Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
THE PRE-OPERATIVE SESSION™ PRE-OPERATIVE INSTRUCTIONS FOR BLEPHAROPLASTY/ ENDOSCOPIC FOREHEAD LIFT / MIDFACE LIFT THREEWEEKSBEFORESURGERY: • Laboratorytests,EKGandeyeexaminationsmustbedoneandthewrittenresultsofthistesting mustarriveatourofficeonefullweekbeforesurgery(ourfaxnumberis585-271-4786). • SURGERYWILLNEEDTOBERESCHEDULEDIFTHEREISANYCHANCEYOUAREPREGNANT. • Ifyouareplanningtohaveahaircutbeforesurgery,pleasedosothreeweeksbeforesurgery. • Allfeesaredue,includingsurgical,facilityandanesthesia. TWOWEEKSBEFORESURGERY: • Donottakeproductscontainingaspirin,ibuprofen(eg.Advil,Motrin),orVitaminE.Checkwith yourpharmacistwhentakinganyover-the-countermedications.Manypainrelievers;coldand sinusmedicationscontainaspirinoribuprofen.TylenolisOK. • Refrainfromallnicotineproducts,includingcigarettes,pipetobacco,chewor“thepatch.” Nicotineinterfereswithhealthycirculationandmayaffecttheresultofyoursurgery.Italso placesyouathigherriskofcomplicationwhenreceivinganesthesia. • Starttaking1000mgofVitaminCthreetimesperday.VitaminChelpswithhealing. • Ifyourdestinationaftersurgeryismorethan30minutesfromtheoffice,youmustmake arrangementstostayinahotelonthenightfollowingsurgery. ONEWEEKBEFORESURGERY: • Donotdrinkalcoholfor1weekbeforeandaftersurgery. • Ifyoupermorcoloryourhair;itshouldbedone1weekbeforeand/or5weeksaftersurgery. DAYBEFORESURGERY: • TheSurgeryCenterwillcallyouafterNOONtoinformyouofyourarrivaltimeforsurgery. • DONOTEATORDRINKANYTHINGAFTERMIDNIGHT(includingwaterandgumchewing). SURGERYMAYBECANCELLEDIFTHISISNOTFOLLOWED.Afastingstateisrequiredinorderto receivesedationforsurgery.Theonlyexceptionismedication,whichwewillinstructyoutotake thedayofsurgerywithasipofwater. DAYOFSURGERY: • Gotodesignatedsurgicallocation:973EastAvenue,Suite101. • • • • Youmayshowerandshampoothemorningofsurgery.Donotwearmakeup,hairspraysorgels, ornailpolish.Youmayleaveacrylicnailson. Avoidclothingthatmustbepulledoverthehead.Pleasewearloosefittingclothing. Donotwearjewelryofanysortorbringvaluablestosurgery. Dentures,ifworn,shouldbeleftinplace. POST-OPERATIVE INSTRUCTIONS BLEPHAROPLASTY/ENDOSCOPIC FOREHEAD LIFT ACTIVITY: • Limityouractivitysharplyoverthefirstweekfollowingsurgery. • Youareencouragedtowalkaroundthehouseonthedayofsurgeryandthereafter.Thishelpsto preventbloodclotsfromdevelopinthelegs.Move/pumpyourlegsfrequentlywhilelyingdown. Thisalsohelpsinpreventingbloodclotsfromdeveloping. • Whenyourestorsleep,keepyourheadelevated2-3pillowsandavoidturningofyourside.Ifyou overexertyourself,bleedingorprolongedswellingmayresult. • Keepyouremotionsundercontrol.Itisnotunusualtofeelabitdepressedforafewdaysafter surgery.Thisquicklypassesasyoubegintolookandfeelbetter.Anger,cryingorotheremotional outburstswillonlyaddtotheswellingorincreasethelikelihoodofbleeding. • Avoidbending,lifting,pulling,pushing,strainingandaerobicactivitiesfor3weeks. • Youmaybegintoreturntoregularexercise3weeksaftersurgery.Easeintothis,gradually increasingyourexerciselevelbacktonormalby5-6weeksfromsurgery. • Takedeepbreathsoftenwhenyougethomeforthefirst24hoursaftersurgery.Thishelpsto expandthebaseofyourlungs. ORALINTAKE: • Alcoholconsumptionshouldalsobelimitedasthismayraisethebloodpressureandinitiate