Plastic & Cosmetic Surgery Blog

Possible problems and complications from a Tummy Tuck

Posted on February 28, 2019 by

No surgical procedure is without risk. Most complications associated with abdominoplasty, however, are minor. Here are some possible problems:

  • Collection of blood or serum under the skin (hematoma), or (seroma). This can be removed and the reason for the drain and postoperative compression
  • Temporary crusting which forms on the incision
  • Numbness or loss of sensation in the area of operation is normal
  • Extraordinary sensitivity in the abdominal area. This occurs with some patients, but disappears in time
  • Puffiness of the abdominal flap. This may take six to twelve months to disappear
  • Depression. With aesthetic surgery, as with other surgical procedures, this sometimes occurs postoperatively. This is generally attributed to the normal response of the body to surgery and anesthesia
  • Asymmetry. No patient is identical from side to side. Small differences exist in all patients. In the occasional patient with a major difference, this can usually be improved with a secondary procedure
  • Hypertrophy or keloid scarring – this can be treated with cortisone injections, tape, or possibly scar revisions. This problem is frequently seen in dark pigmented individuals
  • Poor scarring is the single biggest drawback to this surgery. Scars will stay red for months. These will eventually fade unless you have a dark complexion
  • Poor healing of skin

Potential but unlikely complications:

  • Infection and/or abscess under the skin – can be treated
  • Loss of a small area of skin (necrosis); this usually occurs in smokers, caffeine addicts and obese people. These patients have a limited blood supply to the skin, which when elevated and placed in tension, can compromise the skin and fat survival
  • Deep venous thrombosis (blood clots) affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other area, causing severe damage to that organ or even death. This is the reasons we have you stop hormones, wear TED hose, and walk every 3 hours the night of surgery
  • Other complications of a severe nature, which could be life threatening

Infection Alert
There is evidence of an increased incidence of MRSA (methicillin-resistant Staphylococcus aureus) and other antibiotic resistant bacteria in our community. In the past, these resistant bacteria were typically found only in hospitals, but they are now found everywhere. Frequently people can be a carrier of the bacteria without their knowledge. An infection with this bacteria can cause severe damage to the skin and even death. We are diligent in cleaning and sterilizing our facility and try to limit the exposure of outside bacteria from patients into our surgery center. We therefore have implemented the following hygiene steps to help prevent the contamination of our facility and therefore decrease your post-operative infection risk.

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

YOU MUST ENTER INTO SURGERY FULLY UNDERSTANDING NOT ONLY THE BENEFITS, BUT ALSO THE POSSIBLE PROBLEMS. ON RARE OCCASIONS, MINOR REVISIONS MAY BE NECESSARY TO ENHANCE THE FINAL RESULTS.

Postoperative Care Schedule

Posted in Possible problems and complications Tagged Possible problems and complications

Postoperative Care Schedule for a Tummy Tuck

Posted on February 28, 2019 by

Diet: Start with liquids the first few hours and then progress to your regular diet.

Activity: You should “take it easy” the day of your operation and the following days.

You may feel more comfortable sleeping with your body a little flexed- like having a pillow under your knees if you are on your back or you can sleep on your side with your hips flexed to relieve tension on your abdominal closure. You will be able to get out of bed the day of surgery, but start physical activity slowly and let your body’s response guide you. The first night after your surgery you will have a Foley catheter that will keep you from having to get up throughout the night to go to the bathroom, however it is very important that whoever is taking care of you help you get up and walk around the room every 3 hours to promote circulation in your legs and prevent blood clots. When you are lying down but not sleeping you should be doing heel toe stretches regularly, for one week, to also promote circulation. For the first ten days walk slightly stooped over to relieve strain on your incision. Because of your medications, you may need assistance getting to and from the bathroom for the first several days. Wear the abdominal binder snugly at all times.

TED Hose: The Hose we instructed you to buy and wear is for the prevention of deep venous thrombosis (blood clots). Deep venous thrombosis affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other areas, causing severe damage to that organ or even death. Any surgical procedure that will inhibit your activity post operatively, especially abdominoplasty, there is a risk of blood clots. You will be required to wear your TED Hose during surgery and keep them on for 2 weeks after.

