Before you undergo any type of cosmetic or plastic surgery procedure, it is important to review the list of medications with your doctor. In my practice with plastic surgical patients, they are to refrain from taking aspirin produces, including Advil, Motrin, Excedrin, ibuprofen, as well as to refrain from alcohol. They also should review their list of medications with the anesthesiologist in order to review any type of cross reactivity of medications with the anesthetic agents.
Robert C. Silich, DO
Specialty: Plastic/reconstructive Surgery
Location and Office HoursOlivia H Z Hutchinson MD
121A E 83rd
New York, NY 10028
- Jamaica Hospital Medical Center
- Lenox Hill Hospital
- Manhattan Eye Ear & Throat Hospital
- New York Presbyterian, Weill Cornell Campus
What should I avoid before any cosmetic procedure?
Stuart Linder, MD, Plastic/reconstructive Surgery, answered
Is it ethical to offer plastic surgery as a contest prize?
Arthur Perry, MD, Plastic/reconstructive Surgery, answeredSurgical procedures should never be taken lightly, and should never be "won" in a contest. There can be complications and even deaths.
It is considered unethical by both the American Society of Plastic Surgeons and the American Board of Plastic Surgery, Inc. for plastic surgery procedures to be offered as prizes in contests.
What increases the risk for bleeding after cosmetic surgery?
Arthur Perry, MD, Plastic/reconstructive Surgery, answeredMany factors increase the chance of bleeding after cosmetic surgery. Aspirin interferes with clotting and increases the likelihood of bleeding following surgery. Patients should stop taking aspirin five days before surgery. To err on the safe side, I advise my patients to stop a week prior to surgery. This is a new recommendation with excellent scientific backing, replacing the old "two-week rule." Literally hundreds of other drugs interfere with bleeding. Your surgeon will give you a list of those you should avoid.
Hypertension is notorious for causing bleeding after surgery, particularly after face-lifts. It must be well controlled prior to surgery. Nausea can cause bleeding when the head is lowered to vomit. Drugs are given during surgery to decrease the chance of nausea following surgery, although in about 20% of people nausea will occur nevertheless.
Lowering the head after facial surgery increases the chance of bleeding. Try it now and you will feel the blood rushing to your head. It is important to not bend down after surgery and to sleep on a pillow or two. Your head should be above the level of your heart.
The risk of bleeding after surgery is highest the first night after the procedure and decreases with each subsequent day. There is some risk as late as three weeks following surgery. Flying is not advised for about two weeks after surgery, since changes in air pressure have been known to cause bleeding.
Find out more about this book:Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)
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