If I go home the same day as my surgery how are these needs monitored?

Question

68 year old woman going in for lower body lift with Lipo November 8. I'm worried about going home same day. I've lost 100 pounds. I live alone 30 minute drive from the Drs surgery center. He requires I have an RN with me the first 12 hours ($1000). I'm hiring a caregiver 24/7 for $350 a day after the RN leaves. I've had knee and hip replacements and sleeve surgery all in the last 6 years. I remember having oxygen after surgery and breathing treatments. After sleeve I had a temporary spike in blood pressure and they kept me one night.

Roger Tsai, MD · Answer

Great question!  For someone with your age and previous medical history, I would probably recommend staying in an after care facility where you will be monitored throughout your stay there.  It is basically like a step-down from a hospital facility, but there are nurses available that check in on you and monitor you after surgery.  You are correct in that having someone staying with you at home can only really watch you and call an ambulance for you if an issue arises, but there's not too much monitoring going on.  Therefore, I would recommend you speak with your surgeon about other options for care after surgery.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

J. Timothy Katzen, MD, FACS · Answer

Hi, thank you for your question regarding post-op monitoring of your oxygen and blood pressure after your 360 circumferential lower body lift and lipo.  Based on your age, procedure type, and especially, your history, I would suggest a hospital or recovery center for several days post-op.  If these are not possible, I certainly suggest you have at least an oxygen and blood pressure monitor.  You can purchase these items on our own or your nurse may already have them.  Good luck.  I hope that this clarifies what I would suggest you use after your 360 circumferential lower body lift and lipo.  If you have any more questions regarding a 360 circumferential lower body lift, lipo, procedures after massive weight loss, or plastic surgery in general, please contact my office.  Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery, Awardee: RealSelf 100, RealSelf Hall of Fame.)

Scott C. Sattler, MD, FACS · Answer

For patients in your age group with potential medical co-morbidities (high blood pressure, cardiac history, CPAP use etc), we recommend staying the night at the ambulatory surgery center. Not all surgery centers off the overnight stay option - find a board certified plastic surgeon that can offer this to you.

Daniel Barrett, MD · Answer

Dear FancyNanny,
Most plastic surgeries are performed as single day procedures where the patient will go home the same day when the surgery was done. In some high risk cases, patient will stay in hospital. If you have concerns, I suggest you to discuss them with your plastic surgeon. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Chad Robbins, MD · Answer

Hello and thank you for your question .   I agree with my peers , I recommend staying a night or two in the hospital post operatively.   Discuss with your surgeon and they will give you a quote as to what the hospital stay will cost per day.

Edward J. Domanskis, MD (in memoriam) · Answer

Safety is my number one priority. I would consider you spending the first night at least in hospital esp if you have medical issues. Also, we do get special pricing from our hospital and fees are about what you would pay for the RN.

If I go home the same day as my surgery how are these needs monitored?

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