Plastic Surgery

Liposuction – Instructions

Please telephone the hospital the day before your scheduled surgery to confirm the time of your arrival for bed allocation and costs.

Do not eat or drink any fluids after midnight the evening before your surgery, regardless of type of anaesthetic: local if surgery in a.m. or after 6.30 a.m. for p.m. surgery.

If you are taking regular medication, check with doctor regarding taking your medication on the day of surgery. If the doctor instructs you to take your medication on the morning of surgery, do so with a sip of water (no juice or other liquids).

Do not take any vitamin E once you have booked for surgery and after surgery for two weeks. Do not take aspirin, or any medication which contains aspirin, for 10 days before and after your surgery.

Please check the labels of any medications you take (even those available without a prescription) to make sure they do not contain aspirin (or acetyl salicylic acid).

Please check our additional list. If you are not sure ask your doctor or pharmacist. Taking aspirin will increase your tendency to bleed at the time of surgery. Hormone replacement therapy should also best be stopped before surgery. You will be instructed when to restart it.

What to wear

On the day of surgery, wear loose-fitting clothes which do not have to be put on over your head and low heel shoes. No panty hose/tights. Do not wear make-up or nail polish or cosmetics. Bring scarf and sunglasses to wear after your operation.

Contact lenses cannot be worn in the operating room: wear glasses.

Leave all valuables and jewellery at home. Although you will be provided with a locker for your clothing while you are in surgery, the hospital cannot be responsible for any valuables or jewellery misplaced or lost.

Smoking

Smokers should try to stop smoking from the time of the surgery booking. Smoking irritates nasal passages and causes coughing which might bring on a bleed several days after your operation. It is also a contraindication with general anaesthesia. Smoking also slows healing due to a decreased blood supply to the operated area.

Pre & post-operation

Report any signs of cold, infection, boils or pustules, fever, appearing before surgery.

Transport instructions

You must not drive home after your operation. You should make arrangements for a responsible person to accompany you home after your operation. If you live more than an hour’s drive from the hospital, we recommend you arrange to stay close by for your post-operative night.

After surgery, do not remove bandages or splint unless instructed to do so.

Sunlight

You must not expose fresh scars or swollen, red bruised skins to the sun. Sunlight may cause swelling or the skin to ‘stain’ due to excess deposition of pigment which can be permanent.

The night/day before surgery

Nothing to eat or drink after midnight/6.30 a.m. if p.m. surgery. Shower and wash your face with mild soap, shampoo your hair. Remove all make-up.  Males - facial shaving must. Do not cream your face afterwards. Remove all jewellery.

The morning of surgery

No make-up. This includes mascara. Make sure that all mascara is removed from the eyelashes and lid margins as the material can get into the scar and permanently stain the scar. It may irritate the eyes if the eyes are taped.

Nothing to eat or drink.

Your pre-operative medication will be given to you after arrival and ordered.

Take medications as prescribed. Check with the surgeon and the anaesthetist.

Plan to be at the hospital at the time required.

Please do not hesitate to call during regular office hours if you have further questions about these instructions.

Take something to relax you while you wait e.g., magazine, book, Walkman. Please bring your music CD with you. It will be played for you in the operation theatre.

Pre-operatively

Please attend to the following points:

* Blood tests as directed by surgeon

* Chest X-ray (45 years and above, history of heart/lung disease or smoker)

* ECG (45 years and above)

* Additional tests advised

* Consent forms signed and returned

* Admission form signed and filled

Diet

If you have had liposuction totally by local anaesthesia, you may resume your usual diet immediately. Drink adequate amounts of water, fruit juices or soft drinks to prevent dehydration. Avoid drinking alcoholic beverages for 48 hours before surgery and 48 hours after surgery.

Physical activity

Quiet rest is recommended for the first few hours immediately after surgery. Do not drive or operate hazardous machinery for 18 hours after surgery. Do not make any important personal decisions for 24 hours after surgery. Later in the day or evening of surgery you may take a short walk, if desired. The day after liposuction surgery you should feel well enough to drive your car and engage in light to moderate physical activities. You may carefully resume exercise and vigorous physical activity 2-4 days after surgery. It is suggested that you begin with 25 per cent of your normal workout and then increase your activity daily as tolerated. Most people can return to a desk job within one to two days after surgery, although one must expect to be sore and easily fatigued for several days.

Elastic compression garments

Post-op garments are designed specifically for tumescent liposuction. Two overall garments are worn after tumescent liposuction of the thighs or hips. One torso garment plus adjustable elastic binder(s) are used after tumescent liposuction of the abdomen, hips, waist, flanks, back or breasts. These garments are specifically designed to be used with super-absorbent pads and to provide firm compression to encourage maximum drainage of residual blood-tinged anaesthetic solution. Beginning the day after surgery, the post-op garments are to be removed daily to permit you to shower and wash the garments.

