Instructions before your tummy tuck surgery from Bashioum Cosmetic Surgery Center



	Do I need a medical examination before surgery? When do I pay for my surgery? What happens if my surgery is cancelled? What medicines can I take before surgery? Should I stop smoking? Can I drink alcohol before surgery? Can I have varicose vein treatments before surgery? When do I stop eating before surgery? Do I need someone to stay with me the night after surgery? How do I prepare for the night after surgery? What do I do the day before surgery? What do I do the night before surgery? What do I do the morning of surgery? What can I tell my friends and family so they will not know that I have had surgery? What should I do if I am pregnant? What should I do if become ill before surgery? What should I do if I have questions before surgery? We want your cosmetic surgery experience to be as safe and pleasant as possible. We will not take any undue risks with your health. Begin by reading through all of the information that you have received. You should have preoperative instructions, aftercare instructions, surgical consent, price quote sheet, and preoperative history and physical. Read through all this material twice. If you have any questions about any of this information, call us as soon as possible at 952.449.4900. Ask for Sandy Hanson or me. Do I need a medical examination before surgery? To verify your good health, your personal physician must complete a history and physical examination within four weeks before your surgery date. Please use the enclosed form (Preoperative History and Physical Examination) for documentation of your preoperative physical. A copy must be at our office within three days of your surgery. Please ask your physician's office to fax the form to our office (612.449.5598) once it has been completed. Also, please have your physician gives a copy of the completed form to you after your appointment. This form should also be hand-carried by you to our office the morning of surgery. When do I pay for my surgery? Payment is due in our office two weeks before surgery. If payment is not received two weeks prior to the treatment date, your surgery will be rescheduled. We accept cash and cashiers checks. Personal checks are accepted prior to two weeks before your surgery. You may use a credit card (Visa or MasterCard) to pay for your surgery. We also provide a finance program. My suggested fees include professional fees, anesthesia fees, operating room costs, equipment use fees, house calls, before care and after care. What happens if my surgery is cancelled? Although rare, surgery may be postponed or cancelled. This is usually for health reasons and your personal safety. We will not take any undue risks with your health. It is your responsibility to maintain good health prior to your surgery. You must avoid exposure to virus infections (colds, flu), take your prescription medications as prescribed, stop all non prescription medication, stop smoking, stop alcohol consumption, and stop all illicit or illegal drug use. If you cancel surgery less than one week before the scheduled surgery date, you will be charged a 25% cancellation fee. Bashioum Cosmetic Surgery Center, Ltd. is not responsible for any expenses incurred by you if surgery is cancelled or postponed for any reason. These expenses include but are not limited to hospitalization costs, prescriptions, home nursing care, preoperative history and physical examination, laboratory costs, pathology fees, travel expenses, time off work, housing costs, and/or meal costs. What medicines can I take before surgery? Stop taking all non-prescription or over the counter medicines two weeks before surgery. In other words, stop all drugs, medicines, preparations, herbs, homeopathic treatments, and extra vitamins that are not prescribed by a medical doctor. This includes all of the following: All aspirin or ibuprofen containing products (Advil, Alka-Seltzer, Anacin, Ascriptin, Bayer Aspirin, BC, Bufferin, Cheracol Capsules, Cope, Coricidin, Darvon Compound, Dristan, Empirin or Empirin Compound, Excedrin, Fiorinol, Midol, Motrin, Percodan, Pepto-Bismol, Sine-Aid, Sine-Off, Stendin, Triminicin, Vanquish), all homeopathic drugs, natural drugs, or herbal drugs (ephedrine, "Phen-Fen", P/F, St. John's Wort, or salicylic acid), all extra vitamins (especially vitamins D, E, and A), all illicit or illegal drugs (cocaine, crack, THC, marijuana, narcotics, heroin, LSD, PCP, speed, or amphetamines). These medicines will lead to increased blood pressure problems and bleeding problems. It is possible to die from these drug induced complications. These complications can ruin the result of your surgery as well. Your surgery will be cancelled if you take any of these medicines. Call us if you are not absolutely sure about a particular medicine. We recommend that you take only one multivitamin daily for two weeks prior to your surgery. Take only acetaminophen (Tylenol) for pain. Most prescribed medications should be taken before and after your surgery. Should I stop smoking? Do not smoke or use tobacco or nicotine products (snuff, chewing tobacco, Nicorette gum, nicotine inhaler, or nicotine skin patches (Nicoderm)) for two weeks before and two weeks after surgery. This can lead to skin loss, skin death, and slow wound healing that will ruin the result of your surgery by leave you with permanent deforming scars. Smoking also increases the risk of coughing after your surgery that leads to unwanted bleeding. For general health reasons, I recommend that all my patients stop smoking. Can I drink alcohol before surgery? Do not have any alcoholic drinks (including beer and wine) for one week before and two days after your surgery date. Also, do not have any alcoholic beverages as long as you are taking prescription medications. Alcohol