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PRE / POST-OPERATIVE INSTRUCTIONS

PLEASE FOLLOW POST-CARE PROVIDED BY OUR CLINIC

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 Before Surgery:

  • Smoking/Vaping (Nicotine, Marijuana and CBD oil), ONE MONTH.
  • 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:

  • Hydrogen peroxide.
  • Polysporin ointment.
  • Ice packs.
  • Q-Tips and 4x4 non-woven sterile gauze.
  • 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.
  • Please come arrive shaven for surgery.
  • Please remove all jewellery and makeup from the neck up on the day of your surgery.
  • Patients may drive themselves home unless a sedative is requested for anxiety on the day of the procedure.
  • Recommended: Arnica by Sinecch, an herbal Supplement to help minimize bruising and swelling. To be taken following surgery. Sold in our clinic.

3. How to Care for Incisions:

  • Clean incisions once daily with Hydrogen peroxide using Q-Tips or gauze.
  • Apply Polysporin ointment after cleaning with Hydrogen peroxide for up to 7 days.
  • Let Hydrogen peroxide dry prior to applying Polysporin ointment.
  • You may apply ice pack to surgical area to reduce bruising and swelling. Please place sterile gauze between the ice pack and your skin.
  • Optional: Cooling of the skin with saline-soaked gauze can reduce discomfort and excessive skin response.
  • Place gauze over the incisions before re-applying the facial garment. This will absorb any drainage

4. What you Need to Know:

  • 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.
  • Compression garment is to be worn for 3-4 full days and 1-2 weeks at night only.
  • Drainage of fluids out the probe entry points may continue for 1-3 days.
  • Sutures will be removed by our nurse 7 days post procedure, unless dissolvable sutures were used. You will be informed of which types of sutures were used the day of your procedure.
  • Substantial edema (swelling) and may last for up to 3 weeks. Bruising for up to 2 weeks.
  • Numbness, tingling, itching and tenderness to touch may be present in the treated areas and gradually regained after 4-16 weeks or occasionally longer.
  • Burning or heat sensation may also be experienced in areas of thinner skin.
  • Improvement of contour may be seen immediately, but results typically improve gradually over 3-12 months.
  • If you experience any pain during the recovery process. Take Tylenol for pain.
  • Bathing is allowed one day post-operatively. Avoid direct stream from shower for one week.

5. What to AVOID post-surgery

  • 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, 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 [email protected], or call our office at 905-764-7799. You can also reach our administration team by email at [email protected]

  • 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.

IF WE ARE NOT ABLE TO BE REACHED, PLEASE GO TO YOUR NEAREST HOSPTIAL EMERGENCY FOR ASSESSMENT.

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 [email protected]