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1)
Surgery price Factors
2)
Benefits of plastic surgery
3)
Risks of plastic Surgery
4)
Recovery from Plastic Surgery
5)
Choose your Plastic Surgery Surgeon
6)
Safety of Medical Tourism
7)
The Anesthesia
8)
Long Distance Patients
9)
Our International Certifications
GENERAL
INFORMATION
Before
Plastic
Surgery
How
many treatments can I have at one time
and how safe is this?
Who
is a good candidate for plastic surgery?
Who
is NOT a good candidate for plastic surgery?
Anesthesia
Post
Operation Recovery
Complications
Implants
1) How can body implants correct physical
appearence
problems and enhance my life?
2) What are the risk and complications?
3) If I am unhappy with my results, Will surgical guarantee
cover implants complications?
4) Can body fat be used instead of an implant for calf, buttock,
pectoral and Bicep/triceps augmentation?
5) What about fat transfer for buttock implants. Some
surgeons are using this method instead of soft silicone
implant. Does this work as well?
BEFORE
PLASTIC SURGERY
Unlike other surgical interventions, plastic surgery is a voluntary
procedure. This allows the patient to undergo a series of
evaluations that will inform him/her about his/her state of health;
moreover, the patient can be better prepared after having received
specific recommendations and medications.
The patient will have to fill out several forms and undergo a series
of analyses following his/her arrival in Bolivia:
-
Medical
Background:
This information is indispensable and necessary to prevent any
complications that could place the patient at risk during the
surgical intervention and its results.
-
Laboratory
Tests:
These will be done in Bolivia, prior to the operation. These are
routine tests to evaluate your hematology, sugar level, kidney
function, blood-clotting factors (PT and PTT), HIV, and others.
- Depending on the patient’s age, clinical history, other studies
could be ordered, such as: X-rays, CAT scans, mammography,
hectographs, or cardiovascular evaluation, to be able to provide
either a more complete overall evaluation or of the specific area on
which the surgery will be conducted.
Some medications are contra-indicated before plastic surgery, due to
their effects of weakening the blood-clotting mechanisms. The
following are examples of some of these medications:
Aspirin and similar drugs.
Anticoagulants.
3-Omega oils.
Soy Lecithin.
Cholesterol Reducers.
Vitamin E
HOW
MANY TREATMENTS CAN I HAVE AT ONE TIME AND HOW
SAFE IS THIS ?
About 95% of men and women who travel with us will have more than
one surgery, and combines surgery with dentistry because of the
great price packages that we offer as well as the follow-up care and
support we offer while on holiday.
The surgeon will determine how many surgeries you can have at one
time based on your age and health and history. On healthy people
with no prior health issues, the surgeons have performed multiple
surgeries and have had great results.
The hospital is fully equipped with a full medical team in
attendance of every surgery, thereby providing a very safe
environment for multiple surgeries. You will be in safe hands and no
risks are ever taken.
WHO
IS A GOOD CANDIDATE FOR PLASTIC SURGERY ?
According to most doctors, a woman (or man) in good health (emotional
and physical) is generally a good candidate for plastic surgery. The
doctor will further review yours and your family’s clinical history
to determine if you are a good candidate. Diagnostic tests also be
done to check if you are ready to undergo a cosmetic surgery.
Mental health is an important consideration prior to deciding on
plastic surgery. Some people may have very unrealistic expectations
of what they can get out of a cosmetic surgery procedure. Most
plastic or elective surgeries tend to raise people’s self-esteem and
make them feel better about themselves. In interviews with women who
have had plastic surgery, we have learned that they feel more
confident about themselves, tend to dress better, and feel more
enthusiastic about their personal and professional lives.
But by itself, plastic surgery alone will not make you happier,
wealthier, or stop a divorce or a breakup.
WHO
IS NOT A GOOD CANDIDATE FOR PLASTIC SURGERY ?
Women (or men) who do not have perfect health, who have problems
that may aggravate the risk from anaesthesia or healing are often
not good candidates. But remember that the doctor has the last word
and this is only a general guideline.
One other aspect to consider is how your body heals. If you have a
history of developing scars, you may develop larger than normal
scars with plastic surgery. Your doctor will evaluate the situation
and recommend accordingly.
