Out of town breast augmentation requires advance planning to avoid complications and to achieve optimal results from the surgery. In general, patients are required to stay within the vicinity 3-4 days postop for follow-up visits to ensure that they are healing nicely.
Patient safety always starts with pre-op testing to rule out medical conditions or any other factors that can lead to increased risk of complications. For out of town patients, their local primary care doctor may order lab work whose results are faxed to the plastic surgeon who will conduct the surgery. With this “arrangement,” they can arrive as early as 2-3 days prior to the operation for an in-person consultation.
Ideally, the lab tests are performed not later than 10 days before surgery.
Aside from lab tests, out of town patients might also be required to fax results from breast MRI and possibly mammogram as well.
Even before the actual meet-up, there should be good rapport between the patient and the surgeon performing the out of town breast augmentation. Skype or video online chat is particularly helpful to allow both parties understand each other’s goal.
Meanwhile, it is important to avoid tobacco products, aspirin, ibuprofen, and medications and supplements known to increase bleeding for at least three weeks. The goal is to achieve one’s optimal health and thus minimize risk of healing problems and other complications.
Complete smoking cessation is particularly critical because it is closely tied to increased risk of capsular contracture in which the normally thin scar capsule around an implant inadvertently thickens, leading to painful, deformed breasts that require a revision surgery.
Factors linked to increased bleeding and hematoma (i.e., clotted blood beneath the skin or within the implant pocket) such as use of aspirin and aspirin-like products and hypertension must also be avoided and “controlled” well in advance of the surgery to reduce the capsular contracture rate.
After surgery, most patients are instructed to stay within the vicinity for at least three days (or sometimes even longer) for follow-up visits. After this period, most can travel by plane or car provided that a friend or family member will accompany them.
During the initial healing stage, patients should avoid heavy lifting (that’s why someone else should carry their luggage) and rigorous activities to prevent healing problems. Furthermore, they should never drive themselves when taking narcotic painkillers because these can cause poor coordination and lethargy.
In Beverly Hills plastic surgery, many doctors continue to monitor their patients up to one year, with some even permitting online video chat should their patients find it inconvenient to travel long distances just for a follow-up visit (provided there is no major concern).