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Post-operative office visits are an indispensable part of the surgery, since they help promote healing and prevent persistent or recurrent disease. During these visits, the surgical cavity is cleaned and inspected.

Early scar tissue may be removed, and the medical Treatment strategy will be adjusted.

Your first post-operative visit will occur typically within the first week after surgery, and you should

Expect 2 post-operative visits within the first 2-3Weeks after surgery.

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Pre and Post-Operative Instructions for Your Browlift Surgery

Please read these instructions before and after your surgery. Carefully following these guidelines will help you obtain the best possible result. Take this information with you on the day of surgery so you can begin following the instructions that day. If you have questions, do not hesitate to contact me or my office. We want you to have a pleasant and enjoyable experience.

Preparing for Browlift Surgery

  • Avoid aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and other non-steroidal anti-inflammatory medications), Vitamin E, herbal supplements or any medications containing these compounds for two weeks before surgery. Acetaminophen (Tylenol or generic equivalent) and a daily multivitamin are fine
  • Avoid hair coloring, perms, or other hair treatments for 2 weeks before and 4 weeks after surgery
  • Discontinue herbal medications two weeks before surgery since many of these compounds can increase bleeding or interfere with your anesthetic.
  • Refrain from smoking two weeks before and two weeks after surgery. Nicotine and tobacco smoke delays healing and can result in scarring. This is the perfect time to give up the habit. This is the perfect time to give up the habit.
  • Avoid sun damage two weeks before surgery. While we recommend wearing a SPF 30 or higher, our physicians and staff wear a SPF 50 every day.
  • Your prescriptions for after surgery (typically an antibiotic and pain med) will be given to you the day of surgery.
  • Purchase the following non-prescription items:
    • Sinecch—herbal supplement which helps reduce swelling and bruising. This is only available through our office and is optional.
    • Vaseline ointment
    • Stool softener (docusate) – decreased activity, use of pain medication, and anesthesia pre-dispose some people to constipation.
  • Do not eat or drink anything, including water, after midnight the night before your surgery.
  • Arrange for someone to take you home from the hospital. You will not be allowed to drive or leave alone. Arrange for someone to stay with you for the first 24 hours after surgery.
  • Make arrangements to stay in the Kansas City area on the night of your surgery if you live more than an hour’s drive away.

On the day before Surgery

You may be given an approximate arrival time for your surgery at your clinic visit. On the day before surgery you will receive a phone call informing you of the exact time to report to the surgery center.

Your surgery is scheduled at KU MedWest. You can expect a phone call from the Pre-op nurse several days in advance of surgery. If you have not received a call by noon on the day before surgery, you may reach him/her by calling (913) 588-2279.

If your surgery is scheduled at KU Hospital. You will receive a call from the Otolaryngology and Facial Plastic Surgery Coordinator on the day before surgery. If you have not received a call by noon on the day before surgery, please call her at (913) 588-6522.

Day of Surgery

  • Do not eat or drink anything, including water, the morning of surgery.Essential medication may be taken with a sip of water.
  • Take the first dose of the herbal supplement Sinecch.
  • Wash your hair either the evening before or the morning of surgery. Do not use any styling products or sprays.
  • Wear loose-fitting clothes that fasten in front or back. Avoid slipover clothing.
  • Leave all valuables at home; do not wear jewelry.
  • Do not wear any facial or eye make-up. Avoid nail polish.
  • You may wear glasses but do not wear contact lenses.
  • If you wear dentures, keep them in.

