Archive for category cosmetic surgery pre-op tutorial

Aspirin before Surgery?

Posted by admin in CHS, cosmetic surgery pre-op tutorial on December 11, 2012

The subject of aspirin used before surgery pops up in the news now and again. The use of drugs that “thin the blood” is dangerous before cosmetic surgery as it increases the chance that you could bleed shortly after your operation. Bleeding can lead to hematomae (blood collections under the skin) that can ruin cosmetic surgery results and lead to the need for additional surgery. You should always inform your doctor of the medications or supplements that you take before surgery so that the list can be reviewed and modifications (if needed) can be made:

My DO NOT TAKE drug list (don’t stop any medication without speaking with your doctor)

Note that the list of medications that “thin the blood” to some extent is long. It includes common over the counter drugs such as ibuprofen, and naproxen and even some supplements that you might not expect.

Best Regards,

John Di Saia MD

Originally posted 2005-11-20 08:35:00.

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Herbals and OTC Medications Can Screw Up Your Surgery

Posted by admin in cosmetic surgery pre-op tutorial on February 3, 2012

Herbal supplements and even over the counter medications can screw up your cosmetic surgery. They can interact with anesthesia or increase the chances of bleeding.

For example, Vitamin E, Marine Fatty Acids, Omega-3 Fish Oil Supplements may increase risk of bleeding with surgery. I recommend my patients to stop them 2 weeks prior and for about 1 week after surgery.

I have a “Do Not Take” List for my practice on my website for those interested.

Best Regards,

John Di Saia MD

Originally posted 2006-02-22 16:30:00.

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Whatever Happened to LipoZap? Reviews.

Posted by admin in cosmetic surgery pre-op tutorial on November 25, 2011

LipoZap seems to have vanished. Reviews on Realself haven’t however. It seems LipoZap has a 0% satisfaction rating.

LipoZap Reviews

I made a pretty innocuous post on LipoZap a few years ago and the company threatened to sue me. It looks like I don’t have to make any comments here do I?

Best Regards,

John Di Saia MD

Originally posted 2009-10-19 07:30:58.

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E-mailed Question: Lifestyle Lift Rip off?

Posted by admin in cosmetic surgery pre-op tutorial on February 25, 2011

E-mailed Question:

Dear Dr,
I had my lifestyle lift in 3 months ago and I am very unhappy with the results and what I experienced. To get the lift corrected how much would it cost, I have already spent $5000.00

This type of comment regarding Lifestyle lift is quite common. Lifestyle Lift is a commercial effort, not an operation offered by one particular surgeon or practice. The company has had some scandals as well having been busted in New York for posting fake internet reviews.

Considering their low 28% positive review count (at the time of this writing) at Realself.com, these fake reviews make you wonder. The unfortunate part about this e-mail is that the lady is 3000 miles away from me and has most likely already spent the money she can afford to spend. The correction of bad plastic surgery results frequently costs more than the original surgery particularly when you seek correction elsewhere. Some things may not be correctable.

You really need to choose your plastic surgeon well the first time and watch out for advertising sourcing as a basis for that choice.

Best Regards,

John Di Saia MD

Related:

Dr D’s “Plastic Surgeon Credentialing”

Originally posted 2010-01-22 07:30:45.

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Lifestyle Lift – a forum thread

Posted by admin in cosmetic surgery pre-op tutorial on January 28, 2011

A LSL thread

I try to avoid most marketing gimmicks particularly if they lend themselves to unreasonable expectations. In my opinion the Lifestyle Lift is a marketing gimmick. First of all, there is no surgical procedure called a “Lifestyle lift.” These are essentially mini-facelift procedures performed in many cases by surgeons with little experience trying to inexpensively and under little anesthesia improve the face. This formula can lead to disaster.

Nevertheless, the link above is to a forum where Lifestyle lift patients rave and flame about it. Participate if you wish.

Best Regards,

John Di Saia MD

P.S. This link is not to a board at which I post.

Originally posted 2008-02-04 19:05:00.

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Top Mistakes in Plastic Surgery

Posted by admin in cosmetic surgery pre-op tutorial on April 15, 2009

I have been asked many times before about the top mistakes people make when having plastic surgery.

The choice of surgeon is probably the #1 top mistake. As opposed to spending time checking out prospective surgeons, some patients get in a rush and fail to do so. So maybe being in a rush is the second mistake. ;) The training of the surgeon is important as well as board certification by the right board. The philosophy of the practice is also important however and this can be hard to assess.

As I have written before, there are many ways to check out a surgeon that you can done online. You should at least be able to get a basic credentials check done pretty easily.

Best Regards,

John Di Saia MD

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Unsatisfied Patient After Plastic Surgery – Forum Question

Posted by admin in cosmetic surgery pre-op tutorial on June 13, 2008

A recent question from a plastic surgery forum I frequent [messageboards.makemeheal.com/viewtopic.php?t=87983] tells of a woman unhappy with her plastic surgery after weight loss:

The Question:

Hi there! I am 3 weeks PO today and am still seeing loose skin at the top of my abdomen (more on the right side vs. the left side, but definitely enough to grab from each side) I had a TT with MR, breast lift with implants and arm lift with lipo 3 wks ago. I saw my PS on Monday (and was released from all of my garments: abdominal binder, ace wraps for my arms and surgical bra) and he said that he wants to wait at least another month to see how my skin settles. Needless to say that I am just feeling very discouraged. I lost 100 lbs and wanted to see the body that was under all of that skin, but think he could’ve taken more skin than he did because I am still not happy because I still see loose skin.

An Answer:

Hello,

You can’t really expect a surgeon who has never seen you to magically know what happened in your case knowing so little of what happened to you medically. Let me take a shot anyway. You sound like an extreme weight loss patient who had plastic surgery following that weight loss. You had a lot of surgery in one sitting from the sounds of things.

What people don’t understand about plastic surgeons is much of what we do really has more to do with our philosophy than anything else. My philosophy is to do one large scale operation at a time starting with an extended tummy tuck or lower body lift on an extreme weight loss patient. I find that when surgeons do less patients tend to be unimpressed with the results. My way is more expensive and takes more operations to get things done but my results are better. Then again extreme weight loss patients frequently see “loosening” of their results. Revisions in this patient group are not uncommon.

Other surgeons do multiple procedures in one sitting and don’t extend them as much. It is the only way to get through longer operations in less time. This is less expensive and gets things done faster.

At this point you need to have along “sit down” with your surgeon to figure what to do from here.

Best Regards,

John Di Saia, MD

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Lipodissolve – One Happy Camper Blogs

Posted by admin in cosmetic surgery pre-op tutorial on August 26, 2007

Source: blog.myspace.com/index.cfm?fuseaction=blog.view&friendID=192841080&blogID=275579745

An Arizona mom and bounty hunter claims that Lipodissolve worked for her. She blogs about it. Well that’s one. If it is so great, they should design a study to prove it. I have really not been impressed with mesotherapy this far. Then again I only see patients who have had problems and none so far with this “brand” of mesotherapy.

Best Regards,
John Di Saia MD

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