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Your consultation will allow you to become acquainted with our his staff, and allow you to freely and confidentially discuss your cosmetic concerns. An individualized analysis and treatment plan will be discussed. A profile analysis and preoperative photography may be performed. Medical and surgical alternatives will be presented to you. We will only recommend procedures that we believe will be beneficial to you.
Your physician will answer all questions about the risks and benefits of your proposed treatment, and you will be given informational materials to further enlighten you about recommended procedures. Our staff will also prepare a surgical cost analysis for you at the conclusion of your consultation. Occasionally, a follow-up consultation will be recommended.
There is a fee for the initial consultation that covers the preoperative analysis, photography and even computer imaging, should it be considered beneficial.
Surgical fees will vary depending on the extent of the surgery required and the number of procedures. These will be discussed during the financial consultation portion of your visit. When surgery is scheduled, it is our policy that the anesthesia and facility fees are paid at that time to reserve your place on the surgery schedule. The remainder of the cosmetic or plastic surgical fee will be due no later than one week prior to surgery. This is both customary and appropriate for elective cosmetic surgery, and it shows that the patient is both committed and sincere about proceeding with the recommended treatment.
The surgical fee may not cover other perioperative costs such as medications, laboratory studies, etc. We try to keep these to a minimum and any additional expenses will be discussed with you clearly at the time of the consultation.
Should tissue be removed for biopsy purposes, this will be submitted to the pathologist if appropriate. This laboratory fee is a separate fee and will be billed from the pathology laboratory directly to the patient.
Should finances present a problem or an obstacle for a patient wishing to schedule surgery, our office is prepared to assist with information about financing options.
Insurance does not normally cover cosmetic surgery and our office does not bill insurance companies for these procedures. However, if a functional procedure is performed, your insurance may cover a portion of these expenses. Unfortunately, we cannot determine the amount of coverage you will receive from your insurance company. However, we can assist with a predetermination benefit authorization in many instances.
When you have decided to proceed with surgery, our staff will discuss the planned procedures in further detail, provide a cost analysis, plus a written preoperative and postoperative instruction, as well as ordering prescriptions. In addition, reservations will be made for the patient to stay overnight in our recovery care center at that time, if appropriate.
Surgical procedures performed in our facility do not require traditional general inhalation anesthesia or endotrachial anesthesia. On the contrary, we specialize in the performance of monitored intravenous sedation or "twilight" anesthesia. Advances in short-acting, but potent intravenous anesthetic medications combined with the skill and expertise of our anesthesia providers allows for virtually any procedure that we perform to be carried out more safely using this technique. The patients are fully monitored with electronic blood pressure monitoring, EKG, etc., just as in a hospital setting. Patients awaken from their procedure with no recollection of the procedure, except drifting off comfortably to sleep. In addition to a shorter recovery time from the anesthetic, there is less postoperative nausea, vomiting and other untoward effects associated with general anesthesia.
Every surgical procedure, no matter how simple, involves some degree of risk. Likewise, there is some element of risk associated with every anesthetic. Risk can be defined not only in terms of possible surgical complications, but also potential disappointments if the result does not match the patient's expectations.
Our goal is to avoid risk or disappointment due to extensive preoperative communication and exchange of ideas during the preoperative consultation. We often use computer imaging as a tool to provide a "blueprint" of a realistic and potentially achievable result.
In general, there are physical risks associated with facial plastic surgery. These are usually minimal. These four basic risks include bleeding, infection, reactions to anesthesia and healing problems resulting in potential scarring. Dr. Lansford and his staff employ all available techniques to minimize risk during the procedures that are performed. In addition to submitting to accreditation examination, we are constantly reassessing our performance through quality assurance studies, risk management studies, infection control data, and evaluation of our anesthetic procedures and techniques.
Although quite rare, other potential risks include poor healing results, adverse reactions to medications, injury to nerves and muscles, and others. While these can usually be successfully treated and corrected, our doctors have many years of surgical experience combined with meticulous surgical technique and judgment have allowed him to obtain one of the lowest complication rates in his field.
Some degree of risk is associated with most actions in life. The relatively low risk associated with facial plastic surgery and laser surgery can be weighed against a high degree of patient satisfaction obtained from these procedures. This is part of the reason why facial plastic surgery is becoming so popular today. In the United States alone, more than 4 million people per year undergo facial plastic surgery to improve their appearance and quality of life through enhanced self-image.
Autogenous platelet gel is a cost-effective and innovative measure to enhance healing. This process involves harvesting a small sample of the patient's own blood at the time of surgery, which is then centrifuged. The platelet-rich plasma is then mixed with a thrombin-activating agent and sprayed into the operative site at the time of suturing or wound closure. The platelet gel delivers the patient's own platelets back into the wound, which has several beneficial effects including decreased bruising, better hemostasis and the release of growth factors to accelerate and facilitate the actual process of wound healing. There is a significant reduction in postoperative pain and discomfort and suture removal is performed on the average two to four days sooner than in the past.
During the postoperative period, the patients must be willing to accept the temporary swelling, bruising and discomfort that occurs with surgery. We make every effort to minimize these side effects with our postoperative medication and care regimens. These have been specially formulated to minimize dependence on narcotics and other strong medications that may have temporary side effects.
In general, you should try to avoid any strenuous activities, straining and lifting, and expect to feel a bit more tired or weaker than usual for several days. Most patients benefit from sedentary activity, keeping their head elevated and a soft diet during the first few days.
Our staff will assist with dressing changes, suture removal and other postoperative measures to reduce bruising, swelling and discomfort. These include, but are not limited to, the use of platelet gel, oxymist treatments, topical anesthetics and lymphatic drainage among others. We can also provide camouflage make-up when indicated.
Depending on the type of surgery performed, most people can resume normal activities after one to two weeks. Initially, we encourage only light activities—such as walking—before progressing to stretching and light repetitive exercise over time. In general, about two weeks is required for resuming full aerobic activities and strenuous exercise, including swimming. Obviously, contact sports should be avoided for at least four to six weeks, if not longer. Common sense will also help determine exactly what type of exercises to do and about how much to do.
Finally, it may be important to avoid direct sun exposure of the surgical sites for a period extending from six weeks to six months depending on the procedures performed. We can assist patients with sun protection, as well as with high-grade sun block (SPF 30-60).
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