What to Expect Before and After Surgery

Whether its a month, week or day before your surgery, you need to know exactly what to expect and how you can best prepare for it.

COSMED Cosmetic Surgery Center Clinic with Board Certified Plastic Surgeons in Tijuana, Mexico

We have put together a detailed list to help you understand what is expected before and after your upcoming cosmetic surgery. Simply locate your surgery below to learn more about how you can better prepare during the weeks, days and hours prior your surgery, as well as expectations after your cosmetic surgery.

Read on the complete list of topics and learn more about the Benefits of having your cosmetic surgery in Mexico, and about our exceptional cosmetic surgery staff.

BLEPHAROPLASTY/BROW LIFT OR EYELID SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain Aspirin, Ibuprofen, diet pills or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain, take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results mail to our office: (1) CBC, (2) Routine Urinalysis, (3) H.I.V., (4) PT, PTT, (5) Pregnancy Test. 3. Please have the following lab work performed 4 weeks before your surgery and have the results faxed or emailed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V. (4) PT,PTT and INR, (5)Hepatitis B and C, (6) Chem. Panel, (7) Pregnancy Test. We must have the results 4 weeks before your surgery.
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. A chest X-Ray must also be done if you are or were a smoker and both tests must have been done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, call our office.

TWO DAYS BEFORE YOUR SURGERY:

Do not wear any make-up to surgery. If you tint, dye or bleach your hair, this should be done no later than 3-4 days prior to your surgery, and no sooner than 2 weeks after surgery.
Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. For a period of two days prior to surgery, thoroughly clean your face twice daily for five minutes each time using Betadine.
The night before and the morning of surgery, shampoo your hair with Betadine. Do not set or style your hair. You are permitted to blow dry your hair. No hair spray.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight. 3. You must remove acrylic nails from one hand to accommodate our monitors.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make up, wigs or hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave the office.

AFTER YOUR EYES OR BROWLIFT SURGERY:

ACTIVITY: After your surgery you can go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Keep crushed ice in rubber globes covered with a towel over your eyes and cheeks for at least 24 hours continuously. Slight signs of blood may show through on the incisions, but excessive swelling or bleeding should be reported to office. The incisions will be checked at your first postoperative visit.
EXPECTATIONS: Expect to take a few days for recovery. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). It is expected that occasionally the white portion of the eye may become red or discolored. About 80% of the swelling is gone 14 days after surgery. Almost after two weeks the discoloration is gone.
MAKE UP: You may start applying make-up three days after your surgery. Avoid the application of make-up or cover-up creams to the areas of surgery the first week.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed to do so; usually up to seven days after surgery.
SLEEPING: It is preferable that you sleep on your back with a pillow under your neck.
BATHING: You may stand in the shower and rinse your hair on the third post-operative day. You can pat dry your hair gently with a towel or a hair dryer set on cool. Do not use a hot dryer, electric rollers or curling irons for two weeks. Heat will provoke swelling. Hair treatments such as perms or dyes should be avoided for at least two weeks. A light, non-irritating shampoo is recommended (i.e., Johnson’s baby shampoo) for the first week following surgery. Light non-toxic creme rinses are allowed, and will make your hair setting easier. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must always use a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S.
IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.
OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!
THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

BODY LIFT INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medications. Do not smoke for two weeks before the surgery and two weeks after to avoid complications. Do not take any products that contain Aspirin, Ibuprofen, Fish Oil Supplement, Green Tea, Black Tea, Ginseng, Ginko Biloba, Diet pills or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection like a cold, please notify the clinic.
Please have the following lab work performed two weeks before your surgery and have the results faxed or emailed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V. (4) PT,PTT and INR, (5)Hepatitis B and C, (6) Chem. Panel, (7) Pregnancy Test
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any questions, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your tummy (specially the navel area) and back for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at drug store. No prescription is needed. Also please shave your pubic hair.
The day before surgery have a light dinner, do not eat anything solid after 9:00 p.m. Do not eat or drink anything after 12:00 midnight that includes water.
You must remove acrylic nails from one hand to accommodate our monitors.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make up, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers. On day of surgery please bring a long white cotton T-shirt to go on under your binder.
You must arrange for someone to drive you to the clinic and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of where you will be staying when you leave the clinic.

AFTER YOUR BODY LIFT SURGERY:

THE DOCTOR REQUIRES THAT YOU STAY IN THE SURGICAL FACILITY WITH OUR PRIVATE NURSE FOR THE FIRST NIGHT. AND AFTER YOUR SURGERY YOU MUST STAY CLOSE TO THE FACILITY (IN SAN DIEGO OR TIJUANA AREA) FOR AT LEAST 3 DAYS FOR ANY EVENTUALLITY.

ACTIVITY: The day after your surgery please go directly to the After Care Facility, Hotel or Home and remain in bed until the following morning. You are allowed to get up to go to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after your surgery, please discuss this with your doctor as every patient is a little different. You will be able to resume strenuous exercise 4-6 weeks following your surgery. Consult with the doctor and the nurse about the exercise you will have to do with your legs to stimulate circulation and if it will be necessary to use compression stockings.
DIET: You may have liquids as tolerated then on to soft foods then to a regular diet. If you become sick go back to liquids. It is better if you have a soft diet the first week.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You will need to fill a prescription for your after surgery meds. Take the medications as directed (no alcohol is permitted while taking medication). If you have excessive pain, please call the office or the emergency number.
WOUND CARE: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, do not be alarmed, a small amount is normal. Call the doctor in case of excessive bleeding. The incisions will be checked at your first postoperative visit. Keep your incisions dry.
SWELLING / EXPECTATIONS: Swelling and discoloration is expected. The swelling and bruises will not be uniform, or symmetrical, 70% of the swelling will be absorbed in 3 weeks. Call the office if the swelling is excessive.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: You must not drive for at least 7 days after your surgery. If you do not live in the Tijuana-San Diego Area, please make arrangements to stay in the area for 5-7 days.
SPORTS: Strenuous sports may be resumed after four to six weeks. Refrain from any activity which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a binder the first week after your surgery, always use a long preferably white cotton T-shirt under the binder. After this you will have to use a girdle or sash for a period of 4 to 6 weeks after your surgery. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You may have a shower 5 days after your surgery. Heat will increase swelling, so it is preferable to take a shower with warm water. Remember to keep the incision dry. Also avoid water to come into the drain hole, use an antibiotic ointment around the drain hole.
DRAINS: You will have drains for about 10 days. You need to empty the reservoir twice a day. Vacuum drainage will cease when reservoir fills completely. Never remove reservoir from clear tubing. To empty turn exit port up (bottom of reservoir) and open the plug. Empty fluids through this plug. Collapsing the reservoir will remove all fluids. To reactivate the system, re-plug the exit port while the reservoir is collapsed. Make sure they are working properly.
SLEEPING: It is preferable that you sleep on your back the first week, with two pillows under your head and a pillow under your knees.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask our receptionist the date of your next visit.
EMERGENCY: In case of emergency please call our office or our emergency line.

