YOUR SURGERY PLANNER With Dr Chaithan Reddy
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TABLE OF CONTENTS Welcome 3 Your Surgeon 4 Commitments & Responsibilities 5 Financial Responsibilities 6-7 Preparing For Surgery 8-9 Advice on Blood Thinners & Herbal Supplements Before Surgery 10 Supplements, Nutrition & Hydration 11 - 12 Nicotine Cessation 13 What To Expect After Surgery? 14 - 18 Pain Management Wound Healing & Dressings When Can I Shower? When Can I Drive? When Can I Travel? Minimising DVT Risk Optimising Your Results 19 Rest & Emotional Well Being 20 - 21 Take Home Massage 22
WELCOME THE PLASTIC SURGERY CLINIC & MEDISPA The Plastic Surgery Clinic is one of Sydney’s premier clinics when it comes to all your Cosmetic & Reconstructive Surgery needs. Led by specialist Plastic Surgeon Dr Chaithan Reddy, your treatment will be tailored to your needs, using the latest advances in plastic surgery. This booklet is designed to provide you with the information required to help plan for your upcoming surgery. Please take your time to read through the information carefully. The booklet contains information pertaining to: • Preparing for your surgery • Your rights and responsibilities • Fee schedule and due dates • Optimising your recovery • Follow up care and scar optimisation Dr Reddy and our team will also be readily available to discuss these important topics with you. Please contact us on 84597111 or 84597112 if you have any further queries. We welcome you to the clinic and we look forward to assisting you in your plastic surgery journey. Dr Chaithan Reddy Director of ‘The Plastic Surgery Clinic’ 3
YOUR SURGEON Dr Chaithan Reddy MBBS (Hons), BDS (Hons), MS , FRACS (Plast) • Member of the Australian Society of Plastic Surgeons (ASPS) • Member of the Australian Society of Aesthetic Plastic Surgeons (ASAPS) • Member of the Royal Australian College of Surgeons (RACS) • Member of the Australian Medical Association (AMA) Thank you for asking me to be involved in your surgical journey. I believe it is a privilege to be able to operate on my patients and I take great pride in ensuring that the best possible outcome is always achieved. My approach to my patients is to marry my surgical skills with your specific needs to achieve the desired result. Honesty, integrity and professionalism is what both I and my staff pride our services upon. Please feel free to visit our website to read more about my expertise and qualifications. 4
COMMITMENTS & RESPONSIBILITIES Our Commitment Your Responsibilities My staff and I will endeavour to make your experience at the Plastic Surgery Please ensure that you understand all the information provided to you. Clinic as enjoyable as possible. Our friendly staff are also readily available to Every effort will be made to ensure that your surgical pathway is as efficient as answer any questions that you may have. possible. Please also ensure that you have read through, understood and signed All documented information is treated in a confidential manner and will only be your consent forms and the relevant hospital paperwork. disclosed to health professionals involved in your care. Please also ensure that your post-operative appointment has been scheduled Our clinic complies with the applicable laws and regulations, and all significant and that you will be available at the scheduled times. invasive procedures are carried out in accredited health facilities. It is important that you inform my staff and I of any queries that you may have We always endeavour to provide the highest level of personal and surgical care. well prior to your scheduled treatments, so that sufficient time is available to provide any further information that may be required. Feedback ‘The Plastic Surgery Clinic & Medispa’ always welcomes your feedback about your experience at the clinic. While we base our services on up-to-date best practice, we are always open to hearing from you so that we can improve our services even further. 5
