Esthetic medicine – preparation for treatments

Any interference in the human body carries the risk of complications. Therefore, it is necessary to appropriately prepare for a treatment or a plastic surgery in order to minimize the possibility of side effects.

Below you will find recommendations concerning preparation for treatments performed at our clinic in Gdansk within the scope of aesthetic medicine. It is useful to follow them if you plan to entrust yourself to our specialists – all the below-listed activities will ensure you safety and correct course of convalescence after the treatment.

Body-jet – liposuction

Before the procedure:
1. It is recommended to discontinue taking aspirin, analgesics and vasoconstrictors ten days before liposuction. Consult your doctor before discontinuation.
2. Because liposuction is performed under local anesthesia, you can normally drink and eat before the procedure.
3. Before the procedure, tell your doctor about your medicines and recent changes in the condition of zour health.
4. You should discontinue smoking (ultimately stop smoking), as cigarettes reduce blood circulation and inhibits the healing process.
5. It is recommended to wash the area the liposuction will be performed under the shower with antibacterial soap.

After the procedure:
1. Bandage and dressings should remain on the face and neck for 24-48 hours following the procedure. Other areas of the body require 7-10 days.
2. Antibiotics are usually prescribed for the period of 5-7 days after liposuction.
3. After the procedure, you can return to a normal lifestyle, however you should avoid excessive activity and sports for 2-3 weeks.
4. Total rest is not recommended! A small amount of physical activity is required to protect the patient from formation of venous thrombosis.
5. For 2-3 weeks after liposuction, an energetic massage should be avoided. From 10-12 days after the treatment, a gentle massage is allowed.
6. Additionally, 10-12 days after the treatment, some body treatments are allowed. We recommend consulting a therapist before conducting any treatment.
7. During the first days after the procedure, some fluid may leak out of the small incisions, usually up to a maximum of 24 hours after the procedure. It is necessary to secure these places with a fresh pad.
8. If long-lasting, escalating swelling or redness appears, it may indicate an infection. Additionally, if more than medium bruises appear, please contact your doctor immediately, tel .: +48 500 600 502.
9. In urgent cases, if there is no access to the clinic, please go to the nearest medical clinic in order to receive help as soon as possible.
10. Avoid hot baths or sauna for 7 days after the procedure. One day after the treatment you can take a shower. Make sure that all dressings are removed before taking the shower.

If any complications arise, contact your doctor!!

We also invite you to familiarize yourself with our cost estimate of treatments, which include, among others abdomen liposuction.

BOTOX

Information about the procedure:
10 days before the planned treatment with Botox, due to the risk of side effects, including a reduction in the effectiveness of the treatment, you should discontinue vitamin E, vitamin supplements, St John’s wort and anti-inflammatory drugs. It is also forbidden to consume alcohol both before and after the treatment. For min. 4 hours after the procedure, you should not bend, lift or massage the treated areas. It is also recommended to avoid heavy effort immediately after the procedure and not to use sauna and solarium.

Treatments under local anesthesia

Before the procedure

  1. It is recommended to stop taking aspirin and anti-inflammatories 5 days before the procedure. Please consult your doctor if any doubts arise.
  2. Before the surgery, you can eat and drink normally.
  3. Before the procedure, tell your doctor about taken medicines and recent changes in the condition of your health.
  4. Try to quit smoking – cigarettes reduce blood circulation and thus hamper the healing process.
  5. It is recommended to wash the area planned for treatment under the shower with antibacterial soap.
  6. Do not plan the date of surgery during menstruation.
  7. You should have a blood test or ultrasound scan if prescribed by your doctor.
  8. On the morning of the procedure, take the medications recommended during the consultation.

After the procedure:

  1. Bandage and dressings should remain for the time recommended by the doctor. Usually, it is changed after 3 days.
  2. Take medicines prescribed by your doctor (usually 3-5 days).
  3. After the procedure, you can return to a normal lifestyle. However, you should avoid excessive activity and sports for 2-3 weeks.
  4. Appearance of a prolonged, intensified swelling or redness may indicate an infection. If more than medium bruises appear, please contact your doctor immediately (tel.: +48 500 600 502).
  5. In urgent cases, if there is no access to the clinic, please go to the nearest medical clinic in order to receive help as soon as possible.