Please leave the phone number where you will be (after care facility or hotel with room number) recovering after your surgery.

CosMed Clinic: 634-1902 or Emergency line: (619) 572- 1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S, YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR COFIDENCE,
COSMED CLINIC

BRAQUIOPLASTY (Arm Lift) INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medications. It is very important to know what medicine or drugs you take before any surgery. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain Aspirin, Ibuprofen, Diet Pills or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection like a cold, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results faxed or email to our office: (1) CBC, (2) Routine Urinalysis, (3) H.I.V., (4) PT. and PTT, (5) Chem. Panel, (6) Hepatitis B and C, (7)Pregnancy Test.
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The chest x-ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any questions, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your arms for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. No prescription is needed.
The day before surgery have a light dinner; do not eat anything solid after 9:00 p.m. Do not eat or drink anything after 12:00 midnight that includes all liquids.
You must remove acrylic nails from one hand to accommodate our monitors.
Do not drink any alcoholic drinks at least two days before your surgery.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Do not wear any make-up, wigs, hair extensions or acrylic nails to surgery. Wear something comfortable that buttons or zips up the front. Do not wear anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave the office.

AFTER YOUR SURGERY:

ACTIVITY: After your surgery, please go directly home and remain in bed until the following morning. You are allowed up to go to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after surgery, please discuss this with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Consult with the doctor and the nurse about the exercise you will have to do with your legs to stimulate circulation and if it will be necessary to use compression stocking.
DIET: You may have liquids as tolerated, then to soft foods and to a regular diet. If you become sick, go back to liquids. Is better if you have a soft diet the first week.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You need to fill a prescription for your after surgery meds. Take the medications as directed (no alcohol is permitted while taking medication). If you have excessive pain, please call our office.
WOUND CARE: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, do not be alarmed, a small amount is normal, please call the doctor in case of excessive bleeding. The incisions will be checked at your first postoperative visit. Keep your incisions dry.
SWELLING / EXPECTATIONS: Swelling and discoloration is expected. The swelling and bruises will not be uniform, or symmetrical, 70% of the swelling will be absorbed in 3 weeks. Call our office if the swelling is excessive.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: You must not drive for 7 days after your surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a binder the first week after your surgery, always use a long white cotton T-shirt under your binder. After this you will have to use a girdle or sash for a period of 4 to 6 weeks after your surgery. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You may have a shower 4 days after your surgery. Heat will made more swelling, so is preferable take a shower with warm water. Remember to keep the incision dry. Also avoid the water come into the drain hole, using an antibiotic ointment around the drain hole.
SLEEPING: It is preferable that you sleep on your back the first week, with a pillow under your knees.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask our receptionist the date of your next visit.
EMERGENCY: In case of emergency please call our office or our emergency line.

CosMed Clinic: 634-1902 Emergency Line: 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE,
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

BREAST AUGMENTATION SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medications. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain, take Tylenol.
If you develop any signs of infection, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results faxed or email to our office: (1) CBC, (2) Routine Urinalysis, (3) H.I.V., (4) PTand PTT,
(5) Chem. Panel, (6) Hepatitis B and C, (7) Pregnancy Test.
You must have a current chest X-ray film and Electrocardiogram if you are over 50 years old and the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your Breast for five minutes once daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. No prescription is needed.
You must remove acrylic nails from one hand to accommodate our monitors.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight. You must remove acrylic nails from one hand to accommodate our monitors.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to the office and home after your surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of where you will be recovering when you leave our office.

AFTER YOUR BREAST AUGMENTATION SURGERY:

ACTIVITY: After your surgery you must go directly home and remain in bed until the following morning. Because of medication you need someone to spend the night with you. You are allowed up to go to the bathroom with help. You will be on restricted activities the days after surgery please discuss this with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated, then to soft foods then to regular diet. If you become sick go back to liquids. It is best to stay on soft foods for a week.
SWELLING / EXPECTATIONS: You will experience some post-operative discomfort. You will have swelling around your breast; this is maximal the day after your surgery. This is a normal event. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 3 weeks after surgery.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. Take Tylenol, either plain or extra-strength is usually sufficient. You need to fill a prescription after your surgery for your meds. Take the medications as directed (no alcohol is permitted while taking medication). Most of the pain will be gone after the first week.
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to our office. The incisions will be checked at your first postoperative visit. Do not apply heat to the breast following surgery for three weeks.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed that it is ok to do so; usually up to seven days after surgery.
BATHING: You may stand in the shower on the third post-operative day. Heat will provoke swelling, so is preferable to use warm water. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
SPECIAL EXERCISE: You must follow the instructions of your doctor regarding breast exercises. Begin manipulation when told by doctor.
CLOTHING: You will have to wear a brassiere that fits you comfortably for at least two weeks after your surgery.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.

CosMed Clinic: 634-1902 or Emergency Line: (619) 572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S; YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE BEST SERVICE AVAILABLE
RESULTING IS A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE

BREAST LIFT SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medications. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain Aspirin, Ibuprofen or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain, take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed at least two weeks before your surgery and have the results faxed or email to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT, PTT and INR, (5) Chemistry Panel, (6) Hepatitis C and B, (7) Pregnancy Test.
You must have a current chest X-ray film and Electrocardiogram if you are over 50 years and the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your Breast for five minutes once daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. No prescription is needed.
You must remove acrylic nails from one hand to accommodate our monitors.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to our office and home after your surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be recovering when you leave our office.