bleeding.Donotdrinkalcoholduringthefirstweek. • Drinkplentyoffluidsfollowingsurgery,asdehydrationcancontributetonausea. • Youmaywanttoavoidfoodsthatrequiremuchchewing,suchassteak.Softfoodsmaybeeasier toeat. • Smallamountsoffood20minutesbeforetakingpostoperativemedications(especiallypain medicationsand/orantibiotics)canpreventnausea. • Ifyouvomitorfeelnauseated,youshoulddelayfoodandpainmedicationsuntilthenausea passes.Takeonly2-3ouncesofclearliquidsathourlyintervalsuntilthenauseasubsides.Ifthis symptompersists,callforanti-nauseamedications,assubsequentvomitingmaybeharmfuland leadtocomplications. PAIN,SWELLING,BRUISING,INFECTION: • Itisunusualtohavesignificantpainafteragingfaceprocedure.Iftheprescribedmedicationdoes notcontrolpain,pleasereportthistous.Thereisdiscomfort,ofcourse,butrememberthatthis willquicklypass. • Someswellingandbruisingistobeexpected.BruisingistreatedwithArnica,anherbthatwillbe providedbyouroffice.Swellingandbruisingismaximalat48hourspost-surgeryandgradually subsidesoverthefollowing10-14days. • Infectionisalsounusual.Fever,localizedswellingwithrednessandtendernessmaysignifya developinginfectionandshouldbereported.Appropriatetreatmentwillbeinitiated. • Yourfinalresultswilloccurbetween6-12months. BATHING: • Followingsurgeryyoumaybathe,butdonotsubmergeyourheadinthewater. • Youshouldtakecaretopreventgettingyoursutureswet. OTHERCOMMONINSTRUCTIONSAFTERSURGERY • Aresponsibleadultmustprovidetransportationforyouaftersurgery(publictransportationisnot permissible)andremainwithyouuntilthemorningfollowingtheprocedure.Ifyouarehaving severalprocedures,youmayneedassistancefor1-2daysfollowingyourprocedure. • Youwillneedtoarrangetransportationforyourappointmentatourofficeonboththeday followingsurgeryaswellasdaythedayyoursuturesareremoved.Donotdrivefor5-7daysafter surgeryoranytimethatyouaretakingpainmedications. • Avoidmakingmajordecisionsorparticipatinginactivitiesrequiringjudgmentfor24hours. • Smokingshouldbestrictlyavoidedasitinterfereswiththebloodsupplytothehealingtissuesand slowssubsequenthealing. • Takeallmedicationsasinstructedpostoperatively. • Avoidexcesssunlighttotheincisionsforatleastayear.Evenmildsunburnmaycauseprolonged swellingorirritationofthehealingincisions.UsesunscreenwithzincoxideandSPF20orgreater tohelpdecreasethevisibilityofthescar. • Donotcompareyourprogresswiththatofotherpatients.Rememberthateveryone’shealing processisunique.Also,ifyouhaveanyquestionsorconcerns,callonus.Yourfamilyandfriends maymeanwell,butyoucanreceivewronginformation. INCISIONALCAREFORBLEPHAROPLASTY: • Icepacksshouldbeusedwithinthefirst48hoursaftersurgerytohelpwithswelling.Applyicefor 15-20minutesoutofeachhourwhileawake.Besuretheyarelightweight.Neverapplyice directlytotheskin.Dippinggauzepadsintoicedwaterworkswell. • Applyophthalmicointmenttoeyelidsuturestwicedailyandintoyoureyesatbedtime. • Eyelidsutureswillberemoved3-4daysafteryourprocedure. INCISIONALCAREFORENDOSCOPICFOREHEAD/MIDFACELIFT: • Icepacksmaybeusedwithinthefirst48hoursaftersurgerytohelpwithswelling.Besurethey arelightweight.Apply15minutesatatime.Neverapplyicedirectlytotheskin. • Incisionsarebehindthehairlineanddonotrequireanycare. • Yourforeheadandtopofyourheadwillbenumbpostoperatively.Thiswillgraduallyresolveover manyweeks/months. • Uselowheatwhenusinghairdryersandcurlingirons • Suture/staples/screwswillberemovedin7days. • Adrainagetubewillbeplacedthroughoneofthehairlineincisions.Thisistopreventthe