The initial consultation
The initial consultation is a significant part of the surgery experience. This moment is the opportunity for surgeon and patient to know each other, and the time to understand your motivation behind your desire to undergo plastic surgery. Be as prepared as possible for this first meeting. It is advisable that patients do a good research before the first talk. Educating yourself about a practice beforehand may help you understand how your treatment will be developed, as you save time asking intelligent questions.
Remember that you are with the specialist and this is a private time to discuss your desires and expectations, as well as to ask any questions that you may have. In order to have a comfortable experience, Dr. Nieto will give you her recommendations according with your particular concerns. Dr. Nieto will provide adequate time for you to communicate your specific desires and needs.
What should you expect from the first consultation?
In the initial consultation, the physician will determine if you are a good candidate for the elective procedure. Dr. Nieto will listen to your questions and begin to know you. A thorough history and physical examination will be obtained. The surgeon will review your medical story. In order to have a safe procedure, some laboratory tests are required.
Then, Dr. Nieto will give you her advice on how to best achieve the results that you desire.
In this visit, it is possible that your doctor takes photographs and talk about the specific changes you want. After this photographic analysis, your doctor will examine and measure your body. As she discusses the suggested procedure, she will give you her recommendations and explain the way the surgery will be developed.
The physician will talk about the
benefits and potential risks, anesthesia, the location of the practice, and what to expect after the surgery.
A qualified, experienced and responsible plastic surgeon will evaluate your age, physical type, weight, skin type, physical fitness before you undergo surgery. It is important to realize that to minimize risks you should tell your surgeon about your past and present medical conditions. You also must be honest and clear with yourself and your surgeon.
Your second meeting
In a second consultation your physician will evaluate the results of the required laboratory tests. Probably you may have additional questions for this visit. Feel free to talk. Dr. Nieto is willing to listen to you. The mutual understanding between patient and surgeon is a determining factor in plastic surgery success. For this meeting, the surgeon will establish the patient´s general health.
Some patients need complementary consultations to get more information before undergoing surgery. Feel free to ask specific questions and discuss options and alternatives. Listen and take notes. Dr. Nieto suggests writing a list of questions at the first and second meeting.
You may have read or heard about other person´s experience in plastic surgery. Although, remember that every patient´s experience is entirely different, as well as every individual and personality. Be sure you and your surgeon clearly understand each other´s expectations. Realistic expectations may result in a post surgery advantage for plastic surgery.
If you schedule your surgery, Dr. Nieto will program a preoperative anesthesia evaluation to estimate general fitness of patients or to determine the need for special precautions. |
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Corporal Surgery |
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Facial Surgery |
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General considerations about plastic surgery
Dr. Nieto believes that honest communication is the key to a successful patient-doctor relationship. As a health professional, Dr. Nieto is always willing to listen to your desires, but remember, your health and well-being are priority. Therefore, your doctor may decline to perform a procedure if she considers this is not convenient for your health, or if she identifies patient´s expectations are not real. Dr. Nieto´s purpose is to improve your appearance, though maintaining patient safety is main commitment.
If you have decided undergoing plastic surgery, it is important that you have a clear understanding of your motivations. Exactly, why do you want surgery? The physician will identify your needs, if your goals for surgery are clearly communicated. Plastic surgery can create a change into your life. Remember that plastic surgery will not cause dramatic changes in people other than you
Plastic surgery includes a number of different procedures, most of them elective. So, the reasons for operating must come from you, as something you do for yourself, and not as a circumstance forced by others.
Studies have shown that post operative recovery and patient satisfaction with the aesthetic results of plastic surgery may be influenced by other expectations not related to surgery. It is important patients understand that plastic surgery may change your appearance to look better, but it won´t change you or your life. Plastic surgery will not solve your relationship problems or your work conflicts. People who operate to satisfy other´s preferences may feel disappointed.
Motivations for plastic surgery are completely personal and meaningful for every patient. Although surely your surgeon will be seeking to understand your motivations for having the procedure, his own perception may vary
rom yours. Make sure you feel comfortable with your surgeon and that your feel you can communicate honestly and candidly with her. At this point you must be able to clearly communicate:
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What do you expect from surgery? |
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What do you expect from your plastic surgeon? |
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What are the reasons for undergoing surgery in this moment of your life? |
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What have you found in your plastic surgeon? |
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You need to let your doctor know your entire motivations to ensure that both of you have an adequate understanding. Before plastic surgery, Dr. Nieto suggests to consider:
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It´s often helpful to seek advice from your parents and friends, as well as from women who have had plastic surgery. But remember, every experience is unique. |
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It is unwise to miss important information about your health. For Dr. Nieto, you health and well-being are priority. |
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Make sure your doctor is a certified surgeon. Dr. Nieto will give you any information you require about her studies and medical experience. |
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Plastic surgery requires a physician´s continuing professional development. Ensure your doctor will provide you with the most current and appropriate treatment. |
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Remember, plastic surgery is a branch of medicine. Therefore, plastic surgery must only be practiced by qualified licensed medical doctors. Generally, plastic surgery takes place in a hospital or an ambulatory care setting, such as an outpatient center. |
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Beware of “low-priced” alternatives. |
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The plastic surgeon may reject to perform a procedure if he/she considers the patients health is at a risk. The patient´s health and well-being should always come first. Some obese individuals or patients with unrealistic expectations may also be inappropriate candidates for surgery. |
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Are you aware of all the risks and complications involved? Ask yourself if you really have understood the complete procedure. |
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Remember, plastic surgery is not an exact science. |
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Since plastic surgery is considered an elective procedure, you should have adequate time for recovery. |
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Post surgery bandages may help to improve healing. Patients can minimize potential problems by carefully following the directions given by the physician. |
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Every surgical procedure leaves a scar, some more visible than others. Your surgeon will work to make them less obvious. However, abnormal scars may occur. Remember, scars are areas of fibrous tissue that replace normal skin after injury and scarring is a natural part of the healing process. Usually, scar tissue improves significantly over time and with some kind of treatment. |
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Significant down-time is also required. You should give the injury enough time to heal to complete the scarring cycle, before resorting a scar treatment. Every patient´s healing process is different and the time and way tissues may respond to injury may vary. |
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Because the changes resulting from plastic surgery may vary your own perception, it will take some time to adjust and accept your new body image. Please, let your body follow its natural healing process. The vast majority of the patients report being highly satisfied with the outcomes once the healing process has been completed. |
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Informed consent
¿What is the informed consent?
The informed consent is a legal document you will receive from your surgeon whereby you as a patient confirm to have given consent based upon a clear appreciation and understanding of the facts, implications, consequences, and anesthesia procedure of a plastic surgery. If patients are well-informed and know what to expect they will be better prepared for surgery.
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