Pre & Post-Operative Instructions McAllen
General Pre-Operative & Post-Operative Instructions
All Procedures Preoperative:
- Use and bring rescue inhaler for asthma
- Gastric reflux history – take Pepcid morning of and night before surgery
- No food after midnight for morning surgery
- Only 6AM clear liquids for afternoon surgery
- Shower with antibacterial soap night before and morning of surgery day
- Wear loose-fitting pants, front closure shirt, slip on shoes and socks
- All piercing removed. Leave jewelry and valuables at home
- Wear glasses instead of contact lenses
- No alcohol or recreational drugs for at least 48 hours before surgery
- Need adult caregiver for 24 hours after surgery
- May take regular prescriptions (especially blood pressure medications) with just a sip of water the morning of surgery (do not take oral diabetes medications)
- Remove nail polish from one finger on each hand
- Please arrive at your given time – be prepared to arrive earlier if called in
- No make-up, creams, or lotions
- Have caregiver read “Recipe for Success”
- Need phone number to reach you after surgery for follow-up call in the AM & PM
- No over the head clothing
- Patients having lipo or tummy tuck need waterproof protection for car seat and bed at home
- If having facial surgery: Bring sunglasses to wear; Wash hair, and do not use hair spray, gel, or any other hair products
- When having tummy tuck, start Colace the day before surgery and fleet enema the evening before surgery
- Gluteal implant patients take fleet enema in the AM day of surgery
- For nausea, drink 1 tbs of Coke every 15 minutes for 1 hour, then lay flat. Use prescribed suppositories at first sign of nausea
- Avoid drinking plain water after surgery on day 1 to minimize nausea – Sprite or 7Up better
- Ice 20 minutes on and 40 minutes off away from incisions. Breast lifts and tummy tucks must avoid ice because of constricting blood vessels that threaten skin viability
- Wound care: Leave Hypafix tape in place. Specific instructions given as needed
- Take pain pill at first sign of pain as local anesthesia begins to wear off
- Take and complete all antibiotics as directed
- Antiviral medications for facial and labia surgery as per PCP orders for history of herpes
- No other over-the-counter medications without instructions
- If pain pills are not helping, call us before taking more than the recommended dosage.
- Scars take up to one year to heal and must be kept out of the sun
- Avoid sun bathing and tanning beds for 2 weeks. Keep scars out of sun until pink color is gone and scar is white (6-12 months)
- If instructed to take Aleve after surgery (2 tabs in AM & PM), you may add Extra-Strength Tylenol over 6 hours as needed
- If clear OpSite dressings accumulate fluid/moisture, release the bottom of the dressing to allow the moisture to drain
- Sleep in any position. Facial surgery patients must keep head elevated. Butt augmentation patients must keep weight off butt.
- Leave garments on until instructed to remove
- Lipo & tummy tuck patients – numbness is normal in treated areas for up to 1 year. Take Benadryl for sleep or itching.
- Chin lipo patients may loosen chinstrap for head bandage if short of breath of headache
- Call for significant one-sided swelling
- Keep splint dry
- Use milk of magnesia for constipation if no BM by 2nd day after surgery. Start Miralax for constipation if no BM by 3rd day after surgery.
- It is not uncommon to have more pain on one side than the other. Be suspect of increased swelling on one side larger than a cup size difference.
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