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 PREOPERATIVE GUIDELINES 

 PLEASE CALL US  IF YOU HAVE ANY QUESTIONS BEFORE STOPPING MEDICATIONS


THREE WEEKS PRIOR TO SURGERY:

[ ] Discuss with Dr. Gottenger all medications that you are taking.

[ ] Stop all Vitamin E, birth control pills, aspirin products and any other drugs or medications on

the attached list. (Note if you are on aspirin for your heart, continue until one week preop.)

[ ] Substitute for Tylenol any aspirin or ibuprofen products whenever possible.

[ ] Stop smoking and all second-hand smoke. Smoking is detrimental to wound healing.


TWO WEEKS PRIOR TO SURGERY:

[ ] Stop all alcoholic beverages completely. These thin the blood and can cause bleeding.

[ ] Begin taking iron supplements if you are having liposuction.

[ ] Get preoperative lab tests and medical clearance and fax results to our office.

[ ] For hospital surgery patients, attend appointment with anesthesia staff at the hospital.

[ ] Cosmetic surgery patients should have all financial arrangements completed by this time.


ONE WEEK PRIOR TO SURGERY:

[ ] Stop all aspirin and blood thinning products.

[ ] Make arrangements for transportation to and from the office/hospital.

[ ] Get proper nutrition and rest. Do not stay up late or work long hours.

[ ] Return procedure consent to our office if one was given for you to review and sign.

[ ] Hair coloring should be done one week prior surgery and resume coloring six (6) weeks after


THREE DAYS PRIOR TO SURGERY:

[ ] For facial surgery; scrub your face thoroughly twice daily and very vigorously behind ears.

[ ] For breast surgery: do not shave under arms.

[ ] Stop all skin creams. Use cleansers only.


THE NIGHT BEFORE THE SURGERY:

[ ] Have three small meals or clear liquid diet.

[ ] Take as much fluid as possible.

[ ] Do not eat or drink anything by mouth after midnight.

[ ] Take any antibiotic pills prescribed with small sip of water.

[ ] Shower and wash and condition your hair as usual. Do no use hairspray, hair gel, or mousse.


THE DAY OF SURGERY:

[ ] It is OK to shower in the morning and wash and condition your hair as usual. No hairspray.

[ ] Do not wear make-up, lipstick, deodorant, nail polish, hairpins, or moisturizer.

[ ] Do not wear contacts and bring a case for your jewelry.

[ ] Wear loose-fitting clothing like button-up shirts, elastic waist pants and slip-on shoes.

[ ] Brush your teeth and rinse with mouthwash or water. Do not swallow any water or liquids.

[ ] You will need a ride to and from surgery. 

POST OPERATIVE CARE


Being informed about proper post-operative care and knowing the truths about recovery are very important considerations for a patient who has recently undergone plastic surgery. After your plastic surgery it is essential to follow all of the instructions given by Dr. Rafael Gottenger, he is going to give you the exact details of this after plastic surgery care depend on the type of plastic surgery that was performed and any special patient-based circumstances. In most, if not all, cases the period of time after plastic surgery should be dedicated to rest and recuperation. Patients are advised before their desired procedure is performed, how long they should expect to be out of work or refrain from other activities after plastic surgery.

Remember, depending on your procedure, you have to give yourself adequate time to heal before you analyze the results.



You are not to drive for approximately One (1) week following surgery unless otherwise instructed.

You must refrain from all strenuous activities for four (4) weeks following surgery unless otherwise instructed.

IN GENERAL WE ENCOURAGE YOU TO WALK AS MUCH AS POSSIBLE AFTER SURGERY.


STAYING IN BED IS DETRIMENTAL TO YOUR HEALING.





Rafael Gottenger M.D., P.A.

Cosmetic and Reconstructive Plastic Surgery

CENTER FOR COMPLETE CARE IN PLASTIC SURGERY

305-669-0900

Pre and Post Op Care Financing Events