AFTER YOUR BREAST LIFT SURGERY:

ACTIVITY: After your surgery, please go directly home and remain in bed until the following morning. Because of medication you need someone to spend the night with you. You are allowed up to go to the bathroom with help. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated then to soft foods and to a regular diet. If you become sick go back to liquids. It is best to stay on soft foods for the first week.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Take Tylenol, either regular or extra-strength is usually sufficient. You need to fill a prescription after your surgery for your meds. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Your wounds will be dressed the day of your surgery with a brassiere. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to our office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 70% of the swelling is gone 21 days after surgery. Do not apply heat to the breast for three weeks following your surgery.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until doctor says it is safe to do so; usually up to seven days after surgery.
BATHING: You may stand in the shower on the third post-operative day. Heat will provoke swelling, so is preferable to use warm water. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 4 weeks after surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You have to wear a brassiere all the times to avoid tension on the incisions.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.

CosMed Clinic: 634-1902 or Emergency Line: (619) 572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S, YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE
COSMED CLINIC

BREAST REDUCTION SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medications. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain Aspirin, Ibuprofen or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results faxed or emailed to our office: (1)CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and PTT, (5) Chem. Panel, (6) Hepatitis B and C (7) Pregnancy Test.
You must have a current chest X-ray film and Electrocardiogram if you are over 50 years and the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your Breast for five minutes once daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. No prescription is needed.
Please call our office to confirm the exact time of your surgery. Please fill your prescriptions and take the antibiotic the night before surgery.
You must remove acrylic nails from one hand to accommodate our monitors.
Eat a light, easily digested meal the night before surgery. No foods or any liquids (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to our office and home after your surgery. When you arrive at our office let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR BREAST REDUCTION SURGERY:

ACTIVITY: After your surgery please go directly home and remain in bed until the following morning. Because of medication you need someone to spend the night with you. You are allowed up to the bathroom with help. You will be on restricted activities the days after surgery please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated then to soft foods, then to a regular diet. If you become sick go back to liquids. It is best to remain on soft foods for a week.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Take Tylenol regular or extra-strength is usually sufficient. You need to fill a prescription for your meds after your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to our office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 14 days after surgery. Do not apply heat to the breast for three weeks following your surgery.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until doctor gives you an ok; usually up to seven days after surgery.
BATHING: You may stand in the shower on the third post-operative day. Heat will provoke swelling, so is preferable to use warm water. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You have to wear a brassiere all the time to avoid tension on the incisions.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.

COSMED CLINIC: 634-1902 or Emergency Line: (619) 572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S, YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

FACE AND NECK LIFT INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain Aspirin, Ibuprofen, Diet Pills or Vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain, take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results faxed or emailed to our office: (1) CBC, (2) Routine Urinalysis, (3) HIV, (4) PT and INR, (5) CHEMISTRY PANEL, (6) Pregnancy Test.
You must have a current Electrocardiogram if you are over 50 years and the results must be sent to our office two weeks prior to your surgery. If you are or were a smoker a Chest X-Ray is also necessary and must have been done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual x-ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question please call our office.

TWO DAYS BEFORE YOUR SURGERY:

If you tint, dye or bleach your hair, this should be done no later than 3-4 days prior to your surgery, and no sooner than 2 weeks after surgery.
Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. In Mexico it is Isodine espuma scrub. For a period of two days prior to surgery, thoroughly clean your face twice daily for five minutes each time using Betadine (Isodine).
The night before and the morning of surgery, shampoo your hair with Betadine (Isodine). Do not set or style your hair. You are permitted to blow dry your hair. No hair spray. Men do not shave the morning of your surgery. You must remove acrylic nails from one hand to accommodate our monitors.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make-up, acrylic nails, wigs or hair extensions to surgery. Do not wear anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
Your must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be recovering when you leave our office.

AFTER YOUR SURGERY:

THE DOCTOR REQUIRES THAT YOU STAY IN OUR SURGICAL FACILITY WITH OUR NURSING TEAM FOR THE FIRST NIGHT.

ACTIVITY: After your surgery please go directly to the After Care Facility, Hotel or Home and remain in bed until the following morning. You are allowed up to the bathroom with help. You will be on restricted activities the days after surgery, please discuss this with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Do not turn your head from side to side; you have to turn your body as a unit. Keep your chin in an elevated position, making a 90 degrees neck angle all times. Avoid eating and watching TV in bed.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. Care should be taken for approximately two weeks after surgery, not to open widely your mouth or chew vigorously, so is better if you have a soft diet. Also avoid to yawn widely. If a yawn is unavoidable, try to keep the mouth closed or give support to the chin with the hand.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You need to fill a prescription for you’re after surgery meds. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. Keep crushed ice in rubber globes covered with a towel over your eyes and cheeks for at least 24 hours continuously. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to our office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 14 days after surgery. If any dermabrasion is done, let this air-dry. A crust will form and fall off in approximately 10-14 days. Do not apply heat to the neck or face following a face-lift for three weeks after surgery.
MAKE UP: You may start applying make-up three days after your surgery. Avoid the application of make-up or cover-up creams to the areas of dermabrasion.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed it is ok to do so; usually 2 to 3 weeks after surgery.
SLEEPING: It is preferable that you sleep on your back with a pillow under your shoulders for the first 10 days after your surgery. Do not use a pillow under your neck.
BATHING: You may stand in the shower and rinse your hair on the third post-operative day. You can pat dry your hair gently with a towel or a hair dryer set on cool. Do not use a hot dryer, electric rollers, or curling irons for two weeks. Heat will provoke swelling. Hair treatments such as perms or dyes should be avoided for at least two weeks. A light, non-irritating shampoo is recommended (i.e. Johnson’s baby shampoo) for the first week following surgery. Light non-toxic creme rinses are allowed, and will make your hair setting easier. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity, which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 30.
CLOTHING: Do not wear any type of clothing or wig after surgery that would be tight fitting around the neck area. Example: Turtle neck sweaters or high collared blouses that would fit tightly or any other type of clothing that would cause undue pressure to the neck.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.

