cosmetic surgery instructions
drain care
What is a JP drain?
A Jackson-Pratt (JP) drain is a type of drain that is placed in an incision during surgery. The drain is made up of a hollow tube that is connected to an egg-shaped bulb. The hollow tube begins inside the incision and exits the body. Attached to the end of the tube outside of the body is the collection bulb. This bulb collects fluid from the incision (see diagram below). What does a JP drain do? The JP drain helps drain excess blood and fluid from under the skin and the incision site. When you squeeze the egg-shaped bulb, fluid is sucked out. If the bulb is not squeezed tightly, the fluid will not drain. Why is the JP drain needed? The JP drain helps to keep fluid from collecting in the wound. It does this by removing the excess blood and fluid from under the skin and in the incision. The JP drain is temporary. It stays in place until the drainage has slowed down or stopped. As healing occurs, the fluid collected in the drain bulb should change color. It becomes less bloody, and the amount gradually decreases. Your doctor will decide when the drain should be removed. It will be removed in your doctor’s office. How do I care for the JP drain at home? Pin your JP drain to your clothing by using a safety pin through the plastic loop on the top of the bulb. If the drain is not attached to your clothing, it may pull out from under your skin. Also, a drain usually feels more comfortable when it is attached. To care for the JP drain at home, you will have to empty the drain and change the dressing. Emptying the drain You will need: --the measuring cup provided by the hospital, or a similar small measuring cup used exclusively for this purpose. --paper to make a daily JP drainage chart for each drain. Record AM drainage and PM drainage each day and record. 1. Wash your hands with soap and water. 2. Hold the drain securely. 3. Remove the drainage plug from the emptying port. 4. Carefully turn the bulb upside down over the measuring cup, and gently squeeze all of the drainage into the measuring cup. 5. Squeeze the middle of the bulb. 6. While still squeezing the bulb, replace the drainage plug. This step is important to keep the drain sucking. 7. Measure how much fluid you removed from the bulb. 8. Write down the amount of the fluid you removed from the bulb. If you have more than one drain, keep a separate record for each one. 9. Empty the fluid into the toilet and flush. 9. Rinse the measuring cup, and wash your hands with soap and water. 10. You should empty the drain at least two times each day, in the morning and at bedtime. Stripping the Drain To prevent clots from blocking the drain, you will need to “strip” it. Stripping means that you use your fingers to squeeze along the length of the drain to help maintain the flow of drainage. 1. Using one hand, firmly hold the tubing near the insertion site (close to your skin). This will prevent the drain from being pulled out while you are stripping it. 2. Using your index finger and thumb of the other hand, squeeze the tubing below the first hand. You should squeeze it firmly enough so the tubing becomes flat. 3. As you are squeezing, slide your index finger and thumb down the tube about 6 inches toward the bulb. Then, release the tubing held by the hand closest to your body. Repeat. 4. Do not release the pressure you are creating in the tubing until you reach the bulb. 5. Strip the drain each time you empty it. REMEMBER TO BRING YOUR DRAIN OUTPUT CHART TO THE OFFICE APPOINTMENT! WE USE THE INFORMATION TO DETERMINE WHETHER IT IS TIME TO REMOVE THE DRAINS! |
breast lift (mastopexy)
ACTIVITY:
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5 lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
Do not lay on your sides or stomach for 4 weeks after breast lift surgery.
WOUND/DRAIN CARE:
There may be drains present to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze over each breast with a surgical bra holding the gauze in place. You may remove the bra and gauze 48 hours after surgery. Go ahead and shower at this point, gently running your soapy hands over the operative sites. Rinse and gently pat dry, and redress with sports bra.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
Please call the office to schedule a follow up appointment in the time period indicated in your discharge papers. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office. IF YOU HAVE DRAINS, REMEMBER TO BRING YOUR DRAIN OUTPUT CHART TO THE OFFICE APPOINTMENT! WE USE THE INFORMATION TO DETERMINE WHETHER IT IS TIME TO REMOVE THE DRAINS!
