Healing FAQS

Healing Tips for Cosmetic Surgery, tummy tucks, breasts lift, breast implants, facelift mummy makeover.
Cosmetic Surgery Healing tips:  Watch Trina Eliassen:


2 Weeks before Surgery
All clients over 40 are required to get a full blood count, along with an EKG or (ECG). Please send us tests results once completed. Additional extensive testing will also be performed on the day of your surgery. Please remember to inform us of any pre-existing medical conditions. Avoid anything that can potentially thin your blood, as it makes healing more difficult…

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Things to definitely avoid are:

  • Fish Oil
  • Vitamin C
  • Vitamin E
  • Any medications that are known to thin the blood.
  • Gingo Bilboa
  • Aspirin
  • Limit Alcohol Intake
  • Stop smoking at least two weeks prior to surgery and two weeks post; go on a Patch instead to help with cravings, as smoking can dramatically impede results.
  • Once surgery is completed, you can continue the use of your normal vitamin intake.

Avoid Vitamin C if you are having any kind of implant surgery, as it can fight the implant.
Please discuss with your personal doctor at home, to establish what is right for you.
Please Note:
After surgery, the hospital will only provide you with temporary garments. Post surgery garments, such as bras and liposuction garments, are not provided.
DO NOT GO WITHOUT SUPPORTING BRAS. It is important to wear your post surgery garments for proper results (particularly breast lifts with implants) as the pressure of the implants as well as sutures that may enlarge if you do not wear the appropriate bras. Supporting bras can be purchased in Thailand with the help of your Assigned Personal Assistant. Or purchase them via the recommended online store at:
http://www.makemeheal.com.

1 Day Before Surgery
Alcohol should be avoided the night prior to the procedure. Patients should also make sure to get a good night’s sleep, since it is important to be well rested during face lift surgery.
Do not eat for at least 8 hours before your surgery. As most clients arrive in Bangkok the night before, we generally recommend having an early breakfast before you leave.
Consult your assistant about what time to stop eating and drinking. Most surgeries are afternoon but on an occasion they can be early morning.

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Your assistant will come to pick you up between 8 am 9 in the lobby. She will let you know that morning. Please check out of the hotel unless you have made prior arrangements with us for additional stay. Store your luggage with the concierge. You can bring a change of clothing, your laptop and personal items if you like as there is a safe at the hospital in your room. Also there is wi-fi at the hospital. Once you get there you will go through testing, admissions and get safely into your room.

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The doctor will see you personally prior to surgery just to review again and take measurements for your surgery. Feel free to ask questions when you are with him. They will inform you of the surgery time and then you just relax until they come for you to prepare you for surgery. Our hospital is ISO-JCI standards which is the highest standards worldwide so please don’t worry or have concerns. The only barrier will be the English with some staff in Thailand. Download a translator on your mobile. Your doctor speaks more than enough for you to understand, but post surgery with your nurses you may have to translate for some of them.

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Recovery from surgery is different for everyone; some clients have a very easy time of it, while others have more difficulty. Recovery times are individual as well. As with any type of surgery, some people tend to bounce back quicker than others.

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Upon waking from surgery, you will feel somewhat groggy, due to the general anesthesia. You may or may not experience nausea and/or vomiting. If you have any major discomfort from the nausea, you can inform the hospital staff and they can provide you with an intravenous anti-nausea medication. However, if this isn’t the case, inform your plastic surgeon, anesthesiologist, or attending nurse.

During recovery, patients should allow for adequate healing time and expect some postoperative swelling, numbness, and skin discoloration for about two weeks.

After surgery, you will also be required spend the night in the hospital, where the hospital staff can look after you extensively and ensure everything is running smoothly. The hospital will provide you with antibiotics, anti-inflamatories and pain medication. Depending on your surgery will be how many days you stay. Most surgeries only require one night.

Your assistant comes back and discharges you with your medications and temporary garments and takes you back to the hotel to recheck you in. You have daily buffet breakfasts included in your package. The restaurant is located at the 4th floor where the pool is. Just state your room number. If for any reason you aren’t feeling well enough to go to the buffet you need to have special permission to have it delivered. So please ask your assistant as regular room service is not included. There are times when she can get it delivered but it must be requested.