Two overall garments or one torso garment plus binders should be worn day and night until 24 hours beyond the time when all the drainage has completely stopped. Do not be concerned if you have drainage for several days. Discontinuing the use of the garments and binders too early may result in more prolonged drainage.

Typically, patients will need to wear the garments for 3 to 6 days. Some patients, especially after a large amount of liposuction, will have drainage for more than a week. Many patients choose to wear the garments for a greater duration simply because of the comfort the garments provide. Wearing the post-op garment for more than the minimal number of days provides no significant advantage in terms of the ultimate cosmetic results. 

Dizziness and fainting

Patients may experience a brief sensation of dizziness the morning after surgery, when the garments are first removed in order to take a shower. Feeling lightheaded is similar to what you might experience when standing up too quickly. It is the result of rapid decompression of the legs after the post-op garments are removed. Should dizziness occur, simply sit or lie down until it passes. Dizziness may be prevented by removing the outer compression garment 10 minutes before removing the second garment.

Fainting at the sight of blood

Some people have a tendency to faint upon the sight of blood. Such persons should anticipate such a problem when removing blood-tinged absorbent pads when changing dressing after liposuction.

Fainting after urination

On the morning after childbirth, a woman has an increase risk of fainting if she stands up too fast immediately after urinating. This is known as post-micturation syncope. A similar situation occurs the morning after liposuction. A liposuction patient should stand up slowly after urinating. In order to avoid a serious injury from a fall, if dizziness does occur, the patient should sit or lie down on the floor immediately. It is recommended that patients not lock their bathroom door so that someone can come to assist if necessary.

Managing post-op drainage

One should expect a large volume of blood-tinged anaesthetic solution to drain from the small incisions during the first 24-48 hours following tumescent liposuction. In general, the more drainage there is, the less bruising and swelling there will be. For the first 24-48 hours, bulky super-absorbent pads are worn overlying the treated areas and under the compression garments. After most of the drainage has stopped, patients need only place absorbent pads over the incision sites that continue to drain.

Leaks are possible

When the super-absorbent HK pads are properly applied they should absorb all of the drainage. However, leaks beyond the pads can occur. During the first 36 hours, when sitting or lying down, you should place absorbent terrycloth towels beneath you in order to protect your furniture from any unexpected leak of blood-tinged drainage. When there is a large amount of drainage, it is advisable to place a cosmetic sheet beneath the towel.

Wound care and bathing

Keep incisions clean. Shower once or twice daily. First wash your hands, then wash incisions gently with soap and water; afterwards gently pat incisions dry with a clean towel. Apply new absorbent pads. When an incision has ceased draining for more than 24 hours, it no longer needs to covered by pads.

Take antibiotics

Take Antibiotics as directed until the prescription is finished. Take antibiotics with food. Call our clinic if you notice signs of infection such as fever, foul smelling drainage or focal redness, swelling, or pain in a treated area.

Do nots

Do not apply ice packs or a heating pad to skin overlying the areas treated by liposuction.

Do not soak in a bath, Jacuzzi, swimming pool, or the ocean for at least three days after surgery in order to minimise the risk of infection.

Nausea

Nausea and vomiting are among the side-effects that may be associated with liposuction. Nausea can be caused by antibiotics, lorazepam or local anaesthesia.

Menstrual irregularities

Menstrual irregularities may occur for a month or so after liposuction. Premature or delayed onset of monthly menstruation is a possible side-effect of any significant surgery.

Temperature elevation

Slight temperature elevation during the first 48 hours after surgery is a natural consequence of the body’s reaction to surgical trauma.

Inflammation, swelling

Inflammation, swelling and soreness are expected consequences of liposuction. Two extra-strength Tylenol should be taken every 4 hours while awake for the first 48 hours will reduce postoperative soreness and inflammation. Discomfort and soreness is worse the second day after surgery, then improves daily.

Bruising

Bruising is minimal with tumescent liposuction. Nevertheless, the more extensive the liposuction surgery, the more bruising one can expect. Some patients have more of a tendency to bruise than others.

Pain and swelling

Pain and swelling due to an inflammatory reaction to surgical trauma may occur and increase 5-10 days after surgery. Notify your surgeon if there is a dramatic increase in pain or swelling.

Itching

Itching of the treated areas several days after surgery may occur as part of the normal healing process. To help relieve the itching, you may take tab Elina one daily as required.

 

 Dr R Karthik's profile

Aug 11, 2010
More Plastic Surgery

Dr R Karthik

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