FINANCIAL RESPONSIBILITIES Surgical Fee The fees for reconstructive/non-cosmetic surgery are to a large part based around those recommended by the Australian Medical Association. The fees for cosmetic procedures are based on the time taken to undertake the procedure, the complexity of the procedure and the level of expertise offered by Dr Reddy. Fees for cosmetic procedures vary widely between surgeons and the saying “you get what you pay for” if very apt for this type of surgery. Surgeon skill, attention to detail, safety profile, complication rates, the quality of your aftercare, and very importantly the results achieved, can vary significantly between surgeons. The fees charged by surgeons often (but not always) reflect these important considerations. Prior to your planned procedure a surgical estimate will be provided to you. Surgical procedures may have applicable item numbers, meaning that a component of your surgical fee will be covered by Medicare and your health fund. It is important that you understand your surgical estimate (quote) so that you are familiar with any applicable out of pocket fees. • Elective or Cosmetic surgery fees are required to be paid at least 4 weeks prior to surgery*. • Skin cancer (or reconstructive) surgical procedures undertaken in hospital are to be paid at the time of your first post-operative visit. An invoice will be issued to you at that time, allowing you to then claim any applicable rebates * A significant period of hospital operating time has been allocated to your surgery. Payment enables confirmation of your hospital booking. from Medicare and if applicable your Health fund. 6
Hospital Fee Miscellaneous Fees I. Private Health Fund patients: Please check your level of cover with your In some instances, other fees may arise depending on the type of surgery you health fund and whether an ‘excess’ applies or whether there are any other are scheduled to have. These fees can pertain to blood tests, radiology (x-ray), applicable fees. physiotherapy, or pharmaceuticals (discharge medications). Apart from the latter, II. Self-Funded patients: A quote will be obtained from the hospital and for patients in health funds, these fees are often covered by your fund but please forwarded to you outlining the expected hospital fees check with your fund and the hospital you are having surgery at. Anaesthetic Fee When Fees May Change Our clinic makes every effort will be made to provide an accurate estimate of An estimate will be provided to you prior to your surgery. Following your surgery, the above fees. It is very unlikely that the fees charged vary from the estimates your anaesthetist will also provide you with an invoice for the services provided. provided to you for surgery. Changes in fees generally only occurs if: Pathology Fee • Your health fund status changes If applicable, this will be billed directly to you from the relevant pathology • You will be responsible for the full cost of the hospital admission (or provider. Routinely, you will be entitled to a rebate from Medicare (and health prosthesis/implants) if your health fund does not cover the cost of your fund if applicable) to cover a portion of this fee. admission, prosthesis, or treatment • Unexpected additional care or extended medical care is needed, including additional surgery, pharmaceutical, pathology, or radiology services 7
PREPARING FOR YOUR SURGERY We always want you to feel well prepared for your surgery. Feeling prepared can help ensure that you have a smooth surgical journey. It helps alleviate some of the normal ‘nerves’ that are experienced in the lead up to surgery. It also helps in the recovery process by ensuring that all the required measures are in place. A Pre-operative instruction sheet will be provided to you at the time of your consultation, and this will outline the requirements specific to your planned surgery. The following serves as a checklist of some of the more pertinent requirements: • Hospital booking form submitted to the relevant hospital ATLEAST 1 WEEK prior to your surgery • Signed surgical consent and financial consent forms have been returned to our clinic • For cosmetic/elective procedures, any necessary payments made at least 4 weeks prior to surgery • Prostheses (e.g., implants) if applicable, are confirmed • Surgical garment (if applicable) ordered and purchased • Any relevant blood thinner medications (Aspirin, Plavix, Xarelto, Warfarin) have been discussed with your surgeon at least 14 days prior to the surgery date 8
