Sam Orkar, Consultant Plastic Surgeon
SAM ORKAR, Aesthetic Plastic and Reconstructive Surgeon
Full member of BAPRAS and BAAPS

Preparing for Surgery

Discuss your medicines

Mr Orkar will discuss your medication with you at your consultation, and further details will be documented at preassessment.

It is important to state all medication that you are on.

It may be necessary to avoid taking aspirin or similar blood-thinning products before undergoing most aesthetic surgical procedures. Your individual situation will be discussed.

What about dietary supplements and herbal medicines?

Vitamin E, many dietary supplements and herbal medicines should be avoided. These may increase bleeding tendency. Vitamin C is safe. Alcohol should be avoided for 2-days prior to surgery.

Do you smoke?

Smoking may have serious effects on wound healing and infection rates, so should be stopped 4-6 weeks before surgery. Its irritation can also produce bouts of coughing which may cause bleeding to start; a problem that is of particular concern in facial operations.

What may help?

Some patients find homeopathic remedies such as arnica helpful to reduce bruising although it is very difficult to prove their efficacy scientifically. If you wish to use arnica you should begin 2-3 days before the operation and continue for a week afterward.

What about colds, flus and other illnesses?

If you develop any sort of illness prior to the operation please get in touch with Mr Orkar, through his secretary, as you may need treatment prior to surgery, or alternatively your surgery may need to be postponed.

When should I stop eating?

Local anaesthetic operations you may eat and drink. It is advisable however not to eat a heavy meal just before you are due to come in.

General anaesthetic operations(includes local anaesthetic with sedation), you should not eat anything for at least 6-hours prior to surgery. Eating in this situation includes not just food but drinks as well as sweets and chewing gum. You may drink water up until 2-hours before surgery.

When should I come to hospital?

The hospital will contact you to make the arrangements for your operation. Usually you will come in to hospital on the day of your surgery.

What should I bring to hospital?

Ensure you have your normal toiletries and any regular medication you take. If having a procedure on your face or eyes, it is advisable to bring a pair of sunglasses and a headscarf to wear home. Any pressure garments that are appropriate will be discussed with you prior to your surgery, as will support bras which will be needed for breast surgery.

Remember, if in doubt about anything, do give my secretary a call on 01342 330386.

Breast Surgery

Breast Augmentation

Breast Uplift (Mastopexy)

Combined Breast Uplift & Enlargement

Breast Reduction

Correction of Capsular Contracture

Correction of Inverted Nipples

Male Breast Reduction

Congenital Breast Asymmetry Correction

Tuberous Breast Correction

Free flap breast reconstruction

Implant based breast reconstruction

Latissimus Dorsi (LD) flap

Nipple Reconstruction

Symmetrization surgery

Face and Neck Surgery

Eyelid Reduction Surgery (Blepharoplasty)

Endoscopic Brow Lift

Face and/or Neck Lift

Mini Facelift

Correction of Prominent Ears

Rhinoplasty (Nose Job)

Post-Traumatic Deformities


Chemical Peel

Facial Fillers

Skin Surgery

Excision of Benign skin lesions

Treatment of skin cancers and simple moles

Sentinel lymph nodes

Lymph nodes dissection

Scar Revision

Treatment of Hypertroph