628 Hospital Drive, Ste. 2A & 3E Mountain Home AR 72653 (870) 425-7300 / (870) 424-4164 fax LIPOSUCTION: INSTRUCTIONS AFTER SURGERY GOING HOME: You cannot drive yourself home. It is recommended that you have a responsible adult with you for 24 hours after your procedure. DIET: Resume your usual diet as desired. Drink adequate amounts of water, fruit juice, soft drinks, etc to prevent dehydration. Avoid alcoholic beverages for 48 hours BEFORE and AFTER surgery. ACTIVITIES: Quiet activity is recommended after surgery. You are encouraged to walk around the evening of surgery. Do not drive or operate a car or other machinery. The following day you may drive your car and engage in light to moderate physical activities. You may carefully resume exercise and vigorous physical activity 2 to 4 days after surgery. It is suggested that you begin with 25% of your normal work-out and then increase your activity daily as tolerated. You may notice you are sore and easily fatigued for several days. POST-OP GARMENT: After tumescent liposuction, compression garments are to be worn to hold the absorbent pads in place and to provide mild compression that encourages the drainage of the blood-tinged anesthetic solution. The morning after surgery, when the garment is first removed in order to shower, you may experience a brief sensation of dizziness. Sit on the edge of the bed and slowly remove the garment. If dizziness occurs, simply lie down until it passes. MANAGING POST-OP DRAINAGE: One should expect a large volume of blood tinged anesthetic solution to drain from the small incisions during the first 24 to 48 hours. In general, the more drainage there is, the less bruising and swelling there will be. During the first 48 hours, you should sit or lie on a towel. If there is a large amount of drainage you may want to place a plastic sheet beneath towels and bedding. After the first few days absorbent gauze dressings should be all you need. WOUND CARE AND BATHING: Keep incisions clean. Shower once or twice daily. First wash your hands, and then wash incisions gently with soap and water. Afterwards, gently pat the incisions dry. Next, apply Bacitracin Antibiotic Ointment to incisions and place new absorbent dressings as long as you are having drainage. Incisions that have stopped draining no longer need padding. Call our office if you notice signs of infection such as fever, foul smelling drainage, focal redness, swelling or increased pain in a treated area. DO NOT APPLY ICE PACKS OR A HEATING PAD to the skin overlying the areas treated by liposuction. DO NOT APPLY HYDROGEN PEROXIDE OR PLASTIC BAND-AIDS to incision sites. DO NOT SOAK in a bath, Jacuzzi, swimming pool or ocean for 7 days after surgery. COMMON SIDE EFFECTS: Menstrual Irregularities with premature, delayed or heavy cycle is a common side effect of any significant surgery. FLUSHING of the face, neck and upper chest may occur after liposuction surgery and usually lasts for a day or two. SLIGHT TEMPERATURE ELEVATION during the first 48 hours after surgery is a natural consequence of the body’s reaction to surgical trauma. Call for temperature of 100.5. DISCOMFORT AND SORENESS can be worse on the second day after surgery, and then should improve daily. Take your pain medication as prescribed OR Extra Strength Tylenol every 4 hours while awake, for the first 48 hours. This will reduce inflammation, swelling, and soreness associated with surgery. DO NOT take aspirin, ibuprofen, or medications containing these drugs for 3 days following surgery as they can promote bleeding. BRUISING is minimal, but the more extensive (more fat removed) the liposuction surgery, the more one can expect. PAIN AND SWELLING due to inflammatory reaction to surgical trauma may occur and increase 5 to 10 days after surgery. This can be treated with antibiotics and anti-inflammatory drugs. PLEASE DO NOT HESITATE TO CALL DR. WREN OR STAFF AFTER SURGERY. IF YOU HAVE QUESTIONS OR CONCERNS WE ARE HERE TO HELP YOU. YOU MAY CALL A PHONE DEDICATED TO LIPOSUCTION PATIENTS…870-736-4357 (HELP) OTHER THINGS TO REMEMBER: You may experience your heart beating fast (tachycardia) 6 to 12 hours after liposuction. Ultimate results require 12 to 20 weeks to be achieved. You will see improvement after the surgery, but as the swelling subsides and the skin tightens your silhouette will continue to improve. I recommend you wear your compression garment 24 hours per day for the first week. Week two you may decrease this to 12 hours per day.