Leading Up To Surgery
MEDICATION & SUPPLEMENTS
Stop taking aspirin, products that contain aspirin, and all other supplements two weeks before surgery. This includes:
BC or Goodies powders
Weight loss medication
Meal replacements or protein shakes
Please make sure to get your prescriptions filled prior to your surgery date. You will be expected to bring your prescriptions with you the day of surgery.
The pain medication that is prescribed can cause constipation. You can start prevention as early as two days before your surgery by taking Colace, or Activia yogurt. After your surgery, you can have things like MiraLAX or Milk of Magnesia, but these should not be taken before.
If you become ill or have to postpone your surgery for any reason, please notify us as soon as possible.
Day Before Surgery
You will receive a call and email the day before your surgery with instructions regarding where and when to arrive.
This will include instructions regarding medications.
Day Of Surgery Instructions
FOOD AND DRINK
Do not eat anything after midnight the night before your surgery.
You can brush your teeth, but do not swallow any toothpaste or liquid
Do not consume candy or gum
You may drink water or Gatorade (any flavor except red) up to four hours before your surgery
Do not wear jewelry or make-up to your surgery appointment. Wear loose, comfortable, and warm clothing. A top that zips or buttons up is preferred. Please wear glasses instead of contacts if applicable.
Sweat or Pajama pants are preferred. No yoga pants/leggings.
A responsible adult must take you home. You will need someone to stay with you for the first night after surgery.
Note: If you are a minor, a parent or legal guardian must accompany you.
Fingernails must be short. If polished, it must be clear
No Taxi Cabs, Lyfts, or Ubers as your transportation home.
If you need transportation/help after surgery, the team at Metro’s other women, https://www.metrosotherwoman.com/raleigh-nc, have helped our patients with care, housekeeping, dog walking, taking children to soccer practice, and everything in between.
WHAT TO EXPECT
Once you arrive in our surgery suite, the clinical staff will discuss the details of your procedure and ask you to sign an informed consent. If applicable, you will take a pregnancy test prior to surgery.
You will speak with your anesthesia provider prior to your surgery. They will go over your history with you one last time before we get started and tell you what to expect when you are in the operating room.
From there, your surgeon will come in, discuss the procedure, and create his markings before we get started.
After Your Surgery
What to Expect Physically
Pain and discomfort accompanied with swelling and bruising to surgical sites.
The bruising may travel migrate down to other areas due to gravity.
Bruising usually lasts for 2-3 weeks.
You will have areas of numbness especially at your incision line. This will gradually improve over several months post-operatively.
Your skin and incision line will feel very tight that may make it hard for you to move.
You may feel more comfortable with your head elevated with pillows behind your back.
Please lie however is comfortable for you.
What to Expect Visually
The first thing you will see is the garment. You will be wearing a compression garment on the surgery site.
Directly beneath your garment will be a dressing over your incisions. This will include gauze, pads and foam tape. Please remove all prior to showering expect the paper tape that is directly on your incision.
You will have an incision that extends across the length of your back.
You may have bloody drainage that you can see on your dressing and your garment. This usually subsides after the first 2-3 days after surgery.
You will have compression stockings on after surgery. Please leave these in place until you take a shower to help with circulation while you are not moving around as much as normally would be.
You are going to have to take it easy after this surgery, especially the first week or so. Please make sure to make a conscious effort to move around throughout the day. We want you to get up at least every couple of hours while you are awake to help in blood circulation.
You are allowed to take a shower 48 hours after your surgery.
Please leave the tape applied directly to the site in place.
Do not wash the incision line directly, it is okay if the areas get wet. After your shower, gently pat the incision site dry.
You can start to work out again 3-4 weeks after surgery.
Ease yourself back into things.
No smoking or being around anyone else who smokes for 4 weeks after surgery.
Do not use heating pads to help with pain. This could cause a burn.
Resume your normal activities as you feel comfortable. If it hurts, don’t do it. If it doesn’t, it is ok to do.
You may take up to 1000mg of Tylenol (two tablets of Extra-strength Acetaminophen or Tylenol over-the-counter) and 600mg (three tablets of 200mg over-the-counter) Ibuprofen in-between your pain medication doses to help make it easier to move around.
Avoid Aspirin or Aspirin containing products for 2 weeks after your surgery.
Do not use alcoholic beverages while taking pain medication.
You will be prescribed 4 different medications:
Pain medication - Oxycodone
Take 1-2 tablets every 6 hours as needed for pain.
Anti-nausea medication to be taken prior to surgery - Zofran or Ondansetron
Take 4 tablets one hour prior to your surgery
After surgery take 1 tablet every 6 hours as needed for nausea
Anti-nausea medication for extreme nausea - Phenergan or Promethazine
Take 1 tablet every 4-6 hours as needed for extreme nausea
Note: This may cause drowsiness.
Please start the day AFTER surgery and follow the instructions provided on the prescription.
When To Call The Office
Call the office if you have a fever over 101 degrees, experience any sudden increase in swelling (especially on one side), or notice redness around your incision sites (especially if it’s warm to the touch).
Frequently Asked Questions
How long do I have to take off work?
How long does the procedure last?
About 2.5 hours
How long will I have to be in recovery?
At least 45 minutes
When can I drive again?
When you are no longer taking pain medication and feel comfortable driving again. Always consider that you would need to be able to react in case of an emergency.
When can I start exercising again?
3-4 weeks after surgery you can start to ease yourself back into things
When can I get in a pool/beach/lake?
6 weeks post-operatively
Can I go to a tanning bed or get spray tanned after surgery?
You can get a spray tan two weeks after surgery, but make sure your incision line is protected or covered. We do not advise patients to go to the tanning bed until six weeks after surgery.
What can I do for scar care after surgery?
Please wear the steri-strips/tape to side until your surgeon says you can remove this. After the tape has come off you can use a scar gel of your choice. We would recommend a product that contains silicone, like Scar Away, because this is the only thing with evidence that supports scar improvement.
How long does the swelling last?
You will have the most significant swelling within the first six weeks of your surgery. This will gradually improve with time.
Will I have drains?
This is a drainless procedure.