MUDr. Pavel Holuša
MUDr. Ivo Menšík
MUDr. Hana Zimovčáková
MUDr. Zdeněk Herzan

 

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Pre-operative instructions and risks

Before you take an intervention please read carefully the following important information:

  1. General pre-operative instructions – instructions about things addresses in advance of the intervention
  2. Instructions before operation – instructions about the particular intervention immediately before arrival at the clinic and subsequent stay or hospitalisation
  3. Possible risks – a survey of possible risks connected with the operation and total anaesthesia

General pre-operative instructions

During the pre-operative consultation with your surgeon and anaesthesiologist inform both about your heal condition:

  • Occurrence of bleeding episodes and blood coagulation disorders
  • Occurrence of thrombo embolism and varicose veins
  • Manifestations of conjunctive tissue diseases (rheumatic diseases, joint diseases), skin diseases etc.
  • All more severe health conditions (diabetes, tumours, cardiac diseases, hypertension, pulmonary disorders, renal disorders etc.)
  • Allergies
  • Drugs that you take
  • Complications occurring in the course of previous operations or anaesthesias, if any
  • Occurrence of breast carcinoma and other breast diseases of you and your direct relatives
  • Other important data concerning your health

A number of plastic surgery interventions are performed under total anaesthesia. Therefore pre-operative examinations are necessary, including overall physical examination and blood sample taking for assessment of laboratory image (biochemical, blood count, coagulation etc.), ECG and lung x-ray if you are over 40. These examinations are performed for healthy patients on the day of the operation at our clinic (except for lung x-ray) or they can be performed by your general practitioner or family doctor or doctor of internal medicine before you arrive at the clinic for the operation. A request form for these examinations can be obtained after the pre-operative consultation at our clinic. The results of the examinations should not be older than 2 weeks on the day of your operation.

The client can be operated if absolutely healthy. In the case of an illness, transfer or cancellation of the operation for any reason please inform us as soon as possible on our front office telephone number: +420 549 213 660.

Females should not be operated during their menstrual period. Sudden menstruation however does not constitute a reason for postponement of the operation. You can agree with your gynaecologist whether it is appropriate to discontinue your contraception before the intervention.

When consulting the intervention with your plastic surgeon all your questions will be answered. The surgeon will also inform you about all possible risks and complications associated with your operation. In the case of your interest you will be shown various pictures before and after your type of operation. Photographic documentation of your condition before and after the intervention is an integral part of pre-operative preparation and post-operative result.

In compliance with Act no 101/2000 Coll., on personal data protection, we process your personal information for use by the BODY Clinic of plastic surgery in Brno.

Aesthetic surgeries are not covered by health insurance and we cannot issue a certificate for your employer for your absence from work. The recovery time must be taken from your paid leave days.

Pre-operative instructions for the time immediately before surgery

  • On the day of the intervention please arrive at the specified time ON AN EMPTY STOMACH. You should avoid eating and drinking for at least 6 hours before the operation. Inhalation of vomit may have very serious consequences. On the evening before the operation day you can eat and drink a lot.
  • Hairs in the area of the planned surgical wound (such as in the armpit, in the bottom of your stomach etc.) should be shaved for the last time 3 days before the operation.
  • If you are a smoker, do not smoke for at least 24 hours before the operation. Most interventions require even a longer period of abstinence. Reduce your smoking before and after the operation to reduce the risk of potential peri- and post-operative complications.
  • Unless pre-operative examinations are performed at our clinic take the results of these examinations with you (ECG, laboratory results and potential complex internal examination).
  • If you expect menstruation in the operation period its start may be delayed by contraception if you take any. Menstruation is not a serious obstacle to your operation but do not forget to take sanitary pads, not tampons, with you.Take with you your identity card, your regular hygienic means, slippers and your pyjamas (ideally with buttons).
  • You do not need to remove your nail varnish.
  • If you require gluten-free or vegetarian diet or any other special diet please inform the receptionist.

In the morning of the day of your operation you will be registered at the reception and your heath record will be filled out. Unless you paid for your operation by bank transfer before you will have to pay the balance for the operation and hospitalisation at the reception in cash before admission.

If you have decided to have your pre-operative examinations performed at the clinic we will take your ECG and your blood sample. You will fill out a questionnaire concerning your health condition and talk to your anaesthesiologist who will also examine you.

The ward and the operating theatre are situated upstairs right above the reception. A nurse will accompany you to your ward where you will change, remove your makeup, take off your jewels, removable teeth, piercing and contact lenses if you use any. For prevention of post-operative infection you will need to wash the whole body with a special body shampoo with a disinfecting agent prepared for you in the bathroom of your ward. After that you will take on your pyjamas. There is locker in your ward where you can lock your personal valuables. The key to the locker can be placed in a safe on the basis of agreement with the nurse. Do not take any unnecessary valuables with you to the clinic as we do not take over responsibility for them, including your personal property left in the ward or elsewhere in the clinic.