Smoking and plastic surgery don't go very well together. Smoking
raises several risks during surgeries (any surgery, not just
cosmetic surgery). You have to inform your doctor if you smoke and
you will be required to stop smoking some time before the surgery.
If you are nor willing to or cannot stop smoking, you should be
honest with your doctor and let him or her evaluate the situation.
Do not think that you can fool the doctor and you will be OK. You
may think that you may be able to fool the doctor, but during the
surgery some complications can arise.
ANESTHESIA
For many patients, the issue of anesthesia presents itself as a source of
fear.
Nowadays, administering anesthetics is much safer, and overdoses are
practically impossible. This is so thanks to the doses of the administered medications which
are increasingly smaller and more specifically adapted to each case. Current
technology, along with highly sophisticated and trained teams, is able to
provide the necessary tight control of the anesthetized patient’s behavior
recording all of their vital signs.
In Plastic Surgery a wide range of types of anesthetics can be used.
Those most frequently applied are:
Local
Anesthetic:
Local anesthetic consists of applying of an anesthetic
agent by injection, for example, to the skin of the lids, desensitizing that
area. The patient does not lose consciousness at any time during the surgery.
This type of anesthetic is applied by the operating surgeon. When the
patient is nervous or anxious, the doctor soothes the patient in such a way
that they feel more relaxed and do not notice the initial punctures.
Local
Anesthetic plus
Endovenous
Sedation:
With this method the patient does
not feel any discomfort from the procedure, they fall into a state of
drowsiness, relaxation and experience numbness, but they can respond and
obey directions, for example, “turn or rotate your head.” This method uses a
variety of medications administered intravenously; moreover, it is
accompanied by applying a local anesthetic to the site of the surgery.
This anesthetic must be administered by an experienced anesthetist and is
used to complement the local anesthetics.
General
Anesthetic:
General anesthesia is recommended in prolonged
procedures. With this technique, the patient is fully asleep and they do not
perceive discomfort during the surgical intervention.
Epidural
Anesthetic:
With this technique the medications are administered
into the lumbar spine in the space between the spinal cord and the dura
mater, essentially blocking bodily sensations or pain from than point down.
It is used to complement any sedative administered to produce drowsiness and
relaxation.
What
kind of anesthesia our medical team generally
use?
The traditional general anaesthetic is no longer
necessary! Therefore less risk!
In the past, correction of the body contour
involved lengthy, severe, high-risk surgery.
Such an operation required a general anaesthetic
and a stay in hospital. The long hospitalization
and recovery period had repercussions on the
patient’s socio-professional activities.
Recovering after an intravenous sedation is
quicker!
Nowadays, with the discovery of intravenous
sedation and tumescent infiltration, the
traditional general anaesthetic is no longer
necessary, loss of blood is limited and
consequently the recovery period is reduced.
Technology, together with advances in sedation,
makes extensive cosmetic surgery possible
without the side effects of general anaesthesia.
During an operation under intravenous sedation,
you are asleep and you feel no pain.
POST-OPERATIVE
CARE
The patient will receive clear instructions in addition to general
and other specific care in accordance with the procedure and
treatment being carried out.
To ensure better recovery, the patient should:
- Receive regular, periodic medical follow-up and post-operative
control
by the respective health care professional.
- Rest: Depending on nature of the surgical intervention, the rest
time varies and specific instructions will be provided. However,
total bed-rest is generally recommended for all operations, or at
least relative rest, in which you perform activities that don't
require much effort; others are prohibited for example: lifting
heavy objects and driving.
As for physical exercise, the patient will be able to resume regular
exercise starting after or during the 4th week.
Likewise, avoiding direct exposure to the sun is strongly
recommended for a period of 4 to 12 weeks, thereby reducing risks of
greater inflammation and the appearance of stains in areas with
recent scars or lingering bruises.
Medications
- Medications such as: Antibiotics, Analgesics and Anti-inflammatory
medications may be recommended, Local Care: cleaning or washing the surgical
wounds, Localized cold compresses to treat the inflammation and pain.
Feeding
- In some cases, it is recommended to eat foods that don't require a great
effort when chewing (facial surgery) or that they are easily digestible
(abdominal surgery).
Eating well is very important for the recovery of the tissue affected.