RETURN TO WORK:
Most patients take 1 week off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Please fill out all the information you can on the papers (name, date of surgery, planned return to work date, etc.). Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry between the breasts for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5 lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
Do not lay on your sides or stomach for 4 weeks after breast lift surgery.
WOUND/DRAIN CARE:
There may be drains present to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze over each breast with a surgical bra holding the gauze in place. You may remove the bra and gauze 48 hours after surgery. Go ahead and shower at this point, gently running your soapy hands over the operative sites. Rinse and gently pat dry, and redress with sports bra.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
Please call the office to schedule a follow up appointment in the time period indicated in your discharge papers. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office. IF YOU HAVE DRAINS, REMEMBER TO BRING YOUR DRAIN OUTPUT CHART TO THE OFFICE APPOINTMENT! WE USE THE INFORMATION TO DETERMINE WHETHER IT IS TIME TO REMOVE THE DRAINS!
RETURN TO WORK:
Most patients take 1 week off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Please fill out all the information you can on the papers (name, date of surgery, planned return to work date, etc.). Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry between the breasts for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
Breast augmentation
ACTIVITY:
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5 lb). No major straining, lifting, bending, pushing, pulling, or exercising.
It is extremely important that you limit the use of your arms, keeping your elbows to your sides, and do NOT extend them above shoulder level for about 2 weeks. You can begin to go about your usual daily activity on day 3. Soreness will persist for several more days. Most patients can return to desk-type work when they feel comfortable to do so (about one week). You can resume most normal activity after 2 weeks, but no swimming, tennis, golfing, or equivalent activities until 8 weeks after surgery.
POSITIONING:
You will need to sleep on your back in a somewhat upright position to help prevent additional swelling of the breasts. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar. Do NOT sleep on your stomach for at least 4 weeks after surgery in order to prevent shifting of the implant.
WOUND/DRAIN CARE:
Your breasts will be wrapped in a surgical bra or ACE wrap for 2-4 days following surgery until your first follow-up visit. Ice packs applied to your breasts for the first 24 hours after surgery may be helpful in reducing swelling and discomfort. But BE CAREFUL, your skin sensation may be altered for a short time after surgery and leaving ice packs on too long can cause frostbite. It is best to remove the packs every 20 minutes for 5 minutes prior to replacing. At your first follow up visit your surgical bra/ACE will be removed, and you need to wear a good sports bra at all times for approximately 4 weeks. No underwire bras for 6 weeks.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. If you have drains, you may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your breasts with a surgical bra or ACE bandage support binder holding them in place. It is very important to keep this binder in place at all times until your first post-op visit in the office when it will be removed. Please bring a front closure sports bra with you to this first appointment. You will need it to wear home. You may still need to use some gauze dressings inside your sports bra to catch any of the drainage that may still occur. Another trick IS to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. Remember to wear your support bra 24 hours a day except to shower for 4 weeks. No underwire bras for 6 weeks.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
A follow-up appointment will be listed on your discharge instruction papers from the hospital. If you do not have an appointment already scheduled, please call the office to schedule one at 412-641-3720. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office.
Please remember to bring a front closure SPORTS BRA with you to your first post-op appointment. Do not be alarmed if your breasts are not completely round or symmetric immediately after removing the dressings. Swelling and bruising cause temporary distortion of the breast tissue. This will resolve quickly and your breasts will assume a pleasant shape within a short period of time. A good supportive sports bra will help with reshaping your breasts.
RETURN TO WORK:
Most patients take 1 week off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry between the breasts for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5 lb). No major straining, lifting, bending, pushing, pulling, or exercising.
It is extremely important that you limit the use of your arms, keeping your elbows to your sides, and do NOT extend them above shoulder level for about 2 weeks. You can begin to go about your usual daily activity on day 3. Soreness will persist for several more days. Most patients can return to desk-type work when they feel comfortable to do so (about one week). You can resume most normal activity after 2 weeks, but no swimming, tennis, golfing, or equivalent activities until 8 weeks after surgery.