interferes with anesthetic medicines and may result in excessive bleeding. Can I have varicose vein treatments before surgery? Do not have any lower leg or thigh vein treatments (injection sclerotherapy, vein injections, laser photocoagulation, vein surgery, or vein stripping) within six weeks of your surgery. These treatments can lead to blood clots in the legs. These are life threatening. When do I stop eating before surgery? Do not eat or drink anything including water, tea, or coffee after midnight the night before your surgery (twelve hours before your surgery). Do not chew gum. You may brush your teeth the morning before surgery, but do not swallow any water when you rinse your mouth. Failure to comply with this important precaution can lead to death as a result of aspiration pneumonia or lung problems. Your surgery will be cancelled if you do not comply with this order. If you take prescription medicines, please call me to make arrangements to take these. Do I need someone to stay with me the night after surgery? You must have an adult (older than 18 years old) take you home and remain with you continuously for 24 hours after your surgery. You may not take a limousine or a cab home. We ask that your companion not bring children with them to take you home. They must have your full attention during the ride home. Your surgery will be cancelled if this is not arranged. If you undergo surgery, then inform us that you have not made these arrangements, you will be admitted to the hospital. This will cost you $500 to $1000 per night plus ambulance transport costs. It is possible for us to arrange a home nursing service to care for you the night after your surgery. Call us to arrange this. How do I prepare for the night after surgery? Every patient is apprehensive about the night after surgery. Proper preparation will make this first night easier for you. First, read through your after care instructions twice. If there are any questions make sure you ask them the next day before your surgery. Second, try to get your prescriptions filled. This will reduce the your responsibilities the day of surgery. An adult will need to pick you up after your surgery and drive you home. I do not recommend you travel more than one hour to your home. If you live further than this from my office, you should arrange to stay in a hotel. An adult must stay with you continuously for the twenty-four hours after your surgery. This is necessary to help you in case of any emergencies. Your companion must also care for any children that will be staying with you. What do I do the day before surgery? Try to relax the day before surgery. Go about your daily responsibilities. Drink four quarts of water so that you are properly hydrated the morning of surgery. What do I do the night before surgery? Remove all of your jewelry including all body pierce jewelry the night before surgery. Do not wear any jewelry until after your surgery. Wearing jewelry during surgery can lead to burns and scars of the skin. Before you go to bed take a shower with an antibacterial soap. Wash thoroughly including your hair, face, and body with an antibacterial soap (Phisoderm). Make sure you remove all makeup including mascara. Do not put anything on your skin after your shower including body moisturizer, deodorants, antiperspirants, or makeup. Do not eat or drink anything after midnight. What do I do the morning of surgery? Take an antibacterial shower the morning of your surgery. Do not put anything on your skin after your shower including body moisturizer, deodorants, antiperspirants, or makeup. These can interfere with surgical markings, skin cleansing, and anesthesia monitoring. Do not eat or drink anything the morning of surgery including coffee, tea, or water. You may brush your teeth provided that you do not swallow anything. Do not chew gum. If you are a diabetic or take prescription medications ask us about taking your medications the morning of your surgery. Do not wear contact lenses. You may wear glasses to my office. Do not wear any jewelry the day of surgery. Wear loose fitting clothing. Do not wear anything that needs to be pulled over your head. Wear a blouse or shirt that buttons or zips up the front. Wear loose shorts covered with sweat pants or workout pants. What can I tell my friends and family so they will not know that I have had surgery? I recommend that you be honest with yourself, family, and friends. It is particularly important with regards to your spouse or significant other. You will be surprised to see how much support and approval you receive. What should I do if I am pregnant? You must not be pregnant at the time of your surgery. If you are late for your menstrual period or flow, call us immediately. The medications we use for surgery can interfere with pregnancy and cause birth defects. What should I do if become ill before surgery? If you develop an illness such as a cold, the flu, sore throat, infection, diarrhea, vomiting, nausea, fever and/or chills, please call my office as soon as possible. We will determine at that time if we need to delay your surgery based on your symptoms. If surgery is performed when these conditions are present, there is an increased risk of complications. What should I do if I have questions before surgery? Remember that we are here for you. We want this surgery to be as safe and pleasant as possible. Call us anytime you have questions or concerns. During office hours (8:30AM to 4:30PM, Monday through Friday), call 952.449.4900 and we will answer your questions. After hours, first call me at my home number, 952.473.XXXX. If there is no answer, call my office at 952.449.4900 and leave a message. I will be paged. You may also reach me on my mobile phone at 612.803.XXXX. © Copyright 1998 Bashioum Cosmetic Surgery Center, Ltd. All Rights Reserved.