What types of Surgical Procedures does ASI offer?
Preparing for the Surgical Procedure
Who will I see when I visit the ASI Clinic?
For your first visit for a surgical procedure, you will be seen by a Consultant Plastic Surgeon.
How many times can I see the Surgeon?
Typically for a Surgical operation you will see the Surgeon twice before the operation (first and second consultations) and at least once after your operation (post-op consultation).
Is there anything I should bring to my first consultation?
Many people find it useful to bring a list of written questions: this will help you to remember the key questions you would like answers to. It may also be helpful to bring photographs of yourself at the time you were most satisfied with your appearance.
What typically happens during the first consultation?
If it is your first visit to the ASI clinic you will be required to complete and sign (i) a ‘Personal Details’ form, and (ii) a ‘Medical History’ form. You will then spend approximately 30 minutes with the Consultant Plastic Surgeon discussing your concerns and expectations regarding your appearance. Included in the ‘Medical History’ form is a request for details of your G.P. We may inform your G.P. of your treatment(s) unless we receive a written request from you not to do so.
Be prepared to discuss:
- Why you want the surgery, your expectations and the desired outcome
- Your medical conditions, drug allergies and medical treatments
- Your use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
- Previous operations
The Surgeon may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Discuss the options available to you for the particular procedure
- Examine and measure the relevant parts of your body in preparation for the procedure
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss likely outcomes of your procedure
- Detail possible risks and potential complications
What if I still have questions after my first consultation?
Typically you will see the surgeon for a second, and usually shorter, consultation prior to undergoing your surgery. You can have any outstanding questions answered during this consultation. You can also contact a Nurse Advisor for information regarding your procedure.
What typically happens during the second consultation?
During your second consultation you will meet the Consultant Plastic Surgeon who will clarify any outstanding questions you may have. The Surgeon at this stage will ask you to confirm if you wish to proceed with the procedure and may take measurements of your operative site to aid the surgery preparations.
How much is the consultation fee?
The fee for your first consultation will be €200. This fee also covers the second consultation you will have. This amount is non-refundable and will not be deducted from the cost of your surgery. Payment of this fee shall be on the day of your consultation and by way of cheque, bank draft, major credit card or cash. Payment should be made out to Aesthetic Surgery Ireland, Ltd.
When will I learn what my surgery will cost?
At the time of your initial consultation the surgeon will provide an estimate of the fee for your chosen operation. This estimate is subject to change depending on the hospital where your operation will be performed. The cost of your procedure will be a combination of your Surgeon fee, Anaesthetist fee, hospital fee and the cost of any breast or other implants.
How should payment be made?
The fee quotation for the Services shall be provided by the respective surgeon during your consultation. The fee quotation is valid for 3 months from the date of the quotation. We accept credit card (Visa, Mastercard or American Express), cash, bank draft or cheque (providing cheques are received a minimum of 10 working days prior to provision of the Services). Cheques and bank drafts should be made payable to Aesthetic Surgery Ireland, Ltd. Post-dated cheques are not acceptable.
Your payment for the surgery is made in three (3) stages:
- a deposit of 20% of the surgeon’s fee is payable by you within 5 days of your receipt of our letter notifying you of your surgery date. This payment should be made to Aesthetic Surgery Ireland, Ltd.;
- you must then make payment for the balance of the surgeon’s fee to us a minimum of 14 days in advance of the date of the Services or as otherwise provided for and notified to you by us in writing. This payment should also be made payable to Aesthetic Surgery Ireland, Ltd.; and
- you must settle the fees for both the anaesthetist and hospital in accordance with their respective policies and as notified by us to you.
We will not be able to perform the Services until payment in full has been received (this means that where you have paid by cheque or by credit or debit card, the funds have reached our bank account and cleared for payment purposes).
What if I have to cancel my surgery?
You may cancel this contract at any time up to 14 days after the date on which you sign. To cancel the contract you must send a letter to us. The letter can be sent by post, fax or by personal delivery.
Once you notify us that you are cancelling the contract, we will, subject to the following paragraph, within 30 days of receipt of your notice refund or re-credit to you any sum that has been paid by you or debited from your credit card for the Services.
If you cancel this contract outside the 14 day period we reserve the right to deduct such reasonable costs and expense we incur, from your deposit, before refunding or re-crediting any balance to you.