Medications: Take the medications we prescribed according to the instructions on the Bottle. You may feel a bit drowsy, so have someone help you. If you need a refill, call the office and give us the number of your drugstore or pharmacy. Do not take aspirin or ibuprofen for two weeks before or after your surgery. For more detailed instructions you may refer to the post-operative medication sheet that you will receive upon discharge.

Foley Catheter: For your comfort, our nursing staff will insert a catheter into your bladder to facilitate and measure urination during surgery. We frequently send you home with the catheter so you don’t have to get up all night to urinate. The morning after surgery the person caring for you will need to help you remove the foley bladder catheter. They will simply cut the rubber tube above the ORANGE tape, a small amount of water will drain out, then gently slide the catheter out.

Incision Care: 48 hours after surgery you may gently remove the binder and dressings from your abdomen. You may take a sponge bath at this time. However, you must ensure that the drain site does not get wet. Use a soft cloth, mild soap and water to wash your abdomen (it is okay to get your incision wet at this time). If you have dried blood around your incision you may use hydrogen peroxide and gauze to clean. Even though the majority of the incision line is closed tight and healing well after 48 hours, there will occasionally be small areas of scabbing or open raw wounds that will require a few more days of polysporin ointment applied to those areas only. Keep the entire incision line covered with sterile non- stick gauze (Telfa) for at least 2 weeks. This protects the incision from becoming irritated from the binder. You should wear a cotton undershirt under your binder to keep it from rubbing the skin. Have someone help you put the binder back on, the binder must be as tight as the line marked on your binder from surgery, but keep in mind that it should gradually be getting tighter as the swelling goes down.

Delayed Healing: Occasionally there may be small areas of skin breakdown that will be slow to heal. These areas should not be steri-striped and instead treated with polysporin ointment and a bandaid after you bathe. With time they will heal on their own or rarely have to be surgically revised.

Drain Care: Beginning 48 hours after surgery you must begin caring for the drain site. Apply Polysporin ointment around the site, then take two bandaids and wrap them around the tube, on the skin, making an X like pattern to completely cover the site. This is very important due to the fact that the drain site is an open wound. You want to make certain that dirt or bacteria does not enter the wound causing an infection.

Pain Pump (IF YOU CHOOSE TO HAVE ONE) 72 hours after tummy tuck surgery you will need to remove the pain pump. Remove the transparent dressing over the insertion site. Cut the 2 blue stitches and pull stitches out gently. Pull gently on the clear catheters and they will slide out. Place a bandaid over the insertion site. You may refer to the pain pump pamphlet for more detailed instructions.

Pain: The period of greatest discomfort usually lasts about twenty-four to forty-eight hours. Thereafter, you should have less discomfort and less need for medication. Occasionally, it lasts a bit longer, as different people have different pain tolerances.

Hormone replacement therapy and birth control pills increase the incidence of blood clots. STOP 2 WEEKS BEFORE AND AFTER SURGERY

Caffeine– Excessive use of products with caffeine such as coffee, tea, or soft drinks, especially Diet Coke, can have similar effects as nicotine. STOP ALL CAFFEINE PRODUCTS 2 WEEKS BEFORE AND AFTER SURGERY.

Smoking: Smoking or nicotine use (chewing tobacco, nicotine gum, snuff) can have a severe detrimental effect on wound healing. The nicotine decreases the vital blood supply to the skin and can cause poor healing or even skin death. STOP ALL NICOTINE PRODUCTS 2 MONTHS BEFORE AND AFTER SURGERY.

Alcohol: Do not drink alcohol for five days after surgery or when taking pain medication.

Driving: You may drive when you feel up to it, starting 3-5 days after surgery.

Never drive under the influence of pain medication or sedative.

Bathing: Sponge bathe while the drains are in place. You may shower 48 hours after the drains have been removed, generally one to three weeks after your surgery. Do not use very hot water. Do not loosen the tapes on the incisions. Continue wearing the elastic binder for at least three weeks.

Sun: Do not sit in the sun at all for three weeks after surgery. You may then gradually increase sunbathing. If the incisions are exposed, apply sunscreen for 6 months.

