Top Ten Don’ts Before Cosmetic Surgery
July 31st, 2014
Dr. Bashioum recommends Not to Do:
DON’T drink alcohol
Drinking alcohol before and/or after surgery may cause significant problems.
DON’T smoke
The chemicals and drugs in tobacco reduce blood flow and oxygenation of the skin. Smoking hinders healing and increases your risk for skin loss and scarring by ten fold.
DON’T take aspirin or ibuprofen
These medications, among others reduce the function of platelets, leading to increased bleeding and bruising. Other medications, such as alcohol, vitamins and herbal supplements also cause problems, so check with your doctor first.
DON’T tan your scars
Help minimize scars by not tanning because sun or artificial tanning may cause discoloration, making scars become more noticeable. For more information on minimizing surgery scars click here.
DON’T judge results for 6 months
Swelling is a normal part of any surgery and can take some time to fully resolve. Complete healing takes a full six months and sometimes longer for final results to be apparent. Dr. Bashioum is available 24/7 for his patients during recovery. Although it can be difficult, please be patient to see your final results.
Ideal Weight for Cosmetic Surgery
May 9th, 2014
Recently, I consulted with a patient who had lost 80 pounds after bariatric surgery. It was her intention to lose more weight. During our visit, she asked the question I hear so often regarding weight loss, “Should I lose weight before cosmetic surgery?” My answer is most always the same, “Yes.” Multiple reasons lead me to this answer. Some reasons are related to the general health risks of even mild obesity, while others are related to anesthesia and surgery itself.
We all struggle with extra pounds, me included. This is one of the blessings of living in an affluent society, access to food-a-plenty. These extra pounds may put us at risk for serious medical problems. These include diabetes, heart disease, and many forms of cancer. Reduced physical activity increases a women’s risk for osteoporosis. Severe obesity contributes to joint problems and serious skin conditions. Extra abdominal weight also increases the risk of gastric reflux or heartburn. Reflux of stomach acid or gastric juice into the lungs may lead to life threatening pneumonia. General anesthesia and sedation carry risks, also when carrying extra weight. The most serious is airway or breathing related problems. Decreased ability to take very deep breaths, along with actual partial breathing passage closure can pose significant threats during anesthesia.
Several measures taken after surgery may often reduce some risks. I have found that cosmetic surgery results are far better when the fat layer beneath the skin is as thin as possible before surgery. In the case of skin tightening procedures, the skin can be stretched more easily to give a better result. I also believe that wound healing is more efficient, there are fewer complications and patients see the best results when at lower body weight .
Patients presenting for cosmetic surgery consultation who are carrying extra pounds frequently change their minds regarding which procedures they want following weight loss. This is most evident with breast surgery. A woman considering breast reduction before weight loss, will frequently choose breast enlargement after weight loss! Patients considering liposuction before weight loss, choose different areas for treatment after weight loss. Skin appearance often responds better when weight loss is gradual and exercise is part of the program.
I know the idea of having surgery first, followed by weight loss and conditioning has been popularized on reality TV. It has never made sense to me. Why take this shortcut if there are increased risks, potential medical problems and compromised cosmetic results? Please consider being within 20 pounds or less of your ideal weight before considering cosmetic surgery. It is the best advice that I can offer my patients.
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