What should I do to prepare for my surgery?
There are several precautions you should undertake just prior to your surgery, including:
- Avoid using aspirin for at least a week before your procedure. Aspirin thins the blood and can lead to excessive bleeding and bruising. It is also advisable to try to avoid using nonsteroidal anti-inflammatory medications like Nurofen® and Voltarol® in the week before your surgery.
- Avoid drinking alcohol, particularly in excessive amounts during this period : alcohol consumption can have the same blood thinning effect as Aspirin.
- Arrange for someone to accompany you home after your surgery – even if your procedure is being performed as a day case. In addition, most anaesthesia requires that someone stay with you the night after you are released.
- Be sure to write down any allergies you may have to medication or dressings and bring your list to the hospital with you on the day of your surgery. It is also helpful to make a list of any questions you would like to have answered before your surgery.
- Some procedures require you to wear a surgical garment or bra after your operation to facilitate recovery: you will need to measure for the garment or bra during the consultation. Please bring those measurements with you to assure an optimum fit.
- Typically you should to abstain from eating or drinking for eight hours prior to your surgery. Precise details will be given to you when your surgery is confirmed.
The above precautions are general guidelines only. Your Consultant Plastic Surgeon will inform you of the precautions and preparations you need to take for your particular condition and procedure.
Can I continue to take my prescribed medications in the days leading up to my surgery?
In most cases it is important to continue taking your medications up to and including the day of your surgery. There are a few exceptions to this rule, however, so it’s important to inform your Surgeon and attending Anaesthetist of the types of medication you are taking now or have used recently.
What should I do if I develop a skin infection before my surgery?
If you notice a significant infection, particularly in the area that is due to be operated on, please notify us at once. A course of antibiotics may be able to control the situation. If not, it may be in your best interest to delay your surgery. Herpes infections can be particularly problematic. It is important that you avoid coming in for surgery if you have an active herpes infection near the operation site.
What should I do if I wear contact lenses?
Contact lenses must be removed prior to any procedure. Please inform the clinic and theatre staff if you wear contact lenses.
Will I have to sign a consent form?
Yes, all surgical patients are required to sign a consent form which confirms the patient’s desire to proceed with the procedure. The consent form also indicates that the patient is capable of making a well informed decision to proceed with the surgery. You will be required to sign the consent form at the hospital where your operation will be performed.
You will be asked to sign a General Information form at the ASI clinic which indicates that you have received comprehensive information from ASI relating to the surgical procedure, possible risks and potential complications of your particular operation.
Can I bring a partner, friend or parent to be with me to the Consultations?
Yes, 1-2 of your close family members, partner or friends can accompany you to your consultations. There may be times when the number of people accompanying patients may have to be restricted so always check with the ASI staff.
Can I bring a partner, friend or parent to be with me to the Hospital on the day of my procedure?
Please ask the hospital staff or Surgeon. It may be possible for someone close to you to accompany you to the start of the operation. In the case of an operation which involves a general anaesthetic being administered he or she may be allowed to stay with you until you are asleep.
During the Surgical Procedure
Will general or local anaesthesia be used during my procedure?
Typically General Anaesthesia is used for surgical operations. Your Anaesthetist will explain the type of anaesthesia to be used for your particular procedure and the expected effects of the anaesthesia, e.g. recovery time, precautions, etc.
How long will my surgery take?
The length of your surgery will depend on the type of procedure and the particular surgical approach adopted by the surgeon. As a general guide most operations will take 1-2 hours to complete.
Where will my surgery be performed?
The hospital where your particular surgery will be performed will depend on which surgeon undertakes the operation. ASI only performs surgical operations in major Dublin hospitals which are fully accredited and which are equipped with extensive medical facilities.
Will the surgeon with whom I have had my consultation perform the actual procedure?
The surgeon with whom you have had your consultation(s) will perform your operation as he/she is most knowledgeable about your condition and expectations. In the unusual event of your surgeon being unable to perform the operation due to illness, etc., your consent to a replacement surgeon shall be sought.
After the Surgical Procedure
How soon after my operation will I be allowed to get up?
That depends on the type of operation and the type of anaesthetic you have undergone. Your Surgeon and Anaesthetist will let you know what to expect. Normally, though, you will be encouraged to get up as soon as possible after your surgery.