COSMED: 01152 (664) 634-1902 or EMERGENCY LINE: (619) 572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
YOUR RESPONSIBILITY IS TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!
THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

HAIR TRANSPLANTATION SURGERY INSTRUCTIONS

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or take any medication, this is important to avoid complications in the surgery or after. Do not take any products that contain Aspirin, Ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 4 weeks after surgery. These products may interfere with normal blood clothing.
Please have the following lab work performed 4 weeks before your surgery and have the results faxed or emailed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V. (4) PT,PTT and INR, (5)Hepatitis B and C, (6) Chem. Panel, (7) Pregnancy Test. We must have the results 4 weeks before your surgery.
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The chest x-ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual x-ray film, only a copy of the results is necessary. The same applies to the electrocardiogram. If you have any question, call our office.
Because you will be unable to color, bleach, or perm you hair for 6 weeks after the operation, you may wish to do so beforehand.

TWO DAYS BEFORE YOUR SURGERY:

Purchase Betadine scrub (if no allergy to iodine) at a drug store. No prescription is needed. If you are allergic to iodine, please buy Dial soap.
Two days before and the morning of surgery, shampoo your hair with Betadine or Dial soap. Do not set or style your hair. You are permitted to blow dry your hair. Men do not shave the morning of your surgery.
If you develop any signs of infection, pustules, or boils on your face, please notify the office.
Eat a light, easily digested meal the evening prior to surgery. Have no solid food and absolutely no liquids (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuable; therefore, we suggest you remove all types of jewelry and leave them at home; this includes eye glasses and purses.
Wear something comfortable loose-fitting, inexpensive clothing that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. You will be more comfortable wearing a bathrobe and slippers. Do not wear high heeled shoes.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. The doctor needs a telephone number of were you will be the first 24 hours.

AFTER YOUR SURGERY:

ACTIVITY: After surgery go directly home and remain in bed until the following morning. You are allowed up to the bathroom. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have a normal diet after your surgery.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication). Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other).
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. The incisions will be checked at your first postoperative visit. After that you will have the incisions and hair grafts areas open, covered only by a thin topical antibiotic.
MAKE UP: You may start applying make-up after your surgery. Avoid the application of make-up or cover-up creams to the areas of the hair grafts.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the hair grafts.
DRIVING: You may drive the day following your surgery.
SLEEPING: It is preferable that you sleep on your back for 10 days to two weeks.
BATHING: You may stand in the shower and rinse your hair on the fourth post-operative day. Do not massage the scalp at this time. You can pat dry your hair gently with a towel or a hair dryer set on cool. Do not use a hot dryer, electric rollers or curling irons for two weeks. Heat will provoke swelling. Hair treatments such as perms or dyes should be avoided for at least six weeks. A light, non-irritating shampoo is recommended (i.e., Johnson’s baby shampoo) for the first week following surgery. Hair gels and mousses are to be avoided for 2 weeks. Light non-toxic creme rinses are allowed, and will make your hair setting easier.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use a sunscreen (UVA Guard Shade) with a minimum of SPF 15
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
EMERGENCY: In case of emergency please call to our office
CosMed Clinic: 634-1902 or Emergency line 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

BUTTOCK AUGMENTATION INSTRUCTIONS:

TWO WEEKS BEFORE SURGERY:

Please let us know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection like a cold, please notify our office.
Please have the following lab work performed four weeks before your surgery and have the results emailed or faxed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy Test.
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your buttocks (specially the middle area) and back for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at drug store. No prescription is needed.
The day before surgery have a light dinner, do not eat anything solid after 9:00 p.m. Do not eat anything after 12:00 midnight, including liquids.
You must remove acrylic nails from one hand to accommodate our monitors.
Please call our office to confirm the exact time of your surgery.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Do not wear any make-up to surgery. Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave the office.

AFTER YOUR BUTTOCK AUGMENTATION SURGERY:

THE DOCTOR PROBABLY WILL REQUIRE THAT YOU STAY IN OUR SURGICAL FACILITY WITH OUR NURSES FOR THE FIRST NIGHT. AND YOU MUST STAY CLOSE TO THE FACILITY (IN SAN DIEGO OR TIJUANA AREA) FOR AT LEAST 3 DAYS FOR ANY EVENTUALLITY.

ACTIVITY: The day after your surgery please go directly to the Hotel or Home and remain in bed until the following morning. You are allowed up to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 4-5 weeks following your surgery. You are not going to be able to sleep on your back you can sleep on your side or on your stomach.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. It is better if you have a soft diet the first week.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You have to fill a prescription for your surgery. Take the medications as directed (no alcohol is permitted while taking medication). If you have excessive pain, please call the office or the emergency number.
WOUND CARE: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, do not be alarmed, a small amount is normal, and call the doctor in case of excessive bleeding. The incisions will be checked at your first postoperative visit. Keep your incisions dry.
SWELLING / EXPECTATIONS: Swelling and discoloration is expected. The swelling and bruises will not be uniform, or symmetrical, 70% of the swelling will be absorbed in 3 weeks. Call the office if the swelling is excessive.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: You must not drive for 7 days after your surgery. If you do not live in the Tijuana-San Diego Area, you must make arrangements to stay in the area for 5-7 days.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity, which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a binder the first week after your surgery, always use a long white cotton T-shirt under the binder. After this you will have to use a girdle or sash for a period of 4 weeks after your surgery. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You may have a shower 3 days after your surgery. Heat will made more swelling, so is preferable take a shower with warm water. Remember to keep the incision dry. If you have a drain avoid the water come into the drain hole, using an antibiotic ointment around the drain hole.
DRAINS: You will have drains for about 3 days. You need to empty the reservoir twice a day. Vacuum drainage will cease when reservoir fills completely. Never remove reservoir from clear tubing. To empty turn exit port up (bottom of reservoir) and open the plug. Empty fluids through this plug. Collapsing the reservoir will remove all fluids. To reactivate the system re-plug the exit port while the reservoir is collapsed. Make sure they are working properly.
SLEEPING: It is preferable that you sleep on your stomach. But you can also sleep on your side for 4 weeks, after that period of time you’re going to be able to sleep on your back. You can’t sit for the first week after the surgery.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask the receptionist the date of your next visit.
EMERGENCY: In case of emergency please call to our office.

