Your Consultation with Newport Beach Plastic Surgeon Dr. Agha
Weight-loss patients are among the most informed of the prospective patients seeking plastic surgery. During your initial consultation, you will be asked about your general physical and mental health status, pre-existing health conditions, prior surgeries, your medications, allergies, and smoking habits.
Relevant questions include:
Previous surgical procedures (including laparoscopic procedures)
History and method of weight gain and loss
A detailed history of current medical and psychological problems, e.g. heart disease, diabetes, a history of thromboembolic disease, connective tissue disorders, and wound healing problems.
It is important that you be thorough when providing the requested information as this will allow Dr. Agha to proactively address medical and psychological concerns. When asked about medications, be sure to include any diet pills, vitamins, or herbal preparations. Certain diet pills can interfere with anesthesia and adversely complicate your surgery. Also, some vitamins and herbal medications can affect your blood pressure and clotting ability. Honesty regarding your smoking and alcohol use is also very important as these will have a profound impact on your recovery period and your ability to heal.
After reviewing your medical history, Dr. Agha will discuss your concerns, priorities, and motivations for pursuing body contouring surgery. Dr. Agha will then examine you and assess your upper and lower body laxity. Each of these components will determine which procedure is best for you. Dr. Agha will subsequently provide you with information on different options and will explain the advantages and disadvantages of each procedure. You will then be provided with information regarding the potential risks and complications of each surgery. Considering your input, Dr. Agha will develop a comprehensive plan or blueprint for your body contouring procedures that best suits your anatomy and meets your desires. Dr. Agha will also discuss the limitations of surgery based on presenting conditions and the expected outcome. Dr. Agha performs a total body contouring in one to three stages.
Body-contouring surgery is major surgery and may involve multiple stages.
Medical evaluation and clearance for surgery are mandatory.
You will need to participate in making decisions regarding your desired procedures.
Potential complications do exist and should not be taken lightly.
Insurance authorization will take time and patience.
To ensure the best outcome, the “whole person” needs to be treated.
Nutrition should be optimized before and after surgery.
Weight-loss surgery is essentially a trade off between scars and a tighter contour.
Many patients experience some degree of skin laxity months after the body contouring surgery. In this case, secondary surgery may be necessary.
Although many medical morbidities resolve themselves with weight loss, long-term obesity can have lasting impacts on the organs. The demands extreme weight has on the body can cause cardiac disease and pulmonary issues. Prior to surgery, you will be asked to obtain specific lab tests to ascertain your nutritional reserves, your liver and kidney functions, blood clotting ability, and cell counts. After weight loss, A careful medical evaluation by your primary care physician is always necessary prior to plastic surgery. Depending on your age and health status, you may also need additional studies, such as a chest x-ray, electrocardiogram, stress tests, mammogram, etc. The specific set of tests is determined on a patient by patient basis. These precautions are taken to ensure that the surgery will be safe and to rule out the possibility of medical issues that could compromise your surgery.
Nutrients commonly deficient in gastric bypass patients and their impact on wound healing and immune response activity
|Primary Nutrient Deficiency||Wound Healing||Immune System Function|
|Protein||Required for proliferation of cells involved in wound healing (fibroblasts), new vessel formation, angiogenesis, and collagen production||Protein is necessary for white cell activity and immunoglobulin production against infections. Protein deficiency leads to increased susceptibility to bacterial, viral, and parasitic infections.|
|Vitamin C||Involved in collagen synthesis, which is detrimental to wound healing and new vessel formation||-Enhances white cell response and the functioning of phagocytes|
-Decreases free radical production
-Decreases risk of infection
|Vitamin A||Increases white cell influx to the wound site, fibroblast proliferation, and collagen synthesis- all necessary in wound healing||-Involved in white cell function, especially lymphocytes, macrophages and NK cells|
-Involved in mucosal barrier functioning block infectious agents
|Vitamin B12||Necessary for DNA synthesis of newly proliferating fibroblast cells involved in wound healing||Necessary for DNA synthesis of newly proliferating white cells involved in defense responses|
|Folate||Necessary for DNA synthesis of newly proliferating fibroblast cells involved in wound healing||Necessary for DNA synthesis of newly proliferating white cells involved in defense responses.|
|Iron||Required for collagen synthesis in wound healing||Involved in white cell (T-lymphocyte and macrophage) production and in response to infections|
|Zinc||Required for DNA metabolism, protein synthesis, synthesis of structural proteins, such as collagen, the functioning of several hundred zinc finger proteins, DNA synthesis, and for normal insulin-like growth factor production||Prolonged zinc deficiency results in white cell death, especially T- and B- lymphocytes.|
|Selenium||Increases antioxidant host defense system affecting white cell function|
|Copper||Involved in white cell (lymphocyte and neutrophil) production|