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Preparing
For Your Cheek Augmentation (Cheek Implant) Surgery
You've
Scheduled Your Appointment - Now What!?
Now is the
time for you to have second thoughts, run around looking for
bras, experience anxiety and have your life in an emotional
upheaval. For many, this is a very stressful time, but it
doesn't have to be. It is perfectly natural for you to be
freaking out now that surgery is a few weeks away. Just
following the advice composed with the help of real patients and
things will go much more smoothly.
The
Pre-Operative Appointment
If you
schedule a surgery date you will more than likely schedule a
pre-operative visit appointment, as well. This will entail
another trip to the surgeon's office, bloodwork (labs) to check
your red and white blood cell counts (a CBC test), among other
things. This will identify any
pre-existing disorders such as anemia, some cancers (leukemia or
lymphoma), it evaluates blood loss, determines the
possibility of infections diseases.
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You can also predetermine
those who may be high risk to post-operative infections. Usually before
surgery, a white cell blood count only is performed, as well as a
pregnancy test if you are and female of childbearing age. Although a
related test known as the hematocrit
test may be performed. For a better understanding of just what a CBC
is for and means, I suggest this link: Lab
Tests Online: Complete Blood Count (CBC) Test.
And please quit smoking now.
It will highly reduce your risk of necrotic tissue. Do not take any
chances with this. Smoking and major surgery like this can cause problems
while under anesthesia not to mention possible necrosis during the healing
stage. Also since nicotine causes vessel dilation and decreased
circulation, your body is not in the optimum healing mode. If you
are having fat grafting, even more so as the fat graft may not be
adequately vascularized causing fat cell death. Your results will be
compromised. Even using nicotine patches still cause problems.
It is best to quit well beforehand. I know this is difficult, but I
did it, so can you.
You will go
over your post-operative instructions and what medications you shouldn't
be taking as well as the ones you should take before surgery.
You will also
be given (or should be given) a list of medications that you must cease or
avoid taking. These medications will mostly be aspirin-containing products
and supplements that may inhibit clot formation or cause problems with
anesthesia. Please visit the Medication
& Supplement List page for more information or Click
Here to view a Printable List of Medications To Avoid.
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You will
also be given a list of things to buy or have around you in your healing
room. Things like frozen peas, raspberries or blueberries for icing you
down to ease the swelling and bruising. You may be asked to buy a soap,
perhaps Hibiclens, or it will be given to you for cleansing a few
days before surgery (to kill Staph and other surface bacteria). Some
surgeons simply suggest Dial antibacterial soap. You will usually get
gauze and other types of dressings to tend to your incision areas if
applicable, or Listerine if they are intra-oral. We have provided a
list for your convenience below or you may click the link for a
printable version to have on hand.
Preparing
Your Home For Your Recovery
Please utilize the following
tips to better prepare you for a more comfortable recovery:
Click
Here For A

Printer Friendly Version
RECOMMENDED!
-
___
Clean your house - or have it cleaned
-
___
Unless you fortunate to have someone who can cook for you, shop
beforehand for recovery food and treats like frozen dinners, canned
soups, pudding, Jell-O, etc; or cook your own and freeze it.
-
___ Take
out the trash, recyclables, etc. beforehand so you don't have to
worry about it while you're healing.
-
___ Have
all of your laundry taken care of before your surgery.
-
___ Make
a "Honey Do" list (bills, thermostat settings, errands,
whatever) for your caretaker.
-
___
Purchase all of your medications, Vitamin C and dressings beforehand
in case your pharmacy is in short supply.
-
___
Purchase a Thermometer if you don't have one, it is imperative you
check your temperature regularly for any signs of fever over 101º.
Many times, a high fever is a sign of infection.
-
___
Place all medications either in a weekly pill "case" or in
labeled containers, by day and time if need be.
-
___
Purchase some Arnica Montana, Bromelain or Pineapple Juice
if your surgeon approves.
-
___ A
laptop is an awesome thing to have during recovery.
-
___ If
no lap top, maybe a Gameboy or a Playstation/Nintendo set up near
you - you will get bored. Having these items will keep you
from doing things you shouldn't be doing.
-
___ Have
lots of movies, books, magazines or videogames on hand.
-
___ Have
someone watch your dog, cat, children, etc.
-
___ If
you can't have them cared for, tend to their needs beforehand, i.e.
put cans of food on the counter with the can opener so you don't
have to reach for it. Change the litter box as well. You don't want
to expose yourself to germs as well as no bending over!
-
___ A
comfortable recliner is a great
asset,
if not the bed is perfectly fine, just keep your upper body
elevated.