CosMed Clinic: 634-1902 or Emergency line 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

CHIN IMPLANT SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results emailed or faxed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy Test.
If you are over 50 years old you must have a current Chest X-ray and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The Chest X-Ray and EKG must be done within the last six months. If you have not had these tests done, please set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray or EKG films, only a copy of the results is necessary. If you have questions, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. For a period of two days prior to surgery, thoroughly clean your face twice daily for five minutes each time using Betadine.
The night before and the morning of surgery, shampoo your hair with Betadine. Do not set or style your hair. You are permitted to blow dry your hair. No hair spray. Men do not shave the morning of your surgery. You must remove acrylic nails from one hand to accommodate our monitors.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

Do not wear any make-up to surgery. The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses. Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR SURGERY:

ACTIVITY: After your surgery please go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. Is better if you have a soft diet the first week.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Your wounds will be dressed the day of your surgery. Keep crushed ice in rubber globes covered with a towel over your chin for at least 24 hours continuously. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 21 days after surgery. Do not apply heat to the area for three weeks after surgery.
MAKE UP: You may start applying make-up three days after your surgery. Avoid the application of make-up or cover-up creams to the incision areas.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: You can drive the day after your surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity, which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
EMERGENCY: In case of emergency please call our office or our emergency line.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928.

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

DERMABRASION INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, diet pills, ibuprofen or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection, pustules or boils on your face, please notify our office.

TWO DAYS BEFORE YOUR SURGERY:

Do not wear any make-up to surgery. If you tint, dye or bleach your hair, this should be done no later than 3-4 days prior to your surgery, and no sooner than 2 weeks after surgery.
The night before and the morning of surgery do not set or style your hair. You are permitted to blow dry your hair. No hair spray. No perfume. Men do not shave the morning of your surgery.
Eat a light, easily digested meal the night before surgery.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels.
You must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR DERMABRASION SURGERY:

ACTIVITY: After your surgery, go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. You will be able to resume strenuous exercise 3-4 weeks following your surgery.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. Care should be taken for approximately two weeks after surgery, not to open widely your mouth, so is better if you have a soft diet. Also avoid yawning widely. If a yawn is unavoidable, try to keep the mouth closed or give support to the chin with the hand.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. Keep crushed ice in rubber globes covered with a towel over your eyes and cheeks for at least 24 hours continuously. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 14 days after surgery. If any dermabrasion is done, let this air-dry. A crust will form and fall off in approximately 10-14 days. Do not apply heat to the neck or face following a face lift or dermabrasion for three weeks after surgery.
MAKE UP: You may start applying make-up three days after your surgery. Avoid the application of make-up or cover-up creams to the areas of dermabrasion.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed to do so; usually up to ten days after surgery.
SLEEPING: It is preferable that you sleep on your back with a pillow under your shoulders for the first 10 days after your surgery.
BATHING: You may stand in the shower and rinse your hair on the third post-operative day. You can pat dry your hair gently with a towel or a hair dryer set on cool. Do not use a hot dryer, electric rollers or a curling iron for two weeks. Heat will provoke swelling. Hair treatments such as perms or dyes should be avoided for at least two weeks. A light, non-irritating shampoo is recommended (i.e., Johnson’s baby shampoo) for the first week following surgery. Light non-toxic creme rinses are allowed, and will make your hair setting easier. Keep the incisions dry.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity, which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
Emergency: In case of emergency please call our office or our emergency line.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928.

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

INNER THIGH LIFT INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let us know if you smoke or if you are taking any medication. It is very important to know what medicine or drugs you take before any surgery. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection like a cold, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results emailed or faxed to our office: (1) CBC, (2) Routine Urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy Test.
If you are over 50 years you must have a current chest X-ray film and an Electrocardiogram. The results must be sent to our office two weeks prior to your surgery. The chest x-ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, please call our office.
Purchase a girdle or a sash that fits your tummy and thighs comfortablely that zips at the sides.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your arms for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at drug store. No prescription is needed.
The day before surgery have a light dinner; do not eat anything solid after 9:00 p.m. Do not eat anything after 12:00 midnight, including liquids.
Please call our office to confirm the exact time of your surgery.
Do not drink any alcoholic drinks at least two days before your surgery.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Do not wear any make-up, wigs, hair extensions or acrylic nails to surgery. Wear something comfortable that buttons or zips up the front. Do not wear anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR SURGERY:

ACTIVITY: After your surgery go directly home or hotel and remain in bed until the following morning. You are allowed up to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Consult with the doctor and the nurse about the exercise you will have to do with your legs to stimulate circulation and if it will be necessary to use compression stocking.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. Is better if you have a soft diet the first week.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You have to fill a prescription for your surgery. Take the medications as directed (no alcohol is permitted while taking medication). If you have excessive pain please call the office.
WOUND CARE: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, do not be alarmed, a small amount is normal, call the doctor in case of excessive bleeding. The incisions will be checked at your first postoperative visit. Keep your incisions dry.
SWELLING / EXPECTATIONS: Swelling and discoloration is expected. The swelling and bruising will not be uniform, or symmetrical, 70% of the swelling will be absorbed in 3 weeks. Call our office if the swelling is excessive.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: You must not drive for 10 days after your surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity, which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a binder the first week after your surgery, always use a long white cotton T shirt under the binder. After this you will have to use a girdle or sash for a period of 4 to 6 weeks after your surgery. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You may have a shower 4 days after your surgery. Heat will made more swelling, so is preferable take a shower with warm water. Remember to keep the incision dry. Also avoid the water come into the drain hole, using an antibiotic ointment around the drain hole.
SLEEPING: It is preferable that you sleep on your back the first week, with a pillow under your knees.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask the receptionist the date of your next visit.
EMERGENCY: In case of emergency please call our office.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S,
IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

