This document, authored by Dr. Sean Simon, provides comprehensive post‑operative guidance for patients undergoing a range of cosmetic procedures (breast surgery, liposuction, buttock fat grafting, abdominoplasty, combined procedures, and the MyEllevate neck lift). It covers pre‑surgery preparation (arrival timing, anti‑anxiety medication), transportation home, general recovery principles (activity, positioning, icing, diet, constipation prevention), detailed medication regimens (antibiotics, anti‑emetics, pain meds, muscle relaxants, anti‑anxiety), and procedure‑specific care instructions (garments, drains, bra, compression, restrictions on sitting, showering, and hygiene). The tone is instructional and supportive, emphasizing safety, caregiver involvement, and a positive attitude for optimal healing.
Topics
Pre‑Surgery Arrival and Anti‑Anxiety Preparation
Guidelines for arriving on time, bringing medications, limiting visitors, and taking a pre‑op Xanax dose one hour before surgery.
Transportation Home and Immediate Post‑Op Comfort
Requirements for an adult companion for 24 hours, recommended clothing, and the role of the recovery nurse in providing discharge medications.
Activity, Positioning, and Circulation Management
Rest recommendations, walking schedule (15 min every 2 h), leg exercises, calf massage, and preferred semi‑reclined positioning to protect incisions.
Ice Pack Use for Pain and Swelling Control
How to apply ice packs safely (30 min on, 20‑30 min off, barrier cloth) to reduce analgesic needs.
Diet Progression and Fluid Recommendations
Start with clear fluids (Gatorade, soup) on day of surgery, then transition to normal diet as tolerated.
Constipation Prevention Strategies
Fiber supplementation (Benefiber, Metamucil), prune juice, OTC stool softeners/laxatives, and optional Fleet enema to counter opioid‑induced GI slowdown.
Medication Regimen Overview
List of medication classes prescribed pre‑op, timing for filling scripts, and rationale for each class.
Antibiotic Protocol (IV then PO)
IV antibiotic intra‑op, followed by oral antibiotics twice daily with food starting the day after discharge.