POSITIONING:
You will need to sleep on your back in a somewhat upright position to help prevent additional swelling of the breasts. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar. Do NOT sleep on your stomach for at least 4 weeks after surgery in order to prevent shifting of the implant.
WOUND/DRAIN CARE:
Your breasts will be wrapped in a surgical bra or ACE wrap for 2-4 days following surgery until your first follow-up visit. Ice packs applied to your breasts for the first 24 hours after surgery may be helpful in reducing swelling and discomfort. But BE CAREFUL, your skin sensation may be altered for a short time after surgery and leaving ice packs on too long can cause frostbite. It is best to remove the packs every 20 minutes for 5 minutes prior to replacing. At your first follow up visit your surgical bra/ACE will be removed, and you need to wear a good sports bra at all times for approximately 4 weeks. No underwire bras for 6 weeks.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. If you have drains, you may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your breasts with a surgical bra or ACE bandage support binder holding them in place. It is very important to keep this binder in place at all times until your first post-op visit in the office when it will be removed. Please bring a front closure sports bra with you to this first appointment. You will need it to wear home. You may still need to use some gauze dressings inside your sports bra to catch any of the drainage that may still occur. Another trick IS to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. Remember to wear your support bra 24 hours a day except to shower for 4 weeks. No underwire bras for 6 weeks.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
A follow-up appointment will be listed on your discharge instruction papers from the hospital. If you do not have an appointment already scheduled, please call the office to schedule one at 412-641-3720. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office.
Please remember to bring a front closure SPORTS BRA with you to your first post-op appointment. Do not be alarmed if your breasts are not completely round or symmetric immediately after removing the dressings. Swelling and bruising cause temporary distortion of the breast tissue. This will resolve quickly and your breasts will assume a pleasant shape within a short period of time. A good supportive sports bra will help with reshaping your breasts.
RETURN TO WORK:
Most patients take 1 week off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry between the breasts for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
tummy tuck (abdominoplasty)
ACTIVITY:
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
You will need to stay in a "lounge chair position" for a few days. This can be done in a recliner or in bed with your head elevated on two pillows and your knees elevated with two pillows. You will also need to walk in a ''bent-over" position for the first week after surgery. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar.
WOUND/DRAIN CARE:
There will be two drains present in the abdomen to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your abdomen with an abdominal support binder holding them in place: It is helpful to safety pin your drains to the binder to keep them secure. It is very important to keep this binder in place at all times except for when cleansing your wounds, showering, or when washing the binder. Please change the gauze pads daily after wound cleansing or as needed when soiled, making sure your drains are well padded beneath the binder. No need to use tape, the binder holds everything in place. Another optional trick is to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. In a week or two, you may begin using store-bought Spanx/biking shorts style support garment (similar to a girdle) for continued support - your doctor will let you know when you may begin using one. Please note -- you may wash your abdominal binder in the washing machine in cold water and air dry if it is badly soiled.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
A follow-up appointment will be listed on your discharge instruction papers from the hospital. If you do not have an appointment already scheduled, please call the office to schedule one at 412-641-3720. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office.
RETURN TO WORK:
Most patients take from 3-6 weeks off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
You will need to stay in a "lounge chair position" for a few days. This can be done in a recliner or in bed with your head elevated on two pillows and your knees elevated with two pillows. You will also need to walk in a ''bent-over" position for the first week after surgery. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar.