Sports: Strenuous sports such as tennis, swimming, jogging, aerobics, or bicycling may be resumed after four weeks. Refrain from any activity which significantly raises your body temperature, blood pressure, or heart rate for four weeks after surgery. Avoid sit-ups or selectively working out your “abs”.

Work: Depending on the kind of work you do, you may be able to return to your job as soon as you are comfortable. If your work is fairly sedentary, you may go back to work in a week. If your work involves physical activity, you will want to wait longer before returning, up to 4-6 weeks.

Postoperative visits: Five to six days after surgery, you will be seen at our center.

Your abdomen will be examined at that time. Subsequent visits: The timing of the drain removal and all further office visits will be determined by your progress. Typically, the stitches will be removed 5-6 days after surgery. Your drains will be removed when the drainage turns clear and is below 50cc/day, that is usually 1 to 3 weeks postoperatively.

Steri-strips, or tape, are the single most important factor that reduces scarring. The tape helps to flatten the scar and keeps it from spreading or widening as the internal sutures dissolve. The steri-strips will be placed on your abdominal incisions after the sutures are removed. Watch how the nurse applies the glue and tape, as you will be doing this once a week for four to six weeks. Depending on your skin oils and physical activities,i.e., sweating, bathing, or swimming, your tape may or may not stay on very long. The longer you can have your tape on the incisions without changing, the better the scar result. Frequent tape changes can sometimes cause an allergic rash manifested by redness, swelling, and itching. If this happens, stop the tape and glue immediately and call our office. The rash will generally subside on its own, or we may need to prescribe a cortisone ointment. If any of the areas along the incision exhibit irritation, redness, drainage, or open skin, DO NOT APPLY THE TAPE.

Scars- Although most scars are acceptable, poor scarring is the single biggest drawback to this surgery. Individuals with varied skin types scar differently and despite our best efforts we cannot predict or guarantee how you will scar.

In individuals with light colored skin, the scar is usually red for a few months then fades. In darker pigmented individuals scar may become and remain darker than the surrounding skin. The scar can even become raised and tender; this is a called hypertrophic or keloid scarring. Sometimes raised or keloid scars can be treated with cortisone tape or injections. Other scars that are wide or hyperpigmented may be improved with scar revisions. A scar revision, if advised by Dr. Toledo, is usually performed after waiting at least 6 months and will carry an additional expense.

You will be more comfortable using the private postoperative waiting room for your initial postoperative visits. Park at the handicap spot in front of the Sherry Lane door. Press the doorbell and we’ll let you in from the inside.

Please feel free to call us at any time during your healing period. THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

Postoperative Guidelines

Posted in Postoperative Care Schedule for a Tummy Tuck Tagged Postoperative Care Schedule for a Tummy Tuck

Postoperative Guidelines For Tummy Tuck Surgery

Posted on February 28, 2019 by

You should expect after tummy tuck surgery:

  • Bruising which diminishes within two to three weeks
  • Tightness in the stomach which subsides over several months
  • Decrease in sensation of the lower abdomen which generally improves over six months
  • Swelling of your waist and hips for two to three months, although this can occasionally last longer. Your clothes will initially fit tighter

Call (214) 363-4444 if you have:

  • Severe pain which doesn’t respond to medication
  • Significant swelling, and/or unrelenting pain which occurs more on one side than the other
  • Redness, warmth, or rash-like formation on the skin
  • Excessive bleeding or drainage in the drain (more than 25cc/hour). Deep pain in the legs/calves; which may indicate a blood clot
  • Shortness of breath or labored breathing can be a sign of blood clots in your lungs
  • Any other problems or questions not answered on this sheet

Preoperative Instructions for Tummy Tuck Surgery

Posted in Postoperative Guidelines Tagged Postoperative Guidelines

Pre-Operative Instructions

Posted on February 28, 2019 by

Medications: Take all the medications we prescribed according to the instructions on the bottle. You may feel a bit drowsy, so have someone help you. If you need a refill, call the office and give us the number of your drugstore or pharmacy. Do not take aspirin or ibuprofen for four weeks before and two weeks after your surgery.