LASER CO2 RESURFACING SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol
Please have the following lab work performed four weeks before your surgery and have the results emailed or faxed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT, PTT and INR, (5) Chemistry Panel, (6) Pregnancy Test, (7) Hepatitis B and C. . Have the results mailed to our office 2 to 4 weeks prior to surgery. Lab work is good for a period of 4 weeks only.
You must have a current Electrocardiogram and Chest X-ray if you are over 50 years and the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual x ray film, only a copy of the results is necessary. The same applies to the electrocardiogram. If you have any question, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

Purchase Betadine scrub (if no allergy to iodine) at a drug store. No prescription is needed. You have to fill a prescription for Zovirax (Acyclovir), you must take 200 mg., every 12h. for two days before your surgery.
For a period of two days prior to surgery, thoroughly cleanse your face twice daily for five minutes each time using the Betadine. Make-up may be applied between these cleansing. The night before and the morning of surgery, shampoo your hair with betadine. Do not set or style your hair. You are permitted to blow dry your hair. You must remove acrylic nails from one hand to accommodate our monitors.
If you develop any signs of infection, pustules, or boils on your face, please notify our office.
Eat a light, easily digested meal the evening prior to surgery. Have no solid food and absolutely no liquids (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

Do not wear any make-up to surgery. Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. You will be more comfortable wearing a bathrobe and slippers. Do not wear high-heeled shoes.
The surgical facility is not responsible for any valuable; therefore, we suggest you remove all types of jewelry and leave them at home; this includes eyeglasses and purses.
When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. The doctor needs a telephone number of were you would be the first 24 hours.

AFTER YOUR LASER RESURFACING SURGERY:

THE FIRST NIGHT: Because of medication you must have someone spend the night with you.
ACTIVITY: Expect to take a few days for recovery. After surgery you are to go directly home and remain in bed until the following morning. You are allowed up to the bathroom with assistance. Heat will provoke swelling, so keep away from hot places.
DIET: You may have a soft to regular diet.
WOUND CARE: Your skin will be sore and very red for about 1 week. Your skin may be swollen too. Clean your face twice daily. Initially use plain water, after 2 or 3 days you can use a mild skin cleanser. Cover the area with a light coating of the prescribed medication. Do not use Neosporin, Neomicyn or Vitamin “E” products, these may cause skin irritation, rash, allergy and prolonged healing. Do not rub, scratch or put pressure on the laser treated areas until obvious skin changes, crusting, etc. have disappeared. You laser treated skin is very delicate for ten to fourteen days following treatment. A serous oozing and scab formation during the first week is to be expected. This will fall off spontaneously – Do not pick off any crusts -. Dryness and cracking are common after initial healing. A light coating of antibiotic (Bacitracin) or moisturizer ointment will help.
MEDICATION / PAIN: Some burning and discomfort is normal. Take the medication as prescribed (no alcohol is permitted while taking medication) and keep appointments on prescribed days.
AFTER HEALING SKIN CARE. After you have a new skin usually one week, you must follow this instructions: Every morning: after wash your face, apply a thin layer of bleaching cream, then apply sunblocker. Every evening: After wash your face and apply a thin layer of bleaching cream, then apply moisturizer.
MAKE UP: Do not apply make-up to the treated areas if any scabbing, blistering, oozing or crusting of the skin is present. You may begin using a cosmetic concealer after initial healing has occurred, about 7 days after surgery.
SUN EXPOSURE: Do not sunbathe for 12 weeks after the surgery. Be sure to wear a protective head covering or sunscreen to protect your face, you must use a sunscreen (UVA Guard Shade) with a minimum of SPF 15, everyday.
BATHING: You may take a shower, but gently pat the area dry. Do not rub with a towel or washcloth, as the skin is tender for the first two weeks following treatment. Use hypoallergenic products only and neutral soaps as Dove, Aveenobar.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
REDNESS. You will have some redness in the area of the laser treatment. This sometimes last for as long as 4 months after the treatment, an eventually is gone with the appropriate care.

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

LIPOSUCTION SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE THE SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain, take Tylenol.
If you develop any signs of infection like a cold, please notify our office.
Please have the following lab work performed 3 weeks before your surgery and have the results mail to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Blood Pregnancy Test.
If you are over 50 years you must have a current Chest X-ray film and an Electrocardiogram, the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your tummy and thighs for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at drug store. No prescription is needed.
The day before surgery have a light dinner, do not eat anything solid after 9:00 p.m. Do not eat anything after 12:00 midnight, including liquids.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Do not wear any make-up to surgery. Wear something comfortable that buttons or zips up the front. Do not wear any make up, acrylic nails, wigs, hair extensions or anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR LIPOSUCTION SURGERY:

THE FIRST NIGHT: Because of medication you must have someone spend the night with you.

ACTIVITY: After your surgery go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Consult with the doctor and the nurse about the exercise you will have to do with your legs to stimulate circulation, and if it will be necessary to use compression stocking.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. After you can have a normal diet.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You have to fill a prescription for your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE / SWELLING: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 3 weeks after surgery. Do not apply heat to the area for three weeks after surgery.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed to do so; usually from five to seven days after surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a girdle for a period of 4 weeks after the surgery. Use a long T-shirt under the girdle always. You will expect some bloodstain on your girdle. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You will be able to take a bath 3 days after your surgery. Remember to keep the incision dry.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask the receptionist when your next visit.
EMERGENCY: In case of emergency please call our office.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

MASTECTOMY SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE THE SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop any signs of infection like a cold, please notify the office.
Please have the following lab work performed two weeks before your surgery and have the results mail to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy Test.
If you are over 50 years you must have a current Chest X-ray film and an Electrocardiogram, the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual X-Ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, please call our office.

