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PRE / POST-OPERATIVE INSTRUCTIONS

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 (nicotine and marijuana)
  • Alcohol for at least 2 weeks pre-op, as it may increase bleeding and prolong swelling.
  • Naturopathic or herbal medications, unless approved by Dr. Solomon
  • MUST discontinue Aspirin, Advil or Ibuprofen, 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. Provided by the hospital on the day of your surgery or by our Surgical Centre prior to surgery at our clinic.
  • Ice packs
  • Hydrogen peroxide and Polysporin ointment
  • 4x4 Gauze pads and Q-Tips
  • 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. What you Need to Know:

  • This procedure is performed under General Anaesthesia and the patient is discharged the same day after approximately 2 hours in recovery.
  • You will be discharged home wearing a head garment. This is worn for 24 hours and removed by our nurse the next at our clinic.
  • Our nurse will then send you home with another head garment that is to be worn for up to one week.
  • The sutures and staples may be removed in stages by the nurse starting 10 days post-op and may take up to 14 days for all to be removed. This may involve 2-3 appointments.
  • Standard post-operative bruising & swelling may last 2-4 weeks. Please be patient.
  • Sleep with your head elevated using 2-3 pillows, for 3 days post op.
  • You may experience pain during the recovery process. Take Tylenol for pain.
  • You may experience some numbness to the forehead and scalp for a few weeks.
  • Limited brow expression may occur during the recovery period
  • Scars take up to one year to fully mature.
  • Often patients experience heightened anxiety around the surgical period. This is normal.

4.How to Care for your Incisions after Surgery:

  • Gently dab and wipe the incision with hydrogen peroxide to clean and remove dried blood
  • Gently apply a thin layer of Polysporin ointment to the incision.
  • While at home, keep incision open to air, wounds often heal best when exposed. If going outside or near dust or dirt particles, please wear a loose fitting hat to protect the incision.
  • You may shower on day 4 and wash your hair using a gentle shampoo and conditioner. Do not use a blow dryer and do not brush the roots of your hair for 2 weeks.
  • Make-up can be applied to the incision area approximately 3 weeks post-op.
  • Do not colour your hair for 2 months.

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.
  • Avoid smoking (nicotine and marijuana), 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].

  • 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 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]