affect on the healing, still, large amount of alcohol may cause negative impact on the blood ability tom coagulate. In this connection it is recommended to observe moderation in alcohol consumption before surgery and after it.

Stage 3. Before a surgery

Before surgery you must not eat and drink, at least, 6 hours before the surgery. Wear free clothing or take it with you to the clinic. It will make you feel much more comfortable after the procedure. Do not forget that after surgery you will not be able to drive a car independently that is why, if necessary, take care of transportation in advance.
After some surgeries it is required to wear compressive underclothing for definite period of time. Compressive underclothing is provided by the clinic.

Preparation for a surgery includes an important measure regarding patient’s photographing. No doubt, photographic documentation in plastic surgery has more meaning than in any other medical speciality. Of course, you can give a very detailed description of the appearance in words, but the photography will say considerably more. The photos taken after surgery, thus, fulfill some important functions. They are a valuable material for documental registration of plastic surgeon’s activities, as well as an important means of scientific documentation of the results achieved with the help of the new surgical methods. Besides, patients really feel satisfaction seeing changes made in their appearance. Patients rather frequently get used to their new look so well that are tended to forget their real look before. Checking the results, when they receive their photos, they often say: "Is that really the way I looked before!?"

Stage 4. Consent for a surgery (Agreement)

Only after the patient and the surgeon have reached an agreement and understanding about the necessity of surgery and have considered the possible risks, an agreement and informed consent for a surgery is signed.

Consent for a surgery (agreement)
List of required analyses