Post-Operative Care

  • Iced gauze pads (gauze pads dipped in ice water and wrung out) should be applied to the eyes and forehead for the first 48 hours to minimize swelling and discoloration.
  • Keep your head elevated to minimize swelling. A recliner works well or adding an extra pillow on your bed is adequate.
  • You will have a dressing in place for approximately 24 hours. Prior to discharge from the surgery center, Dr. Kriet will instruct you on removal of the dressing.
  • You may wash your face but keep the dressing dry.
  • There will be areas of decreased sensation or numbness on your forehead and scalp. The sensation will return to normal over time. Be very careful to avoid trauma/burns when using curling irons, hot rollers, blow dryers, warm packs and ice packs.
  • Apply a thin layer of Vaseline ointment to all incisions 3 times a day once dressings have been removed and continue until 2 days after the sutures are removed.
  • You may gently wash your hair three full days after surgery. Baby Shampoo or a clarifying shampoo works best to remove the ointment from your hair and scalp.
  • Avoid hair coloring or permanents for one month after surgery.
  • You may wear contact lenses the day after surgery. NOTE: if you are having eyelid surgery in addition to the browlift, contact lenses may not be worn for 2 weeks.
  • Avoid extreme physical activity including athletic activities and intercourse. You may resume light walking three days after surgery. Aerobic exercise, weight training, heavy lifting, and straining may be gradually resumed three weeks after surgery.
  • Avoid excessive facial movements for two weeks-this will optimize the healing process.
  • Absolutely avoid sun exposure, sun lamps, or tanning beds for six weeks after surgery. Heat may cause your face and eyelids to swell. While we recommend wearing a SPF 30 or higher, our physicians and staff wear a SPF 50 every day.
  • Don’t be concerned if the eyes and forehead show some swelling, this usually resolves within 2 weeks. In certain patients, it may require six months for all swelling to completely subside.
  • Take only medications prescribed by your doctor.
  • You may expect to have most of the stitches removed after 5 days, and the remaining stitches removed 1 week later.
  • Makeup may be used 5-7 days after surgery (except on the incisions).

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Image result for up3  post operative care

Post-operative Instructions Following Uvulopalatopharyngoplasty

General:

Uvulopalatopharyngoplasty is a surgical procedure performed on the throat to address snoring and/or obstructive sleep apnea The procedure is designed to trim the uvula and the soft palate and reposition the side walls of the throat (tonsillar pillars). If the patient has not had previous tonsillectomy, the tonsils are also removed during the procedure. The surgery can be performed on an outpatient basis but most patients are kept overnight in the hospital for observation (this ensures the patient is carefully monitored for airway obstruction due to postoperative throat swelling or depressed breathing from anesthesia and pain medication. Recovery from Uvulopalatopharyngoplasty can be very difficult due to the severe sore throat experienced during the first several days following surgery. Anticipation of this recovery period allows for patients and family members to create a comfortable healing environment.

Diet:

You are at risk for dehydration during the recovery period due to the sore throat. Dehydration can cause increased pain, increased likelihood of bleeding, delay in healing and constipation. You may have liquids by mouth once you have awakened from anesthesia. Only liquids or soft foods should be taken for the first 14 days following surgery. Any liquids or soft foods are acceptable but patients occasionally report discomfort with hot, acidic or spicy foods. Clear liquids (flavored sports drinks, apple juice, grape juice, fruit punch, water, blended iced drinks, popsicles) are preferred. It is recommended that you mix MiraLax® powder (an over-thecounter laxative) with liquids (once daily as directed) to prevent constipation in the first week after surgery. Foods such as soup, noodles, scrambled eggs, oatmeal, yogurt, smoothies, applesauce, mashed potatoes and ice cream are usually well tolerated. Anything that has a hard edge (toast, chips, French bread) or that is difficult to chew (steak) should be avoided for two weeks.

Pain control:

You are likely to experience a severe sore throat for several days following uvulopalatopharyngoplasty. Pain may also be referred to the ears. Don’t be alarmed if you experience earaches during the first 1-2 weeks after surgery. Mild to moderate sore throat or intermittent twinges of pain from yawning, coughing or sneezing may last for an additional 2-3 weeks following resolution of the severe pain. Liquid pain relievers (Lortab ® elixir or Tylenol ® with codeine elixir) taken by mouth are often effective in “taking the edge off” and allowing patients to rest or sleep comfortably. These narcotic pain medication can cause constipation. If you have not been prescribed a medication for constipation then you should take an over-thecounter laxative or stool softener while you are on the prescribed pain medication. You should avoid non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen Excedrin®, Motrin®, Naprosyn®, Advil® because these drugs are mild blood thinners and will increase your chances of having post-operative bleeding.

Activity:

No heavy lifting or straining for 2 weeks following the surgery. You should plan for 1 week away from work. If your job requires manual labor, lifting or straining then you should be out of work for 2 weeks or limited to light duty until the 2 week mark. Walking and other light activities are encouraged after the first 24 hours.

