1) Do not take aspirin products or NSAIDS (such as ibuprofen, Motrin, Advil, Nuprin, etc.) or herbal supplements including: vitamin E, ginkgo biloba, garlic, ginger or other homeopathic medicines for TWO WEEKS prior to your procedure. These medications interfere with blood clotting and may increase the chance for significant postoperative bleeding or bruising. If you must take medication for headaches or joint pain, use Tylenol as it does not interfere with blood clotting.
2) If your procedure requires IV sedation or general anesthesia, you cannot be on the prescription diet drug "Phentermine" for 6 weeks prior to surgery. Failure to fully comply with this precaution could result in a severe or life threatening reaction to anesthesia.
3) Patients undergoing procedures requiring sedation or anesthesia: If you take birth control pills or any type of supplemental estrogen, you should stop taking it THREE WEEKS before surgery. Inform us if you are unable or unwilling to stop taking estrogen or birth control pills. You may recommence these medications 2 weeks after surgery.
4) NO SMOKING. Patients who smoke should stop smoking for at least TWO WEEKS, preferably four weeks, before and after surgery. Smoking decreases your circulation and is very detrimental to wound healing. Failure to heed this warning can increase your risk for postoperative complications.
5) Avoid alcoholic beverages or recreational drug use for a minimum of two days prior to your procedure. These substances may create complications and increase bruising. These drugs elevate your liver metabolism, which can break down local anesthetics and/or sedatives used during your procedure. Excessive doses of medications then become necessary and it may be difficult to keep you comfortable for any prolonged period of time.
6) Although vitamin E should NOT be taken before surgery, you can take one multivitamin twice a day as well as 500 mg vitamin C twice a day, up until a week before surgery, to optimize wound healing.
7) The night before surgery and the morning of surgery you should wash the areas to be operated on thoroughly with an antibacterial soap such as pHisoHex, pHisoDerm or Hibiclens (available at drugstores). If any incisions are to be done inside your hairline, you should also include your hair with this cleaning regimen. Do not apply anything to these areas after this cleansing (makeup, moisturizers, perfume, after-shave, hair conditioner, deodorant, etc.).
8) You may be required to take some medications by mouth BEFORE surgery. If so, please follow our directions carefully. If you have any questions about these medications, please call our office at (316) 722-1333 or (877) 572-2787.
9) Please have any postoperative medications and necessary dressing materials that we prescribed available and ready at home immediately following surgery.
10) Wear comfortable, loose fitting clothes such as a sweatshirt, sweat pants, and slip-on shoes. Bring socks to keep your feet warm. Please plan to arrive at the office about 30 minutes before your scheduled procedure time. Please leave your jewelry at home, and if you wear contacts, please remove them before surgery.
11) Patients receiving sedation for their surgery, or undergoing tumescent liposuction, will need to arrange for someone to drive them home after surgery and remain with them for the first 24 hours after surgery. Please remember we are estimating the amount of time your surgery will take and you may be at our office longer than anticipated; keep this in mind while arranging your ride to and from our office.
12) Patients receiving sedation for their procedure should NOT eat or drink anything after midnight the morning of surgery. Ask us which of your regular prescription medications you can take the morning of surgery. Patients NOT receiving sedation (including liposuction patients) should eat a light to moderate meal for breakfast and take their usual prescribed medications the day of surgery.
13) During the numbing process, reactions may vary. At times, you may experience a stinging and burning sensation from the injection of the local anesthetic. Please expect intermittent mild discomfort similar to a pinching feeling and pressure for the duration of the numbing process. During surgery, expect to feel pressure and movement. Most pain can be relieved with the injection of more anesthetic, so it is important to communicate your comfort level to the nurse or Dr. Oberhelman.
14) Once the surgery begins you cannot get up to use the restroom. If needed, a nurse will help you with a bedpan.