Pre- Procedure
- Inser general notes
- No smoking (ideally 12 weeks before and after procedure)
- No dental work: teeth cleaning & filings for facial procedures
- No cosmetic injections for facial procedures
- No laser hair removal treatments
- No tattoos
- Consent forms due
- Outstanding accounts due
- Organise a support person to pick you up
- 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
Preoperative Appointment
You will require a pre-procedure phone call with one of our Registered Nurse in the week leading up to your surgery. The Nurse will go through your pre and post operative instructions as well as book you in for your dressing change appointments if required and your follow up appointments with Dr Ian Chinsee.
- Eyelash extensions may be left on
- Wash your hair
- Shower with the preop wash
Apply wash to your entire chest, abdomen, underarms
Apply from the neck down, do not use on face or genitals
Clean in circular motions for 5 minutes using gentle pressure
Turn the water off. Leave the product on the skin for 5 minutes
Rinse thoroughly
Do not use any other wash over the area
Pat dry with a clean, soft towel - Do not apply anything to the skin: lotion, powder, deodorant, perfume
- Remove all jewellery and piercings
- Wear clean, loose and comfortable clothes
- Brush your teeth
- No contact lenses
- Visit a bathroom prior to admission to theatre
POST PROCEDURE INSTRUCTIONS
AFTER HOURS EMERGENCY MOBILE
0447 158 040
Calls only, no text messages
If you are unable to reach our nurse and believe you may be experiencing a medical emergency contact 000
WHAT IS A MEDICAL EMERGENCY?
- Significant pain after taking all prescribed pain medication
- Persistent vomiting
- Excessive redness, swelling, bleeding (usually one sided)
- A temperature over 37.8° C
After Procedure
- If you have any concerns or wanting more information about your procedure or after care, you are always welcome to contact us via email or phone.
- The local anaesthetic will usually wear off in about one to three hours. During this time, do not exert yourself and avoid doing any strenuous activity, as this may increase the risk of bleeding.
- No showering for 5 days. After 5 days, avoid wetting the dressings, dry with a hairdryer on a low heat setting. If dressings get overly wet, you will need a dressing change earlier
- Do not massage your breasts
- Do not put anything on your breasts: ice, heat, creams etc
- You may experience nauseas and vomiting following the general anaesthetic. You will be prescribed anti-nausea medication that will help manage this.
- It is important to maintain a good oral intake of food and fluids as the analgesia (pain medication) can cause bloating and constipation.
- Maximise resting in the first week of healing; you should not be performing any excessive exercise or activity which elevates your heart rate or causes you to break a sweat for the first 3 weeks of healing.
- Do not drink alcohol for 1 week or until your antibiotic course is complete
- Do not drive for 1 week
- You may resume all supplements ceased after 2 weeks
- No smoking for at least 6 weeks; significant wound healing compromise can occur if you continue smoking.
- It is normal to hear strange gurgling, sloshing sounds in the breast pocket
- Numbness and altered sensation is normal; Nerve channels can take up to 6 weeks to heal.
- Bruising may occur as the surgery involves manipulation of the muscles and skin across your chest. We recommend taking arnica tablets post and even leading up to surgery if you are prone to bruising.
- Breasts should be treated as separate surgeries: one may heal faster than the other, they may appear uneven in early recovery, trust the process. It will take 3 months before the swelling starts to subside. You should allow up to 1 year to see the final results of your surgery.
- Week 0 – 1: Sleep and rest in an upright position on 2-3 pillows
- Week 2 – 3: You may sleep flat on your back
- Weeks 3 +You may sleep on your side
- No exercise or submerging your body under water for 6 weeks, no exceptions
- Week 1: Gentle walking only – the pace you would walk around a shopping center
- Week 6 (pending review): exercise, gym work, running, swimming
- 3 Months: contact sports: surfing, horse riding, netball, scuba diving, gun range, ski diving, roller coasters, bowling
- 6 Months: Crossfit style exercising, MMA fighting, pole dancing
- Sexual intercourse: may be resumed after 2 weeks, however if you are resuming prior to 6 weeks your post op bra must remain on, refrain from any strenuous exercising that could disrupt healing (ie. bouncing, grabbing and handling of the breasts). No mouth to nipple contact for 3 months to prevent infection.
ARM MOVEMENTS
- If you have MENTOR implants, you can lift your arms above your head after 2 weeks
- If you have MOTIVA or SMOOTH implants, you can lift your arms above your head after 4 weeks
- Work within your limits, if something feels uncomfortable or hurts – stop
You may require dressing changes in clinic, this will depend on the procedure that you have
- Keep dressings dry and intact until follow up appointment
- No showering directly over dressings. Dry with a hairdryer on a low heat setting if needed. If dressings get overly wet, you will need a dressing change earlier
- Do not put anything on your face, breast or body: ice, heat, creams etc
- We take every precaution to prevent a wound infection before, during and after your procedure. Despite this, some wounds will still become infected. Symptoms of a wound infection include: increase in redness, increase in pain, increase in swelling, discharge and odour. You may also experience fever or feel generally unwell.
Please contact our emergency phone if you experience any of these symptoms.
- All patients will have scheduled postoperative appointments with their doctor at six weeks, three months, six months (optional), and twelve months (optional). We recommend booking these in advance!
MEDICATION INSTRUCTIONS
A gentle throbbing sensation may be felt as the local anaesthetic wears off. If you experience any pain, remember to take your prescribed medications – pain relief and antibiotics as supplied by your local pharmacist. If your pain becomes unbearable even with the prescribed medication, please contact our emergency phone. Please do not take additional paracetamol if you have been prescribed Panadeine Forte.