If any complications arise, contact your doctor immediately!

Treatments with the participation of an anaesthesiologist

Before the procedure

  1. It is recommended to stop taking aspirin and anti-inflammatories 5 days before the procedure. Please consult your doctor if any doubts arise.
  2. Do not eat or drink for 6 hours before the procedure.
  3. Before the procedure, tell your doctor about taken medicines and recent changes in the condition of your health.
  4. Try to quit smoking – cigarettes reduce blood circulation and thus hamper the healing process.
  5. It is recommended to wash the area planned for treatment under the shower with antibacterial soap.
  6. Do not plan the date of surgery during menstruation.
  7. You should have a blood test or ultrasound scan if prescribed by your doctor.
  8. On the morning of the procedure, take the medications recommended during the consultation.

After the procedure:

  1. Bandage and dressings should remain for the time recommended by the doctor. Usually, it is changed after 3 days.
  2. Take medicines prescribed by your doctor (usually 3-5 days).
  3. After the procedure, you can return to a normal lifestyle. However, you should avoid excessive activity and sports for 2-3 weeks.
  4. Appearance of a prolonged, intensified swelling or redness may indicate an infection. If more than medium bruises appear, please contact your doctor immediately (tel.: +48 500 600 502).
  5. In urgent cases, if there is no access to the clinic, please go to the nearest medical clinic in order to receive help as soon as possible.

If any complications arise, contact your doctor immediately!

Laser therapy

Preparation for laser treatments

Laser treatments, including hyperhidrosis treatment, require preparation. Here are the most important aspects:

In order to prepare for the procedure, it is necessary to do the following:

  • resign form tanning (sun, tanning bed) at least 4 weeks before the procedure,
  • do not depilate the hair before the procedure (waxing, tweezers); hair can be shaved,
  • resign from hair depilation before the procedure (waxing, tweezers); hair can be shaved,
  • do not drink alcohol on the day of the procedure (alcohol adversely affects the course of laser therapy),
  • retinol creams – stop using for 1 month before procedure,
  • peeling – you should stop using it up to one week before the procedure
  • the hair should be shaved the day before epilation.

Consultation with a doctor is the first very important stage of treatment. The following will take place at the first meeting:

  • gathering medical history,
  • explanation of the essence of the procedure, its description,
  • determination of contraindications to the procedure,
  • explanation of possible side effects,
  • making our expectations real.

The patient is qualified by the doctor for all laser treatments. The doctor draws attention to discolorations and pigmented nevi, as well as the number, diameter, color and depth of skin lesions. Individual sensitivity, location and skin reaction are taken into consideration. Persons qualified for the procedure undergo a laser test in order to optimally select the impulse power, so that at the lowest possible value results in the best effect (e.g. too little energy will not close the vessel or will not remove discoloration, while too much “will burn the skin”).

The final setting of parameters depends on doctor’s decision. When making a decision, the doctor takes into account computer suggestions, as well as own professional experience, thanks to which it is possible to flexibly select treatment parameters. An important stage of consultation is to determine whether there are no contraindications for laser therapy:

Contraindications

  • pregnency,
  • breast-feeding,
  • sun tan (1 month), both obtained frim the sun and after solarium, as well as brown skin color after self-tanning creams, bronzing creams,
  • photosensitizing drugs (retinoids, tetracyclines),
  • herbs (St John’s wort, marigold, stop using 2-3 weeks before the procedure)
  • alcohol consumption (24 hours before the procedure),
  • vitiligo, psoriasis (active phase),
  • epilepsy
  • blood coagulation disorders, use of drugs that reduce blood clotting,
  • tendency to keloid formation;
  • cancers, in particular malignant melanoma or visible changes that may indicate the risk of cancer,
  • immunosuppressive diseases such as HIV infection and use of immunosuppressives,
  • hormonal and endocrine diseases such as, for example, polycystic ovary syndrome or diabetes,
  • taking or a period of 6 months from the end of taking Accutan.

Stages of the treatment:
After consultation and exclusion of contraindications, we will proceed to perform the procedure:

  • cleansing the skin from makeup,
  • putting on eye protection pads,
  • applying a transparent gel to the skin (in the case of IPL treatment),
  • applying an IPL or laser head to the skin,
  • releasing a beam of light

During the procedure the patient may feel a slight burning sensation, which in more sensitive people or in sensitive places can be compensated by the use of local anesthesia (e.g. EMLA cream). The duration of the procedure varies depending on the area.

