Combined ~ Multiple Surgery

Choosing to have more than one procedure is quite common for many of our clients. The surgeons we work with are all Senior Surgeons and have many yeatrs of experience performing multiple porcedures on both our local and overseas clients.

The first step

All Surgeons working with Health Horizon Holidays fulfill the criteria below:

•    Have completed at least five years of surgical training with a minimum of ten years in plastic surgery.
•    Is trained and experienced in all plastic surgery procedures, including breast, body, face and

      reconstruction.
•    Operates only in accredited medical facilities
•    Adheres to a strict code of ethics.
•    Fulfills continuing medical education requirements, including standards and innovations in patient safety.
•    Is board certified by MAPACS (Malaysia Association of Plastic, Aesthetic and Craniomaxillofacial

      Surgeons).

• Upper arms may sag and appear loose and full
• Breasts may flatten and hang with nipples pointed downward
• Abdominal area may extend around the sides and into the lower back area, resulting in an apron-like overhang
• Buttocks, groin and thighs can sag and cause hanging pockets of skin
• Surgical body contouring following major weight loss improves the shape and tone of your underlying tissue that supports fat and skin, and removes excess sagging fat and skin.
• The result is a more normal appearance to the body, with smoother contours. This is, in essence, the final phase of your total weight loss experience.

• The success and safety of your body contouring procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.

• Why you want the surgery, your expectations and desired outcome
• The options available in body contouring surgery
• Medical conditions, drug allergies and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
• Previous surgeries

Your surgeon may also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Examine and measure your body, including detailed measurements
• Take photographs for your medical record
• Discuss your options and recommend a course of treatment
• Discuss likely outcomes of your surgery and any risks or potential complications

Prior to surgery, you may be asked to:

• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Stop smoking well in advance of surgery
• Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
• Special instructions you receive will cover:
• What to do on the day of surgery
• The use of anesthesia during your body contouring surgery

The procedures necessary to achieve your goals will be defined along with a plan for the timing of these procedures. After arriving in Malaysia we will schedule a long consultation with your Surgeon to discuss your goals and outcomes o having multiple & combined surgery.

After a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a few days, you will likely experience soreness and swelling for a few weeks.
Exercise and normal activity can resume at the direction of your plastic surgeon. Over time, post-surgical swelling will decrease.
You will be given specific instructions that may include: How to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon.

Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.

• Where will I be taken after my surgery is complete?

• What medication will I be given or prescribed after surgery?

• Will I have dressings/bandages after surgery?

• When will they be removed?

• Are stitches removed? When?

• When can I resume normal activity and exercise?

• When do I return for follow-up care?

If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

The results of your surgery will be long-lasting. You will find it easier to wear certain styles of clothing and swim wear.
Like many women who have had breast combined procedures, you may also have a boost in self confidence.

Cost is always a consideration in elective surgery. A surgeon’s cost for surgery may vary based on his or her experience, choosing to allow Health Horizon Holidays to assist you guarantees your Surgeon is Senior and has over 20 years experience in Cosmetic procedures.

You can view our Prices and Packages here

Costs  include:
•    Surgeon’s fee
•    Hospital or surgical facility costs
•    Anesthesia fees
•    Implant cost
•    Prescriptions for medication
•    Post-surgery garments
•    Medical tests

When choosing a plastic surgeon for breast augmentation, remember that the surgeon’s experience with breast implants and your comfort with him or her are just as important as the final cost of the surgery.

•    Areola: Pigmented skin surrounding the nipple.
•    Augmentation mammaplasty: Breast enlargement by surgery.
•    Breast Augmentation: Also known as augmentation mammaplasty; breast enlargement by surgery.
•    Breast Implants: Medical devices placed in your body to enhance an existing breast size or to
      reconstruct your breast. Breast implants can be filled with either salt water (saline) or silicone (elastic
      gel).
•    Capsular contracture: A complication of breast implant surgery which occurs when scar tissue that
      normally forms around the implant tightens and squeezes the implant and becomes firm.
•    General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter 

     consciousness.
•    Hematoma: Blood pooling beneath the skin.
•    Inframammary incision: An incision made in the fold under the breast.
•    Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
•    Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
•    Mammogram: An x-ray image of the breast.
•    Mastectomy: The removal of breast tissue, typically to rid the body of cancer.
•    MRI: Magnetic Resonance Imaging; a painless test to view tissue similar to an x-ray.
•    Periareolar incision: An incision made at the edge of the areola.
•    Saline implants: Breast implants filled with salt water.
•    Silicone implants: Breast implants filled with an elastic gel.
•    Submammary or subglandular placement: Breast implants placed directly behind the breast tissue, over
      the pectoral muscle.
•    Submuscular or subpectoral placement: Breast implants placed under the pectoral muscle, which is
      located between the breast tissue and chest wall.
•    Sutures: Stitches used by surgeons to hold skin and tissue together.
•    Transaxillary incision: An incision made in the underarm area.
•    Ultrasound: A diagnostic procedure that projects high frequency sound waves into the body and records
      the echoes as pictures.

Use this checklist as a guide during your consultation

•    Are you a member of MAPACS (Malaysia Association of Plastic, Aesthetic and Craniomaxillofacial
      Surgeons)?
•    Were you trained specifically in the field of plastic surgery?
•    How many years of plastic surgery training have you had?
•    Am I a good candidate for this procedure?
•    What will be expected of me to get the best results?
•    Where and how will you perform my procedure?
•    What shape, size, surface texturing, incision site and placement site are recommended for me?
•    How long of a recovery period can I expect?


If you want to combine your treatment with another, please see about our makeover packages for combined treatments.

Contact Us for further information on Multiple & Combined Procedures.