Getting Ready for Surgery
section is quite detailed and covers many important topics that
will help you get ready for surgery. In this section we cover the
weeks prior to surgery
day before surgery
day of surgery
The weeks prior to surgery.
2-3 weeks prior to surgery are really very important. This is when
you must get mentally and physically ready for surgery. You must
think positively and tap into your inner strength for this exciting,
but stressful event.
are some important do's and donts.
They are also important after surgery:
your regular exercise. Be as fit as you can. Think positively.
not take: Aspirin, nonsteroidal antinflammatories and Vitamin
E. These tend to increase bleeding during surgery.
not smoke. Smoking has definitely been shown to increase the risks
before and after many plastic surgery procedures. Smoking decreases
the blood supply to the skin and therefore often leads to skin
loss. It also significantly interferes with wound healing.
not drink any alcohol. This may interfere with the anaesthetic
your regular medications. You must discuss these with us prior
to the scheduled surgery and if need be, we will arrange a consult
with our anaesthetist.
advise us, as soon as possible if your medical condition changes
in any way. For example, it is not uncommon for people to report
the development of a "flu" or common cold. Our decision
as to whether to proceed with surgery is made on an individual
basis. We will always choose the safest alternative. This may
mean rescheduling surgery.
day before Surgery.
confirm the time of your surgery. You should call us to confirm
the time of the surgery and the time to arrive for it. One usually
has to arrive at the Clinic or the hospital one to one and a half
hours before the actual surgery.
should try to fill your prescription for postoperative pain medication.
This will make the day of surgery less hectic. We use a variety
of different medications. If you know of one that works please discuss
this with Dr. Weinberg.
will need some dressings for the operative site. Please pick these
up from your local Pharmacy or Medical Mart in Mississauga.
should get all the things you need for surgery ready. Place them
in a bag so that on the day of surgery you do not forget anything.
If at all possible try to spend some time relaxing. Do something
that makes you feel good. You should try to spend a relaxing and
quiet day. Think positive thoughts.
not eat or drink anything after 12:00pm i.e. midnight. This includes
water, candy and gum.
day of surgery.
shower. Please pay specific attention to the area that is being
operated on. If facial surgery is being done then please shampoo
the hair well.
do not place any elastics in your hair, as we will do this for you.
do not wear any make-up.
may have your usual medications with sips of water in the morning
of surgery, as long as you have discussed this with Dr. Weinberg
or the anaesthetist.
must arrive one to one and a half hours prior to the time of your
surgery. This will give us time to prepare you and process all the
wear comfortable clothing. It must be nice and loose fitting. If
you are having any breast surgery then please bring a bra with you.
It should have the underwire removed.
leave all valuables at home. We prefer you not to wear any jewellery
should have somebody drop you at the clinic. They can wait for you
or they can go home. If they go home then we can call them in time
to pick you up. You must have a responsible adult stay with you
for 24 hours after the surgery.
do not wear any makeup. Please dont wear makeup for three
weeks after facial surgery.
first 2 days are the toughest, so please take it easy. You should
plan to spend these at home with lots of help. This is your special
time so make sure you get pampered. On the first day plan to have
some water and soft simple food. Dont have anything too heavy
or spicy. Dont push yourself. A good rule of thumb is that
if it hurts then you should not be doing it. Once you are past these
days then you are well on your way to recovery, and enjoying the
results of the surgery. You will regain your appetite. If you feel
nauseated and vomit then take Gravol. It works quite well and is
available over the counter at any Pharmacy.
will have some discomfort and oozing from the surgical site. Should
you have an excessive amount of pain, bleeding or swelling then
please call Dr. Weinberg directly or go to your nearest hospital
You must not drive for at least 24 hours after the surgery. Each
procedure affects the body in a different way. You must be totally
recovered before you drive again.
dressings of the surgical site are left alone until the first postoperative
visit with Dr. Weinberg. There is nothing magic about these dressings.
If they are too wet or messy then please call the clinic and we
will be more than happy to talk you through the dressing change.
section has some general information about the general risks of
surgery. Every surgical procedure has general risks i.e. ones that
are associated with simply having an operation. Every surgical procedure
has specific risks i.e. ones that are associated with that specific
procedure. It is important that you understand the risks. You must
weigh the risks versus the potential benefits.
the majority of patients do not experience the following complications,
you may experience one or more of them. You should discuss each
of them with us and ask any questions which are of concern to you.
We do our very best to avoid these risks. Should a complication
occur then we do our very best to treat it as soon as possible.
Complications after surgery usually are a nuisance and in most cases
do not affect the final result.
is possible, though unusual, to experience a bleeding episode during
or after surgery. Should post-operative bleeding occur, it may require
emergency treatment to drain accumulated blood or rarely blood transfusion.
Do not take any aspirin or anti-inflammatory
medications for ten days before surgery, as this may increase the
risk of bleeding.
of the surgical site is possible, and will be detected as early
as possible by Dr. Weinberg at the post-operative visits. You should
be on the lookout for redness, pain and swelling at the surgical
site. Treatment including antibiotics or additional surgery may
All surgical incisions produce scarring. Scars may be fine lines,
spread or keloid. The quality of these scars is unpredictable. Plastic
surgeons do their best to hide the scars in the best possible location.
Scars are always permanent; they usually fade with time. Abnormal
scars may occur within the skin and deeper tissue. In some cases,
scars may require surgical revision or other treatments.
Skin during surgery is kept alive by the part that is left attached
to your body. It is possible, though uncommon, that you may lose
a small part of this skin. The final result depends on the extent
of the loss. Usually this generally means a wider scar.
in skin sensation:
You may experience a change in the sensitivity of the skin in the
operated area. This is usually temporary but may be permanent.
Wound separation or delayed wound healing is possible. Some areas
of the wound may not heal normally and may take a long time to heal.
It is even possible to have loss of skin. This may require frequent
dressing changes or further surgery to remove the non-healed tissue.
This complication is most commonly seen with the tummy tuck operation.
have a much greater risk of skin loss and wound healing complications.
To decrease the likelihood of smoke related healing complications;
it is recommended that you quit smoking 3 weeks before and after
There is the possibility of a poor result from the surgery. You
may be disappointed with the final surgical result. There are many
things we can do to try and increase your satisfaction. These solutions
are specifically designed for you.
This factor usually comes into play when two sides of the body are
operated on i.e. breasts. Some body asymmetry naturally occurs in
most people. This is usually better after surgery but it may persist.
Additional surgery may be necessary to correct asymmetry, should
you wish such correction.
Most procedures are followed by some pain. We have many different
medications to try to help you with this. Most patients are very
comfortable on these medications and do not need to use them after
2 to 3 days. Please beware as these medications can be quite constipating.
In rare cases, local allergies to tape, suture material, or topical
preparations have been reported. Systemic reactions which are more
serious may occur to drugs used during surgery and prescription
medicines. Allergic reactions may require additional treatment.
Both local and general anesthesia involve risk. Complications, injury
and even death may occur from all forms of surgical anesthesia or
sedation. Please discuss these with the anaesthetist.
There are many different conditions that may influence the long-term
result of your cosmetic operation. Secondary surgery may be necessary
to perform additional tightening or repositioning. Should complications
occur, additional surgery or other treatments may be necessary.
Even though risks and complications occur infrequently, the risks
cited are particularly associated with plastic surgery in general.
Other complications and risks can occur but are even more uncommon.
The practice of medicine and surgery is not an exact science.
good results are expected, it is very difficult to guarantee or
warranty the results that may be obtained. The cost of revision
surgery may not be covered by the initial fee