If you are on an upgrade to Pattaya or Phuket we will try to schedule your departure after your first post consult, anywhere from 3-6 days post surgery. Facelifts and tummy tucks you will be required to stay in Bangkok the first 6 days and you can leave the 2nd week for your Phuket upgrade to Avista Hideaway. If you for any reason need to have sutures taken out while away you will need to go to the clinic in that town and pay directly to the doctor there approximately 600 Thai Baht to 1500 Thai Baht. ($15 U.S. plus).

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Below you will find a variety of suggestions to help minimize any post surgery symptoms.

To optimize recovery and healing we have implemented a post-surgery wellness program to allow you to have the below incorporated and much more taken care of for you. The program will allow you to be in a nurturing, luxurious environment, with spa/wellness treatments, gourmet cuisine to expedite recovery and optional internal healing. We strongly suggest this program as you have invested a great deal of resources into your new image…

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Why not spend a little more and heal in the ultimate environment with an all-encompassing wellness program, specializing in detoxing of the mind, body and spirit.
Firstly, there is a massage salon across the street next to the pharmacy ( your assistant will have their number). The masseurs will come to your hotel room for ± 300 baht per hour (12 AUS dollars) for your massage. I strongly encourage this as it helps in post healing. Even if you only have your feet and hands done, you will feel so much better and the toxins will remove from your body.
The pharmacy is right across the Chatrium to the right as well. He is lovely and will assist you in additional pain pills, sleeping pills as well as litany of other prescriptions.
If you continue to the right there are street vendors. These vendors are exceptional and the food is quite fresh and safe. I myself go with my children daily for lunch with “Chee” Right across the international school and there he is on the right. Normally has a bandana on. He makes a beautiful chicken and vegetable stir-fry with rice for about 1.50 AU
Remember to eat plenty of lean protein: as without lean protein the body is unable to regenerate collagen and healing.

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Under healing tips is our supplement page for purchasing products we strongly recommend for all surgeries.

Apply Arnica (an alternative herb, which is available from most pharmacies) daily for to assist with pain control and bruising. Multivitamins…

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Multivitamins
Take a high quality multivitamin after surgery. Choose one that contains 25 to 50 mg of the B complex vitamins. Surgical trauma causes an increase in free radicals, which disrupt and damage cellular function. For this reason alone, you should take at least 100–200 mg per day for at least four weeks during surgery recovery.

Vitamin C
Because surgery depletes your body of vitamin C, take 1,000 mg three times a day after surgery. Return to your usual dosage after two weeks. (Please note: avoid Vitamin C if you have had any implant surgery.) Numerous studies indicate that vitamin C helps prevent surgical shock and post-surgical bed-sores, and that it significantly speeds healing time. It’s also necessary for the production of collagen—a basic structural protein used in wound repair.

Milk Thistle
Begin taking milk thistle for at least a month after surgery. This wonderful herb protects, rejuvenates and repairs the liver. General anesthesia and other medications used during and after surgery are exceptionally hard on the liver, so anything you can do to protect this vital organ will be a big plus for your surgery recovery.

Zinc
Increase your zinc intake to 30–50 mg for two weeks before and two weeks after surgery. Zinc is critical to wound healing, and surgery or trauma can decrease the level of zinc in your body.

Probiotic
Start taking a probiotic supplement two weeks before surgery, and continue using it for at least a month afterward—or, better yet, indefinitely. Choose a strain that contains acidophilus and bifida bacteria (follow label instructions for dosage). Surgical patients often receive oral or intravenous antibiotics in the hospital, which creates the potential for fungal disorders (including yeast infections), digestive disturbances and diarrhea. A probiotic can help counteract these problems, promoting surgery recovery.

Vitamin B6
Take 250 mg of vitamin B6 twice a day for a week, starting three days after surgery. This nutrient helps reduce post-surgical fluid retention, such as swelling of the face, hands, feet or legs. The swelling usually takes two to four weeks to go down. With B6, you can experience substantial reduction within 24 to 48 hours.

To reduce inflammation
Take 2,000–3,000 mg of omega-3 fish oil per day for two weeks after surgery. You can then go to a maintenance dosage of 500–1,000 mg per day. If fish oil is already part of your daily routine, be sure to stop taking it five days before surgery, since it can promote blood thinning and increase bleeding during surgery.

