Day of the Surgery
Important steps to follow:
- Wear a button-down shirt, zippered sweatshirt or any other warm older clothing as you may feel cold and it may get soiled.
- You may change clothes afterward without disturbing your wound or soiling your clothes so pick a shirt you don’t mind throwing away preferably.
- Do not engage in any vigorous cardiovascular exercise the morning of surgery. Increasing your blood flow with exercise the morning of your surgery may increase the chance of bleeding.
- Please make sure you have arranged to have someone transport you home after the surgery if you’re scheduled to go home afterward. We believe it is mandatory in many cases to have a companion or family member stay with you for the first 24 hours after surgery. You should not be planning on returning home by public transportation such as bus or subway. If there is no family member or a friend arrange for a cab or town car. For more information ask Dr. Dagan’s staff for the name of car services to your area.
- If you wear fingernail polish, please ensure that at least one fingernail is free of polish so that a pulse oximeter (the device that reads your oxygen levels) may function properly.
- Please wash your face the morning of your surgery, preferably with Phisoderm soap. Also, wash your hair with an antibacterial shampoo of your choice the day of surgery if you are undergoing a facelift surgery.
- Avoid drinking any caffeinated drinks including coffee, tea, caffeinated sodas 24 hours prior to surgery.
What type of anesthesia am I going to have?
You may be able to stay awake during a major operation under local anesthetic. Sedation can be given if you wish. Local anesthetic means numbing a small or large part of the body similar to the way a tooth is numbed at the dentist’s office. These techniques are used to remove any pain during the operation, and/or for pain relief afterwards. Local anesthetic can also be used to numb small areas such as the site of the operation, or as nerve blocks to numb a larger area for surgery such as the face, chest, abdomen, legs and eyes. Local anesthetic may be also combined with general anesthesia. The trend in minimally invasive surgery is to perform more and more procedures under local anesthesia in order to expose the patient to fewer medications intravenously (through the vein) or general anesthesia. Local anesthesia is the safest form of anesthesia and can be used for nose jobs, face lifts, eye and brow lifts as well as liposuction and chin and cheek implants.
Intravenous (I.V.) Sedation
Some procedures require you to be asleep and less aware to reduce any general discomfort or anxiety about the procedure you are undergoing. Intravenous sedation requires a certified facility and often times an anesthesiologist or a nurse anesthetist in order to administer the medications. The medications are run through the vein and require monitoring during the procedure. Intravenous sedation generally is referred to as twilight anesthesia and means that you are sleeping but not completely unconscious. Intravenous anesthesia allows a wider range of procedures to be done and allows patients to be less asleep during their procedure.
A general anesthetic is a mixture of drugs to keep you unconscious and pain free during an operation. During the operation different drugs will be given at particular times for a specific purpose. Drugs are injected into the bloodstream via a vein and/or breathed in as gases or vapors into the lungs. A breathing tube may be put into your throat or windpipe to help you breathe while under the anesthetic. The tube is removed as you wake up after surgery. Procedures under general anesthesia are normally performed in a certified facility or in the hospital.