WOUND/DRAIN CARE:
There will be two drains present in the abdomen to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your abdomen with an abdominal support binder holding them in place: It is helpful to safety pin your drains to the binder to keep them secure. It is very important to keep this binder in place at all times except for when cleansing your wounds, showering, or when washing the binder. Please change the gauze pads daily after wound cleansing or as needed when soiled, making sure your drains are well padded beneath the binder. No need to use tape, the binder holds everything in place. Another optional trick is to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. In a week or two, you may begin using store-bought Spanx/biking shorts style support garment (similar to a girdle) for continued support - your doctor will let you know when you may begin using one. Please note -- you may wash your abdominal binder in the washing machine in cold water and air dry if it is badly soiled.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
FOLLOW-UP APPOINTMENT:
A follow-up appointment will be listed on your discharge instruction papers from the hospital. If you do not have an appointment already scheduled, please call the office to schedule one at 412-641-3720. It is wise to bring some of your pain medication with you to your appointment as you may need another dose while at the office - we do not have pain medicine available in our office.
RETURN TO WORK:
Most patients take from 3-6 weeks off of work for the recovery period. Depending on your type of work, you may be able to return sooner if desired. Our office staff will be happy to assist you with your medical leave information through your employer. Vigorous sports or activity is not permitted for several weeks following surgery. Your surgeon will advise you when it is safe to return to strenuous activity.
REMEMBER:
You just had a big surgery! You will have unevenness in the skin and asymmetry for a long time after surgery. The healing process over the first 3 months will allow swelling to subside and contours to improve. Don't be too worried about appearance early on. It is our goal to make your experience with us as pleasing as possible. Please do not hesitate to call the office for any concerns or if you have questions about caring for yourself after surgery. We are here to help in any way that we can!
liposuction
Avoid having the garment roll up or create
wrinkles so that bands of pressure are not pressing on your skin. These garments may be removed for short
periods of time to wash them. They are
usually worn for 3-4 weeks.
facelift (rhytidectomy)
rhinoplasty
-- Nasal Taping for 4 weeks at night
-- Hydrogen peroxide gently swabbed on crusted area 2x/day until no crusting
-- Bacitracin ointment to crusted areas 2x/day until no crusting
-- Avoid any trauma to nose for three months
-- Soft foods for 2 weeks, or as tolerated
-- Afrin as needed for congestion, try to wean off of Afrin by 3 weeks
-- Wash hands religiously in order to avoid contracting a cold
-- Do not insert anything into the nose
-- Cough and sneeze with mouth open for 3 months
-- Hydrogen peroxide gently swabbed on crusted area 2x/day until no crusting
-- Bacitracin ointment to crusted areas 2x/day until no crusting
-- Avoid any trauma to nose for three months
-- Soft foods for 2 weeks, or as tolerated
-- Afrin as needed for congestion, try to wean off of Afrin by 3 weeks
-- Wash hands religiously in order to avoid contracting a cold
-- Do not insert anything into the nose
-- Cough and sneeze with mouth open for 3 months
eyelid lift (blepharoplasty)
body contouring
ACTIVITY:
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
You will need to stay in a "lounge chair position" for a few days. This can be done in a recliner or in bed with your head elevated on two pillows and your knees elevated with two pillows. You will also need to walk in a ''bent-over" position for the first week after surgery. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar.
WOUND/DRAIN CARE:
There will be drains present in the abdomen and/or sides to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your abdomen with an abdominal support binder holding them in place: It is helpful to safety pin your drains to the binder to keep them secure. It is very important to keep this binder in place at all times except for when cleansing your wounds, showering, or when washing the binder. Please change the gauze pads daily after wound cleansing or as needed when soiled, making sure your drains are well padded beneath the binder. No need to use tape, the binder holds everything in place. Another optional trick is to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. In a week or two, you may begin using store-bought biking shorts style support garment (similar to a girdle) for continued support - your doctor will let you know when you may begin using one. Please note -- you may wash your abdominal binder in the washing machine in cold water and air dry if it is badly soiled.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.
Rest is your number one priority for the first 24-48 hours after surgery. Rest in bed or in a recliner, keeping all activity to a minimum for these first two days. However, take at least three short walks about the house daily to help prevent swelling in your legs and to avoid possible blood clots. It is best to have only clear liquids when you first arrive home and then slowly advance to regular foods as tolerated the next day. Remember that protein intake is extremely important for wound healing. We recommend 70-90 grams of protein daily after surgery. NO STRENUOUS activity is allowed. Do not lift anything heavier than a gallon of milk (about 5lb). No major straining, lifting, bending, pushing, pulling, or exercising.