Bromelain
Take bromelain on an empty stomach for two weeks after surgery (follow label instructions for dosage). This formidable pineapple enzyme supplement helps prevent blood clots, aids the liver and digestion and decreases inflammation and pain after surgery—all vital to surgery recovery. It also helps to remove protein debris that form at trauma sites.

Mangosteen
Another alternative to speed up recovery is a fruit that is naturally grown in Thailand, known as the Mangosteen. Ask your Personal Assistant to provide you with this amazing super food.

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Even if you follow the above, you will most likely experience some of the symptoms from the following list after surgery, or you may not. Below is a list of things that you may or may not experience during recovery. The list is long, but don’t let it discourage you. Many of the things on the list, such as tiredness, constipation, fluid retention, etc., can occur after ANY type of surgery. This list will most likely sound much worse than it actually is. Post-op depression or post-op “blues”, Nausea and/or Vomiting and/or Constipation, Diarrhea…

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Post-op depression or post-op “blues”
With any type of surgery, post-op depression is a possibility, and is actually not uncommon. Depression can be attributed to pain, anesthesia, narcotics / pain medications, and various other things. Lack of sleep can also exaggerate these feelings. Many women who experience this have said that they did question themselves about whether or not they made the right decision to have surgery. Some of this may be attributed to not getting instant gratification. You wait to have the surgery, go through all of the excitement and anxiety that the anticipation leading up to surgery brings, then you come out sore, bruised, and not looking anything like you thought you would.

Nausea and/or Vomiting and/or Constipation
It’s not uncommon to feel nauseous soon after waking up from surgery. The anesthesia meds can really wreak havoc on your stomach. Usually the anesthesiologist or nurse anesthetist will give you anti-nausea drugs via IV drip during surgery. This helps to limit, if not completely alleviate nausea and vomiting after surgery. If you wake up nauseous, tell your surgeon or nurse so that they can give you something to help alleviate it. Pain medications taken after surgery can also upset your stomach.
Our plastic surgeons will prescribe anti-nausea medications for you to take in the event that you experience nausea or vomiting. Most of the time, upset stomach can be avoided if you eat something prior to taking your medications. Sometimes, eating a cracker or two with your pain meds is not enough. Some people require more “stick to your ribs” food such as a couple of pieces of dry toast, or 1/2 to a whole peanut butter sandwich.

Diarrhea
May also occur once you start your antibiotics, and is not uncommon. If this does occur you can ask your assigned Personal Assistant to switch your antibiotics brand.

Loss of Appetite
Since pain medications can cause nausea and vomiting, it’s not a surprise that some women have a decreased appetite after surgery. Once you are off of the pain medications, your appetite should return to normal.

Yeast/Thrush Infections
Our plastic surgeons prescribe antibiotics, to be taken after surgery. As most women know, antibiotics put you at a higher risk for yeast infection. You most likely won’t get an infection, but know that anytime you take antibiotics, for whatever reason, you’re at a higher risk.

Bruising and Swelling
Bruising and swelling are common after most major surgeries, and you will most likely experience both of them. As a suggestion, to assist with bruising, apply topical ointment such as Arnica. Arnica is an herb that can assist in pain control and bruising, and be purchased at most pharmacies.

Bloating / Fluid Retention
Some clients may experience bloating, especially in the tummy. This is normal, and will dissipate on it’s own, and usually does not require diuretics. Do not take diuretics without your surgeon’s approval.

Sharp / Sharping Pains
These are sometimes referred to by patients as “zingers” or “electrical shocks”, and are very common. These pains usually indicate nerve regeneration. So, while they may not be something you enjoy experiencing, keep in mind that nerve regeneration is a good thing. Also remember that as you are further through the post up process the less intense the feeling becomes. The pains are very short-lived. However, if you are worried about a particular type of pain you’re having, consult with your surgeon or personal assistant. That’s what they’re there for. At the very least, they can offer you peace of mind. At the most, they can take care of any problem that may arise.

