Before a patient even steps into an operating room for cosmetic or other surgeries, most doctors run a barrage of test to insure the safety and health or their patients according to facial and reconstructive surgeon Dr. Paul S. Nassif of Spalding Drive Plastic Surgery in Beverly Hills, Calif.
“Patient safety is our main concern during cosmetic surgery, which is why several tests are required anywhere from a month to two weeks before surgery. If the tests reveal any abnormalities, we work with the patient and their doctor to see if we can solve the problem, or we postpone the surgery until proper treatments can be completed,” said Dr. Nassif.
“Basic tests consist of lab work to check for anemia, bleeding disorders and electrolyte levels, as well as medical clearances to determine the physical health of the patient. If the surgery is going to be over four hours, we also get an EKG. The bottom line is that we order what is indicated, especially if they have a preexisting medical condition,” added Dr. Nassif.
Pre-operative tests and medical clearances include:
- An Electrocardiogram is done if the patient is over 40 or if the patient will be in surgery for more than four hours. An electrocardiogram, or an EKG or ECG, is done to measure the electrical signals that control the rhythm of your heart. An EKG tests for any irregularities in your heartbeat as well as evidence of past heart attacks. Additional testing may be required if irregularities are detected during this test.
- A Complete Blood Count or a CBC is a blood count test that measures thirteen blood levels in the body. This blood test can reveal blood deficiencies or disorders that could affect the safety of your procedure and your recovery including if you are anemic, have a blood disorder and to check your electolytes. Inadequate platelet levels can lead to increased bruising and bleeding. Low hemoglobin levels can slow the healing process. While low levels of white blood cells can lead to increased infection after surgery.
- Depending on a patient’s history, a chest x-ray might be indicated especially if the patient is smoker or smoked in the past, has any chest or lung issues in their medical history and if they are over 50.
- A cardiology clearance with a stress treadmill test may be added if the patient is over 50 or is there is a family or medical history of heart issues.