Other Things To Note • The hospital will routinely contact you 1-2 days prior to your surgery. If you have not been contacted by 3pm the day prior to surgery, please contact the hospital. The hospital staff will inform you about your admission time and fasting time. • Please do not be late to the hospital as this can result in your surgery being deferred on the operating list due to the fasting time needs of other patients with medical conditions. • If you are on diabetes medications, please check with the hospital staff as to what you should do Day Of Your Surgery • If required, the anaesthetist will also contact you 1-2 days prior to your • Please arrive on time to avoid potential delays to your surgery, or others surgery. having surgery • Smoking should have ceased at least 4 weeks prior to your surgery, as it can • Please remain fasted as instructed. (Please also avoid lollies and chewing cause skin/tissue loss, increase infection, and lead to suboptimal scars gum) • Hormone replacement therapy and the Contraceptive Pill – to have been • You may take your usual medications with a sip of water. Diabetic discussed at least 2 weeks prior to surgery and stopped where feasible medications should have been discussed with the hospital/anaesthetist the • Avoid alcohol for at least 24 hours prior to your surgery day prior to surgery. • As per your procedure specific instruction material, using as antibacterial • Preferably wear zip-up or buttoned clothing to minimise disruption to your wash the evening prior (and morning of surgery if feasible) is recommended wound dressings • If you are unwell during the week leading up to your surgery, please notify • Please bring your surgical garment or any relevant scans with you to the our clinic hospital • If you are undergoing day surgery, please ensure you have a responsible adult to take you home and stay with you overnight • Please ensure that you have collected any necessary scripts (antibiotics, pain killers) prior to discharge 9
ADVICE ON BLOOD THINNERS There are certain medications and supplements that are known to affect blood *THE BELOW LIST IS NOT ALL INCLUSIVE. IF YOU ARE UNCERTAIN AS TO clotting and increase your risk of bleeding during and after surgery. WHETHER YOUR MEDICATIONS OR SUPPLEMENTS THIN YOUR BLOOD, PLEASE CHECK WITH YOUR GP. Common blood thinners include Common anti-inflammatory Natural Therapy preparations (but not limited to): medications that may increase and Herbal supplements that may bleeding risk include: increase bleeding risk include: Asasantin, Aspirin, Astrix, Bex Tablets and Powders, Cardiprin, Cartia, Coplavix, Brufen, Celebrex, Celecoxib, Diclofenac, Garlic, Ginkgo biloba, Goldenseal, St. John’s Disprin Forte, Eliquis, Isocover, Persantin, Ibuprofen, Indocid, Meloxicam, Mobic, wort, Saw palmetto, oral Arnica, Ginseng Plavix, Pradaxa, Solprin, Vincents Powders, Mobilis, Naprogesic, Naprosyn, Naproxen, , Dong Quai/Angelica, Echinacea, Kava, Warfarin, Xarelto Nurofen, Vioxx, Voltaren Feverfew, Valerian, Cranberry, Licorice, Glucosamine, Red Clover, Omega-3 fatty Please check with your treating GP/ Please stop these 7 days prior to surgery oils, Hair Skin & Nails, Primrose oil, Fish oils Specialist that it is safe to stop any such and restart after checking with Dr Reddy & Krill oils medication(s). You should stop taking such Nb: If you have been advised that you are preparations/supplements at least 2 not allowed to stop these medications, weeks prior to surgery. You may restart please inform our clinic as Dr Reddy may these 2 weeks after surgery need to substitute them for a short acting blood thinner. 10
VITAMIN SUPPLEMENTS, NUTRITION & HYDRATION Vitamin supplements are common part of our daily life. It is important that you are not deficient in certain vitamins in the lead up to surgery. It is also important that you are not taking excessive doses of certain vitamins before surgery as this can impact on healing and increase certain surgical risks. The following is a brief summary of what Dr Reddy advises: Vitamin A The recommended daily dose or as part of a multivitamin is fine. Caution with additional supplementation in women planning to become pregnant. Vitamin C 500-750mg daily in divided doses can play an important role in wound healing. Vitamin E The recommended daily dose or as part of a multivitamin is fine. Excessive doses or additional supplementation can lead to increased risk of surgical bleeding. Bromelain Recommended doses may be taken to reduce bruising, swelling and inflammation. Used with caution if already on blood thinners. Vitamin B, Zinc, Selenium, Copper, Flavonoids Ensure these are a part of your multivitamin Arnica Avoid in the pre-operative period. May be commenced post-operatively as it may reduce bruising, swelling and inflammation 11
