How can cosmetic surgery complications be reduced?

To decrease complications with cosmetic surgery: Your surgeon should keep you warm and give you extra oxygen during surgery. If the body is allowed to cool during surgery, the heart can be affected and the infection rate is higher. Special warming techniques should be used for surgery that takes more than two hours and treats more than one-fifth of the body surface area.

You should not have surgery outside of a hospital if more than a pint of blood loss is expected.No more than five kilograms (eleven pounds) of fat should be suctioned in a facility outside of a hospital. Large-volume liposuction should not be performed in combination with a tummy tuck. Only operations taking less than six hours should be performed in the office.

If your surgery is longer than thirty minutes, you should have some sort of blood-clot prevention. You should receive medication to decrease nausea and vomiting following surgery. You should be given adequate pain-relief medication after surgery.

You should have a thorough history and physical examination prior to surgery. The surgeon might perform a cursory exam but, let's face it, they simply will not do the job of a board-certified internist. An appropriate letter with recommendations should be sent to your plastic surgeon.

Preoperative testing should include an electrocardiogram (EKG) for anyone over age 45 or younger if indicated. It is a good idea to have an EKG stress test if you are over 50. Laboratory testing should include a blood count and blood chemistry, and other tests depending on your individual circumstances.

Only normal healthy patients or patients with mild disease should be operated on in an office setting. Others should be operated on in the hospital, if at all. Remember, this is cosmetic surgery.

I don't believe that people with serious illness should have cosmetic surgery. Unless your risks are as low as possible, you're playing with fire.

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