accumulationoffluidintheforehead.Thiswillberemovedatyourfirstpostoperative appointment. • Wearyouracewrapatalltimesfor5days,thenwearatnightforanother7days.Washyourhair beforeyourpostoperativeappointmentonday4/5.Ifyourappointmentisduringtheweek, arrangementsmaybemadetohavethisdoneattheLindsayHouse. CALLTHEOFFICEIFYOUDEVELOPANYOFTHEFOLLOWING: • Feverof101degreesForgreater. • Painnotrelievedwithpainmedication. • Swelling,redness,bleeding,and/orfouldrainagefromincisionarea. • Persistentnauseaand/orvomiting. • Anyotherconcerns. OfficeTelephone:585-244-1000 Physicianpagernumber:585-258-4851 Ihavereviewedandunderstandtheinstructionsprovidedformyprocedure. PatientName(print):______________________________Date:____________ PatientSignature:_________________________________ WitnessSignature:________________________________Date:_____________ Yoursurgerywillbeperformedsafelyandwithcareinordertoobtainthebestpossibleresults. Youhavetherighttobeinformedthatthesurgerymayinvolverisksofunsuccessfulresults, complications,orinjuryfrombothknownandunforeseencauses.Becauseindividualsvaryinskin textures,tissue,circulation,andthehealingprocess,aswellasanestheticreactions,therecanbeno guaranteemadeastotheresultsorpotentialcomplications. Thefollowingcomplicationshavebeenreportedinmedicalliterature.Theyarelistedhereforyour informationnottofrightenyou,buttomakeyouawareandmoreknowledgeableconcerningthis surgicalprocedure.Theywillbediscussedagainatyourpreoperativeappointment. RHYTIDECTOMY (facelift/endoscopicforeheadlift/mid-faceliftprocedures) Theoverallcomplicationrateforrhytidectomyis12% Hematoma:Aswellingormassofblood(usuallyclotted)causedbyabreakinabloodvessel. Females0.7%.Males7%.Thisformofhematomarequirestreatmentanddrainage. Infection:Lessthan1%.Thisisextremelyraredespitetheproximityofhairaroundthewound HairLoss:Lossofhairinthetemplearea,behindtheearis2.3%.Thisisusuallytemporarywith normalregrowthinseveralmonths.Malepatientsshouldbeawarethatthehairlessareain frontoftheearwillbenarrowedandthebeardpatternwillchangepossiblynecessitating shavingbehindtheear. Pigmentation:(discoloration&bruising).Eithernormalorpathologicalcoloringoftheskinortissue byadepositofpigmentationthatcancausecolorchanges.Normalbruisingresolvesin2-3 weeks.Occasionallyextensivebruisingcanrequiremanyweeksormonthstoresolve.These problemscanbemostcommoninpatientswiththin,hypo-pigmented,transparentskin. Patientswithdarkercomplexionsshouldbeawareofthepossibilityofresidualbrown pigmentation. Edema:(swelling).Thisisnormalfollowingfaceliftsurgeryandusuallylasts2-3weeks.Prolonged edemaisunusualandmayrequireendocrine,allergyorothermedicalevaluationto determinethecause. NerveInjury:Injurytothenerve(s)causingaweaknessoftheeyebrow(s)orofthemouthisabout 1%.Theyoftenreturntonormalinamatterofweekstomonths,butcanpersist. Pain/Numbness:Usuallyaroundtheearlobesorearsisabout2.5%.Significantpainpostoperatively isunusual.Ifitexistsandespeciallyifitisunilateral,itshouldbeinvestigated. KeloidScarring:Poorhealingwithvisibleandsensitivescarringalongincisionlines. WoundSeparation:Occursalongthesuturelineafterthesutureshavebeenremoved. SubmentalDepression:Removaloffatintheareaunderthechinmayresultinsomeirregularareas