Your Consultation

Whether you’re here to explore surgical options or to get a second opinion, Dr. Geroulis will assess the structure and characteristics of your face or body; mode of expression and movement; the aging process; and your physical, medical and skin conditions. He will explain the surgical—and alternative aesthetic treatments—available to help you reach your goals. You will have the opportunity to review in depth the recommendations discussed, including optimal timing for recovery.

You will be encouraged to review credentials, written testimonials from patients, before and after photographs of patients and, if you wish, speak to patients who have undergone the procedure you’re considering.

Presurgical Information

Our highly-specialized medical and support team of nurses, surgical technicians and patient care consultants will outline the steps you need to take before surgery. This will include detailed written instructions on what to eat, what to avoid, and medications and vitamins to take.

Postsurgical Information

They will also explain what to expect for the two weeks following your surgery and tell you how to promote rapid healing and recovery. You will see Dr. Geroulis for a series of follow-up visits over the subsequent days, weeks and months to closely monitor and record your healing and recovery.

THE SKINMEDISPA

You may take advantage of the medical spa (in the outpatient center), which specializes in breakthrough antiaging skin-care treatments. We offer advanced skin treatments and potent product formulations.

Programs to condition the skin before surgery and postoperative skin programs to stimulate collagen formation, and lessen hyperpigmentation and inflammation during the healing period are available to both men and women. Customized product and treatments plans will help maintain and prolong the results of your surgical procedure.

Type of Anesthetic

We use Monitored Anesthesia Care (MAC), which combines intravenous (IV) sedation with local anesthetic infiltration (nerve block). Patients given MAC rather than general anesthetic experience fewer incidents of nausea and vomiting and can be discharged safely and quickly on the day of surgery. 

Preparing for Surgery

You will need to fast the night before your operation: your stomach must be empty to minimize the risk of regurgitation of undigested food or liquid.

Prior to surgery, anesthesia services will evaluate your current health and medical history, formulate an anesthetic plan and discuss the procedure in detail. Your physician takes into consideration your medical condition and medications or supplements you take, including vitamins, herbal supplements and recreational drugs.

At the Surgery Facility

After you check into the surgical facility, Dr. Geroulis will review the plan for surgery and mark and highlight the areas to be addressed. The anesthesia specialist will discuss the medications to be administered.

Recovery and Aftercare

After surgery, you will be taken to the Post-Anesthetic Care Unit (PACU), the recovery room. Team members will watch you closely during the immediate postoperative phase and give you medication for pain and nausea, if needed.

When you meet the discharge criteria, you will be released to a reliable friend or family member who registered with the facility as your designated caregiver. As is the case with any surgical procedure, your coordination and reflexes may be impaired for at least 24 hours. It is, therefore, required that your designated caregiver drive you home or to your hotel and remain with you for at least 48 hours.

Your PACU nurse will review with you and your designated caregiver the instructions you received from your patient consultant, covering recommended diet, activity levels, medications for home use, care of your surgical site and follow-up appointments. 

The medical team will call you the evening of the day of surgery to check on your progress. Your surgeon and nurse will see you the next morning and again during the days following your surgery to check your recovery progress.