Nutrition It is important that you maintain a good healthy diet in the lead up to your surgery, during your surgery and following your surgery. Your body metabolism increases significantly with surgery resulting in more calories being burnt. Hence it is not uncommon to feel tired after surgery as much of your consumed calories are being used in recovering from surgery and wound healing. Ensuring adequate protein intake is very important for wound healing. A well-balanced diet consisting of protein, vegetables and fresh fruit is essential to optimal wound healing. Your metabolic rate can also increase by 100%, so please do not limit your caloric intake in the fear of gaining weight (being less active) after surgery. Please be mindful of the fact that as part of the recovery process after surgery, you may not be in a position to be preparing your own meals. You may consider either preparing these meals prior and freezing them or arranging a nutritious meal service for the first few weeks after surgery. • Please also check that you are not anaemic in the lead up to your surgery. Tiredness can be a sign of this. If you have any doubts, please speak with your GP or Dr Reddy as blood tests can be arranged to check your iron levels. In some patients requiring extensive surgery an iron infusion is arranged prior to surgery. • Patients that are taking Duromine (weight loss medication) should discontinue this at least 7 days prior to surgery as this can have significant implications to your general anaesthetic. Hydration It is also very important to keep well hydrated around the time of your surgery. You will be on various medications following surgery and some of these will be metabolised by your kidneys. Ensuring adequate water intake will help flush out the metabolites of these medications. Keeping well hydrated will also help minimise your risk of deep vein thrombosis (DVT). 12
SMOKING AND NICOTINE CESSATION Smoking and nicotine replacement therapy has a significant negative impact on your surgery. Nicotine (found in cigarettes and nicotine replacement therapy) causes of constriction of blood vessels, reducing the blood supply to wounds and tissues. Reduced blood supply results in a significantly increased risk of wound healing complications. Smoking and nicotine can lead to: • Skin death (skin necrosis) • Nipple areola necrosis following breast lift or breast reduction surgery • Wound break down • Unfavourable scar outcomes • Increased risk of wound infection • Increased anaesthetic risks It is important that you abstain from smoking (including passive exposure) and nicotine replacement therapy for at least 4 weeks prior to surgery and 4 weeks after surgery. Given your safety is our priority, Dr Reddy typically refuses to undertake your surgery if you are still smoking due to the increase in associated risks to you. Other Illicit Substances If you are taking any illicit substances either regularly or infrequently, please advise Dr Reddy as these can have implications with respect to your surgical and anaesthetic risks. 13
AFTER YOUR SURGERY Medications this point in time. This will not be the final result of your surgery. Facial wounds, particularly on the nose can still look inflamed. You will notice a significant When you are discharged from hospital, depending upon the nature of your reduction in this appearance over the course of the week. surgery, stronger pain medications may be prescribed. It is a good idea however to have simple ‘over the counter medications’ available at home for symptoms A lot of the swelling will resolve during the first two to three weeks, in the case such as pain (paracetamol, Ibuprofen) and nausea. Based on the recommended of more involved procedures, it can take several months for all the swelling to doses (an providing you have no contraindications to Nurofen), pain medication resolve. During this period, the swelling may be different on one side compared such as Panadol and Nurofen can be taken at the same time if needed. If to the other. requiring use of your stronger prescribed opiod pain medications, then it is a good idea to take aperients to minimise constipation and consume a diet that is If you develop increasing pain, warmth, redness, or feel unwell please contact adequate in fibre. our clinic on 8459 7111 or 8459 7112. For afterhours concerns, please either contact the hospital where you had your surgery; present to your nearest If you stopped your usual blood thinning medication(s) prior to surgery, please afterhours GP; or present to your nearest Emergency Department. check with Dr Reddy as to when you may restart these. It is common to see bruising after surgery. In some cases, this can be quite Wound Healing & Dressings extensive and is the case of facial procedures, and this can appear quite Please attend to your surgical dressings and wounds as advised by Dr Reddy. dramatic. Bruising often tracks in a downward direction due to gravity. E.g., it is not uncommon to see bruising around the eyes (even “black eyes”) following A small amount of ooze/blood