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Download Pre-operative Instructions for Breast Augmentation Surgery
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THE PRE-OPERATIVE SESSION™ PRE-OPERATIVE INSTRUCTIONS FOR BREAST AUGMENTATION SURGERY THREEWEEKSBEFORESURGERY: • LaboratorytestsandEKG(iftheyarerequired)mustbedone.Ifyouarehavingtestingatalab otherthantheonewesuggested,youareresponsibleforhavingthewrittenresultsofthis testingarriveatourofficeonefullweekbeforesurgery(ourfaxnumberis585-271-4786). • Amammogramdonewithinthepastyearisrequiredforanyfemaleatorovertheageof35for anytypeofbreastsurgery. • SURGERYWILLNEEDTOBECANCELLEDIFTHEREISANYCHANCETHATYOUAREPREGNANT. • Allfeesaredue,includingsurgical,facilityandanesthesia. TWOWEEKSBEFORESURGERY: • Donottakeanyproductscontainingaspirin,ibuprofen(Advil,Motrin),non-steroidalantiinflammatorymedicationorVitaminE.Tylenolisacceptable. • Refrainfromallnicotineproducts,includingcigarettes,pipetobacco,cheworNicotinepatch. Nicotineinterfereswithhealthycirculationandmayaffecttheresultofyoursurgery.Italso placesyouathigherriskofcomplicationwhenreceivinganesthesia. ONEWEEKBEFORESURGERY: • Donotdrinkalcoholfor1weekbeforeandaftersurgery. • Pleaseensurethatalllaboratorytestsand/orbloodworkhasbeencompletedbythistimeas orderedbythephysician/nursepractitioner.Ourfaxnumberis585-271-4786. • Pleasestopapplyingself-tannerifused. THEDAYBEFORESURGERY: • TheSurgeryCenterwillcallyouafternoontoinformyouofyourarrivaltimeforsurgery. • DONOTEATORDRINKANYTHINGAFTERMIDNIGHT(Thisincludeswaterandgumchewing). Surgerymaybecancelledifthisisnotfollowed.Afastingstateisrequiredinordertoreceive sedationforsurgery.Theonlyexceptionismedication,whichweinstructyoutotakewithasip ofwaterthemorningofsurgery. DAYOFSURGERY: • Gotosuite101(LindsayHouseSurgeryCenter). • Youmayshowerandshampoothemorningofsurgery.Donotwearmakeup,hairspraysorgels, ornailpolish.Youmayleaveacrylicnailson.Removefalseeyelashes. • Avoidclothingthatmustbepulledoverthehead.Pleasewearloosefittingclothing. • Donotwearjewelry,includingbodyjewelryorbringvaluablestosurgery. • Donotuseunderarmdeodorant. • Ifyouhaveyourmenstrualcycle,pleasewearafemininenapkin.Donotwearatampon. POST-OPERATIVE INSTRUCTIONS FOR BREAST AUGMENTATION SURGERY COMMONINSTRUCTIONSAFTERSURGERY: • Aresponsibleadultmustprovidetransportationforyouaftersurgery(publictransportationis notpermissible).Donotdrivefor24hoursaftersurgeryorwhileyouaretakingpainmedication. • Aresponsibleadultmuststaywithyouafteryoursurgeryandovernightuntilthemorning followingtheprocedure.Ifyouarehavingseveralprocedures,youmayneedorpreferassistance for1-2daysfollowingyourprocedure. • Avoidmakingmajordecisionsorparticipatinginactivitiesthatrequirejudgmentfor24hours aftersurgery. • Youareencouragedtowalkaroundthehouseonthedayofsurgeryandthereafter.Thishelpsto preventbloodclotsfromdevelopinginthelegs. • Move/pumpyourlegsfrequentlywhilelyingdown.Thisalsohelpsinpreventingbloodclotsfrom developing. • Wearthesupportstockingsforatleast5daysaftersurgeryoruntilfullyactive. • Useyourincentivespirometer10everyhourwhileawakefor5daysaftersurgeryoruntilfully active.Thisisnecessarytopreventpostoperativepneumoniaoratelactasis. • Resumeactivitiesslowly.Youmayfeeltiredforthefirstfewdays. • Donotexerciseforthefirstweek.Afterthefirstweek,youmayresumelowintensity,lowerbody