I think the first and most important thing I would emphasize is that every
patient will get a detailed pre-operative visit with myself and my staff.
They will be given a packet with frequently asked questions and their
answers as well as specific instructions. Other things that will be given
to them at that time include their prescriptions which we encourage the
patient to fill before arriving at the surgery center.
Other specific instructions include each of the pre-operative instructions
has an important purpose. You should get a printed form of some of these
instructions at the time of your pre-op visit. First, do not eat or drink
anything starting at midnight, the night before surgery unless otherwise
specified. It is wise not to have any heavy meals the night before
surgery, and please abstain from any alcohol intake for three days prior to
It is very important that you bring all your medications that you are
currently taking to the surgery center or hospital on the day of surgery.
The nurses will review these meds and your prescription meds given for
Please bring your driver's license. When you arrive, you should wear a
housecoat, a muu muu, or a robe with an opening to the front on the day of
surgery. Please do not wear any pants, particularly if you are having a
It is very important that you do not wear any makeup, deodorant, lotions,
and in particular, please have no acrylic nails on the day of surgery. If
you happen to have these nails, please have them removed prior to surgery.
Do not shave or wax for two weeks prior to surgery if an incision is to be
placed in that hair bearing region.
For our overnight stays at the surgery center, it's important for you to
realize that you will be picked up 7:30 a.m. the next day, and family
members are not allowed to stay overnight.
Medications to stop prior to surgery include fish oils, Advil, aspirin, and
phentermine. A complete list of additional medications to avoid is also
listed in your pre-operative packet. These medications can react with our
anesthetics or increase the likelihood of high blood pressure, wound
problems, or bleeding.
Probably one of the most important things that patients need to realize is
there should be no smoking three weeks before and three weeks after
surgery. Nicotine in any form, including dips or chews or electronic
cigarettes, will inhibit wound healing. This is a very important
Next, avoid strenuous activity or weight lifting two weeks prior to
surgery. It's important that you do not remove or change any dressings
unless instructed by Dr. Rumalla. Some of the activity restrictions you
should be prepared for include: for tummy tucks that you need to sleep in a
recliner or a comfortable chair for two weeks following surgery. And there
is to be no climbing of stairs, so plan out your life to be on the first
When standing or walking it's important that patients who've had a tummy
tuck, for example, remain in a hunched over position for at least a week or
until instructed by Dr. Rumalla. For breast procedures, these patients are
also encouraged to sleep in a recliner or comfortable chair for at least
one week following surgery. With all breast surgeries, it is very
important not to lift your arms above the waist and keep your arms at your
side until further instructed.
When you are going home, if you had a breast procedure you will be wrapped
up in an Ace. If you've had body contouring procedures like tummy tucks or
liposuction, you may have a binder or girdle as needed. It is important
you do not resume any post-operative exercises until further instructed by
If you've had a procedure that involves drains, these drains need to be
emptied and the fluid measured three times per day. Please document the
amount of drainage on the drain sheet provided at the surgery center.
Drains need to be on suction at all times.
In terms of ice, breast augmentations, reductions, and lifts, may have ice
applied to the breasts for two days after surgery. This ice is placed for
20 minutes on, and then 40 minutes off. Patients who are having contouring
should not place ice on their liposuction or their tummy tuck.
Returning to work depends on the activity level required at work. Most
people can be back at a desk job after breast or tummy procedures after a
week, however, no travel away from the local area is allowed for typically
Additional instructions include that patients are not to have submerged
baths, go into hot tubs, or swim, for at least six weeks. Patients are not
allowed while they're taking narcotics. In terms of scar management,
patients are not to start any over the counter or other scar management
products until instructed by Dr. Rumalla.
Finally, it's important to realize that your surgical recovery may be
altered and customized on an individual basis. You will get precise
instructions and details at your frequent follow-up visits. Closely
following your pre and post-operative instructions and close supervision by
myself and my staff are crucial to getting the best result.