Plastic cosmetic surgery in the preoperative Code – Plastic, beauty – hairdressing industry
Article by jekky
plastic surgery is a surgery, after all, there are certain risks. Therefore, the United States should seek more communication with the physician, fully prepared. A, preoperative conversation Preoperative patients should talk it clear effect of surgery and possible complications, to obtain the patient’s surgical procedures and postoperative full Cooperation . When the patient is not yet understood and there is doubt, should a second or even third time conversation. The conversation should pay attention to art, should listen to the views of patients, both talk about the positive side surgery, but also talk about problems that may occur side, neither can promise, too high to promote the efficacy and not unlikely that the problems can are all listed, Er Shi patients formed the spirit of burden. Conversation should be signing before the operation is completed. For young people under 18 who do cosmetic surgery, their parents or elders should be invited to sign a legally qualified patient to avoid future disputes. Second, preoperative Preoperative general condition of the body should be carried out the inspection, in particular psychological state, heart, liver, kidney and other major organs of the inspection. In the local inspection, should pay attention to whether the operating area and the presence of infectious lesions. For the eyes, ears, two nostrils, two lips, cheeks symmetric parts should be checked before operation is symmetrical, and should be recorded, photographic, video if necessary. Preoperative differential diagnosis should also be noted, cosmetic surgery generally not difficult to diagnose, but some symptoms still need to carefully check to rule out other causes of disease. Ptosis should be noted that with myasthenia gravis, Marcos root’s phenomenon, jaw winking syndrome to distinguish. Third, preoperative signature Facial cosmetic surgery is not great, but who should be signed by the patients. Signature in the table should be printed operation purposes, time, possible complications, medical advice, patients or their families, and whether the views of the force of law and other columns. Purpose of signing three points: First, do cosmetic surgery allows patients to be carefully reconsidered before, especially young people, should obtain parental consent, and should operate on its own to determine whether the favorable conditions; Second, some patients effect, in the surgery ask too much, if not wishful surgery, there may be trouble to find a doctor, to implement a signature if the procedures could reduce the number of trouble; third surgery signature can be used as legal basis, if something can be protect the doctor. Of course, the implementation of signature procedures, after does not mean that doctors can be irresponsible. Although doctors warned that it is still responsible for the outcome of the surgery to avoid complications, but also to prevent errors in the accident. 4, preoperative photographs Order to observe the effect of surgery, to facilitate academic exchanges, and the patients when necessary to prevent entanglement, facial cosmetic surgery facilities required before and after photographs. As a general data storage, can be according to the ordinary photograph; as academic exchange, can be turned according to film, so can be directly made into a slide. Photography by patients should not make up the time. To eye cosmetic surgery, for example, according to the general eye surgery positive phase can, its size only the Department, including facial features. Although only one eye surgery, but the two eyes are required to take photographs, preferably with a preoperative and postoperative suture removal one, after three months a year and then a picture. General, after three months to one year to return to the natural eye surgery when compared with pre-operative photographs are more valuable, but often difficult to do clinically, doctors need to adhere to follow-up. Photos should be marked according to the number, name, name of disease, surgery date, together with records kept. While many facial cosmetic surgery as outpatient surgery, I also consider it necessary to take photographs before and after surgery. 5, preoperative design Facial cosmetic surgery in the design is very important, especially to do the whole face more than cosmetic surgery, time should be spent longer. It should be based on the requirements of each patient, self-shape features and doctors determined the aesthetic sense. As the small range of facial surgery, design requires precise design line to wait for long, so wide angle to other large, or postoperative asymmetry. Therefore, the application of a ruler, draw a line pens, compasses, etc. to design, patients who can not be solely a visual draw lines. Drawing a line has been established, that is fixed with 2% iodine tincture to avoid disinfection wipe. Of course, the design line is not absolutely consistent on both sides. In short, it is necessary to strictly control the design lines, under certain conditions, be flexible and change it. Some special cases, surgery should be on both sides of the design line is inconsistent. Both sides of the lower eyelid skin as the degree of relaxation did not like the design on the lower eyelid skin excision should be treated separately, so both sides can be basically the same after. Removal of facial wrinkles of the skin, the same should the situation demand the United States themselves to decide which side of the more removed, which side of the little removed. 6, premedication Tension for patients before surgery the night before surgery can be taken orally 2 to 3 stability to ensure a good sleep, in the 15min before the operating table can be injected luminal 0. 1g. For patients infected area so that infection control in patients with drug only after a surgery. For larger facial cosmetic surgery should be done before surgery penicillin skin test, when necessary, injection of penicillin in the day before surgery to prevent postoperative infection. Preferred facial cosmetic surgery pioneer of penicillin or neomycin on the grounds that the face of infection with Streptococcus pyogenes was more common, and these antibiotics are a powerful weapon to kill this bacteria. The drugs like gentamicin or metronidazole although the use of simple, but less effective, not to be the preferred use. Seven, other preparations before surgery Need some surgery Preoperative Skin Preparation work well, such as around the eyelids split long eyebrows, long eyelashes need to shave or cut short. Skin graft, the donor site of hair should be shaved and washed prior local. For a wide range of surgery, blood loss more surgery performed, the recipients should first check the blood type, and prepare a certain amount of blood, to prepare necessary input use. Facial cosmetic surgery, some time longer, but also because it is local anesthesia, therefore, requested by the surgeon, particularly in patients with neurosis or menopausal women in toilet solution will be the net before surgery, to facilitate the operation completion. In addition, some operations require special equipment or special materials and special dressing dressings, etc. should be prepared in advance before surgery.
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