Safety

Safety is the most important consideration when undertaking any form of cosmetic surgery. Mr Karoo will provide you with a friendly and honest opinion regarding your suitability for surgery both in terms of your medical safety and any surgical risks associated with the procedure. If he feels that the risks outweigh the benefits, he will suggest that surgery may not be in your best interest. Particular attention is also given to safe anaesthesia which is always performed by one of Mr Karoo’s regular Consultant Anaesthetists.

Points to consider

Are you fit?

Going to the gym is great but simple walking and swimming are excellent ways to get fitter. If you have a date for surgery, especially general anaesthesia, try to invest some time and energy into getting that little bit more healthy.

It is important to ensure known medical problems (raised blood pressure, asthma, diabetes etc) are well controlled prior to surgery. If you suffer with diabetes or are markedly overweight these can increase the risks of infection or wound healing problems.

Do you smoke?

Smoking can impair wounds healing, increase the risk of infections and even result in skin death (necrosis). This applies to all surgery but is very important in Facelift, Tummy Tuck and Breast Reduction Surgery. Try and stop smoking for a minimum of six weeks before surgery. Patches are good to help you stop but can be just as problematic for surgery so also need to be avoided if possible.

Are you on tablets or herbal remedies?

Avoid certain tablets that increase the risk of bleeding. Aspirin and all anti-inflammatory tablets (Brufen, Voltarol, etc) are examples. These should be stopped 10 days prior to surgery. Similarly a number of herbal remedies including arnica cause the same problems. DO NOT TAKE ANY HERBAL MEDICATION FOR FOUR WEEKS prior to surgery.

Deep Vein Thrombosis (DVT) and Pulmonary Embolus (PE)

This is the formation of blood clots in the deep veins of the leg that can travel to the lung. This is the same problem that can occur on long haul flights, and can be fatal. Death from Pulmonary Embolus is VERY RARE. However, precautions are always taken. You will have compression stockings or special compression boots during/after surgery. Some patients at higher risk will receive blood thinning injections. Risks are higher for overweight patients, smokers, Tummy Tuck patients and any surgery taking many hours. Being fit, not overweight and moving after surgery are the best ways to avoid problems. Move your ankles up and down as an exercise post surgery. Avoid crossing your legs in bed and try to walk regularly after surgery even if only short distances.
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