There is an initial consultation prior to the procedure, at which time the surgeon evaluates the areas to be suctioned. These may be the chin, abdomen, chest (both male and female), hips, thighs (both inner and outer), knees, calves, and arms. At this time, initial photographs are obtained, and results of the surgeon's prior work or illustrative examples of the procedure are shown to the patient. Additionally, many offices have the capability of showing the prospective patient their very own pictures on a computer and manipulating the picture (or drawing on the computerized picture) to illustrate the expected results.
During this consultation, information on the procedure is given, and some of the risks are explained. Additionally, any questions the prospective patient has are answered. If the patient is deemed a good candidate for tumescent liposuction, they will then be scheduled for a pre-liposuction evaluation.
The patient who undergoes this procedure is typically evaluated at least 1-2 weeks prior to the procedure and, at that time, blood work, history and physical, measurements, and photographs are taken. Depending on results of the history and physical examination, the patient may have to have further evaluation, medical clearance, EKG, and/or other tests performed.
At the time of the preoperative evaluation, an informed consent is given if it is close to the time of the procedure. This may include a written as well as, in some practices, a computer generated informed consent with examples of potential complications and expectations of the surgery.
Prior to surgery, the patient is advised of which, if any medications, they will be taking before, during, and after the surgery. Additionally, if there are any medications that need to be stopped prior to surgery, this is communicated as well. Certain pain relievers, such as aspirin and non-steroidal anti-inflammatory agents (such as Advil or Aleve) are to be avoided for at least 7 days before the surgery. Some surgeons may have the patient stop other medications such as thyroid, antidepressants, and various antibiotics in preparation for the surgery.
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