John LoMonaco, MD, PA
1009 Missouri Street
Houston, Texas 77006
phone: 713.526.5550
fax: 713.526.5563
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Extended Care

Some of the most common questions patients ask about surgery are "How can I have the best scar possible?," "How long will the swelling last?' and "what can I do to be sure I look as good as possible after surgery?" To provide active treatments for patients wishing to maximize their healing, recovery, and results we offer an extended care package. This package includes several therapies.

Lymphatic Massage
Swelling after surgery may result in unwanted fullness of the lower abdominal area. The more extensive the surgery, the more common and long-lasting is this condition. Swelling can be reduced and effectively treated by lymphatic massage. A certified therapist performs the technique to drain fluid from the surgery site. The gentle massage strokes also aid in removal of toxins and increase in blood flow to the healing tissues.

Dr. LoMonaco recommends that these massages be performed both before and after surgery. An average of 10 sessions can make a big difference in the patient�s swelling and overall recovery.

Scar Control
A scar is an unavoidable part of surgery, but several methods may help in the appreaance of scars. The use of topical silicone gel sheeting is one therapy known to decrease the thickness of scars. This therapy is started after surgery to help ensure the best possible healing. Intense pulsed light (PhotoFacial) therapy can also decrease the redness and thickness of some scars. We begin this therapy about 6 weeks after surgery to help scar redness fade faster. 2-5 sessions are usually adequate to control scar color and texture.

Body Fat Analysis and Morphometrics
Many patients want a detailed analysis of their postoperative results to see the progress they have made, and also to help guide their diet and excessive program. This helps them get the best overall result after breast and body surgery.

To accurately assess the patients� preoperative condition, we measure several components that affect the size and shape of the body: body fat content, body mass index, and thickness of localized fat deposits.

These measurements are done before and after surgery at 1, 3, 6, and 9-month intervals to measure a patient�s progress after surgery. The techniques used include an electrical impedance assessment of body fat content using a hand-held analyzer, and measurement of specific fat deposits of the abdomen, hips, and waist using direct ultrasonic measurements.

These results are plotted and the patient is given a graphic chart to see their progress. Weight and body mass index are also charted.

To see if an extended care package is right for you, ask one of patient coordinators.