### Risk of Medial Thigh Lift Surgery, Continued

Seroma - Fluid accumulations infrequently occur in between the skin and the thigh musculature. Should this problem occur, it might require additional procedures for drainage of the fluid. Long Term Effects Term Effects - Subsequent alterations in body contour may occur as the result of aging, weight loss or gain, pregnancy, or other circumstances not related to medial thigh lift. Pain - Chronic pain may occur very infrequently from nerves becoming trapped in scar tissue after medial thigh lift. Other - You may be disappointed with the results of surgery. Infrequently, it is necessary to perform additional surgery to improve your results. Medications - There are manyadverse reactions that occur as the result of taking over the counter, herbal, and/or prescription medications. Be sure to check with Dr. Cashio about any drug interactions that may exist with medications that you are already taking. If you have an adverse reaction, stop the drugs immediately and call your Dr. Cashio for further instructions. If the reaction is severe, go immediately to the nearest emergency room or dial 911. When taking the prescribed pain medications after surgery, realize that they can affect your thought process. Do not drive, do not operate complex equipment, do not make any important decisions and do not drink any alcohol while taking these medications. Be sure to take your prescribed medication only as directed.

SMOKING, SECOND-HAND SMOKE EXPOSURE, NICOTINE PRODUCTS (PATCH, GUM, NASAL SPRAY, etc.) SECOND-HAND SMOKE EXPOSURE, NICOTINE PRODUCTS (PATCH, GUM, NASAL SPRAY, etc.) Patients who currently smoke, use tobacco products, or nicotine products (patch, gum, nasal spray, etc.) are at a greater risk for significant surgical complications of skin dying, delayed healing and additional scarring. Individuals exposed to second-hand smoke are also at potential risk for similar complications attributable to nicotine exposure. Additionally, smoking may have a significant negative effect on anesthesia and recovery from anesthesia, with coughing and possibly increased bleeding. Individuals who are not exposed to tobacco smoke or nicotine-containing products have a significantly lower risk of this type of complication. Please indicate your current status regarding these items below:

\_\_\_\_\_\_\_ I am a non-smoker and do not use nicotine products. I understand the risk of second- hand smoke exposure causing surgical complications.

\_\_\_\_\_\_\_ I am a smoker or use tobacco/nicotine products. I understand the risk of surgical complications due to smoking or use of nicotine products. It is important to refrain from smoking at least 4-6 weeks before surgery and until Dr. Cashio states it is safe to return, if desired.

ADDITIONAL SURGERY NECESSARY SURGERY NECESSARY Should complications occur, additional surgery or other treatments might be necessary. Even though risks and complications occur infrequently, the risks cited are particularly associated with Medial thigh lift. Other complications and risks can occur but are even more uncommon. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee or warranty expressed or implied, on the results that may be obtained.

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