Brachioplasty and Medial Thigh Lift

Mr and Mrs Gas Home

Before you go to sleep

These operations involve removing excess skin and tissue from your arms (brachioplasty) and thighs (medial thigh lift). Not infrequently these procedures are done together on the same day.

If you haven’t already met your anaesthetist, you will meet them either on the ward or in the anaesthetic bay on the day of your surgery. At this stage if you have any concerns or worries about your operation or anaesthetic please let them know.

Once in the anaesthetic bay you will have an intravenous drip placed and often you will be given a sedative “relaxing medication” just before going into the operating theatre. You often will not remember much after being given the sedative. Once inside the operating theatre you will have several monitors placed (these monitor your blood pressure, heart rate, level of awareness and breathing patterns). Once these are placed you will be given an oxygen mask and then receive another injection through the drip. This injection will be the anaesthetic medicine that induces unconsciousness. The next thing you will remember is waking up either in the recovery room or in the operating theatre.

The Operation

During the operation your anaesthetist will remain with you monitoring your safety, your anaesthetic and all your vital physiological functions. If your operation is expected to be a long one we will sometimes place a special drip into your arm that allows us to measure your blood pressure continuously (rather than by the blood pressure cuff every five minutes).  Because we are operating on your arms in a brachioplasty an intravenous drip will often be placed in your foot when you are asleep for the brachioplasty operations. This will generally be removed in recovery. Your anaesthetist will remain with you continuously until you reach the recovery room. In recovery your care will be continued by the recovery staff. While you are in recovery if you have any discomfort or feel nauseated or sick it is important that you let the recovery staff know. They can administer pain killers or anti-nausea drugs if they are required. The aim is to have you comfortable when you leave recovery for the ward.

Your Stay in Hospital

Generally speaking, most people will stay overnight, however if you were only having one procedure and it was done in the morning or early afternoon, it may be possible for you to go home on the day of surgery if you are feeling well. Overnight we generally leave your intravenous drip in place with some fluid running until. Usually pain is managed with oral pain relief. Before you are discharged you need to be comfortable, have been to the toilet and able to mobilise without any giddiness or dizziness.

Going Home

Whether or not you have day surgery or remain in hospital overnight, you will need someone to pick you up from the hospital and take you home. We generally recommend our patients take regular Panadol and Nurofen for the first 2 or 3 days. If simple pain medication is taken regularly, we often find our patients do not require as much strong pain relief. You will be given a prescription for some stronger pain killers such as oxycodone or tapentadol (Palexia) just in case. Oxycodone and Palexia are restricted medications that must be used only for postoperative pain as prescribed specifically for you. Under no circumstances should you give them to friends or family or leave them within the reach of children. The maximum number of tablets we can prescribe is ten.