Before surgery your surgeon will inform you about details of the progress of your surgery, take photo documentation of the area to be operated and draws the operation field on your skin. Then you will wait in your ward for the operation to begin. At that time the nurse will serve calming drugs to you – premedication before anaesthesia – and elastic stockings you will put up before the operation.

After surgery you will be transported back to your ward with a signalling device by your bed which you can use any time to call the nurse or the doctor. You will receive analgesics as needed. Visits are possible between 5:00 and 8:00 pm or outside these hours on the basis of agreement.

On the day of your release from the clinic you must arrange for your transport back home (for the time between 8:30- 9:00 am). Parking is available in the clinic garage in the basement. The parking places reserved for patients of the clinic are marked with the logo of BODY Clinic and numbers 1-6. Your surgeon will inspect your wound and redress it before release and you will be instructed about home care for your wound.

For the first two weeks after the operation you must prevent infecting of the operative wound. Therefore we recommend showering with a body shampoo with a disinfecting agent and application of disinfection on the wound(s). These preparations are prepared for you at the reception. On release you will receive a report on your operation and the date of your first post-operative visit to the clinic.

Possible risks connected with operation and total anaesthesia

Every operation is burdened with a certain small percentage of possible operative complications which you should consider before you decide for or against the operation.

The complications are for example connected with infections and subsequent prolonged healing. You will receive a couple of doses of antibiotics as prevention in the case of certain operations.

Further post-operative complications include bleeding and hematomas – blood clots. For that reason you will be examined for your blood coagulation and bleeding before the operation. To prevent these complications you need to be at absolute rest for a week after the surgery.

Some patients poorly tolerate some suture materials. In the case of this experience from previous operations place inform your surgeon.

There are patients with a tendency towards colloid or hypertrophic scars. These are red, protruding and wide tough scars. The probability of these scars is small but cannot be excluded before the operation. Removal of these scars is long and complicated.

Rare but very serious complication of any operation under anaesthesia is pulmonary embolism – thrombo embolism – clogging of a lung vein with a blood clot. This is a consequence of changed blood pressure and blood coagulation during and after the operation. This serious complication may be life threatening. Prevention includes elastic bandage of your lower extremities, movement and walking as soon after the operation as possible, and sometimes discontinuation of contraception. We use preventive medication adjusting blood coagulation for every operation under anaesthesia at our BODY Clinic. Thus the risk of this feared of complication is virtually minimised.

An important complication may be dissatisfaction of the patient with the aesthetic result of the operation or failure to achieve the ideal expected result. It is necessary to bear in mind that plastic surgery is not an exact science and therefore 100% guarantee and assurance concerning the treatment and the result of the operation cannot be provided. Global statistics show that cosmetic operations are burdened with about 5-10% of complications, reversible in most cases.

Operations under total anaesthesia are performed under supervision of a professional anaesthesiologist. Our anaesthesiologist will examine you before the operation and explains to you the anaesthetic procedure and risks.

Total anaesthesia is currently so carefully applied that its risks and complications are minimised, especially in the case of healthy individuals taking a scheduled operation.  Sensitive clients may feel nausea and vomit. Total anaesthesia is not recommended to pregnant women.

Take all these possible complications in mind when deciding for or against a cosmetic operation.

Instructions to individual interventions

Intervention

Intervention specific instructions

Breast surgery

Before breast augmentation have your breast examined by a professional in one of the mammographic, oncologic or gynaecologic surgeries. Take a mammographic or sonographic examination of your breast. Breast augmentation may only be performed if the result of this examination does not reveal any disorder.

Breast operations are performed under total anaesthesia. Therefore complete pre-operative examinations described above must be undertaken.

It is recommended to arrive at the clinic with a dress that does not need pulling over the head and lifting up arms. Dressing after the operation would be painful. Therefore use for example a night gown with buttons in the front.

You will wear a special compressive post-operative bra for some time after the operation. Your surgeon will advise you concerning its selection.

   
Liposuction

Liposuction may be performed under total or local anaesthesia. In the case of total anaesthesia complete pre-operative examinations must be undertaken.

Pre-operative consultation includes measurement and specification of the size of the elastic medical compression underwear. The underwear must be worn for 24 hours after the operation and then for a couple of weeks. You will only take it off for the purpose of personal hygiene and washing of the underwear.

   
Abdominoplastic Abdominal plastic surgeries are performed under total anaesthesia. Therefore complete pre-operative examinations must be undertaken. You will wear medical compression underwear after the operation. Your surgeon will advise you about its selection.
   
Face lifting Classical facelift is performed under total anaesthesia. Therefore complete pre-operative examinations must be undertaken. You will wear a medical compression mask after the operation. Your surgeon will advise you about its selection.
   
Arm and thigh
skin tensioning
Arm or thigh skin tensioning interventions are performed under total anaesthesia. Therefore complete pre-operative examinations must be undertaken. You will wear medical compression underwear after the operation. Your surgeon will advise you about its selection.
   
Nose and other
aesthetic
operations

Plastic surgeries of the nose and some other aesthetic operations are also performed under total anaesthesia. Therefore complete pre-operative examinations described above must always be undertaken.

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