___ Have
lots of fluffy pillows on hand. A good idea is to place two pillows
under your top mattress where your head will be, finish it off with
one or two pillows under your head so that you are properly
elevated. Additionally, two pillows on each side and one under
your knees can keep you from turning over during slumber.
___ Have
a bucket or pail with a lid at your bedside and on the ride home --
essential. (for vomiting)
___ Have
seltzer or regular bottled water with you on the way home to stave off
the nausea or to cleanse the mouth after vomiting.
___ A
nightstand with all of your medications, ample light, bottled water, a
few packages of crackers (NOT garlic or
spicy flavored), remote control
(with new batteries) & the phone (fully charged) is
essential for a comfortable and hitch-free recovery area..
___ Extra
blankets; anesthesia can give you
rigors (the
"chills") after
surgery.
___ Freeze
ice packs, bags of frozen peas, raspberries or blueberries
beforehand if you were instructed to ice.
___ Have
a
heating pad, hot water bottle or microwaveable pack on hand.
These are great for a sore back -- remember not to sleep on
them.
___ A
"go-fer" ,
a significant other or an older
child can get you things so
you don't have to .
Please take it easy.
___ Place
anything you may need at hip level so that you have no need to reach
or bend down. This means canned and dry goods in the kitchen and
toiletries in the bathroom.
___ Have a
robe and slippers (or several pair of thick socks) nearby .
___ Have a
few comfortable oversized shirts that open from the front on hand, as
well as some sweat pants or pajama bottoms.
___ Have a
hand mirror nearby so you don't have to get up to preen.
___ Make
time for yourself before your surgery; pour a bath, light some
candles, listen to some music - relax. Try to gather your thoughts and
soothe your mind.
___ The
night before (and with some surgeons,
for 3 days before) you will be asked to wash your
face and neck and sometimes hair with
Dial antibacterial or Hibiclens soap to help rid your body of
its naturally occurring Staph on the skin's surface --
you do not want a Staph infection.
___ Wash
your hair the night before surgery - -
it may be a long time before you get to do that again. As
before, if you were instructed to wash your hair with anti-bacterial
soap, do so.
___ Remove
any fingernail and toenail polish so that the OR techs will be better
able to determine if you are getting enough oxygen during
surgery. The nails turn blue-ish from lack of oxygen and reddish
with too much carbon dioxide. Although there are oximeters for this
purpose, it is still good practice.
___ Talk
to your spouse
or about any concerns that you may
have, they may have some insights or questions you haven't thought of --
they may be experiencing pre-op anxiety as well.
___ Ask
your surgeon for valium if
you have anxiety, suspect you will experience back pain from sleeping
upright for a few weeks or if you need help sleeping.
Alternately,
ask if you may take an over the counter sleeping medication.
___
"Black out" your windows with
thick drapes, a blanket or other form of dark medium so
that when you do get to sleep, regardless
of the hours,
you can stay asleep.
___ If you
think television, video games and reading are eventually going to bore
you or stress your eyes - have a discman (or walkman) on hand with
your favorite relaxing CDs
or audio books.
___ Have
fresh film or a disposable "post-op photo" camera on hand.
Especially if you are considering documenting your procedure online
(on a personal site or a Plastic Surgery site like this one)
___ Have
your journal and a few fresh, fully inked pens ready if you are
wanting to document your post-operative thoughts in writing. Alternately,
type
it into your lap top or speak it into a miniature recorder. Remember
fresh batteries!
___ Just
in case the lights go out, have a flash light on your nightstand.
___ Alter nately,
have a nightlight lighting your way to the bathroom should the need
arise in the middle of the night.
___ If you
don't have a laptop and you have online friends who are eager
to hear from you -- have your
significant other or friend post"
or email them with your recovery news. Give him or her
a list of the email addresses and URLs of the message boards.
___ Have
an answering machine connected to the phone next to your recovery
area. Getting woken up when you just got to sleep can
be very unsettling -- you need your sleep.
Don't forget to turn down the volume
and turn off the ringer.
___ I know
you may hear not to look at yourself for a few days but it is very
difficult to do, I mean what are you going to do, close your eyes
every time you are near a mirror? You know full well you can't not
look yourself for an entire week. But remember when you do break
down and peek, your features change every day so please don't get
discouraged.
You will have considerable swelling for quite some time. Please
know this beforehand and be sure to print out our Post-operative
Emotions Reminder Checklist.
___ If you
are choosing to document your recovery remember to take your
post-operative photos.
___ Last
but not least, RELAX. If you are super stressed out it can really
affect your recovery. Try to remember that you will heal, you will be
less sore and that you are going to look great! Just be patient.
