The thought of surgery brings up many questions. Here are some common questions. Please feel free to contact us with any other questions you may have.
Dr. Kashyap Clinic is recognized world over for its plastic surgery and other treatments. The atmosphere at the clinic will make you feel comfortable and at ease. Every effort is made to ensure your confidentiality and offer you personalized attention and care. Moreover, our staff is completely dedicated to provide best medical services to the patients together with personalized care and attention.

Question : How Can I Choose The Right Procedure(S) ?
Question : How Can I Determine If I Am A Good Candidate ?
Question : What Is Preoperative Testing ?
Question : What Is Preoperative Preparation ?
Question : What To Use After Cosmetic Procedures ?
Question : What Are The Different Types Of Anesthesia ?

Choosing The Right Procedure

• Find out if you are a good candidate for the procedure(s) you are contemplating.
• Ask a lot of questions.
• Talk to other patients who have had this procedure but, keep in mind, not everyone responds in the same way to the same procedure.
• Do your own research
• Choose your timing

Determining If You Are You A Good Candidate

• You are in stable place in life and are not undergoing marital or social stress.
• You are happy with yourself fundamentally but want a specific physical feature changed.
• Have the ability to comply with instructions.
• Really understand the outcome of the treatment.
• Have reasonable goals.
• There is no ideal age for all procedures but some procedures are better performed in certain age groups. Cosmetic improvements can be done at any age after maturity but timing is very important in the choice of procedure.

Pre-operative Testing
Before any surgical procedure performed under General Anesthesia or Twilight Anesthesia (Intravenous Sedation), a pre-operative medical screening will be organized to pick up any potential contraindications or conditions that may need special attention. Chest X-Ray, ECG and routine blood work is part of the Pre-Operative testing If you have any other medical conditions, the surgeon may order additional tests, as appropriate.

These tests need to be performed at least one day prior to the scheduled surgery.

Ideally you should be in optimal health. If you get a cold or respiratory infection, your operation may be cancelled for your own sake.

Give a comprehensive list of medications (both prescription and over the counter) as well as food supplements and herbal medicines you take with any frequency to the doctor administering the tests.

Pre-operative Preparation

• Medications : Some medications need to be stopped 7 days prior to the scheduled surgery. Especially important are blood thinners including Aspirin, Ibuprofen, other NSAIDS, Coumadin, including vitamin E and its compounds, such as evening primrose oil and fish oils; also garlic, garlic capsules and other supplements which interact with drugs etc.
• Smoking has to be quit completely for several weeks before the procedure and even after that the risks of procedures are much higher than non smokers.
• Weight loss to a moderate degree can enhance surgical results of many procedures.
• Hair should be washed and a shower or bath taken before the procedure as there may be restrictions afterwards. Hair treatments should also be done before the procedures for the same reason. Hair can be grown longer before facial procedures as they hide incisions well.
• Loose fitting clothes and bare essentials should be taken to the facility and also comfortable footwear. Always carry an extra set of underclothing. Your doctor may ask you to get support stockings or sports bra or order compression garments.
• Contact Lenses should be left at home but glasses should be used when required. Sunglasses and scarves can help in postoperative camouflage for facial procedures.
• Nothing by mouth preoperatively is the rule for eight hours prior to procedures done under Twilight Anesthesia (intravenous sedation) or General Anesthesia. It is recommended not to take anything by mouth (not even water) after midnight prior to the scheduled surgery.
• Light food may be taken before procedures ONLY under straight Local Anesthesia.

What To Use After Cosmetic Procedures

• Hot and cold packs
• Arnica Montana
• Sunscreen Spf-30 with Zinc
• Plenty of pillows
• Loose fitting clothes
• Support stockings, Sports bra, Compression Garments
• Unscented mild shampoo - Johnson's Baby Shampoo
• Scar treatments

Types Of Anaesthesia
Topical
Topical or surface anesthesia can be given as a spray or as an ointment. It is useful for removing small lesions, dermabrasion, laser treatments and other surface treatments or to dull the sensation of needles before local anesthesia.

Local
Local Anesthesia blocks pain and other sensations from being send to the brain . These agents are injected around the area to be worked upon or by injected around the larger nerves which supply sensation to the area to be worked upon as nerve blocks. The common agents used are lidocaine which is short acting or bupivacaine which is longer acting. It is useful for a variety of procedures like lasers, excision of small to large lesions, and can be used with sedation for many Plastic surgical procedures like fat transfer, liposuction(as Tumescent Anesthesia), blepheroplasty and facelift amongst others.

Twilight Anesthesia or Monitored Anesthesia Care(Mac)
An intravenous analgesic and sedation is given and the surgery can be done with a local anesthetic. The pain and anxiety of surgery is taken away and patients may even go off to sleep during the procedure. There is full monitoring done for patients safety and there is always a possibility of converting to General anesthesia if required. It can be used for many common Plastic Surgical procedures but careful preoperative assessment has to be done

Spinal or Epidural Anesthesia
This is an injection of an anesthetic solution close to the spinal cord resulting in loss of sensation to lower part of the body. Few Plastic surgery procedures can be done under spinal or epidural anesthesia and these are limited to lower abdomen and the lower extremities.

General
This anesthesia involves getting medicines through an intravenously placed line followed usually by administration of anesthetic gases through a tube inserted into the wind pipe or trachea. Complete unconsciousness is achieved with no pain and no memory of the period of anesthesia. It is given for all major procedures and also for minor procedures on anxious patients.