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Michael J. YAREMCHUK, M.D. Craniofacial Plastic SurgeonBespoke Plastic Surgery |
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Patient Resources pre-operative guidelines |
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Aspirin and Aspirin-like Drugs to AvoidTo reduce your risk of bleeding during and after surgery, the following medicines should not be taken for at least two weeks prior to surgery:
Today
STOP SMOKING. If you are smoker, your planned surgery is an excellent impetus to stop. Smoking delays wound healing, which may compromise the result of your surgery. It also impairs your cardiovascular and respiratory systems. You should quit four to six weeks prior to your planned surgery, and you must quit at least two weeks before your planned surgery. Arrange to have any preoperative testing requested by your surgeon to be performed so that the results will be available two weeks prior to surgery. The attached prescription will inform your physician or hospital laboratory what tests are required. The results should be forwarded immediately to your plastic surgeon. Two Weeks Before Surgery
Stop taking aspirin or ibuprofen-containing products for two weeks prior to surgery and two weeks following surgery. These products may cause bleeding. Many other products, such as Bufferin, Anacin, and Advil contain aspirin or ibuprofen. A list of aspirin and ibuprofen-containing drugs which you must avoid is included. Tylenol (acetominophen) may be used as a substitute. Avoid red wines for two weeks prior to surgery, because they may give you a tendency to bleed and increase bruising. As you will be sedated during surgery, it is necessary for you to have someone you know pick you up from The Boston Center. Unless you have made arrangements to spend the evening after surgery at the Boston Center, it is important to have someone spend the first postoperative evening with you. Please make arrangements, as we cannot discharge you without an escort. Three Days Before Surgery
Begin Chlorhexidine Gluconate 0.12% oral rinse if you are undergoing facial implant surgery midface lift, or breast augmentation. Rinse with ½ ounce twice daily – spit out after use. Start 3 days before surgery. Two Days Before Surgery
Please call (617) 267-0710 two days prior to surgery. Ask for the nurse to verify with you the preoperative instructions and confirm your arrival time for surgery. Be sure to ask the nurse if you should take or bring in your daily prescribed medications. Have post-op medications prescribed by your plastic surgeon filled by your pharmacist. Day Before Surgery
It is imperative that you have NOTHING TO EAT OR DRINK AFTER MIDNIGHT OF THE EVENING BEFORE SURGERY unless otherwise advised by your surgeon. Wash your hair with your usual shampoo the night before surgery. Day of Surgery
Take your usual prescription medications with a sip of water the morning of surgery. If you take insulin, discuss the appropriate dose with your surgeon preoperatively. Please report to 170A Commonwealth Avenue, Boston, Massachusetts, on the day of surgery. The surgical entrance is located below street level, not to be confused with 170 Commonwealth Avenue, which is above street level. Allow yourself ample travel time so that you arrive at the scheduled time for your surgery. Please leave all valuables and non-essential jewelry at home. DO NOT WEAR ANY MAKE-UP, FINGERNAIL POLISH, ARTIFICIAL FINGERNAILS, OR ARTIFICIAL EYELASHES on the day of surgery, as this will interfere with surgery and cause delay. For your comfort, we suggest wearing shirts which button down the front and low-heeled, comfortable shoes. If you are having facial surgery, we advise you to bring a scarf and dark glasses. Bring reading glasses so that you can fill out forms. Do not wear contact lenses. You may shower the morning of surgery and wash your hair with your usual shampoo. |
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C. 2005 Michael J. YAREMCHUK, M.D. all rights reserved |
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