ofdepression. “DogEar”:Mostallareasofexcesstissuealongscarsresolvewithtime.Iftheydonotresolvewith healing,theymaybeexcisedatalaterprocedure. SkinSlough:Poorhealingcausingscartissueformationoftenassociatedwithhematomaor infection. Anytouch-upsurgerythatmaybenecessaryisnotdoneforatleast6months.Thisisusuallyasmall officeprocedureandnophysician’sfeeischarged.Thereishowever,anominalchargeforthe facility,supplies,andanesthesiaifsedationisrequired. Ihavereadthecomplicationlistandamawarethatanyoftheabovemayoccur. PatientName(print):______________________________Date:____________ PatientSignature:_________________________________ WitnessSignature:________________________________Date:_____________ Yoursurgerywillbeperformedsafelyandwithcareinordertoobtainthebestpossibleresults. Youhavetherighttobeinformedthatthesurgerymayinvolverisksofunsuccessfulresults, complications,orinjuryfrombothknownandunforeseencauses.Becauseindividualsvaryinskin textures,tissue,circulation,andthehealingprocess,aswellasanestheticreactions,therecanbeno guaranteemadeastotheresultsorpotentialcomplications. Thefollowingcomplicationshavebeenreportedinmedicalliterature.Theyarelistedhereforyour informationnottofrightenyou,buttomakeyouawareandmoreknowledgeableconcerningthis surgicalprocedure.Theywillbediscussedagainatyourpreoperativeappointment. BLEPHAROPLASTY (upper/lowereyelidsurgery) Woundseparation:Theincisionlineseparatesafterthesuturesareremoved. Infection:Exceedinglyuncommon,butmayoccur. Epiphora:Excessivetearingdownthecheekduetoexcesssecretionoftearsortoobstructionofthe lacrimalduct. Cornealinjury:Eitherbytraumadirectlyorduetoglobeexposure.Usuallycanbeprevented,but mayrequireophthalmologicconsultation,asmightanyothereyecompliant. Telangiectasis:(Superficialvisiblesmallbloodvessels).Pre-existinglesionsarelikelytobeintensified insizeandnumberintheeyelid. Scarring:Keloidscarsareextremelyrarebuthealingmayresultinavisiblescar. Pigmentation:Occasionally,patientswithdarkskinwillexperiencedarkeningofskinsecondaryto bruisingforextendedperiodsoftime,whichmaybewellbeyondnormalhealingperiods. Inclusioncysts:Small,whitecystsinorneartheincisionline. Postoperativewrinkling Hematoma:Accumulationofbloodbehindtheeyeballorundertheskin. Asymmetryofeyelids:Usuallyunmaskingapreviousasymmetry. Lagophthalmos:Difficultyinclosingtheeyelid.Commonimmediatelypostoperatively,butmay persist. Lossofeyelashes Ptosis:Aparalyticdroopingoftheuppereyelid. Alterationofvision:Usuallytemporary,butcanbepermanent.Exceedinglyrare. Enophthalmops:Recessionofeyeballsintotheorbitmayappear,especiallyinpatientswithdeep-set eyes. Keratoconjunctivitissicca:Dryeyes. Ectropinorscleralshow:Apullingdownwardorchangeofshapeoftheeye. Skinslough:Veryrare.Usuallyhealswithouttheneedforskingraft,althoughthismaybenecessary. Secondaryblepharoplasty:Occasionallyrequiredtomodifyunder-correctionorover-correction. Anytouch-upsurgerythatmaybenecessaryisnotdoneforatleast6months.Thisisusuallyasmall officeprocedureandnophysician’sfeeischarged.Thereishowever,anominalchargeforthe facility,supplies,andanesthesiaifsedationisrequired. Ihavereadthecomplicationlistandamawarethatanyoftheabovemayoccur. PatientName(print):______________________________Date:____________ PatientSignature:_________________________________ WitnessSignature:________________________________Date:_____________