on the dressings is not unexpected after forehead procedures and bruising around the chin and neck following facial surgery. If anything more noticeable is evident, you may apply gentle pressure procedures higher up. The bruising typically resolves with in a 2-week time for 5 minutes. You should contact our clinic (or the hospital afterhours) if any frame but can take longer. Bruising that is slow to resolve or persisting can significant ooze/bleeding is encountered. unfortunately leave some degree of persistent staining in the skin. I therefore recommend using a bruising cream (e.g., Hirudoid) to be applied to sites of For smaller skin procedures you may have been advised to remove your dressing bruising, taking care not to contact the eyes to help expediate the resolution of after 48-72 hours, please note that your bruising and swelling will be maximal at bruising. 14
You may also notice that the wound is not necessarily flat during the initial weeks after surgery. In some instances, the wound may appear bunched up or elevated with little pleats/puckers. This is sometimes undertaken to avoid an inverted final scar or to minimise the length of your final scar. Allow time (weeks) for this to resolve. These changes will commonly resolve with time and scar care. If surgical tape was applied to your surgical wounds (often the case in breast surgery and body contouring surgery), this is typically left 1 Week Post 8 Weeks Post on for 2 weeks. After 2 weeks, the tape can be simply peeled off. Bleparoplasty, rhinoplasty & facelift Bleparoplasty, rhinoplasty & facelift The wounds should then be moisturised and retaping with either Micropore or Silicone tape should be continued. Dr Reddy and our team will discuss this with you at your first post-operative visit. You will notice that your surgical wound or incision is typically pink (and can be pigmented in pigmented skin types) in the first few weeks to months after surgery. They will then reduce in colour, eventually leading to lighter coloured scars. For facial and body contouring procedures requiring compression garments, it is very important to wear these as instructed. Such compression garments are important in optimising your result from surgery. They are designed to help protect the surgical repair, potentially reduce seroma risks, and reduce swelling. 1 Week Post 6 Weeks Post Blepharoplasty, Brow lift, lip lift, & fat grafting Blepharoplasty, Brow lift, lip lift, & fat grafting 15
When Can I Shower? Often just having a shower makes us feel great after surgery. Generally, after any cosmetic facial procedures, I recommend showering from the neck down for the first week. Your dressings are typically removed at our clinic after 1 week at which point you will be able to shower directly over these areas. For body contouring procedures, you will typically be able to shower normally over your surgical dressings, after the first few days. This is still feasible even if you have a drain still in place. When Can I Drive? There are no strict guidelines advising when it is safe to drive. This is often dictated by how you feel physically after surgery and whether there are impediments to driving safely. By the time you are ready to drive, you will need to feel comfortable and capable enough that your arm movements will permit you to turn the steering wheel in a reflex manner, that your neck range of motion and vision is not limited, and that you will not pose a risk to yourself or others on the road. Everyone will reach these milestones at their own pace, but as a general guide • Allow for approximately 1 week after facial, eyelid, and rhinoplasty procedures • Allow for approximately 2-4 weeks after breast procedures • Allow for approximately 3-4 weeks after body contouring procedures 16
When Can I Travel? This may apply to you, particularly given that you may have travelled from • If travelling overseas, I would recommend waiting at least two weeks after interstate or overseas to have your surgical procedure with Dr Reddy. surgery. Alternatively, you may also be having surgery with a desire for personal travel • Avoid lifting luggage or straining as this could lead to bleeding, or implant after your surgery. The answer to this question depends upon the duration of malposition in the case of breast implant surgery. travel time, the extent of surgery undertaken, and access to simple medical care Abdominoplasty and Bodylift procedures at your planned travel destination. • If travelling interstate, I would recommend waiting 2-3 weeks after surgery. Travelling too soon after surgery can add