Pre-op
Shopping
All of the above suggestions
and products you should buy may be overwhelming at first so print out
our helpful shopping list to help you with your pre-op woes:
Click
Here For A

Pre-Op Shopping Check List
RECOMMENDED!
Of course not all of the below is needed -- it is only
provided for ideas and for general convenience. Many of you may have a
majority of the below items. We have also added blank spaces for items
that you may want or need that we may not have thought of.
Pharmacy/Online:
-
___ Medications:
-
___ pain meds
__________________________________________________________________
-
___ antibiotics
__________________________________________________________________
-
___ anti-inflammatory
____________________________________________________________
-
___ blood pressure (if applicable)
___________________________________________________
-
___ other
______________________________________________________________________
-
___ other
______________________________________________________________________
-
___ other
______________________________________________________________________
-
___ Pill Case
-
___ Med Time Chart to remind you when to take your
meds. (Print out our own time chart for your convenience)
-
___ Birth Control meds if you are female - don't
forget if you are taking birth control that some antibiotics can
interfere so in the event that you do have relations, use another
form of protection as well.
-
___ Dressings, gauze, Bacitracin if needed
-
___ Hibiclens or antibacterial soap
-
___ Bromelain
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___ Arnica Montana sublingual tablets, Bromelain (cosmeticsurgeryshop.com)
-
___ Over the counter (OTC) sleep meds or ask surgeon
for prescription
-
___ Thermometer
-
___ Mild stool softeners (like Colace); ask your
surgeon first.
-
___ Silicone sheeting, Kelocote, Steri-strips,
Maderma, etc.
-
___ Moist Towelettes, Make-up remover towelettes,
etc.
-
___ Topical arnica gel
-
___ Oral Vitamin C
-
___ Compression strap, foam pads, Ace bandage, etc.
-
___ OTC (over the counter) muscle relaxers (ask your
surgeon first!)
-
___ Hot water bottles/heating pads for your back
-
___ Hand moisturizer
-
___ Boxes of Kleenex
Grocery Store:
-
___ Bags of frozen berries, peas (or whatever, if
applicable)
-
___ Ritz crackers, Vanilla Wafers, Cheeze-its or
Goldfish crackers
-
___ Bottled water, electrolyte or energy drinks (ask
your surgeon if these are okay)
-
___ Daikon (root vegetable for cleansing the bowels)
- may be best after you are finished with your medications.
-
___ Frozen dinners (soft foods like pasta)
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___ Canned soups (low sodium)
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___ Pudding and Jell-O
-
___ Soft Fruits
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___ Instant oatmeal
Department Store or Other:
-
___Lots of fluffy pillows
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___
Whistle, walkie-talkie or an intercom system
-
___ Camera
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___ Film or disposable camera
-
___ Journal or notebook
-
___ Ink
pens
-
___ Support garment, neck strap, etc.
-
___ Gameboy or a Playstation/Nintendo/Discman
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___ Fresh
batteries for remote, Gameboy, Discman, booklight, phone, etc.
-
___
Music CD's or Audio Books to listen to
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___
Bucket or pail with lid (for nausea)
-
___
PJ's, robe, or
oversized, comfortable shirts that button in the front
-
___ Pair
of slippers (or several pairs of thick socks)
-
___ Hand
mirror
-
___ Hair
"scrunchies" if your hair is long
-
___ Body
pillow(s) & Wedge pillows
-
___
Flash light or nightlight for late night bathroom trips
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___
Answering machine (or borrow friend's)
-
___ Lap
top with long phone and power cord (or borrow friend's)
Swelling
& Bruising Recommendations
You will more than likely
bruise and or have swelling and tenderness. This is all a normal
part of the healing process. Just remember and prepare yourself
for this and you will be emotionally prepared for this.
Please
discuss this with your surgeon and perhaps obtain supplements, herbal
remedies, etc. but only if you surgeon suggests or recommends them.
You may wish to ask him or her about:
-
Bromelain
-
Arnica montana
-
Vitamin
A
-
Vitamin
K
-
pineapple
juice
-
or
others
Visit our very own Cosmetic
Surgery Recovery Store for products targeted for Cheek Augmentation
patients...

Depression
After Surgery
Periods of sadness and
emotional fluctuations can be an issue for many patients after their
surgery. It is very important to know this beforehand so that you
are not cast into a deep lull which can affect your healing.
Please see our Post-operative Depression
Section for more information and a Printable
Emotions-reminder List that you should keep near you during your
recovery. This information will remind you that things are going
to be better and that yes, you knew this was a possibility - and it will
pass.

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This page was last updated: 07/22/2006
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