TED Hose: The Hose we instructed you to buy and wear is for the prevention of deep venous thrombosis (blood clots). Deep venous thrombosis affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other areas, causing severe damage to that organ or even death. Any surgical procedure that will inhibit your activity post operatively, especially a facelift, there is a risk of blood clots. You will be required to wear your TED Hose during abdominoplasty surgery and keep them on for 2 weeks after.

Smoking: Smoking or nicotine use (chewing tobacco, nicotine gum, snuff) can have a severe detrimental effect on wound healing. The nicotine decreases the vital blood supply to the skin and can cause poor healing or even skin death.

Important:
STOP ALL NICOTINE PRODUCTS 2 MONTHS BEFORE AND AFTER SURGERY.

Caffeine– Excessive use of products with caffeine such as coffee, tea, or soft drinks, especially Diet Coke, can have similar effects as nicotine.

Important:
STOP ALL CAFFEINE PRODUCTS 2 WEEKS BEFORE AND AFTER SURGERY.

Hormone replacement therapy and birth control pills increase the incidence of blood clots.

Important:
STOP HORMONE REPLACEMENT AND BIRTH CONTROL 2 WEEKS BEFORE AND AFTER SURGERY.

Preoperative Instructions Checklist

Posted in Pre-Operative Instructions Tagged Pre-Operative Instructions

Preoperative Instructions Checklist

Posted on February 28, 2019 by
  • TED Hose –You can purchase the TED Hose from the CVS in Preston Center. We recommend getting them at least one week prior to ensure that they have your size in stock.
  • The night before surgery thoroughly clean deep inside your belly button with Q-tip and alcohol.
  • You must shave your bikini area the night prior to tummy tuck surgery in DFW. It is not necessary to shave everything, primarily the upper portion close to the incision.
  • Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.
  • Make sure you have the following supplies for your post-operative home care:
    • Non-stick gauze (Telfa)
    • Polysporin ointment
    • Hydrogen peroxide
    • Men’s cotton undershirt (long and thin)
    • Bandaids
    • Q-tips

Experience and Qualifications

Posted in Preoperative Instructions Checklist Tagged Preoperative Instructions Checklist

Experience and Qualifications

Posted on February 28, 2019 by

Dr. Toledo is a Fellow of the American College of Surgeons and the American Society of Plastic Surgeons. He is board certified by the American Board of Plastic Surgery, and the American Board of Otolaryngology, Head and Neck Surgery.

University of Texas – MD Anderson Cancer Center
Duke University Medical Center
Baylor – University Medical Center at Dallas
University of Texas at Austin

 

Tummy Tuck Reviews

“I had breast augmentation, tummy tuck and liposuction on my lower body. I am very pleased with the results.” – Vitals Reviewer

“My tummy is so flat, the scar so small and well-placed that I feel like a teenager again!” – RealSelf Reviewer

“Thanks to this wonderful doctor I feel great after my surgery that was just a few week ago, Tummy Tuck was the greatest gift ever!” – Vitals Reviewer

Trust Dr. George Toledo

Dr. Toledo has an average of 4.9 stars from patient reviews on Google, and 4.5 stars from patients on Yelp.

Dr. Toledo's Review Ratings

Posted in Experience and Qualifications Tagged Experience and Qualifications

What You Will See In the Mirror After Liposuction Surgery

Posted on February 21, 2019 by

You will immediately see the reduction in your fatty bulges, even though it may take four to six months for all the swelling to completely disappear.

Patients with unusually large areas to be treated, or an extreme amount of fat to be removed, may need a second or even a third operation. If this is likely in your case, Dr. Toledo will let you know in advance. Skin which is less than ideal (i.e., saggy or dimpled “cellulite”) will not be improved with liposuction, although the underlying contour can be corrected.

Your incision scar will be red at first, but will become lighter in time. Since the incision is small and is placed as inconspicuously as possible, it is generally not obtrusive.

For most of our patients, the results of liposuction are extremely satisfying.

The instructions above are general and some portions may not apply to all patients. Changes in the instructions depend on your medical history, number and type of procedures and type of anesthesia.

https://www.toledoplasticsurgery.com/wp-content/uploads/2017/01/Liposuction.pdf

Dr. George A. Toledo is a board certified plastic surgeon who has helped thousands of patients finally look and feel their best through liposuction surgery. If you are considering body sculpting, you owe it to yourself to be treated by a surgeon who will give you the attention you need and the results you desire. Contact Dr. Toledo today at 214-363-4444 to schedule a consultation.

