Pre-surgery guidelines

Important Information for the Patient.

In order to avoid complications and achieve your desired results, your health is very important to us, so please inform us about any change in your health status.

If the information provided does not correspond to reality, the plastic surgeon or anesthesiologist reserves the right not to perform the surgery.

Based on both the financial and time commitments Amber Surgery must make, we ask that you be definite about your desire for surgery and certain you have the funds available before scheduling your surgery.

 

From October 1st, 2022, the cash limit for the payment of surgery in Lithuania is €5000. If the surgery amount is exceeding €5000 then card ONLY should be used as a payment method OR a few weeks before surgery, a bank transfer should be organised to the surgery clinic abroad.

Before you travel abroad for any medical/surgical procedure, it is highly recommended that you have a European Health Insurance Card (E.H.I.C.). For the Irish application site, please see here; European Health Insurance Card

For more information about the E.H.I.C., see here.

Cases when surgery cannot be performed:

Herpes virus, anywhere: The onset of itching, redness, bumps, rashes;

Cold or flu symptoms (runny nose, sneezing, cough, elevated body temperature);

Purulent processes (non-healing wounds);

2 months have not passed since the relapse of the COVID-19 disease;

You are currently undergoing invasive dental procedures;

Use of anticoagulants on the day of surgery;

In the morning you ate breakfast, drank coffee;

Concealed mental illnesses, inappropriate behaviour, panic attacks, hysteria;

If your health has changed after the last consultation with your physician, tell the clinic about it before the surgery

Blood test results do not reach normal limits;

Woman – on the day of surgery, you are still breastfeeding, you are pregnant.

Your body mass index is higher than normal.

Before the surgery, it is advised to get blood tests done by your GP, which should be done no earlier than 2 weeks before the scheduled date of the surgery. When planning larger-scale surgeries the haemoglobin may not be below the norm.

Before performing breast surgery, our clinic strongly recommends having an ultrasound examination in women under 40 years of age, respectively, and it is mandatory to have a mammography examination for women over 40 years of age.

This is necessary in order to rule out any risk of breast cancer, and also allows us to detect any nodules, cysts, lesions of breast tissues, malignant or non-malignant tumours, inflammation and injuries of the breast. Your surgeon must know this information before the surgery. However, we would like to emphasise that this information is necessary for the safety of your own health and to minimise possible risks.


GUIDELINES BEFORE THE SURGERY

The list of mandatory tests when surgery will be performed under general anaesthesia:

Tests (included in the surgery cost):

Complete blood count test

SPA, DATL, INR

K+, Na+, Urea, Glycemia

HIV, Hepatitis B, C *

The list of mandatory tests when surgery will be performed in local anaesthesia, sedation:

Tests (included in the surgery cost):

Complete blood count test

SPA, DATL, INR

HIV, Hepatitis B, C *

* HIV, Hepatitis B, C tests must be performed not earlier than 1 day before the surgery (these tests are included in the surgery price and can be performed in our clinic 1 day before the surgery, or on the day of surgery)

 

We are aware of different public health programs in different countries, so we will be flexible to patients from abroad, and will accept either one of these tests, but they shouldn’t be older than one year.

Discharge from the clinic at 10 – 12a.m.

Do not eat or drink anything after midnight the night before your surgery. This includes water, coffee, gum, or mints. If you do, it may be necessary to cancel your surgery. Do not smoke or use chewing tobacco after midnight the night before your surgery.

Before the surgery, you will be given a consent form to sign for surgery and anaesthesia. Read these consent forms carefully and if you have any uncertainty or questions, clarify them with your physician and / or anaesthesiologist before signing these consent forms.

Do not use self-tanning cream before the surgery.

In order to achieve the best results during the surgery, it is necessary to take a shower with an antiseptic soap, which will be given by the nurse of the department.

Before abdominal plastic surgery, it is necessary to perform the depilation of the lower abdomen and bikini area on the same day.

On the day of the surgery, it is advisable not to use cosmetics, body creams, deodorants and wear jewellery. If you need to stay in bed after the surgery, bring with yourself only necessary personal hygiene items (toothbrush, toothpaste, comb, etc.).

If there are signs of infection on the day of surgery, the patient cannot be operated.

Upon the presence of skin lesions caused by Herpes viruses (e.g. blister rash on the skin) in various body areas (chest, lumbar area, back or face), even if no fever or other systemic infection signs are present, we recommend postponing surgery.

Pyjamas, a dressing-gown, and slippers are provided by clinic personnel.

The terms and conditions of payment for the surgery are set forth in the Agreement for the Provision of Personal Health Care Services.

If BMI (body mass index) on the day of surgery exceeds the normal range, the surgery may be subject to additional charges. If your physician estimates that BMI is too high, the surgery may be rescheduled.

For 6 months after the surgery protect the scars from the direct ultraviolet radiation (the sun, a solarium).

The compression bra must be worn for 3 months after breast augmentation and/or lifting surgery with breast implants of 500 ml or more.

It is not recommended to travel by plane for 5 days after the surgery (depending on the surgery scope)


THE DON’TS BEFORE THE SURGERY

Avoid foods that will cause inflammation. Refined sugars are a notorious culprit for this, cutting these out will stand you in good stead for when you go into the post-op recovery phase.

Try to stop smoking and drinking alcohol. This seems like a pretty obvious one, however, many people don’t think that this will make any difference when going into the recovery phase

Eliminate all vitamin and herbal supplements, Omega 3 capsules, as well as ginger, green tea, flax seeds, cayenne, eggplant, garlic, tomatoes, and potatoes as these may interfere with blood clothing. Also eliminate caffeine and artificial sweeteners.

Do not take aspirin, coumadin, or any anti-inflammatory medications such as ibuprofen, naproxyn, or Celebrex. Also, do not take Vitamin E. If you take these or any other over-the-counter medications regularly, call your doctor to see when and if you should stop taking them. This includes vitamin supplements.

Do not drink alcohol 48 hours before surgery.

Do not smoke for at least 2 weeks before the surgery. Smoking increases the risk of complications (prolonged wound healing, tissue loss, etc.)