Pre & Postop Instructions

• No smoking (ideally 12 weeks before and after surgery)
• No cosmetic injections
• No body tattoos or piercings
• If prone to herpes simplex outbreaks, commence antivirals

• Consent forms due
• Outstanding accounts due
• Organise a support person to pick you up and stay with you 24 hours after surgery

• Discontinue ALL non-prescription medication (including multivitamins and herbal products)
• Discontinue ALL diet medications- including shakes, thermogenic products, and duromine (phentermine)
• No blood thinning medications, including: Aspirin, Ibuprofen (e.g. Nurofen), Non-Steroidal Anti-inflammatory, Vitamin E, Gingko Biloba or Fish Oil
• No illegal drugs
• You CAN continue to take the contraceptive pill

• No alcohol
• Report any signs of infections, colds, rashes, or skin sores
• If you have ANY respiratory symptoms – notify the clinic
• No spray tanning/ remove ALL traces of tan to prevent infection
• If you require a medical certificate: email the clinic with exact days. For example: 24.3.2021 – 24.04.2021

• Remove acrylic nails, nail polish/shellac off 1 finger each hand
• Eyelash extensions may be left on
• Wash your hair
• Follow fasting instructions given to you by the hospital: NO eating or drinking anything after midnight. Regular prescription morning medication may be taken with a small sip of water

• Shower thoroughly
• Do not apply anything to the skin: lotion, powder, deodorant, perfume
• Remove all jewellery and piercings
• Wear clean, loose and comfortable clothes, ideally a button up or zip up top
• Brush your teeth
• No contact lenses
• Visit a bathroom prior to admission to theatre
• Bring a pillow in the car to hold against your chest on the drive home

• Lay and rest flat
• Use a spray bottle filled with tap water to gently spritz the area whilst urinating
• No showering for 24 hours
• Do not drive for 24 hours
• You may experience giddiness, tiredness or mild nausea
• Rest for maximum healing
• Do not drink alcohol for 1 week
• You may resume all supplements ceased after 2 weeks
• No smoking for at least 6 weeks
• The surgical area may feel quite unusual for the first few weeks. It may feel tight and there may be reduced sensitivity in that area

• Reintroduce all activities slowly
• Although gentle walking around is recommended after surgery, try to lay flat as much as possible for the first few days
• You may resume gentle activities after 1 week
• Normal activities may be resumed after 6 weeks
• Sexual activity may be resumed after 6 weeks (pending review)
• Avoid submerging your body in water (spas, pools, ocean, baths) until 6 – 8 weeks postop

• Laser Hair Removal: resumed after 6 weeks
• Piercings: body piercings resumed after 3 months
• Sauna: 6 weeks after surgery (provided incisions have healed)

• Apply Chlorsig ointment to area 3 times per day for 2 weeks
• When dressings become bloody, replace with maxipad
• There will be blood or blood tinged drainage for 1 – 2 weeks after surgery
• ALL patients will require a dressing change at week 1

• All dressing changes in clinic are performed by our nurse on Thursdays only

• We will provide you with a Dressing Change Letter to give to your GP – please make sure you read this letter yourself! Unfortunately some GPs do not read the instructions properly
• You will have a Virtual Appointment with your surgeon at Week 1

For information on scarring and how to care for your incisions after they have healed, refer to our Surgery & Scarring Guide

Scarring After Surgery – The Complete Guide

• ANTIBIOTIC: Cephalexin 500mg 4 times per day(every 6 hours) until finished

• PAIN RELIEF: Paracetamol 1000mg 4 times per day (every 6 hours)
• ANTI-INFLAMMATORY: Celecoxib 200mg 2 times per day (every 12 hours)

• STRONG PAIN RELIEF: Oxycodone 5 or 10mg every 4 hours IF needed
• ANTI-NAUSEA: Ondansetron 4mg every 4 hours IF needed

• It is important to take the antibiotics as prescribed until finished to decrease risk of wound infection and implant rejection
• We recommend that you take paracetamol REGULARLY with the antibiotics for at least the first 5 days
• Paracetamol & Celecoxib work together in different ways to give you pain relief so it’s important to take them for this initial period, you can continue to take them for up to 10 days IF required
• Oxycodone is an opioid pain killer. You should take this type of medication ONLY if you have severe pain AFTER taking paracetamol & celecoxib
• Do NOT take the oxycodone on its own without taking regular paracetamol & celecoxib as they all work in different ways to control pain

• Oxycodone can cause constipation: ensure a high fibre diet with plenty of water. You may ask the pharmacist for a stool softener
• Oxycodone can impair your function (driving) when you first start taking it. If you don’t usually take oxycodone, please be aware this may affect you more
• Antibiotics and oxycodone may cause nausea. Take both with food. Don’t take these medications together (try to space out by 30mins or so). An ondansetron wafer may relief nausea