10 key questions

By 08/15/2016News

Doctor Natalie Rajaonarivelo has provided each of the answers to these questions as follows:


How is surgery performed?

The first consultation is the key step of the treatment. During that consultation, you will explain your expectations and you will be able to ask any question you wish to. The surgeon then performs a medical examination in order to offer you the most suitable solutions.
If you make an appointment for a breast augmentation or a rhinoplasty, a 3D simulation will be created to better illustrate the procedure.
You will be given an estimate and detailed information by the surgeon, who can clarify any of the information to you. If your surgery is covered by health insurance, you will need to send the estimate to your mutual insurance to know how much of the cost will be covered by insurance.

You can book a date for your surgery at the time of this consultation, or you can contact the office later, once you choose a day.

Once the date of the surgery is set, a second consultation with Dr. Rajaonarivelo and a consultation with an anesthesiologist are planned before the surgery. During this second consultation, you will be able to ask Doctor Natalie Rajaonarivelo any other questions you may have and then sign an informed consent as well as confirm the estimate.


Is there a set time limit before receiving treatment?

Yes. There is a statutory time limit of 15 days between the first consultation and the surgery. Even so, the surgery can be planned during the first consultation.


How many follow-up appointments will be planned after the surgery?

Doctor Natalie Rajaonarivelo will always see you the day after the surgery in the clinic and before you return home, except for some minor procedures which can be carried out in the day care department. In that case, you will be able to leave the hospital the same day of the surgery. When the surgery is performed in the day care department, a phone appointment is typically planned on the day after the procedure.

Check-up appointments are generally planned 3 and 10 days after the surgery. If needed, the last nursing care is provided during this last check-up consultation.  In most cases, patients living outside Paris or abroad can return home between the 3rd and the 10th day.

Thereafter, post-treatment appointments are usually planned 1 month, 3 months, 6 months and 1 year after the surgery and are included in the price of the treatment.


What are Doctor Rajaonarivelo’s specializations?

Doctor Natalie Rajaonarivelo did very comprehensive training at accredited medical facilities while learning how to perform complex reconstruction and how to practice every aspect of aesthetic surgery. This training was reinforced when she did extensive work at a BurnUnit.

Following her training and experience in breast surgery in Saint-Louis Hospital, Doctor Natalie Rajaonarivelo did more specialization in breast surgery, both aesthetic and reconstructive. She is also passionate about face aesthetics and she is especially interested in facial surgery procedures specifically aimed at correcting aging of the face, rhinoplasty and facial aesthetic medicine).

Doctor Natalie Rajaonarivelo likes participating in the numerous international conferences that are held every year in order to always be aware of the latest recommendations, techniques and innovations.


Should minors always be accompanied during the consultations?

It is not necessary for minors to be accompanied by parents/legal guardian during the first consultation but the parent/legal guardian needs to give his/her consent before surgery. The parent/legal guardian will need to access all information before surgery and will be able to ask Doctor Rajaonarivelo any questions they may have.


Can an aesthetic surgery be covered by health insurance?

Aesthetic treatments (medicine or surgery) cannot be covered by health insurance. All the related fees (consultations, examinations, material, care, hospitalization…) are assumed by you and no work stoppage can be prescribed. Some procedures may be covered by health insurance if they are considered as reconstructive treatments.

Here is a list of those most likely to be covered by insurance.

A prior agreement procedure is required (and may be refused) for the following:

  • breast deformities (Poland anomaly and tuberous breasts).
  • abdominoplasty with a significant abdominal apron covering the pubis following surgical treatment of obesity (gastric ring or gastric bypass surgery).
  • rhinoplasty after a trauma (broken nose demonstrated by x-rays or scanner).

What is the coverage by the health insurance?

When the surgery is covered by the patient’s health insurance policy, the full amount of the fees associated with the treatment is covered, except for the anesthesiologist’s and the surgeon’s fees. In other words, the hospitalization (the costs of the stay) and the operating room fees are paid by the health insurance. If needed, a work stoppage can be prescribed.

The anesthesiologist’s and the surgeon’s fees may be totally or partially covered, depending on your complementary health insurance.
During the consultation, you will be given a detailed estimate so you will know the amount to be paid by each party.


What is the advice before a surgery?

  • Aspirin-based, anti-inflammatory and oral anticoagulant medication must be avoided 8 days before the procedure in order to reduce the risk of bleeding.
  • We strongly advise the patients to stop smoking 1 month before the surgery to favor rapid healing. Smoking reduces micro vascularization and can delay healing. It is important to note that nicotine is the most harmful agent for healing and this is the reason why nicotinic substitutes are also strongly considered inadvisable. Oral contraception should also be stopped 1 month before the surgery in order to reduce the risks of thrombo-embolic accidents. This risk is multiplied by 10 if smoking and contraceptive pills are combined.
  • We recommend a homeopathic preparation based on Arnica Montana and Hypericum Perforatum in order to reduce the risk of bruising and edema. This homeopathic treatment will be prescribed during a consultation.

Are breast implants linked to breast cancer?

The past years studies suggest that the presence of breast implants does not increase the risk of breast cancer. On the contrary, women with breast implants tend to be more vigilant with regard to the examination of their breasts.

Besides, having breast implant doesn’t interfere with a mammography as part of the breast monitoring cancer Routine. However, you should inform your gynecologist and radiologist of any procedures undertaken.


Breast surgery, pregnancy and breastfeeding: what should you know?

It is strongly recommended to avoid pregnancies in the year following a breast surgery in order to avoid damaging the aesthetic result of the treatment. The final result will be obtained one year after the surgery and a pregnancy would lead to an early variation of volume that could adversely affect the quality of the result. In case of unforeseen pregnancy after a breast surgery, there is no need for special precautions other than wearing a support bra day and night.

In most cases, breastfeeding remains possible after the surgery but there can be no guarantee if a scar is situated in the area of the areola: an areolar scar may cause a dysesthesia (loss of sensitivity) and in this case breastfeeding may require a supplement with infant formulas.

In all cases, breastfeeding has a more deleterious impact than pregnancy. Variations of volume related to lactation and breastfeeding will cause a higher fragility of the skin and empty the mammary gland once breastfeeding is over. However, it should not be forgotten that breastfeeding benefits infants. We all are free to make our own choices.