Can you speak any patient with tumescent local anesthesia on an outpatient basis?
No and this is due to multiple causes

- They have to be patients classified as ASA I or II of the American Association of Anesthesia, ie healthy subjects or general conditions but small offset, eg mild hypertension, mild diabetes, etc.

- There should be no alterations in blood coagulation or in their complete blood count, which is why all who are to perform outpatient surgeries especially those that do not constitute a "minor surgery" should be studied by CBC and tests to determine the coagulation status.

- Must remain no more than 25 km from the focal point here is that our clinic and be accompanied by at least one responsible adult who knows the postoperative instructions

- Must have a blood glucose greater than 1.0 and a blood pressure greater than 110/70 prior to surgery.

- Preferably not to be heavy users of psychoactive drugs or medications that compete with Hepatic Cytochrome P 450, since it is the liver enzyme that metabolizes lidocaine local anesthesia is used.

- Must have good tolerance to lidocaine

Are there any precautions to take after the surgery?
Yes, the fact of being at home allows a complete family integration and while most of the time runs smoothly and most patients do not believe that underwent surgery, there are times you have to pay attention.

- The work done by the surgeon is extremely important, however to be taken care in the postoperative period also define the results, so keep in mind that you should avoid strong and sudden movements, you must eat healthily and balanced, you should rest and tranquility, avoid going out unnecessarily during the first days after surgery and if it does, find convenient transportation and careful, you should time their post-surgical treatments must use special attachments physician recommends, in short, must follow exactly the directions given.

- Do not change position and especially stand without the help of a companion. Mean blood pressure may drop suddenly and cause dizziness and fainting to

- If dizziness or fainting spells occur should the patient lie down wherever you are and elevate the lower limbs. Low enough to resume the second color and consciousness. Glass is due to vagal and actions are purely functional.

- In many interventions, such as breast implants, breast reductions, tummy tucks, drains are left neighbors to the suture. Keep in mind that these fluid leaves the surgical site and prevent it from accumulating. It is always stained with blood, is like a "water of flesh." It's normal drain fluid wet cure and the only thing to do is overcure it. When you come to the clinic will be removed and no longer drain dip more healing.

- In some cases there may be hyperthermia - fever - not many degrees and is due to the removal of tissue. Not due to infection. Infectious processes delayed at least 48 to 72 hours to produce.

Is postoperative pain is?
It is never so painful as to require injectable analgesics. The pain goes through several stages: initially painless, because the local anesthesia has a residual effect of about 4 hours. Past them, as was local anesthetic action remains an analgesic for 24 hours. It would be after this time that the intervention would hurt, but not much, because by that time the pain has decreased. What is common to refer our patients is that a postoperative intervention perfectly pleasant and wearable. What you should always remember the patient who is enrolled in a postoperative pain and lack not enabled to make a life without limits during this period, you should always follow directions even if they seem exaggerated.

Do I have any risk of life or general complications during surgery with tumescent local anesthesia?
In no way and never lost the homeostatic regulation of the body, that is not needed or respirators or drugs to maintain the circulation, or the patient is curarized and unable to move the patient is always aware and how to mobilize their members do not even have to be afraid of thrombosis in the legs. There will always respond to commands of the surgeon or anesthesiologist. Also during the entire surgery is monitored and blood pressure is known minimum and average maximum, oximetry, ie the oxygen concentration in the blood that is associated with proper breathing and the heart's electrical functioning.

¿Takes a long time to get over physically?
No, it is much less time than interventions with general anesthesia. This is due to a large property of tumescent local anesthesia. The core of our anesthesia infiltration of the tissue will intervene with a serum containing lidocaine and epinephrine. The latter is responsible for minimizing bleeding. Our interventions have minimal bleeding almost non-existent when compared to surgery without previous infiltration. Since no blood is lost, recovery is much faster. Besides the operative risk is reduced to a minimum.

Is any postoperative treatment?
Not required on a mandatory, but if you perform certain actions physiotherapy, improve short-and long-term. If you want to consult physicians Silhouette advise him what the best techniques. In our clinic operates Beatrice Sica Aesthetic Center is a center of remodeling, cosmetology and postoperative recovery by 2 non-medical professionals who can provide assistance as necessary in each case.

What are my expectations about the outcome of the surgery?
This point is perhaps one of the most important for the real success of the surgery, you should consider what you want and expect to undergo a facelift, the view is very different from each other. It should make your decision because your best friend / partner oo recommends it, can take into account their opinion but the need and desire to be only yours, as well as you should be clear and should be discussed with the surgeon days prior to surgery. You should not get carried away by fads models or for seeing the results, most likely will be frustrated for not having achieved what he really wanted.

What tests do I need before surgery?
It depends on whether surgery is involved and their health status, age, etc.. The least that should apply is a study of blood coagulation, which although is not determinative since minor alterations do not contraindicate the majority of cosmetic surgery, it is necessary for a work that aspires to perfection. Usually requested blood cell count and HIV test, the rest depends on the patient. Tests are done in an external laboratory and blood sample collection is performed by technicians Silhouette on the time you define the date and time of its intervention