Consequently, it should not be restricted during the postoperative phases.
Erratic eating can cause weakness, sickness and slow down the healing and
scarring processes. It is recommended to have a well-balanced diet and use
common sense.
Drainages
- Following certain surgical interventions and with the aim facilitating the
removal of accumulated fluids, drainages are left and these require special
attention.
Wraps and
Bandages
- Several surgical procedures, such as liposuction and abdominoplasty,
require special wraps to exercise moderate pressure on areas that have been
“emptied” or “detached” and to maintain the spaces “closed” and tight.
No
Smoking
- The importance of this recommendation is self-evident. The toxins in
cigarette smoke have noxious effect, among others, on the micro-circulation
reducing the nutrition and oxygenation of damaged tissue, and this in turn
hinders and prolongs the recovery process and increases scaring.
Smoking increases the risk of surgical problems,
and interferes with the recovery process,
increasing the chances of scars and
complications. We have the best interest of our
clients at heart and would never advise a smoker
to undergo surgery.
It is important that you abstain from smoking at
least 2 weeks prior to surgery.
COMPLICATIONS
All surgical procedures are susceptible to one form of complication
or another, but the probability of complications decrease to a
minimum if the patient takes all of the precautions discussed in the
different sections of this information sheet: pre-operative care,
post-operative care, surgeons, anesthetics, and anti-inflammatory
medications.
The complications can be of a diverse nature or of varied origin:
1. Suture (wounds that open up).
2. Infections.
3. Sub-cutaneous blood loss (hematoma)
4. Tissue Necrosis (tissue loss: skin or fatty tissue).
5. Hyper- or hypo-pigmentation of the skin.
6. Seromas (subcutaneous accumulation of serous fluids).
7. Unaesthetic Scars.
8. Irregularities in the operated-upon areas.
If the health practitioner has taken suitable precautions, as do our
well-trained surgeons, all the appropriate measures required for
each specific intervention have been taken. Therefore, the
complications that may present themselves are, for the most part, of
minor in nature and can easily resolved.
IMPLANTS
1) How can body implants correct physical appearance problems and
enhance my life?
Body implants (Calf, Pectoral, Biceps, Triceps and Buttock implants)
are used in surgical procedures to enhance, reshape, or better
define the outward appearance of the musculature/definition of the
body. In many instances body implants will provide the desired body
contour symmetry specifically when muscular development was affected
because of a genetic birth defect, or serious injury. Other common
applications include those individuals that may simply feel
unattractive, or wish to enhance their body contours, resulting in a
more aesthetic appearance.
2) What are the risk and complications?
As with any operation there are certain risks. The most common risks
include bleeding, infection, body rejection, asymmetry, and
scarring. Although these events are usually infrequent, they
sometimes can occur. These will be discussed with you during the
consultation for your procedure.
3) If I am unhappy with my results, Will surgical guarantee cover
implants complications?
Yes. Our surgical guarantee cover implants complication in case of
asymmetry for example so you will not be charged for a revision
operation to correct an undesirable result.
However, in case of body rejection, the surgeon may decide to remove
the implant(s) from your body. The guarantee will cover the
procedure (surgeon's fees, anesthesiology fees, surgery center
facility charges, and any other ancillary expenses), but the implant
surgery will not be pay back.
4) Can body fat be used instead of an implant for calf, buttock,
pectoral and Bicep/triceps augmentation?
Not usually. Fat is good for augmenting smaller areas, such as areas
on the face, or even in cellulite smoothing, but not larger areas.
Free Fat Transfer (FFT), is commonly used for lip enhancement, or
smoothing wrinkles and cellulite depressions, but because it tends
to be absorbed or 'washed' from the area, it isn't ideally suited
for larger fills.
5) What about fat transfer for buttock implants. Some surgeons are
using this method instead of soft silicone implant. Does this work
as well?
Not usually. Fat is good for augmenting smaller areas, such as areas
on the face, or even in cellulite smoothing, but not larger areas.
Free Fat Transfer (FFT), is commonly used for lip enhancement, or
smoothing wrinkles and cellulite depressions, but because it tends
to be absorbed or 'washed' from the area, it isn't ideally suited
for larger fills. There is little evidence to support this type of
large mass FFT, with successful results.
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