POSITIONING:
You will need to stay in a "lounge chair position" for a few days. This can be done in a recliner or in bed with your head elevated on two pillows and your knees elevated with two pillows. You will also need to walk in a ''bent-over" position for the first week after surgery. Doing this will help reduce tension on your incision line, help with wound healing, and help to avoid a widened scar.
WOUND/DRAIN CARE:
There will be drains present in the abdomen and/or sides to assist in the removal of fluid that can cause discomfort and delay proper healing. These drains will be sutured in place to prevent accidental removal. If this should happen, please notify the office. You will also be given instructions on how to care for your drains, empty them, and record drainage amounts in order to determine when the drains are ready to be removed. It may be necessary for your drains to remain in place for 2 weeks or more, but every patient is different. It is possible for the drain to get clogged with dried blood and it may be helpful to "milk" or “strip” the tubing to dislodge the clot if necessary. It is also normal for some drainage to leak out around the tubing - simply use gauze pads or sanitary napkins to absorb this drainage. The drainage fluid will be quite red at first, but will then become a clearer pinkish yellow after a few days.
BATHING:
You may take a sponge bath 24 hours after surgery and wash your hair. You may NOT take a tub bath for several weeks after surgery. You may take a shower 48 hours after completion of surgery. You may shower even with your drains still in place. Try pinning your drains to a string tied in a long loop around your neck during a shower. Wash with antibacterial soap and water right over your incisions. If they are still somewhat crusted with dried blood or drainage, you may cleanse with a half and half mixture of hydrogen peroxide and water to remove this drainage - it works quite well. Do not apply any lotion, powder, or cream to your incisions unless directed to do so by our office. Occasionally we do use prescription ointments to help with wound healing if necessary.
DRESSINGS:
When you leave the hospital, you will have gauze dressings on your abdomen with an abdominal support binder holding them in place: It is helpful to safety pin your drains to the binder to keep them secure. It is very important to keep this binder in place at all times except for when cleansing your wounds, showering, or when washing the binder. Please change the gauze pads daily after wound cleansing or as needed when soiled, making sure your drains are well padded beneath the binder. No need to use tape, the binder holds everything in place. Another optional trick is to use feminine sanitary napkins or a mini-pad to absorb some of the drainage that may occur. In a week or two, you may begin using store-bought biking shorts style support garment (similar to a girdle) for continued support - your doctor will let you know when you may begin using one. Please note -- you may wash your abdominal binder in the washing machine in cold water and air dry if it is badly soiled.
MEDICATION:
You will be prescribed a narcotic pain reliever upon hospital discharge. You may experience side effects including nausea constipation, sleepiness, or itching. Nausea can be helped by taking the medication with food. Constipation is avoided by lessening use of narcotic pain reliever and using an over-the-counter stool softener twice daily while you are taking the pain medicine. Itching can be helped by taking over the counter antihistamine such as Benadryl along with the pain medicine, but be aware you may become excessively sleepy. You are not permitted to drive a vehicle while using narcotic pain medication. If nausea or itching persists or a rash develops, call your doctor. He may choose to change your medication.
SIGNS AND SYMPTOMS TO WATCH FOR:
Complications can occur after any procedure. When they do occur, they are best treated as soon as they are recognized. Please call the office for any of the following observations:
• Severe pain uncontrolled with prescribed pain medication
• Excessive swelling or tightness
• Fever above 101.5 degrees or shaking chills
• Excessive, thick, or foul smelling drainage
• Sudden onset of shortness of breath, chest pain, or calf pain
• Hives or rashes
A mild temperature elevation during the first 48 hours after surgery is your body’s natural reaction to surgery and anesthesia, and is completely normal.