Lack of Energy
Surgery, although a “planned” trauma, is still a shock to the body. The body requires energy in order to heal. Because of this, you will not have the endurance that you normally have, at least not for a couple of weeks. You’ll notice that you tire much quicker. Listen to your body. If you are tired, rest. We don’t recommend complete bed rest, as you need to get up and move around to keep from being sore and stagnant. Also keep in mind that, not moving around can cause blood clots, which can travel from the legs to the lungs or brain, and can potentially be fatal. It can also cause you to get very sore and stiff

Incisions/Stitches
all incisions and dressings should be kept dry until the surgeon indicates that showering or bathing is okay. You may experience a stitch left in after your post consult; this is common, and because you heal at different rates, the stitch could have been lower in the skin. If it is clear, trim it. Dark stitches you need to just simply pull out. Make sure you ask your surgeon at your post consult as well. With all surgeries, there can be some weeping and oozing for several weeks. Keep anti-bacterial wash and ointment on during the first 2 months. Especially with breast lifts and tummy tucks and possibly neck lift stitching.

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Face-Lift:
For the first few days, the head should be kept elevated and immobile in order to minimize swelling. Most stitches will be removed in about six days, and the initial face-lift results will be apparent soon afterward. And then the second consultation will be around the 13th day…

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Use ice packs for the first 3 days; then afterwards use warm compresses. Expect to have some bruising when it comes to facial surgery. How variable can this be? Good question. Some people have a light amount of redness near the incision site. Others have redness covering the entire eyelids. Others have bruising that is on their cheeks or ever-lower face or neck. Bruising usually takes about 2 weeks to go away. Sometimes it can take up to 2 months but that is uncommon. The color may change to yellow and blue, as the body is absorbing the blood. The good news is that the bruising always goes away. Swelling is present immediately after surgery; patients will have swelling in their eyelids or face. This is because the body is sending cells to heal the surgical area. In fact, the swelling may get worse over the first couple days. When it comes to swelling, after a day or two, the area may get swollen as the body begins to heal the area. Any surgery results in swelling in the eyelids. Within 2 weeks 90% of the swelling is usually gone. The remaining swelling (the last 10%) is usually gone within 2-3 months.
Icing the eyelids minimizes the fluid that is being drawn into the area and can reduce swelling very well. Also keeping the head above the heart helps by gravity to allow the fluid to drain down away from the eyelids. We usually suggest patients sleep elevated for the first week.

Blepharoplasty (Eye-Lid)
The eyelid position can alter slightly due to swelling and bruising that occurs during Blepharoplasty. This usually resolves within six weeks or so. In some patients you need the full six months to let things settle down. These patients are the exception as opposed to the rule.

Tummy Tuck
Tummy tuck scars are an inevitable part of tummy tuck surgery. They are known to get worse before they improve. In contrary to many other surgical scars they will be roughly at their worst in about 3 months after the procedure. Only after a year they will be reaching the final phase. Before that time they will appear raised and red or purple. Eventually they will become softer, flat and toned. Besides scars also bruises and swellings will most like appear after the procedure. As with all surgical scars it is recommended to start treating them as soon as possible. This will lead to an optimal final result. The first thing to accomplish is to make sure the wounds heal optimally. Infections and inflammation should be avoided because they tend to worsen scar appearance.

Things to consider in the wound-healing phase are keeping the tape on as long as possible. The tape’s pressure keeps minimizes tension on the wound. After a surgical procedure such as the tummy tuck commonly three types of scars will occur:
1. normal, non-problematic scars,
2. hypertrophic scars and
3. keloid scars.

Non-problematic scars require no treatment. But whether or not someone develops problematic scars is not something one knows up front. Many wounds, especially surgical wounds, turn into hypertrophic or keloid scars. That’s why prevention is recommended.

Breast Augmentation
Upon waking from surgery, your breasts will be wrapped tightly in an ace bandage, or your surgeon may have put yours into a surgical bra. He or she will instruct you as to how long you will have to wear this.
Tip: Purchase a light bra WITHOUT underwire, and preferably with a clip in the front to reduce any additional discomfort.

Your breasts will probably feel somewhat numb early on, and at the same time, they may be extremely sensitive. It sounds strange, but it happens. The good news is that it’s temporary, it’s to be expected after this type of surgery, and the sensitivity issues resolve on their own. Most plastic surgeons will tell you that it may be up to a year before normal sensitivity returns.
NOTE: Always consult with your plastic surgeon prior to adding any medications, vitamins, or herbal supplements to your daily routine.

