How is your surgical process broken down?

Lilly Dermatology breaks the surgical process down into three phases:

  1. Patient Condition Evaluation
    1. Current health conditions to undergo surgery
    2. Family History
    3. Other Medical Conditions (May or may not affect the healing process after surgery)
  2. Viable Options  
    1. Most effective route
    2. Cost Comparison
  3. Post Surgery Completion of Care (The aftercare is vital to the overall success of the procedure. It is imperative that a thorough rehabilitation process is established)

What if there is a surgical procedure I’m interested in and I don’t see that you offer it?

Please call or email us and we will be happy to inform you if the service you are interested in is something we do. If we do not offer it, Dr. Odueyungbo will be more than happy to refer you to another board certified physician that does.

Will my insurance cover all of my procedures?

In general, each specific insurance company determines what procedures they will or will not cover. The biggest factor insurance companies consider is whether the procedure is reconstructive or cosmetic in nature. To this end many insurers use definitions provided by the American Medical Association (AMA) as follows:

  • Reconstructive surgery refers to procedures performed to correct trauma, developmental defects, infection, or disease. Reconstructive procedures focus on improving function or normalizing appearance of the patient.
  • Cosmetic surgery refers to procedures that are focused on improving the aesthetic appearance of the face or body to improve a patient’s’ appearance or self-esteem.

No Show/Cancellation Policy (IMPORTANT PLEASE READ)

If you are unable to keep your appointment, we request you cancel at least 24 hours in advance. A minimum advance notice of 4 hours is required to avoid paying a penalty. (See below fees).  

Prior to rescheduling your appointment, any outstanding penalties must be paid in full.

If you fail to make any of these payments, we reserve the right to discharge you and all family members from our practice.

Failure to arrive for your appointment, or failure to arrive at the appropriate time, will be considered a no-show.

We will make courtesy calls to serve as reminders. However, it is your responsibility to keep your scheduled appointment.

(Please note surgery cancellation policy is different)

Surgery Cancellation Policy (IMPORTANT. PLEASE READ)

If you are unable to keep your appointment and do not cancel or reschedule 14 days (FOURTEEN DAYS) prior to your scheduled surgery date, you will be charged 50% of the scheduled procedure cost.

If you fail to keep your appointment and do not cancel or reschedule 10 days (TEN DAYS) prior to your scheduled surgery date, you will be charged 100% of the scheduled procedure cost,

Prior to rescheduling your appointment, any outstanding penalties must be paid in full.

If you fail to make any of these payments, we reserve the right to discharge you and all family members from our practice.

Failure to arrive for your appointment, or failure to arrive at the appropriate time, will be considered a no-show.

We will make courtesy calls to serve as reminders. However, it is your responsibility to keep your scheduled appointment.

FAQ Specific to Surgical Dermatology

What surgical services to you provide?

We provide a wide range of services including, but not limited to the following:

Skin surgery on all body surfaces, including destruction of benign and malignant growths, excisional surgery, Mohs Micrographic Surgery, skin biopsy, scar revision including injection and resurfacing

Why can’t I schedule directly for surgery?

It is very important we have adequate time to discuss the risks, benefits and alternatives of a given surgical approach with you before we schedule your procedure. Careful review of your existing pathology, medical history and care goals will determine the most appropriate treatment. Infrequently, additional biopsies must be performed prior to making a treatment recommendation. Your pre-operative clinic visit ensures that our we have all of the information needed regarding your skin cancer, your medical history and your treatment goals to schedule the appropriate surgical procedure. It will also give you a chance to ask questions you might have about your condition and treatment plan.

How should I prepare for my surgery?

As simple as it may sound, our best advice is simple: in a word: relax. In many cases, you will not need to make major changes during this time but may have a few simple instructions that you will need to follow in the hours right before your procedure. Generally, most medications can be safely continued through your surgery, including blood thinners such as coumadin and aspirin.

FAQ Specific to Liposuction

What is Liposuction?

Liposuction is defined as the removal of fat from deposits beneath the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction can be accomplished either through the use of general anesthesia, or with heavy IV sedation, or totally by local anesthesia.

What is Tumescent Liposuction?

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the body fat causing the targeted areas to become tumescent (swollen and firm). Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours there is no need for narcotic pain medications after tumescent liposuction surgery.

What are Liposuction Complications?

Liposuction complications are often the direct result of lack of caution, poor judgment, over confidence, ignorance about pharmacology, or adherence to faulty dogma.

What are the Risks of Liposuction?

Risks of Liposuction must be well understood by all prospective liposuction patients. Lilly Dermatology liposuction emphasizes the need to constantly be aware of patient safety issues. In order to minimize the risk of liposuction surgery, the patient must be aware of the following facts:

  1. The removal of excessive volume of aspirated fat, or an excessive number of areas treated in same day can increase risk of complications. Excessive surgical trauma (excessive liposuction) is dangerous and is an important cause for serious liposuction surgery complications.
  2. Unrelated surgical procedures on the same day as liposuction surgery are unnecessary. Prolonged exposure to anesthesia is dangerous and is an important cause for serious liposuction complications.
  3. Skin irregularities and depressions can occur with liposuction and lead to undesirable cosmetic results. A liposuction cannula is a stainless steel tube inserted through an incision in the skin that is employed to suction the fat. The size of the liposuction cannula can influence the smoothness of the skin after liposuction. The use of large cannulas tends to create irregularities more commonly than microcannulas (outside diameter less than 3 millimeters). Lilly dermatology only uses microcannulas when performing liposuction.

Why is Tumescent Liposuction Technique the safest form of Liposuction?

The tumescent technique for liposuction is the safest form of liposuction. When tumescent liposuction is done correctly (not excessively), it is a very safe procedure. For example, there have been no reported deaths associated with tumescent liposuction totally by local anesthesia. Even when general anesthesia is combined with the tumescent technique, liposuction is quite safe provided the volume of fat removed and the number of areas treated during a single surgery is not excessive. The dilute epinephrine contained in the tumescent anesthetic solution profoundly shrinks capillaries and thus virtually eliminates surgical blood loss.

Why does Tumescent Liposuction Technique yield smoother cosmetic results?

The tumescent technique permits the use of microcannulas which in turn yields smoother cosmetic results. Traditional liposuction cannulas (stainless steel tubes) have a relatively large diameter and remove fat rather quickly. However, with the use of large cannulas (diameter greater than 3 millimeters) there is an increased risk of irregularities and depressions in the skin. Tumescent liposuction performed by Dr. Odueyungbo using microcannulas with a diameter less than 3 millimeters, allow fat to be removed in a smoother and more uniform fashion. Some surgeons prefer larger cannulas because it allows liposuction to be done more quickly.

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the bloodstream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads.

Why does drainage occur after Liposuction?

Rapid drainage of blood-tinged anesthetic solution out of incision sites, accelerates the rate of healing, and reduces postoperative pain swelling, and bruising. Post-liposuction drainage of blood-tinged anesthetic solution can be maximized by 1) leaving incision sites open and not closed with sutures, 2) placing several round holes used for the liposuction procedure in the skin to encourage drainage, 3) placing super absorbent pads on the skin to absorb the drainage, and 4) wearing spandex compression garments to encourage drainage.