Oral care following the surgery:

The back of the throat is usually red, white and swollen during the first few days after uvulopalatopharyngoplasty. You may notice stitches along the palate and on the side of the throat. These are dissolvable sutures and usually disintegrate within a few weeks. If the stitches are a significant concern, your surgeon can trim or cut them out at your follow-up visit. As the throat heals, any raw surfaces are replaced by a white or gray membrane until complete healing occurs at 2-3 weeks. Brushing the teeth during this time is encouraged although brushing the back of the tongue should be avoided (this will trigger a painful gag reflex or cause bleeding). Halitosis (bad breath) is normal in the first two weeks following surgery. This is due to the healing process in the back of the nose and throat. Staying well hydrated by frequently sipping water can minimize the halitosis and sore throat. A humidifier next to your bed at night will help moisturize and soothe the raw tissues. Hot steam showers can provide some symptomatic relief.

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What to Expect After Cheek Implant Surgery

  • The surgeon will put a dressing on the person’s face immediately after surgery, and this dressing will remain in place for two to three days. The person will experience some tenderness. Post-operative discomfort may be controlled with prescribed medications.

  • Most people feel a stretched, tight sensation in the cheek area after getting cheek implants or fillers, but this usually subsides in a week.

  • After about six weeks, most swelling goes down and people can start to see results. The doctor may recommend avoiding rigorous activity for the first few weeks after surgery, but most people can resume normal activities after about 10 days.

  • Recovering after chin implant surgery

    Most chin augmentation patients experience relatively little downtime and are back to desk work and most other daily activities within 7 days after surgery. Discomfort is typically minimal and easily controlled with pain medication or cold compresses.

    You will need to sleep face-up, with your head elevated, for a minimum of 1 to 2 weeks after surgery to help control post-op swelling and protect your healing incisions. Your cosmetic surgeon may also require you to consume a liquid-only diet for a day or two after surgery. Strenuous activity can typically be resumed within 3 to 4 weeks after chin augmentation. It is important to follow your cosmetic surgeon’s specific instructions during recovery to ensure you heal well and your results look great as soon as possible.

    Results look close to final within one month after surgery, and are considered final after about 3 months, when residual swelling has subsided.

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Image result for fat injection for faceWhat are my post-operative instructions? •

Have someone drive you home after surgery and help you at home for 1-2 days. • Get plenty of rest. • Follow balanced diet. • Decreased activity may promote constipation, so you may want to add more raw fruit to your diet, and be sure to increase fluid intake. • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon. • Do not drink alcohol when taking pain medications. • Even when not taking pain medications, no alcohol for 3 weeks as it causes fluid retention. • If you are taking vitamins with iron, resume these as tolerated. • Do not smoke, as smoking delays healing and increases the risk of complications. What should my activity level be? • Do not drive until you are no longer taking any pain medications (narcotics). • Start walking as soon as possible, this helps to reduce swelling and lowers the chance of blood clots. • Unless stated on this form, discuss your time off work with your surgeon.

How do I take care of the treated area? • Wear the compression garment recommended by your provider. The compression is needed in the area where the fat was harvested for 6 weeks post-op or per the surgeon's recommendation. • Avoid exposing scars to sun for at least 12 months. • Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or greater). • Keep steri-strips on. • Inspect daily for signs of infection. • No tub soaking while sutures or drains are in place. • You may wear makeup with sunblock protection shortly. • Stay out of the sun until redness and bruising subsides (usually 48 hours). How should I expect to feel? • Temporary stinging, throbbing, burning sensation, redness, swelling, bruising, and excess fullness. • Some swelling, bruising or redness in the donor and recipient sites. • Swelling and puffiness may last several weeks. • Redness and bruising usually lasts about 48 hours. How should I expect to look? • Improved skin texture. • Firmer and smoother skin.

What follow-up care will I receive? • With regular follow-up treatments, you can easily maintain your new look. • Repeated treatments may be necessary. When should I call my doctor? • If you have increased swelling or bruising. • If swelling and redness persist after a few days.

If you have increased redness along the incision. • If you have severe or increased pain not relieved by medication. • If you have any side effects to medications; such as, rash, nausea, headache, vomiting. • If you have an oral temperature over 100.4 degrees. • If you have any yellowish or greenish drainage from the incisions or notice a foul odor. • If you have bleeding from the incisions that is difficult to control with light pressure. • If you have loss of feeling or motion. • If you have any sign of abscesses, open sores, skin peeling or lumpiness.