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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 bruising 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 will be provided by our clinic prior to your surgery.
  • Ice packs
  • Salt water or Hydrogen peroxide
  • 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:

  • The sutures will be removed by Dr. Solomon’s nurse 7-10 days post surgery.
  • Soft foods should be eaten until the sutures are removed.
  • Teeth may be brushed twice daily very carefully.
  • Standard post-operative bruising and swelling may last for up to 2 weeks. Please be patient.
  • Sleep with your head elevated using 2-3 pillows for 3 days.
  • You may experience pain during the recovery process. Take Tylenol for pain.
  • Some numbness may be present to the upper lip or nose for a few weeks.
  • Keep in mind that scars take up to one year to fully mature. The incision may appear pink during the healing process.
  • 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.
  • When 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 “moustache” dressing or mask. Moustache dressing involves placing a 4x4 gauze folded and draped beneath the nose and taped to the cheeks.
  • You may shower, however avoid a direct stream of water to the incision site
  • Make-up can be applied after 2 weeks.
  • If removing hair from upper lip, tweezing is preferred for the first month. Avoid waxing, shaving and threading the upper lip for 4 weeks.

5. What To AVOID Post-Surgery:

  • Avoid pulling or stretching the upper lip downward for the first 2 weeks.
  • Be cautious while brushing teeth and chewing.
  • Avoid make up on the incision site for the first 2 weeks
  • 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 weeks pre-op and 2 weeks post-op, as it may cause fluid retention and prolong swelling. Alcohol should not be taken with pain medication.
  • Naturopathic or herbal medications not approved by Dr. Solomon.
  • Aspirin, Advil or Ibuprofen
  • 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]