Possible side effects:

  • at the moment of the laser shot, many patients may feel discomfort of varying degrees of severity and of different character: stinging, burning, pinching (sometimes it may last even an hour after the procedure). In most cases, patients tolerate these sensations, but some may require anesthesia,
  • after the procedure, erythema and swelling may occur as its direct effect. These symptoms disappear within a few hours
  • after the treatment, cool compresses are used, so-called cold pack and moisturizing creams, as well as thermal water at home,
  • pruritus immediately after the procedure, especially around the nose and cheeks,
  • increased skin sensitivity after the procedure (in this case, avoid situations that expose the skin to injuries);

Complications (they occur very rarely – in about 2% of patients):

  • damage to skin continuity – as a result of the laser treatment blisters and scabs may appear. Healing occurs within approx. 10 days,
  • bruises may occur on the irradiated area, which disappear within 5-15 days. Brown skin color may last up to 3 months,
  • changes in skin pigmentation (discoloration or depigmentation of the skin), usually appear in people who are tanned or have a dark complexion. In some cases hyperpigmentation may occur despite protection from the sun. However, it disappears within 3-6 months, although in very rare cases it may remain forever,
  • scarring – can occur in people prone to formation of keloids,
  • there may be skin infections on the area exposed (herpes may be activated in the carrier of this virus);

After the procedure:

  • You cannot sunbathe up to 4 weeks after the procedure,
  • sun protection: absolutely protect the skin from the sun for a minimum of 1 month after the treatment using creams with an SPF 30-60 filter,
  • physical exercise, sauna: avoid factors that cause vasodilatation
  • moisturizing: skin after the treatment should be moisturized with moisturizing preparations 2-3 times a day,
  • makeup: in the case of damaged skin, avoid applying makeup to irradiated places for about 4-5 days after the treatment, in other cases the makeup can be applied the next day after the treatment
  • treatment: if you have scabs on your skin, you may need an antibiotic ointment; with very severe itching, mild steroid ointments; these medicines are prescribed by a doctor,
  • control: after about 4-6 weeks, the patient should come for a control visit assessing the effects of the procedure and possible indications for the next treatment;
  • there may be skin infections on the area exposed (herpes may be activated in the carrier of this virus);

A few days after the procedure you should not do the following:

  • use soap, spirit, alcohol-based tonics,
  • perform peeling,
  • wipe the area after the treatment with a sponge or towel.

Types of treatments:

Laser removal of birthmarks
In aesthetic medicine laser removal of marks allows you to get fantastic results. Due to the energy of the light, the procedure is performed in a non-contact manner. The point energy focus is to minimize tissue damage and perform treatments eliminating marks while leaving minimal scars. We use several different types of lasers for treatment. The course of eliminating the mark is however similar in each of them. In addition, evaluation of lesions to be removed is performed – videodermatoscopic examination.

To ensure safety during the procedure, follow the above-mentioned instructions.

Lase depilation
The skin to be treated should be clean or, if necessary, smeared with emla cream (if anesthesia is required).
Very important! If the skin is dry a few days before the procedure, it should be oiled with, for example, Lipkar AP balm.

Directly before the procedure, shave the depilated area and leave some hair so that the doctor can assess their color and thickness. Before the procedure, you cannot tear the hairs with tweezers, depilator, wax, but only shave or trim with scissors next to the skin. Depilation with cream should be discontinued 7 days before laser epilation.

If any complications arise, please contact your doctor.

Surgical procedures – a list of tests

The following tests should be performed prior to a surgical procedure:

  • morphology,
  • ESR,
  • liver tests,
  • CRP,
  • APTT, INR,
  • anti HCV.

Taking the patients’ wellbeing into consideration, we cannot allow them to undergo surgery without receiving their current tests.

USG

Preparation for USG:

  • Ultrasound of a reproductive organ, a small pregnancy (up to 3 months): Ultrasound through the abdominal wall – the bladder should be as full as possible (drink about 1 liter of liquid – non-carbonated),
  • Thyroid ultrasound, salivary glands, breasts, surface lymph nodes: – Ultrasound examination possible without additional preparation.