unnecessary risks. I would generally • If travelling overseas, I would recommend waiting at least 4 weeks after not recommend travel during the first week after any elective cosmetic surgical surgery. procedure. You are also required to return to our clinic at the 1-week post- • Avoid lifting luggage or straining. Avoid bending forward excessively in the operative mark for wound review, and removal of dressings & sutures. Keep in case of a bodylift procedure. mind that even bending your head down, lifting luggage or straining can increase blood pressure and precipitate bleeding. The following may serve as a useful And don’t forget to stretch your legs and do your DVT prevention exercises as guide to when interstate or international travel might be considered appropriate: this is essential during travel after surgery! Facial procedures • If you have had a facial procedure, then it is quite possible that you will be in a position to travel one week after surgery. • If travelling overseas, I would recommend waiting at least two weeks after surgery. • More extensive combined facial procedures may require a 3-week period before it is safe for travel Breast procedures • If you have had a breast procedure, then it is quite possible that you will be in a position to travel one week after surgery. 17
Minimise My DVT Risk There are various factors that contribute to increasing DVT (deep vein thrombosis) risk after surgery. These include being relatively less mobile, potentially having reduced fluid intake, and certain procedures and surgical factors. It is important therefore that you are mindful of the measures that you can take to minimise your DVT risk. • Keep well hydrated. Ensure that you drink at least 2L of water per day both before and after your surgery • Preferably stop the oral contraceptive pill or hormone therapy 4 weeks prior to surgery and recommence 2 weeks following* • Wear your hospital compression stockings for at least one week after surgery • Every hour, please stretch your legs, get up for a walk around the house, and perform foot exercises or get up for a walk around the house *There are still no clear guidelines in the medical literature surrounding this, but the OCP and Oestrogen based therapy can increase your risk of deep vein thrombosis (DVT). In some cases, deep vein thrombosis can spread to the lungs, and this is a life-threatening condition known as pulmonary embolism. Whilst there may be the advantage of reducing DVT by stopping these medications, this needs to be weighed up against the risk of pregnancy and the effects on your condition that is being treated with OCP/Oestrogen therapy. It is best to speak with your physician or GP regarding the type of OCP/Oestrogen therapy that you are on and whether it is feasible to stop these. 18
OPTIMISING YOUR SCAR RESULT AND LONG TERM CARE Several factors influence scar outcome. The most significant factors influencing your scar outcome pertains to your skin type and genetics. These unfortunately cannot be changed. Factors that can be modified to optimise your scar result pertain to your after care. Proper wound and scar management can play an important role in optimising your result as your scar will continue to mature over a 12-month period. In addition to keeping your wound clinic, the following measures can help optimise your results: Promote Healing Scar Care LED light therapy (‘Healite’) has been shown to clinically reduce post- Dr Reddy and his nursing team will advise you on how to best optimise operative bruising and swelling, thereby reducing your down time. It your scar. You will be advised to start moisturising and massaging your helps to provide the optimal conditions for wound healing, thereby surgical site approximately 1 week after surgery. You do not need to increasing collagen production and promoting skin renewal. worry about scar management during the first week after surgery. Being a non-invasive treatment, it can be commenced even at your Scar management will be discussed with you at your first post-operative first post-operative visit and continued as per your requirements. Each visit. Taping of your incision lines may also be advised depending upon treatment routinely tales approximately 15-20 minutes. the type of procedure that was undertaken. Please also discuss the role of silicone gel or sheets in your scar care The treatment is commonly undertaken following skin cancer surgery, regime when you see our team at your first post-operative visit. cosmetic surgery, or dermal filler treatments. Healite can also be used It is important to avoid smoking (including secondary smoke) as this will to treat photodamage, vitiligo, acne, and for skin rejuvenation. also affect the quality and appearance of your surgical scar. 19