Limited Mobility
In the very early post-op stage, you may notice that it is difficult to perform certain tasks, or move in certain ways. For example, you may have trouble opening medications (depending on the type of cap they have on them), opening drinks, lifting your arms above your head, washing your hair, driving a car (especially one with a manual transmission), etc. This is truer for women with under the muscle implants than for women with over the muscle implants. With overs, no stretching of the muscle is involved. Avoid all heavy lifting for the first two weeks.

Hard / Lumpy Breasts/Incisions
It’s not uncommon for your breasts or incisions to initially feel “hard” or “lumpy” at some point in your recovery. This is mainly due to the buildup of scar tissue. Our surgeons will show you the best massage technique for your circumstances; we recommend you massage your breasts lightly each day to avoid a build up of scar tissue, and to make your breasts feel even more natural. Make sure that your incision is completely closed before you put your fingers on them. You wouldn’t want to introduce any bacteria to the incision, as it could cause an infection, which you don’t want.
**Remember to keep your incisions clean and dry. One week after surgery, stitches will be removed. Once the stitches have been removed you can then go swimming.

Itching and Dry / Flaky Skin on Breasts
You may or may not experience this. It is nothing to be alarmed over. Sometimes, the stretching of the skin causes it to become itchy, dry, and flaky. Itching is actually a sign of healing. Using a lotion on your breasts will help make you feel more comfortable. You should always be careful NOT to get any lotion on your incisions until you are sure that they are completely closed, or until your surgeon tells you that it is okay to apply it to those areas.

Muscle Spasms
Common in women with breast implants placed in the sub muscular plane.

Back Pain
After breast augmentation surgery, it’s normal to walk with your shoulders hunched forward, as if you’re trying to “protect” your chest. However, not maintaining proper posture can cause you to have back aches. Remember that you will most likely not be sleeping in your normal position, so the change in sleeping position can aggravate things further. Additionally, when you get up, change positions, etc., you will use other muscles to compensate for your chest muscles, which can also make you sore.

Stiffness / Tightness Upon Waking in the Morning
You will notice upon waking that you feel extra “stiff”. This is normal, and the feeling does dissipate once you get up and start moving around. Most patients feel that the pain is quite manageable once they start moving around. The morning stiffness can persist for weeks, but should become more and more manageable with each passing day.

Sore Creases
This is yet another common feeling after breast augmentation surgery. Many times, the crease has to be lowered in order for the breast implant to be centered behind the nipple/areola. This can cause the creases to be more tender and sore after surgery.

Feeling of Engorgement
For those of you who have had children, you know exactly what engorgement feels like. For those of you who have not had children, here is an explanation. A few days after giving birth, your milk begins to come in. If you do not breastfeed, or if your baby isn’t feeding enough, your breasts will swell. They will become warm, tender, and painful. There is also a feeling of great “pressure” on the breasts, and they may feel very heavy. Many women experience this, the same feeling after breast augmentation surgery. It usually goes away during the first week or so.

Tightness / Pressure in the Chest
If your implants were placed under the muscle, you are pretty much guaranteed to experience this on some level. Your pectoral muscles now have breast implants underneath them. The muscles need time to stretch out over the implants. As these muscles gradually stretch, the feeling of tightness will gradually dissipate.
Tip: To assist with the tightness and pressure in the chest, your surgeon will highly recommend massage, and provide you with the best technique. Massage is completely necessary to ensure you do not develop scar tissue while healing.

Regular massage of your breasts in the first 3 months after Breast Augmentation surgery, and less frequently up to 6 to 12 months, helps to move your implants into place, keep them naturally soft, and may also lower the risk of the scar tissue (the implant capsule) around each implant from hardening. The formation of excess scar tissue and implant hardening, a condition known as Capsular Contracture, may cause:

– Reduced (contracted) size of the implant pocket
– Restricted movement of the implant within the implant pocket
– An unnaturally firm feeling to the breast
– A misshapen or unnaturally rounded appearance to the breasts
– The breast to ride higher up the chest
– Post-surgical manipulation of your implants (through massage) may help by encouraging the body to form a capsule in each breast slightly larger (or looser) than the implant itself, and thereby having a softer feel. Breast implants massage can also gain breast symmetry where one implant may be slightly higher than the other, develop cleavage, or to retain the contour and symmetry of your breasts in the long-term.
– Do not massage your breasts if you also had a Breast Lift performed at the same time as your Breast Augmentation.

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