well one thing that we talk about with every patient when they come in is risk
and if you're watching this you're looking for a facelift risks because
that's an area of interest to you and so we can break that down into very
specific risks in general risks and we'll get to each of those I think the
first concern people have is actually how they're going to look they consider
that they may not look the way they want to or what they want the outcome to be
to be a risk and that's definitely a possibility because we always have this
image in our minds that's the extreme goal that we really want and most of us
realize that that's a goal that we can get close to but not you know ever meet
exactly and we can be happy with that and we kind of have to make sure that
that expectation is set that you know you're going to get an improvement but
it is a risk that you're not going to get exactly the exact face that you are
hoping for so that's a good place to start but then there's the actual
surgical or medical risks that we go through the first of those is bleeding
if bleeding is going to be a concern it is going to be the first night of
surgery it's very rare for any issue after that that's it's called a hematoma
so a hematoma is where blood collects underneath the skin and that could cause
a swelling either in the cheek or the neck area wherever that accumulates if
that happens it needs to be addressed at that time that's why at our Center we
have people on call all the time we can call in anesthesia we can call in the
nurses and we can take care of that so hematoma a first-day risk and then we
get to the risks that show up more about a week out as a complication which would
be infection infection is very unlikely in facial surgery main reason for that
is because there's an extremely good blood supply to the face part of the
problem with having hematoma is because there's such a good blood supply but
that good blood supply allows the infection fighting cells to get to the
area so it's really unusual to see infection but it's a possibility and if
it happens it's gonna be about a week out the other thing that might start to
show up about that time is if all the tissue that has been tightened is not
healthy that in its medical term is called necrosis where some of it
actually dies so a little bit of skin may die and in rare instances and
thankfully nothing that I've ever seen but you can have substantial amounts of
skin that have an issue and that could lead to widened scars or other things
that are necessary to fix it so that is a risk a complication or risk of the
surgery that might show up even a little bit later than that is if all the nerves
that move the muscles of the face do not come back completely again very unlikely
with the style of facelift that the surgeons here perform but still a
possibility you're going to have a scar after a facelift is surgery
now we want that scar to be really nice there's a risk that it's a bad scar but
it's a reality that there's going to be one there
most of those scars are difficult to see when you get even up close but you've
got a magnifying mirror and you kind of get a good look at it and good light yes
you're gonna be able to see that incision and that scar we do our
surgeries at the office and there is a question that comes up with
patience is it safe we feel it's extremely safe we know that nothing is
perfectly safe I have a nice safe car but I know that it is not without risk
to be in that vehicle at the facility we do everything we can to make it as safe
as possible just like driving with your seatbelt and you know having your
vehicle serviced we make sure that we are certified that our machines are
checked yearly that someone comes independent from the practice to look at
it to look at our processes to look at our people and make sure that we're
meeting all the type of criteria that are necessary and we do that
consistently our staff is certified in advanced cardiac life support and we do
that every two years right on schedule to make sure nobody drops any type of
certification we have full anesthesia services where there's somebody who's
dedicated to just that patient doing their anesthesia so you have your
anesthetist they're the entire case to take care of you we even have some
redundancy today doing surgeries I had extra anesthesia available not that it
was necessary but we had plenty of help and we don't want to be staffed to an
area that we have concern for that so we over staff we have extra nurses
available to help out with the cases if necessary we have the other doctors
around and that's a huge thing for us is that operating here with another doctor
not just one but two others so we have four of us in the building if there's a
question if there's a concern you can call them in and kind of get a second
opinion or a third opinion or a little bit of backup on what you're doing it's
saying exactly that's right or you know what maybe we should consider this that
makes us safer so what do we need from the patient to prepare for surgery
we need honesty both in what their expectations are and in what any medical
conditions have might be we need to know if you
have diabetes we need to know if you have high blood pressure we need to know
if there might be a sickle-cell disease or trait in the family these are all
things that we can handle and we can make ourselves safer by preparing for
them in the case medications that you're taking we need to know because there's
some that need to be stopped in order for us to make it safer or we might say
you know what we really shouldn't do this it's not an appropriate thing go
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