TWO DAYS BEFORE YOUR SURGERY:

For a period of two days prior to surgery, thoroughly cleanse your tummy and thighs for five minutes twice daily using Betadine. Purchase Betadine scrub (if you do not have allergy to Iodine) at drug store. No prescription is needed.
The day before surgery have a light dinner, do not eat anything solid after 9:00 p.m. Do not eat anything after 12:00 midnight, including liquids.
Please fill the prescriptions two days before your surgery. Take the antibiotic the night before surgery.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Do not wear any make-up to surgery. Wear something comfortable that buttons or zips up the front. Do not wear anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave our office.

AFTER YOUR LIPOSUCTION SURGERY:

THE FIRST NIGHT: Because of medication you must have someone spend the night with you.

ACTIVITY: After your surgery go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. The second day after your surgery you can walk around. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Consult with the doctor and the nurse about the exercise you will have to do with your legs to stimulate circulation, and if it will be necessary to use compression stocking.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. After you can have a normal diet.
MEDICATIONS / PAIN: You will experience some post-operative discomfort. You have to fill a prescription for your surgery. Take the medications as directed (no alcohol is permitted while taking medication).
WOUND CARE / SWELLING: Your wounds will be dressed the day of your surgery. Slight signs of blood may show through on the bandages, but excessive swelling or if bandages seem too tight should be reported to office. The incisions will be checked at your first postoperative visit. Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other). About 80% of the swelling is gone 3 weeks after surgery. Do not apply heat to the area for three weeks after surgery.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed to do so; usually up from three to seven days after surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrain from any activity that significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. You must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
CLOTHING: You will have to wear a girdle for a period of 4 weeks after the surgery. Use a long T-shirt under the girdle always. You will expect some bloodstain on your girdle. Do not remove the girdle or sash other than to wash it and shower.
BATHING: You will be able to take a bath 3 days after your surgery. Remember to keep the incision dry.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress. Ask the receptionist when your next visit.
EMERGENCY: In case of emergency please call our office.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO HAVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

OTOPLASTY/ EARS SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or take any medication, this is important to avoid complications in the surgery or after. Do not take any products that contain Aspirin, Ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery or 4 weeks after surgery. These products may interfere with normal blood clothing.
If you develop any signs of infection, pustules or boils on your face, please notify our office.
Please have the following lab work performed four weeks before your surgery and have the results faxed or emailed to our office. (1) CBC (2) Routine urinalysis (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy Test.
You must have a current Chest X-ray film and Electrocardiogram if you are over 50 years and the results must be sent to our office two weeks prior to surgery. The chest x-ray and electrocardiogram must be done within the last six months .If you have not had these test done, set up an appointment with your family physician or nearby hospital. Do not send the actual film, only a copy of the results is necessary. The same applies to the electrocardiogram. If you have any question, call our office.

TWO DAYS BEFORE YOUR SURGERY:

Purchase betadine scrub (if no allergy to iodine) at a drug store. No prescription is needed.
For a period of two days prior to your surgery, thoroughly cleanse your face twice daily for five minutes each time using the betadine. Make up may be applied between these cleansing.
The night before and the morning of your surgery shampoo your hair with betadine scrub. Do not set or style your hair, you are permitted to blow dry your hair.
Eat a light, easily digested meal the evening prior to surgery. Have no food and absolutely no liquids (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

Wear something comfortable loose-fitting, inexpensive clothing that buttons or zips up the front. Do not wear anything that is tight fitting over your head. You will be more comfortable wearing a bathrobe and slippers. Do not wear high-heeled shoes.
Do not wear any make up to surgery. The surgical facility is not responsible for any valuables; therefore, we suggest you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
You must arrange for someone to drive you to the office and home after the surgery. When you arrive at the office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need a number were you will be the first 24 hours.

AFTER YOUR SURGERY:

THE FIRST NIGHT: Because of medication you must have someone spend the night with you. After surgery you are to go directly home and remain in bed until the following morning. You are allowed up to the bathroom with assistance.
DIET: You may have a normal diet after your surgery.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication). Swelling and discoloration is expected, as is uneven swelling (more on one side than on the other).
WOUND CARE: Your wounds will be dressed the day of your surgery. These dressings will be removed, two days after your surgery. The incisions will be checked at your first postoperative visit.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Your may drive the day following your surgery.
SLEEPING: It is preferable that you sleep on your back for 10 days to two weeks.
BATHING: You may stand in the shower and rinse your head on the second post-operative day. You can pat dry your hair gently with a towel or a hair dryer set on cool. Do not use hot dryer, electric rollers or curling iron for two weeks. Heat will provoke swelling.
SPORTS: Strenuous sports may be resumed after three weeks. Refrain from any activity which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use a sunscreen (UVA Guard Shade) with a minimum of SPF 15
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
For routine questions, call our office.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928.

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC

RHINOPLASTY SURGERY INSTRUCTIONS:

TWO WEEKS BEFORE YOUR SURGERY:

Please let me know if you smoke or if you are taking any medication. Do not smoke for two weeks before the surgery and two weeks after, to avoid complications. Do not take any products that contain aspirin, ibuprofen, diet pills or vitamin “E” for a period of 4 weeks before surgery and 2 weeks after surgery. If you have a headache or pain take Tylenol.
If you develop a cold, facial sore, pustules or boils on your face, please notify our office.
Please have the following lab work performed two weeks before your surgery and have the results emailed or faxed to our office: (1) CBC, (2) Routine urinalysis, (3) H.I.V., (4) PT and INR, (5) Chemistry Panel, (6) Pregnancy test.
You must have a current chest X-ray film and Electrocardiogram if you are over 50 years and the results must be sent to our office two weeks prior to your surgery. The chest X-Ray and electrocardiogram must be done within the last six months. If you have not had these tests done, set up an appointment with your family physician or nearby hospital. Do not send the actual x ray film, only a copy of the results is necessary. The same applies to the Electrocardiogram. If you have any question, call our office.

TWO DAYS BEFORE YOUR SURGERY:

Purchase Betadine scrub (if you do not have allergy to Iodine) at a drug store. For a period of two days prior to surgery, thoroughly clean your face twice daily for five minutes each time using Betadine.
Make certain you have something (small plastic bags are best) to make ice bags for your eyes and cheeks after surgery.
Place two thick telephone books under the head of your mattress or place two bricks under each leg of the headboard in preparation for after surgery.

