At the first consultation, Dr Sproule will discuss possible alternatives, his plans for the eventual plastic surgery, the contemplated results, scarring, post-operative recovery, risks of complications and also possible future small revisionary procedures. Costs will also be discussed. A full medical history will be obtained. The plastic surgery patient is fully informed of what to expect of the surgery and the possible risks of complications in order that he or she may make his or her decision with a full knowledge of facts. The surgeon will be pleased to answer any questions and the patient should be free to request additional consultation at any time to receive further explanations.
A complete physical examination, some laboratory tests and sometimes special tests will be required. Any healthy person can safely undergo an plastic surgical procedure. However, some cases will need special management. For example, a person who has had a heart attack in the past may be able to undergo some procedures if certain precautions are observed.
It is imperative to abstain from any medication that contains acetylsalicylic acid (aspirin) for two weeks before and one week after operation, as it increases the risk of excessive bleeding during surgery and after.
It is also recommended not to take anti-flammatory medication such as Naprosyn, Indocid, Motrin, Orudis, Voltaren. If in doubt, ask your doctor or pharmacist.
Some medications such as Atasol, Tylenol and others do not contain aspirin and may therefore be used for pain relief instead. You must stop taking any anti-flu medication prior to surgery.
IMPORTANT: If you are on special medications or are allergic to some medications (Penicillin, Xylocaine, etc.), it is important that you advise your surgeon. You should also tell your plastic surgeon about any previous surgery either under local or general anesthesia. Tell the surgeon if you were nauseated in the immediate post-operative period or if you had any other problems upon waking up from anesthesia.
Tobacco?? The toxic substances contained in tobacco decreases the circulation of the blood. Minute blood vessels may contract and deprive the skin of sufficient blood supply thus leading to actual loss of skin. These substances may also lead to formation of bad scars. They may cause nausea and coughing in the immediate post-operative period, increasing the risk of bleeding. It is strongly recommended not to smoke for two weeks before and two week after plastic surgery. Nicotine substitutes like Nicorettes and others are also contra-indicated.
Alcohol?? Alcohol may interact with some medications so you should not take any form of alcohol from two weeks before surgery to two weeks after.
Obesity: An obese person should lose weight through a well supervised diet and maintain normal weight before considering plastic surgery. Failure to do so may result in complications and possible failure of the procedure.
Dr Sproule is an experienced Scarborough and Whitby plastic surgeon who places a high premium on preparation and planning for your plastic surgery operation.