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Table 1: Important points to consider for plastic surgery medical tourism. |
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1. Verify that the specialist is board-certified in plastic surgery. In Mexico, this confirmation can be performed online using the following link: https://cmcper.org.mx/directorio/ |
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2. Previous contact with the patient by videoconference and/or visit to the destination before surgery |
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3. Wait 48 to 72 hours to perform any surgery after the patient arrives. This period of time can be used to perform a blood test, x ray, EKG and evaluation by internal medicine doctor or cardiologist |
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4. Make a plan. In our case, we do not combine facial procedures with those of other parts of the body. Breast or body procedures can be combined. No more than 5 hours should be spent in the OR, with no more than three procedures per trip |
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5. Assess risk and prevent complications. Keep patient well hydrated during surgery, use intermittent pneumatic compression stockings, employ a well-trained team, and use complete and prepared facilities. Discuss the benefits and risks of chemoprophylaxis |
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6. Choose the type of anesthesia with which you feel comfortable. In our case, we favor regional or local anesthesia with IV sedation |
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7. Provide regular visits by nurses after the surgery at the place where the patient is staying. They should have regular visits in the office. After their departure, keep contact through videoconference |
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8. It is preferable to keep the patient in the area for at least three weeks. The patient can recover from the procedure and enjoy the destination during their last visiting days |
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9. Explain follow up, possible risks and complications. Also clarify that if complications occur, how they can be solved. An educated patient is always better |