EVENING BEFORE SURGERY:

Make some jello and/or soup for after surgery.
You must remove acrylic nails from one hand to accommodate our monitors.
The night before and the morning of surgery, shampoo your hair with Betadine. Do not set or style your hair. You are permitted to blow dry your hair. No hair spray. Men do not shave the morning of your surgery.
Eat a light, easily digested meal the night before surgery. No foods or any liquid (including water) after 12:00 midnight.

THE DAY OF YOUR SURGERY:

The surgical facility is not responsible for any valuables therefore, we suggest that you remove all types of jewelry and leave them at home. This includes eyeglasses and purses.
Dress in loose and comfortable cloths that buttons or zips up the front. Do not wear anything that is tight fitting over your head. Do not wear high heels. You will be more comfortable wearing a bathrobe and slippers.
Your must arrange for someone to drive you to our office and home after the surgery. When you arrive at our office, let the receptionist know who will be taking you home and they will be given a time to pick you up. We need to have the telephone number of were you will be when you leave the office.

AFTER YOUR NASAL SURGERY:

YOUR FIRST NIGHT. It is important for you to elevate your head on at least 2 pillows to help keep swelling to a minimum. Elevating the head of your mattress by placing phone books between it and the box springs is advised. Applying ice bags (crushed ice is best) to the eyes during the day for the first 48 hours will decrease the amount of swelling you will have postoperatively. Do not put pressure on the nasal cast.
MEDICATIONS / PAIN: You will experience minimal post-operative discomfort. Tylenol, either plain or extra-strength is usually sufficient. You have to fill a prescription after your surgery. Take the medications as directed (no alcohol is permitted while taking medication). It is best to take pain medication with crackers, jello, etc.
WOUND CARE: Your nose will be dressed with a cast over your nose. This cast will be removed, seven to ten days after your surgery. Keep crushed ice in plastic bags, covered with a towel over your eyes and cheeks for at least 24 hours continuously. Slight signs of blood may show on the drip pad under your nose. The incisions will be checked at your first postoperative visit. Keep inside edges of your nose nostril any stitches clean by using a Q-tip saturated with hydrogen peroxide followed by a thin coating of Polysporin ointment. You may advance the Q-tip into the nose as far as the cotton on the Q-tip, but no further. There is nothing you can do to hurt anything inside your nose as long as you are gentle in your actions.
ACTIVITY: After your surgery go directly home and remain in bed until the following morning. You are allowed up to the bathroom with help. You will be on restricted activities the days after surgery, please discuss with your doctor. You will be able to resume strenuous exercise 3-4 weeks following your surgery. Be careful to avoid hitting your nose for 8 weeks after surgery.
DIET: You may have liquids as tolerated then to soft foods, to regular diet. If you become sick go back to liquids. For two weeks avoid foods that require excess lip movement, i.e., apples, corn on the cob, etc.
NASAL DISCHARGE. You will probably have a bloody nasal discharge for 2-4 days so change the drip pad under your nose as often as needed. To prevent postoperative bleeding, do not sniff or blow your nose for the first two weeks after surgery. Try not to sneeze, but if you do, sneeze through your mouth.
GLASSES. You can wear glasses over the cast. After the cast is removed, do not allow glasses or anything else to rest on your nose for 8 weeks. Glasses should be taped to the forehead (we will show you how). Contacts can be worn as soon as the swelling has decreased enough for them to be inserted.
8. SWELLING. Swelling and discoloration (under your eyes) is expected, as is uneven swelling (more on one side than on the other). Do not be alarmed if you continue to swell after the first 24 hours, because swelling reaches its peak at 48-72 hours. The inside of the nose will also be swollen; this will result in difficulty breathing, which will progressively improve with time. About 80% of the swelling is gone 21 days after surgery.
OTHER EXPECTATIONS. It is good idea to avoid looking in mirrors immediately after surgery. No matter how thoroughly we discussed the operation beforehand you will see something you did not expect, i.e., more swelling or discoloration. This will only tend to worry you. We will see you frequently in the office after surgery and will inform you about your progress. It will usually be better than you imagine.
MAKE UP: After the cast is removed, the nose can be washed gently with a bland soap and make up can be applied. Moisturizing creams can be used if the nose is dry. Over other areas of your face, you may start applying make-up three days after your surgery.
SMOKING: Avoid smoking for a minimum of 2 weeks following the operation to help minimize ischemia (lack of oxygen) affecting the tissues.
DRIVING: Do not drive until instructed to do so; usually up to seven days after surgery.
SLEEPING: It is preferable that you sleep on your back. Remember to elevate your head the first 2 nights.
BATHING: While the cast is on, you may have your hair washed beauty salon fashion. Take care to prevent the cast from getting wet. You may stand in the shower the third post-operative day.
ALCOHOLIC BEVERAGES. Alcoholic beverages are discouraged during the first 3 weeks after surgery. A social drink would-be acceptable, but enough alcohol to make you feel “relaxed” also lowers your sense of awareness which is needed to avoid disturbing the area after surgery.
SPORTS: Strenuous sports may be resumed after four weeks. Refrains from any activity which significantly raises your body temperature, blood pressure or pulse, for three weeks after your surgery.
SUN EXPOSURE: Do not sunbathe for 8 weeks after the surgery. Avoid all sun exposure to unprotected incisions for a minimum of 6 months following surgery. Be sure to wear a protective head covering or sunscreen to protect your scars, you must use always a sunscreen (UVA Guard Shade) with a minimum of SPF 15.
POST-OPERATIVE VISITS: Subsequent office visits will be determined according to your progress.
EMERGENCY: In case of emergency please call our office or our emergency line.

CosMed Clinic: 634-1902 or Emergency line: 619-572-1928

THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

OUR GOAL IS TO GIVE THE FINEST SERVICE AVAILABLE
RESULTING IN A HEALTHY AND HAPPY PATIENT!

THANK YOU FOR YOUR CONFIDENCE,
COSMED CLINIC