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Micro-Vascular Surgery

Dr. Ashok K. Gupta

Page 5

Topics

Post-Operative Care

Wearing compression garments on the treated area for 4 to 6 weeks postoperatively is important to achieve long-lasting results. Usually two pairs of high-density panty hose (14 to 18 mm of Hg) worn over one another are comfortable, effective, and safe and permit early recovery. Other adjuncts in the postoperative protocol include in the administration of broad-spectrum antibiotics and anti-inflammatory agents, the use of suction drains for large treated areas and the application of cold compresses during the first 48 hours postoperatively. h3. Lipoplasty Patient Review and Advisory The following items should be discussed with the patient prior to the performance of the suction-assisted-lipectomy procedure.

  1. General: This surgery is purely elective. Explanation and discussion of reasonable expectations.
  2. What Will Usually Be Helped By Suction Lipectomy ? -Disproportionate and localized accumulations of fat Body contour irregularities due to localized accumulations of fat.
  3. What Will Be Helped by Suction Lipectomy ? – General Obesity, Excess or loose skin without traditional resection; Body contour irregularities if due to structures other than fat (e.g., muscle weakness, bone, intra-abdominal contents); Persistent fat not responsive to SAL.
  4. Goals: Improve body contour but cannot change nature of skin; Establish more normal proportions between areas of body; Improve appearance both in and out of clothing
  5. Surgical Techniques/ Anesthesia / Facility / Recovery: Selection of anesthesia;(Local, Local with IV Sedation, Epidural or General); Selection of facility (Office OR, Outpatient Surgical Facility, Hospital OR Dressings, Support Garments Post-op Hospitalization (optional, but strongly recommended for suction over 3,000 ml./ (over 2,000 ml, for patients over 55 years); Restrictions and return to normal activities
  6. Possible Results: Temporary?

    • Discoloration/swelling
    • Discomfort (pain and sensitivity)
    • Numbness
    • Lumps/Irregularities
    • Asymmetry
    • Restricted activity
Permanent

* Scars (very small)
* Waviness -surface irregularities (unpredictable)
* Pigmentation (very rare)
* Asymmetry

(Note: Fairly rapid resolution of most charges listed as temporary is expected, but final contouring may not be complete for a minimum of three (3) months.)

Common Risks / Complications:

  • Contour irregularities/depressions?
  • Persistent edema?
  • Altered areas of sensation that may remain permanently impaired, including paresthesia or anesthesia?
  • Uncommon Risks / Complications: Shock requiring transfusion (Mostly with large volume Suction)?
  • Autologous blood discussed?
  • Fluid collections (seroma / hematoma)?
  • Infection?
  • Skin loss?
  • Remote possibility of Pulmonary Fat Embolism?

Note: Must be off all aspirin-containing products for 2 weeks before surgery and for two 2 weeks after surgery. (Check all medications; some medications and other non-steroidal anti-inflammatory drugs also may affect clotting.)?

Any and all of the risks and complications can result in:

  • Additional surgery?
  • Hospitalization?
  • Time of work?
  • Expense to the patient?
  • On occasion, surgical revisions (secondary, touch-up) may be indicated following the original surgery

Even though the risks and complications cited occur infrequently, these are the ones that are particularly peculiar to the operation; other complications and risks can occur but are even more uncommon.

  • Patient does wish to have these described.
  • Patient does not wish to have these described.

The Practice of medicine and surgery is not an exact science. Although good results are expected, there cannot be any guarantee, nor warranty, expressed or implied by anyone as to the results that may be obtained.

Any fee paid is for Performance of procedure not for a guaranteed result.

IMPORTANT:

Some psychologically unstable persons, selects a part of their body, which they claims, is highly deformed, subconsciously to avoid their own personal shortcomings. He / she may attributes all his / her failures to that single deformity and feel that Plastic Surgery would magically transform their lives. He / she invariably keep shifting attention from one part of the body to another and keep move from one Plastic Surgeon to another, seeking relief, which often ends disastrously.

At the same time Plastic Surgeon’s high sensitivity to the slightest asymmetry and his zeal to beautify, may tempt him to propose an aesthetic improvement, commonly called “Pygmalion Complex” and may obscure the difference between “the desire to cure and the need to cure”.

With Compliments from:

Dr. A. K. Gupta

Plastic, Cosmetic & Microvascular Surgeon

Suite #16, 2nd Floor, Laud Mansion, M. Karve Road, Bombay – 400 004.
Tel. – 388 3693 / 8963. Fax – 385 8349.
E-mail: [email protected] / [email protected]


Plastic, Cosmetic & Microvascular Surgeon
Suite #16, 2nd Floor, Laud Mansion, M. Karve Road, Bombay - 400 004.
Tel. - 388 3693 / 8963. Fax - 385 8349

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