Will I have to take medication after my surgery?
Painkillers and antibiotics are often prescribed after surgery. Most operations will result in discomfort due to swelling or bruising. It is critical that you inform the Surgeon, Anaesthetists and Nurses of any allergies you may have to any medication. Always follow the advice of the Surgeon, Anaesthetist and Nurses.
What should I do if I have a problem outside of normal office hours?
If you have an out-of-hours emergency after your surgery you should contact the hospital / ward in which you had your surgery and they will be able to contact your Surgeon.
What typically happens during the post-op consultation?
During your post-op consultation you will primarily meet the Nurse Advisor who will advise you on your post-op care regime and manage any dressings and bandages. You may also meet the Consultant Plastic Surgeon.
Will I need to wear compression stockings?
One of the potential risks of surgery is the formation of clots (deep vein thrombosis): the risk increases for surgical procedures of more than 1 hour in duration. Wearing compression stockings and taking very light exercise (i.e. walking) as soon as possible after your surgery will greatly help to reduce the risk of clot formation.
Will I need to wear a surgical garment?
Some surgical procedures will result in short term bruising and swelling. It is advisable to wear tight fitting surgical garments and bras to help reduce bruising and remove excess water from the tissues. However, if they are excessively tight or create folds over your skin they can cause problems. If you feel your garment does not fit you properly or is causing excessive discomfort, please contact the Nurse Advisor at the ASI clinic to change the particular garment.
Will I have to eat a special diet after my surgery?
Patients who have undergone facelift with neck lift or a similar procedure may be asked to refrain from eating foods that require chewing for a short period after the procedure and instead eat ‘soft foods’ and liquids. Most other procedures do not require a special diet although as always you are advised to follow a nutritious and well balanced diet.
When can I get back to my normal activities?
That will depend on your particular type of procedure. Every patient needs some time to recover from surgery and general anaesthesia. Please ask your Surgeon to clarify which activities you should avoid and for how long. Generally, you will be advised to avoid exercise for the first two weeks after surgery. If you’ve had breast surgery, you’ll be advised to avoid most exercise for three weeks and avoid swimming for at least four given the type of arm and chest motion involved. Once this period is over, you should be able to resume your normal activities gradually so that by six weeks following your surgery you should be back to your normal level of exercise. This does not mean, however, that your operation site is fully settled or that the final result is achieved. It simply means that normal exercise is not likely to cause any problems. After abdominoplasty surgery a longer period avoiding certain exercises will be necessary.
Is it safe to recover from the surgery away from home?
With every operation there are possible risks and potential complications which your surgeon will have outlined to you. It is important, especially in the few days following your procedure, that you are within easy access of the Clinic or a major hospital in case you experience infection, bleeding or other complications. The most suitable clinician to treat you is the Surgeon who has performed your operation and who is most aware of your condition. It is important that if you plan to be somewhere distant that you inform your Surgeon prior to your surgery.
If you cannot be in easy access of the clinic after your procedure it is important that you initially contact the clinic for advice. You should also be aware of the location, type and contact details of the medical facilities and clinicians wherever you are in case of an emergency.
Is it safe to fly after my surgery?
One of the possible risks of surgery is clot formation. Flying has scientifically been proven to increase the risk of clot formation. Although the research findings are not definitive it is generally accepted that it takes approximately one month for the body to restore its normal clotting process after the surgery and therefore it is advisable not to fly during this period. As always when you fly, and especially on long haul flights you should drink plenty of water, wear compression stockings and exercise on the plane at regular intervals. Following this advice will help reduce the risk of clot formation.
What options do I have if I am not satisfied with the outcome of the surgery?
It is very important that you have clearly outlined your expectations for the procedure and agree with the surgeon what is possible. Complications, although rare, can arise with any surgical procedure, despite the best efforts of both the surgeon and the patient. If the medical outcome of the surgery desired by both the patient and surgeon is not achieved, the surgeon will waive the surgical fee. However, expenses involving the hospital stay and the Anaesthetist’s fee must still be paid for by the patient.
May I wash the area where I’ve had surgery?
Please check with your Surgeon or Nurse. In most instances it is possible to wash gently, including washing over the operation site. However, some dressings should not be exposed to moisture, in which case you should try to wash around them with a wet sponge or cloth.