1. What to AVOID 2 Weeks Before Surgery
  2. What you Need
  3. What you Need to Know
  4. What to Expect
  5. Cleaning Instructions
  6. What to Avoid Post-Surgery



PLEASE NOTE: If you have any concerns or questions prior to your surgery, you are encouraged to speak to Dr. Solomon in advance to ensure you are fully prepared for your surgical date.

1. What to AVOID 2 Weeks Before Surgery:

  • Smoking/Vaping (Nicotine, Marijuana and CBD oil).
  • Alcohol for at least 2 weeks pre-op, as it may increase bruising and prolong swelling.
  • Naturopathic or herbal medications, unless approved by Dr. Solomon.
  • MUST discontinue Aspirin, Advil or Ibuprofen and all blood thinners, as these products may increase bleeding and prolong swelling.
  • MUST avoid Garlic extract, fish oils and Vitamin E and Arnica.

2. What you Need:

  • Vitamin C – Patients may take up to 2000 mg of Vitamin C daily for 2 weeks prior to surgery.
  • Prescription for anti-biotic and pain will be provided by our clinic prior to your surgery.
  • Ice packs.
  • 4×4 non-woven gauze.
  • Hydrogen peroxide and Polysporin ointment.
  • Patients must have a ride arranged and confirmed.
  • Recommended: Arnica by Sinecch, an herbal Supplement to help minimize bruising and swelling. To be taken following surgery. Sold in our clinic.

3. What you Need to Know:

  • You may drink liquids when you arrive home. By the evening you may have a light meal. It should be a soft diet that requires no strenuous chewing.
  • Sleep on two to three pillows to keep head elevated while sleeping for the first 3 days.
  • Please take your anti-biotic and pain medication as prescribed.
  • Best to separate anti-biotic and pain medication, 2 hours apart to avoid nausea/vomiting.
  • Sutures will be removed in 7-10 days. Occasionally partial sutures will be removed after 7 days and the remaining on the 10th day.
  • Bathing is allowed one day post-operatively. Please ensure someone is home with you and the bathroom door is unlocked in case you feel lightheaded and need help.
  • Standard post-operative swelling may last for up to 4-6 weeks. Please be patient.
  • Keep tensor bandage on as much as possible for the first 7 days. This constant pressure will help reduce swelling.
  • You may experience pain during the recovery process. Take Tylenol for pain.
  • Often patients experience heightened anxiety around the surgical period. This is normal.

4. What to Expect:

  • Bruising is expected and normal. Bruising often takes up to 2 weeks to resolve.
  • Swelling is expected and normal. Your neck may appear larger/puffier than your baseline during the initial recovery period. This will typically take a few weeks to smooth and slim out.
  • You may experience numbness along the side of the face and jawline. This is temporary and typically resolves within a few weeks but may last a few months in some cases.

5. Cleaning Instructions:

  • Do not wet incisions for 72 hours. Keep surgical area dry.
  • After 3 days you are encouraged to gently wipe or dab incisions with a soaked Q-Tip or 4×4 in Hydrogen peroxide (morning and night). This will help remove dried blood.
  • After cleaning, apply a thin layer of Polysporin ointment along incisions. Repeat after every cleaning.

6. What to AVOID post-surgery:

  • Avoid picking at scabs. This can cause scarring.
  • Avoid bending over or lifting heavy things for one week. Besides aggravating swelling, this may raise your blood pressure and start haemorrhage.
  • Smoking/Vaping (Nicotine, Marijuana and CBD oil) for one month, as it may prolong healing and increase risk of complications.
  • Alcohol for at least 2 week pre-op and 2 weeks post-operatively, as it may cause fluid retention and prolong swelling. Alcohol should not be taken with pain medication.
  • Naturopathic or herbal medications, unless approved by Dr. Solomon.
  • Aspirin, Advil or Ibuprofen, as these products may prolong swelling.
  • Moderate physical exercise for up to 4 weeks post-operatively.
  • Strenuous physical exercise for up to 6 weeks post-operatively.
  • Direct sun exposure on incisions for up to 12 months. Use a minimum of SPF 45 daily.

If you experience any of the following listed below, please contact Dr. Solomon directly by email at, or call our office at 905-764-7799. You can also reach our administration team by email at

  • If you develop a large firm mass extending from the surgical area.
  • If you develop a rash, persistent fever, chills or sweating.
  • If you notice a foul odour or yellow drainage coming from the incision sites.
  • If you experience severe pain, that is not controlled with Tylenol.
  • If you experience persistent bleeding that does not resolve in 20 minutes or with direct pressure.
  • Persistent vomiting and inability to drink liquids for greater than 4 hours.
  • Shortness of breath, chest pain, weakness or numbness in the face or limbs.


Please Notify Dr. Philip Solomon of any Unexpected Admission to the Hospital within 10 Days of your Procedure.

If you require any clarification regarding these instructions or would like to arrange a follow up appointment with the nurse, please call the office at 905.764.7799 or email us at