REST AND EMOTIONAL WELL BEING Rest, Returning to work and exercise The importance of rest is often underestimated after surgery. Please rest up at Returning to work and physical activity is typically dictated by how you feel and home as advised. Straining or exertional activity will raise your blood pressure the extent of surgery that you have had. The following table provides you with a and increase the risk of bleeding, bruising, and swelling. Bleeding can lead to a simple guide to give you an approximate idea on time frames. These may vary return to the operating theatre to achieve control of bleeding, which will in turn in individual cases depending upon the nature of your work (office-based vs slow your recovery further. physical tasks) and your comfort levels. Rest, Returning to work and exercise Surgery can lead to a variety of emotions. The extent of these emotions will lower than normal. This can be secondary to feeling uncomfortable, being away affect different people differently. Our emotions and response to such emotions from family, and being in a hospital setting. Sometimes you may even question are quite often dictated by our personality types and own prior personal why you went ahead with surgery. experiences. In general, however it is quite common and normal to feel a little anxious and nervous in the lead up to surgery no matter how well we prepare. As you feel more comfortable and independent in your mobility and self-care, You may find that your sleep is disturbed the night before surgery. you will often see a turnaround in mood, with a sense of positive well-being. Because of this variation in emotional wellbeing during the overall process of Sometimes this can be because of nerves or because of excitement around the surgery, we encourage you to have a good support network as this can make the potential results of surgery and what this will mean to you. Following surgery, it whole process easier to manage. is not uncommon to feel a sense of relief. You may also find that your mood is 20
WORK SHORT (NOT BRISK) WALKS DRIVING VIGOROUS EXERCISE/GYM SKIN LESION REMOVAL 2-7 days 7 days 1-2 days (if vision not impaired) 3 weeks RHINOPLASTY 7-14 days 7-14 days 1 week 6 weeks FACE/NECK LIFT 3 weeks 2 weeks 2-3 weeks 6-8 weeks BELPHAROPLASTY 2 weeks 2 weeks 1-2 weeks 4 - 6 weeks LIP LIFT 1 week 1 week 24hrs 3-4 weeks OTOPLASTY 1 week 2 weeks 1 week 4 weeks BREAST LIFT/REDUCTION 3-4 weeks 3 weeks 4 weeks 12 weeks BREAST IMPLANTS 1 week if sedentary 2-3 weeks 3-4 weeks 12 weeks ARM LIFT 4 weeks 3 weeks 4-6 weeks 12 weeks TUMMY TUCK 4-6 weeks 6 weeks 6 weeks 12 weeks BODY LIFT 6 weeks 6 weeks 6 weeks 12 weeks THIGH LIFT 4-6 weeks 6-8 weeks 6 weeks 12 weeks GYNECOMASTIA 1-2 weeks 1-2 weeks 1-2 weeks 6 weeks 21
TAKE HOME MESSAGE ST LEONARDS Suite 1, Mezzanine Level The Forum Courtyard Firstly, I thank you for entrusting your care with us. We also understand that all patients will experience 205 Pacific Highway things differently during their surgical journey. We however always endeavour to treat you on a personal St Leonards, NSW, 2065, Australia level, and we hope that this guide will serve as a useful tool for you in helping to making the whole process easier for you. BELLA VISTA Suite 202, Level 2, Building C, I have taken a great deal of time in putting this resource together. In putting this together I have Norwest Private Hospital reviewed the medical literature widely and ensured that the information provided is on par with current 9 Norbrik Drive best medical practice and advice. I have also tailored the information to my specific recommendations Bella Vista, NSW, 2153, Australia based upon excellent outcomes and my experience undertaking these procedures over the past 15 years. I hope that you find it as useful as I have intended it to be and as always, my team and I are always WESTMEAD available to provide further advice whenever you require. Suite 9, Specialist Center, 16 -18 Mons Rd Westmead, 2145, NSW, Australia As a patient you will find the journey challenging at times but rewarding in the long term. Take NORTH GOSFORD confidence in knowing that you will have a great team and surgeon by your side along the way. Suite 4, 12 Jarrett St North Gosford, NSW, 2250, Australia P: (02) 8459 7111 or 1300 073 339 E: info@theplasticsurgeryclinic.com.au w: www.theplasticsurgeryclinic.com.au
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