Mini Tummy Tuck Surgical Instructions
1. Do not take any aspirin (including any medication containing aspirin) for seven days prior to surgery and two days after surgery because aspirin always interferes with normal blood clotting. Do not take any prescription or over-the-counter anti-inflammatory medications for three days before surgery and for two days after surgery for the same reason. These drugs are used primarily to treat inflammation, mild to moderate pain and fever. Examples of these over-the-counter medications are Motrin, Advil, Aleve, etc. Stop any Vitamin E and herbal supplements for three weeks before and one week after surgery. Please check any multi-vitamin you may be taking.
2. Smokers should stop smoking as far in advance of the surgery date as possible to minimize complications from the anesthesia and to help minimize scarring. Be sure to inform Dr. Oldham if you smoke.
3. Do not eat or drink anything (including water) after midnight. Do not chew gum after midnight the night before your surgery.
4. Arrange for someone to drive you home after the surgery. Someone will also need to stay with you the first night.
5. For two days before and the morning of your surgery, cleanse your body with an anti-bacterial soap called Hibiclens (Chlorhexidine). This product is available at most drug stores. If Dr. Oldham has done pre-operative marking, do not use the soap directly on the marks and pat your skin dry over the marks instead of rubbing. Do not apply the anti-bacterial soap near your face, eyes or ears. Do not use any lotion, moisturizer, make-up or other products on your skin.
AFTER YOUR SURGERY
1. If your pain is mild take extra-strength Tylenol. For more significant pain, take the prescription pain medication given to you by Dr. Oldham, but be sure to take it after eating to minimize nausea which is always a risk after taking any stronger pain medication. Regardless of whether you are taking extra-strength Tylenol, the prescription medication prescribed by Dr. Oldham or alternating between the two, it is important to wait four (4) hours between doses in order to avoid potentially harmful over-dose of Tylenol (Acetaminophen).
2. Do not use cold or hot compresses on the abdomen at any time. You will have some degree of numbness in the area and it is susceptible to burns or frostbite.
3. Since most strong pain medication causes some degree of constipation, it is advisable to start taking Colace 100mg. (an over-the-counter stool softener) on the evening of your surgery and then take one, twice a day each day after, until you are no longer taking pain medication and you are having normal bowel movements.
4. If you normally have a bowel movement every day or two and you have not had a bowel movement approximately the third day after your surgery, you should take two tablespoons of milk of magnesia at bedtime. If you do not have a bowel movement the following morning, take four tablespoons of milk of magnesia that morning.
5. Avoid excessive moving for 4-5 days after surgery and elevate your head on pillows for the first few days after surgery.
6. You may shower 48 hours after the surgery. Remove the gauze dressing when you shower then just replace the binder afterward. Do not take a bath for two weeks after the surgery.
7. Avoid any exposure of your incisions to the sun for several months to prevent permanent or prolonged discoloration and redness.
8. You can expect some degree of swelling for four to six months after the surgery. If you have any numbness of the lower abdomen, it will gradually improve over six months to a year, but some numbness may remain permanently.
9. Some people experience brief episodes of depression or anxiety following surgery, similar to the well-known post-partum depression. This is quite normal as your body adjusts to the physiological changes taking place.