What makes ‘safe’ plastic surgery?
Safety is not one thing. It is a system. It starts with the right surgeon and accredited facility, continues with anesthesia oversight and careful patient selection, and extends through recovery and follow up.
By Dr. Tim Neavin • Updated
The Surgeon
- Training and certification: Board certification in plastic surgery indicates formal training, exams, and continuing education.
- Hospital privileges: Active privileges for the procedures you want are a quality and safety check.
- Case selection: A safe surgeon sometimes says “not yet.” Timing and scope are part of good judgment.
Learn more about the practice and surgeon: About Dr. Neavin.
The Facility
- Accreditation: Operate in an accredited surgery center or hospital. Accreditation reviews safety systems, equipment, and staff training.
- Emergency readiness: The facility stocks emergency medications and has clear transfer protocols.
- Sterility and process control: Instrument tracking, sterility logs, and room turnover standards reduce infection risk.
Anesthesia Oversight
- Qualified provider: A board-certified anesthesiologist or credentialed anesthesia professional monitors you and manages your airway, breathing, and circulation throughout the case.
- Pre-op screening: Review of medical history, medications, allergies, prior anesthesia issues, and fasting status. The plan matches your health and the operation.
- Intra-op monitoring: Continuous heart rate, blood pressure, oxygen, ventilation, and temperature monitoring.
- Nausea and pain planning: Proactive anti-nausea medications and multimodal pain control help you wake up smoother and recover faster.
Patient Selection and Preparation
- Medical optimization: Labs or clearances when indicated. Manage blood pressure, diabetes, thyroid disease, and sleep apnea before surgery.
- Medication review: Discuss blood thinners, supplements, nicotine, and any weight-loss or hormonal medications with your team.
- Healthy ranges: Weight stability, non-smoking, and realistic goals reduce complications and improve healing.
- Informed consent: We review risks, benefits, options, and expected recovery so you can make a confident decision.
In the Operating Room
- Checklists and time-outs: Team briefings confirm patient identity, procedure, and key steps.
- Antibiotic timing: When indicated, antibiotics are given at the right time and dose.
- Blood clot prevention: Risk is assessed and we use a plan that can include early walking, compression, and other measures when appropriate.
- Temperature and fluid management: Warmers and careful fluids support circulation and healing.
Recovery and Follow Up
- Clear instructions: Simple steps for wound care, medications, activity, and support garments.
- Pain control: Multimodal plans reduce reliance on opioids and improve comfort.
- Early mobility: Gentle walking as directed supports circulation and lung health.
- Direct access: How to reach the team for questions after hours. Scheduled check-ins to track healing.
Cosmetic-Specific Considerations
- Procedure length and stacking: Combining operations is considered case by case to keep time and risk reasonable.
- Setting expectations: Before and after photos help us align on shape and size goals. We prefer plans that respect your tissue so results age well.
Patient Safety Checklist
- I verified my surgeon’s board certification and hospital privileges.
- The facility is accredited and provides anesthesia with continuous monitoring.
- My medical history and medications were reviewed and optimized.
- I received written pre- and post-op instructions and know how to reach the team.
- A realistic plan and timeline were set for my goals.
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Board-certified plastic surgeon with extensive experience in breast, face, and body procedures.