PRE-OPERATIVE PATIENT INSTRUCTIONS

  • DO NOT take Excedrin, Alka Seltzer, Goody’s powder, Aspirin, Naproxen, Aleve, Motrin, Midol, Ibuprofen, Advil or any NSAID-type medication 2 weeks prior to surgery and 2 weeks after surgery.These medications all cause bleeding which cause complications during and after surgery.
  • DO NOT take Vitamin E or any other “natural” vitamins or medications 3 weeks before surgery. Some examples include: Gingko Biloba, St. John’s Wort, or Ginseng. NO Herbalife products 3 weeks before surgery.
    • These medications cause bleeding and must be avoided. Please let us know if you are interested in a multivitamin that does not cause bleeding and we can make a recommendation.
    • You are allowed to use iron before surgery.
  • DO NOT take any stimulant-type medications or any “workout” or “pre-workout” medications for 3 weeks prior to surgery. Examples include pre-workout stimulant drinks, creatine powders, ephedrine, hydroxycut or any other “weight loss” type of medication. DO not take any herbal teas!
  • PLEASE take you regularly scheduled prescribed medications by your doctor with a sip of water the morning of surgery.
    • PLEASE take beta blockers the morning of surgery as usually prescribed by your doctor. Examples include metoprolol, labetalol, etc.
    • DO NOT take ACE inhibitors (lisinopril, captopril, etc) or other types of blood pressure medications the morning of surgery.
  • YOU MUST arrange to have a responsible adult over the age of 18 to drive you home after surgery. If you do not then we will cancel surgery. You cannot take a taxi or an Uber/Lyft after your surgery!
  • YOU MUST have lab work done within 30 days of your surgery.
    • If you are over the age of 40 or have medical problems and under the age of 40 you will need a medical clearance from your primary care provider.
    • If you do not provide us with the medical clearance in a timely fashion your surgery may be cancelled.
  • Please call the office before surgery if you develop any signs of an infection. These can include burning on urination, urinary hesitancy/urgency/frequency (signs of UTI). Any coughing, sneezing, runny nose, chest congestion, sinus/ear pressure (signs of an upper respiratory infection). Any diarrhea, nausea, vomiting or abdominal pain (gastroenteritis symptoms).
  • SMOKING or the use of unauthorized medications will jeopardize the results of your operation. SMOKING can cause wounds to separate causing widened and thickened scars, skin necrosis, blood clots and other complications. You are not allowed to smoke for 4 weeks before surgery and 4 weeks afterwards.
  • SUN exposure will cause scarring of your wounds after surgery. You CANNOT be exposed to direct sunlight (which includes a tanning booth) for 8 weeks after surgery. Wounds must be covered during the 8 weeks after surgery.
    • If you plan direct sun exposure after surgery you MUST use SUNSCREEN SPF 50 or greater and reapply every hour.
    • You must use sunscreen on all wounds if there is any risk for sun exposure for 1 year after surgery.
  • WEIGHT GAIN will increase your risk of surgery and can cause an unfavorable aesthetic result. If you gain more than 5 lbs between the time the surgeon evaluated you and the day of your actual surgery the procedure may be cancelled.
    • *This rule does not apply for those patients requested to gain weight for other reasons.
    • If your BMI is > 32 you are at risk for complications under surgery and your surgery can be cancelled.
    • Here is how to calculate your BMI:
  • PLEASE consume at least 8-10 glasses of water during the two days leading up to your surgery. This will improve your hydration and improve your recovery after surgery.
  • PLEASE wash yourself daily the 5 days prior to surgery with HIBICLENS (chlorhexidine) soap that you can purchase at any pharmacy.
  • Visit this link for a coupon: http://www.hibiclens.com/retail
  • Hibiclens will reduce your chances of an infection after surgery.
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