Preparing for Surgery
- Avoid aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and other non-steroidal anti-inflammatory medications for 2 weeks prior to surgery. Acetaminophen (Tylenol) is ok.
- Stop taking herbal medications and vitamins 2 weeks before surgery as these may thin your blood.
- Refrain from smoking 2 weeks before and 2 weeks after surgery. Nicotine and tobacco can delay healing and result in scarring.
- Plan to take 10-14 days off work and 2 weeks before any major social events; after that the bruising is coverable with makeup and the swelling is significantly better.
- Arrange to have someone to drive you home from surgery and stay with you for at least 24 hours after the procedure.
- Stool softener (docusate)
- Tylenol (acetaminophen)
- Easy to prepare, easy to chew meals and snacks
- Optional-makeup to cover any bruising
The day of Surgery
- If you are having IV or general anesthesia:
- Do not have anything to eat or drink (even water) after midnight the night before your surgery. Essential medications may be taken with a small sip of water the morning of your procedure.
- Wear comfortable, loose-fitting clothes that button or zip. Avoid slipover clothing.
- Leave your valuables at home; do not wear jewelry or piercings.
- Avoid all make-up, hairspray, and nail polish.
- Do not wear contacts, it is ok to wear glasses, if needed.
- You will have a bandage in place for approximately 24 hours. It will be removed by Dr. Harbison the day after your surgery. A support dressing will then be worn day and night for the first week.
- Keep your incisions out of the shower for 48 hours. It is ok to gently wash your face with a washcloth.
- Keep your head elevated for the first 48 hours. A recliner is best. Sleeping with extra pillows works as well. This will minimize swelling and help avoid rolling on the side of your face during sleep. Continuing to sleep with an extra pillow will help reduce swelling the weeks following surgery.
- Icepacks (or ice water soaks) may be used to assist with swelling and bruising for the first 48 hours.
- It is common for bruising to be noted on the chin and neck.
- You can resume your normal diet but avoid foods that require tall bites (ie Big Mac) for 1 week after surgery.
- You may start wearing makeup after surgery but do not apply to incisions.
- After surgery, it is important to have a bowel movement within a day or two. If you do not, you may take over-the-counter stool softeners to encourage your bowels to move.
- Sunscreen should be applied to the external scars starting 2-3 weeks after surgery. It is important to protect your scars for AT LEAST 1 year to prevent discoloration from the sun. Sunscreen with SPF 30 and above is always recommended to prevent skin cancer and signs of aging/sun damage.
- Resuming physical activities:
- Light activity (preparing meals, walking around the house) is encouraged immediately to prevent blood clots but no heavy lifting greater than 10 pounds, bending over, or straining until cleared by Dr. Harbison.
- Driving: once you are no longer taking pain medications
- Sports: 6 weeks
- Swimming, sauna, hot tub: 3-4 weeks or as directed by Dr. Harbison
- Scuba diving: 12 weeks
Please call our office at 402.739.8144 at any time with questions or concerns. After hours, you may call our office and follow the prompts to speak to the on call nurse. If you are experiencing a life-threating emergency, please go to the nearest emergency department.