Ten Questions to Ask Before Your Surgery

David Reath, MD answers: Cosmetic surgery consultation questions to ask your doctor

I am going in for a plastic surgery consultation, but I am kind of nervous because I don't even know what to ask the doctor.  What are the most important questions I should be asking during my plastic surgery consultation?

David B. Reath, MD
7 months ago

1. What are your credentials and training experience?
Patients are often referred to a surgeon by word of mouth; so, it is important to know what qualifies the surgeon to perform your procedure. Ask your surgeon if he/she is “board certified” in plastic surgery. ASPS Member Surgeons are certified by the American Board of Plastic Surgery and are trained specifically in plastic surgery. They operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing education requirements, including patient safety techniques.

2. How many procedures of this type have you performed and do you have photos I can see?
In addition to knowing your surgeon’s credentials, it is important to know the level of experience he/she has in performing your procedure. Choosing an experienced surgeon is one way to ensure good results. An experienced doctor should also have a portfolio of before and after pictures so you can see the results of their work.

3. Can I work with implant sizers?
Since you are interested in breast augmentation, ask to be able to work with implant sizers to better communicate the look you are trying to achieve. Women tend to think in cup sizes because that is how you buy your bras. Unfortunately, cup size for patients having breast augmentation is a very subjective measurement because everyone wears their bras differently and every bra manufacturer makes them differently. Implant sizers are a much more helpful way to visualize your final results.

4. What do I need to do to prepare for surgery?
Certain surgeries require that you stop smoking, lose weight or follow a specific diet limiting the food you eat and the medications you take prior to your surgery; or, there may be medications that your surgeon wants you to take before your procedure. Make sure that you speak to your surgeon and your anesthesiologist or nurse anesthetist about any allergies or about any conditions for which you are taking medication. You should mention any vitamins, supplements or over-the-counter medications as well.

5. What are the risks?
Every surgery has some associated risk. Weigh the benefits of the procedure against the risks of side effects and complications (e.g. nausea, vomiting, pain, infection, capsular contraction or blood clots) before making your decision.

6. How can I better manage post-surgical side effects and complications such as nausea, vomiting, pain, infection or bleeding?
Some post-surgical side effects and complications are more manageable than others. Make sure you speak to your surgeon about your risk of experiencing side effects and complications and about any medications he/she may prescribe to minimize these symptoms. For example, your surgeon may prescribe a medication before surgery to minimize nausea and vomiting .

7. How will side effects or complications be handled?
If you should experience a side effect or complication after surgery, find out who will be available to address your concerns and when. Ask if any additional costs will be incurred should you need additional treatment.

8. How long of a recovery period can I expect, and what kind of help will I need during my recovery?
Some surgeries take longer to recover from than others. Make sure you speak to your surgeon about how long it will take to heal, as well as how you might physically feel immediately following your surgery. Your surgeon will be able to inform you of the arrangements necessary to ease your recovery.

9. Will my recovery keep me from my usual, daily activities such as work?
The recovery time associated with your surgery is dependent on the nature and length of the procedure as well as the type of work you do. To ensure that you don’t slow your recovery, make sure you speak to your surgeon about the things you may or may not be able to do in the first few days and weeks after surgery.

10. Where and how will you perform my procedure?
Find out if your surgery will be performed in a hospital, office, or ambulatory facility. If the surgery you are considering is performed in an office or ambulatory facility, make sure it is accredited, which means the facility has passed strict guidelines for equipment, staff, hospital access, anesthesia administration, and more. ASPS requires all members who perform surgery under anesthesia to do so in an accredited facility. Also, if your procedure will be performed in an office or ambulatory facility ensure that your doctor has privileges to perform the same procedure at an accredited hospital.

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