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 drink coffee or tea day of 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. Please no yoga pants/leggings.
Fingernails must be short. If polished, it must be clear.
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.
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.
You will only need to undress from the waist up.
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
For the first 2-3 hours after surgery your face/neck will be numb from medication given during surgery. This may cause difficulties with holding your head up easily and sipping from a straw.
You will also have numbness to the face from surgery itself, especially in front of the ears, that will gradually improve over time.
You should have mild pain and discomfort. Some patients do complain of headaches, especially the first 2-3 days after surgery.
You may feel a burning a sensation to your incisions. This generally only lasts for the first 2-3 days after surgery.
What to Expect Visually
You will have a head wrap, made of Kerlix, on after surgery. This dressing and the dressing underneath will be removed on the second day after surgery by the clinical staff or your surgeon at your first post-operative appointment.
Your incision will start in the hair line about 2-3 inches above the ear (in front of the ear) and extend to the bottom of your hair line (behind the ear).
Note: If you are having a neck lift, your incision will be less extensive.
You will have some absorbable sutures and some staples (if the incision extends into the hairline).
If staples are present they will be removed at your second post-operative appointment, around 1 week after surgery.
You will have swelling and bruising to your face and surround areas, especially the neck.
The bruising may last 1-2 weeks after surgery.
There may be bloody drainage to your dressing.
After the dressing is removed, you may notice dried blood in your hair. You can wash this out when able to shower after your first post-operative appointment.
Please keep your head elevated as much as possible, especially for the first 2-3 days after surgery to help with swelling. (If possible, sleep in a recliner)
You may shower after your first post-operative appointment. Please use mild soap/shampoo to site. After showering gently pat dry. If you want to use a hair dryer, use on the lowest setting.
Clean the incisions at least once daily and apply Aquaphor to incision sites 2-4 times a day.
Avoid bending over, especially for the first week after surgery. This can increase swelling to site.
Avoid talking or chewing for the first 2-3 days after surgery.
Resume your normal activities as you feel comfortable.
Use ice packs to site (crushed ice in a Ziplock bag) for the first 2-3 days after surgery. Apply only for 30 minutes at a time then take at least a 30 minutes break in between. This will help to prevent frostbite to site since the area may be numb.
You may take up to 1000mg of Tylenol (2 tablets of Extra-Strength Acetaminophen or Tylenol over-the-counter) and 600mg (3 tablets of 200mg over-the-counter) Ibuprofen in between your pain medication doses to help make it easier to move around.
Resume your normal activities as you feel comfortable. If it hurts, don't do it. If it doesn't, it is ok to do.
Stop taking aspirin, products that contain aspirin, and all other supplements two weeks before surgery.
Do not use alcoholic beverages while taking pain medication.
You will be prescribed three different medications.
Pain medication: Norco or Hydrocodone and Tylenol
Take one to two tablets every six hours, as needed for pain.
This medication contains Tylenol. Do not take additional Tylenol.
Do not take more than 11 in one day.
Anti-nausea medication to be taken prior to surgery: Zofran or Ondansetron
Take four tablets one hour prior to your surgery.
After surgery take one tablet every six hours, as needed for nausea.
Anti-nausea medication for extreme nausea: Phenergan or Promethazine
Take one tablet every four to six hours, as needed for extreme nausea.
Note: This may cause drowsiness.
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?
7-10 days due to swelling/bruising.
How long does the procedure last?
About 3-4 hours
How long will I have to be in recovery?
At least 45 minutes
How long will the bruising last?
Usually it will start to fade after the first week but can last up to 3 weeks.
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.
What can I do for scar care after surgery?
You will be given a scar gel from Skin Medica at your 6-week post-operative appointment.
When can I start exercising again?
2 weeks after surgery. Be sure to ease yourself back into everything.
When can I get in a pool/Beach/Lake?
3 weeks post-operatively