exercise.Youmayuseyourupperbodyforeverydaytasksaftersurgery(forexample–reaching fororputtingawaydishes);however,refrainfromusingtheupperbodymusclesinarepetitive orstrenuousmotionfor3weeks.Novacuuming,tennisorpectoralexercisesfor3weeks.No joggingfor3weeks.Youmayresumeallexercise/activityafter3weeks. • Whenyoudoresumeexercise,youshouldwearatight,supportivesportbratominimizebounce anddroopofthebreasts. • Drinkplentyoffluids(8-10glasses/day)forthefirstweektokeepwellhydrated. • Ifyouhavenoturinatedafter6hoursofbeinghomefromsurgery,pleasecontactouroffice. • Expecttohavesomeincisionaldiscomfortforthefirst24hoursaftersurgery.Takeyourpain medicationbeforeyourpainbecomessevere. • Takeallmedicationsasinstructedpostoperatively. • Youmayresumemostrestrictedmedicationsafteroneweekfromthetimeofsurgery. Ibuprofenmayberesumedafter3days. • Somebruisingandswellingisnormal.Itisexpectedtotakebetween3-6monthstoseeyourfinal results. • Avoiddirectsunlighttotheincisionforatleast1year.Useasunscreenwithzincoxidewithan SPFof20orgreatertohelpdecreasethevisibilityofthescar. POSTOPERATIVE INSTRUCTIONS: BREAST CARE AFTER BREAST AUGMENTATION SURGERY • • • • • • • Youwillhaveasteristrips(adhesivebandage)inplaceoveryourincision.Pleasekeepyour dressingcleananddry. Initially,youmaytakeaquickshowerwithyourbacktothewater,keepingyourincisions completelydry. OnpostoperativeDay3,youmaytakeafullshower.Itisokaytogetthesteristripswetatthis point,butdonotremovethem.Youcangentlypatyourselfdrywithatoweloruseablowdryer (coolsetting)todrythesteristrips. Youmayormaynothaveabraonwhenyoucomeoutofsurgery. o Ifyouhavenobraonwhenyoucomeoutofsurgery,youmaynotwearabraforatotal of3weekspostoperatively;thisallowsthebreaststofallnaturally. o Ifyouhaveasurgicalbraonwhenyoucomeoutofsurgery,pleasewherethisbrafor3 weekspostoperatively;thisprovidesadditionalsupportasthebreastsheal.Thisbramay beremovedtobewashedduringthefirstthreeweeks,butotherwiseshouldbeworn consistently. Aftersurgery,youcanapplyDr.Koenig’sPostBreastEnhancementOiltothebreastsinagentle circularmotion,makingsuretoavoidtheincisionlineforatleast2weeks.Dothismassagedaily. Thishelpstoeasepain,increaselymphaticcirculationandnourishtheskin. Forpatientshavingdualplaneaugmentation,youwillhaveaclearplasticadhesivedressingover yourbreastsfollowingsurgery.Thisdressingwillberemovedonpost-opday7whenyour suturesareremoved.Becausethisdressingiswatertight,youmayshowerwithoutrestriction aftersurgery.Youwillhaveasurgicalbraonaftersurgery,whichshouldbewornfor3weeks postoperatively. Itisnotunusualtohearasqueakingsoundafteraugmentationsurgery.Thisiscausedby pocketsofairaroundthebreastimplant.Asthisairescapes,thesoundwillresolve. CALLTHEOFFICEIFYOUDEVELOPANYOFTHEFOLLOWING: • Feverof101degreesorgreater. • Painnotrelievedwithpainmedication. • Swelling,redness,bleeding,andor/fouldrainagefromanincisionsite. • Persistentnauseaand/orvomiting. • Anyotherconcerns Officetelephone:585-244-1000 Physicianpagernumber:585-258-4851 Ihavereviewedandunderstandtheinstructionsprovidedformyprocedure. PatientName(print):______________________________Date:____________ PatientSignature:_________________________________ WitnessSignature:________________________________Date:_____________
