||How to Select Your Botox
by Peter Lenkefi
Credentials: Selected surgeons should be certified by the
American Board of Plastic Surgery (ABPS). Any doctor (even one
from a nonsurgical specialty) can legally perform surgery.
On the other hand, certification by the ABPS ensures at least
five years of surgical training, including two years of training
specifically in plastic surgery.
Patients undergoing a cosmetic procedure should select a member
of the American Society for Aesthetic Plastic Surgery (ASAPS) to
help ensure that their surgeon has extensive cosmetic surgical
experience and has met ASAPS requirements for continuing
cosmetic surgery education.
Hospital privileges: Cosmetic plastic surgery is often performed
outside the hospital in an office-based surgical facility.
Wherever the surgery is to be performed, selected surgeons
should have hospital privileges to perform the specific
procedure in an acute care hospital.
Facilities: Published data show that accredited office-based
facilities have a safety record comparable to that of hospital
ambulatory surgery settings.
Ambulatory or office-based facilities should be accredited by a
nationally or state-recognized accrediting agency, or be state
licensed or Medicare certified.
Health: Candidates for cosmetic surgery should be in generally
good physical health and must be candid with their physician
about any drugs they are taking.
The medical history should include hormones (oral contraceptives
and estrogen replacement) and even aspirin, vitamins, and herbal
medications since these substances can interfere with blood
clotting or interact with medications used during surgery and
could increase surgical risk.
Patient education: Before surgery, patients should be educated
about all aspects of the planned surgery, including whether to
discontinue certain medications and stop smoking. Postoperative
care should be thoroughly discussed with the surgeon, as surgery
is not truly over until the patient is ambulatory and has
returned to a relatively normal routine.
Risks: Most cosmetic surgery is extremely safe in the hands of
surgeons certified by the American Board of Plastic Surgery.
However, even with the highest level of care, every surgery
carries risks as well as benefits, and these should be discussed
thoroughly before surgery is undertaken.
For example, multiple procedures performed at the same time may
increase the risks of surgery. There are risks associated with
anesthesia, analgesics and antibiotics. Smokers are at greater
risk of complications including delayed wound healing, skin
loss, scarring, and poor surgical outcome
Other risks include deep vein thrombosis (DVT) [formulation of
blood clots in the veins] and pulmonary embolism (PE) [a blood
clot that goes to the lungs preventing the lungs from exchanging
Factors such as general anesthesia and prolonged operating time
appear to increase the risk of DVT. Both DVT and PE are
unpredictable and can occur outside the surgical setting, as the
result of certain medical conditions or from immobilization; for
example, individuals have developed DVT following long airplane
Postoperative monitoring and home care: In the immediate
postoperative period, any patient undergoing cosmetic surgery
should be monitored by qualified medical personnel and
discharged from the surgical facility only after evaluation by
Usually, cosmetic surgery is performed as an outpatient
procedure; occasionally, the surgeon may recommend an overnight
stay. Patients should arrange to have someone available for
assistance for the first day or two following surgery.
About the Author
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please visit http://www.botox-cosmetic-doctor.com
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