Posted in Liposuction Tagged liposuction

Possible Problems and Complications With Liposuction

Posted on February 21, 2019 by

No surgical procedure is without risk. Most complications associated with liposuction, however, are minor. Here are some possible problems:

  • Collection of blood under the skin (hematoma). This can be removed. Temporary crusting which forms on the incision

  • Temporary numbness or loss of sensation in the area of the operation. This is fairly common, but in time the sensation usually returns

  • Soreness, pain or itching. If these sensations occur they generally disappear with time

  • Undercorrection. A revision is occasionally necessary to achieve the desired effect

  • Waviness or wrinkling of the skin. If the skin is inelastic, it may not contract sufficiently after surgery

  • Lumpiness or irregularities. These usually diminish with time, but may remain permanently

  • Bruising and swelling. These are temporary, but may be prolonged and extensive, depending on the area treated and the amount of fat removed. Depression: With aesthetic surgery, as with other surgical procedures, this sometimes occurs postoperatively. This is generally attributed to the normal response of the body to surgery and anesthesia

  • Asymmetry: No patient is identical from side to side. Small differences exist in all patients. In the occasional patient with a major difference, this may be improved with a secondary procedure

Potential but unlikely complications

  • Infection

  • Poor healing of skin. Loss of a small area of skin (necrosis). Overcorrection. This rarely occurs, but if it does, it will cause a permanent depression in the area of the previous bulge

  • Widening or thickening of the scars. If this happens, the scars can be revised in a simple office procedure. Incisions can never be guaranteed to “heal” in a certain way

  • Seroma (a collection of fluid at the surgical site). This can be removed. Complications of a severe nature which could be life threatening (e.g., leg phlebitis, fat or blood clots to the lung)

  • Deep venous thrombosis (blood clots) affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other area, causing severe damage to that organ or even death. This is the reasons we have you stop hormones, wear TED hose, and walk every 3 hours the night of surgery

  • Shortness of breath or labored breathing can be a sign of blood clots in your lungs

Infection Alert
There is evidence of an increased incidence of MRSA (methicillin-resistant Staphylococcus aureus) and other antibiotic resistant bacteria in our community. In the past, these resistant bacteria were typically found only in hospitals, but they are now found everywhere. Frequently people can be a carrier of the bacteria without their knowledge. An infection with this bacteria can cause severe damage to the skin and even death. We are diligent in cleaning and sterilizing our facility and try to limit the exposure of outside bacteria from patients into our surgery center. We therefore have implemented the following hygiene steps to help prevent the contamination of our facility and therefore decrease your post-operative infection risk.

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your lipo surgery.

YOU MUST ENTER INTO YOUR SURGERY FULLY UNDERSTANDING NOT ONLY THE BENEFITS, BUT ALSO THE POSSIBLE PROBLEMS. ON RARE OCCASIONS, MINOR REVISION MAY BE NECESSARY TO ENHANCE THE FINAL RESULTS.

Posted in Liposuction Tagged liposuction

Postoperative Guidelines For Liposuction

Posted on February 21, 2019 by

Call (214) 363-4444 if you have:

  • Severe pain which doesn’t respond to medication.

  • Significant swelling and/or unrelenting pain which occurs more on one side than the other.

  • Any other problems or questions, not answered on this instruction sheet.

Activity: You should “take it easy” the day of your operation and the following days

Increase activity slowly over the next few weeks. You are encouraged to walk around the day of surgery. Because of the medications, you may need assistance getting to and from the bathroom the first day.

Pain: The period of greatest discomfort usually lasts about 24 to 48 hours. Thereafter, you should have less discomfort and less need for medication. Occasionally, it lasts a little longer, as different people have different pain tolerances. DO NOT apply heating pads or ice to affected areas.

Bleeding: It is normal to have a small amount of blood oozing from the incision sites for the first several days. The saline which was injected into the fat to facilitate the suction also leaks out through the suture line and will stain your garment- DON’T WORRY THIS IS NORMAL.

Alcohol: Do not drink alcohol for five days after surgery or when taking pain medication.

Driving: You may drive when you feel up to it, starting 48 hours after surgery. Never drive under the influence of pain medication or sedatives.

Diet: Start with liquids the first few hours and then progress to your regular diet as you desire. It is important to drink fluids such as juice, water, or Gatorade in the first 48 hours.

Garment: Wear your binder/compression garment continuously for the first 48 hours after surgery. You may then remove the garment to shower once a day. A clean garment can then be alternated daily or as you desire. You are provided one garment with your surgery, but most patients buy another garment as a backup. The garments are worn from 3 to 6 weeks, depending on the elasticity of your skin and the amount of fat removed.

Band-Aids: After surgery, band-aids are placed over most incisions around the hips, thighs, knees etc. Leave them on as long as possible, but they should be changed when they fall off or become soiled. Use heavy-duty band-aids, such as “Coverlet” brand for 3-4 weeks. The constant rubbing or friction caused by the garment can cause poor healing of the small incisions if they aren’t protected.

Bathing: You may shower two days after your surgery. Do not use very hot water.

Avoid baths or hot tubs, as your band-aids will fall off.

Sun: Do not sit in the sun at all for three weeks after surgery. You may then gradually increase sunbathing. If the incisions are exposed, apply sunscreen for six months.

Sports: Strenuous sports such as golf, tennis, swimming, jogging, aerobics, or bicycling may be resumed three weeks after surgery. Your compression garment makes exercise difficult.

Work: Depending on the kind of work you do, you may return to your job as soon as you are comfortable. If liposuction is performed on your torso or legs, and your work is fairly sedentary, you can return to work after three to five days, although you must get up to stretch and move around throughout the day. If your work involves physical activity, you may want to wait one to two weeks before resuming your job.

Postoperative visits: You will be seen in our office 3-6 days following surgery. You will be examined at this time-to make sure that you are healing well and have the normal amount of swelling and bruising. Subsequent visits: They will be determined by your progress, but usually you’ll be seen in 2-3 weeks to determine the need to wear your garment and start Endermologie.

Endermologie: This is a therapeutic massage which combines suction and rollers to smooth your skin after surgery. Endermologie not only helps smooth out irregularities from surgery but also improves cellulite. These twice a week treatments usually begin 2 or 3 weeks following liposuction surgery and last for 4-8 weeks, depending on the quality of your skin and the improvement you see. Some patients will continue Endermologie for years as maintenance.

PLEASE FEEL FREE TO CALL US AT ANY TIME DURING YOUR HEALING PERIOD. THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

Posted in Liposuction Tagged liposuction

Preoperative Guidelines For Liposuction

Posted on February 21, 2019 by

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of lipoplasty surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

Medications: Take the medications we’ve prescribed according to the instructions on the bottle. You may feel a bit drowsy, so have someone help you. If you need a refill, call the office and give us the telephone number of your drugstore or pharmacy. Do not take aspirin or ibuprofen (Advil) for four weeks before or two weeks after your surgery. You may also refer to the medication list that will be given to you after your surgery.

Hormone replacement therapy and birth control pills increase the incidence of blood clots. STOP 2 WEEKS BEFORE AND AFTER SURGERY.

TED Hose: The Hose we instructed you to buy and wear is for the prevention of deep venous thrombosis (blood clots). Deep venous thrombosis affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other areas, causing severe damage to that organ or even death. Any surgical procedure that will inhibit your activity post operatively there is a risk of blood clots. You will be required to wear your TED Hose during surgery and keep them on for 2 weeks after.

Smoking: Smoking or nicotine use (chewing tobacco, nicotine gum, snuff) can have a severe detrimental effect on wound healing. The nicotine decreases the vital blood supply to the skin and can cause poor healing or even skin death. STOP ALL NICOTINE PRODUCTS 2 MONTHS BEFORE AND AFTER SURGERY.

Caffeine: Excessive use of products with caffeine such as coffee, tea, or soft drinks, especially Diet Coke, can have similar effects as nicotine. STOP ALL CAFFEINE PRODUCTS 2 WEEKS BEFORE AND AFTER SURGERY.

Posted in Liposuction Tagged liposuction