Pre And Post Operative Care

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Consultation Process

We offer $25 consultations with one of our Patient Care Coordinators. For consultations with Dr. Awada, we charge a $125 fee that goes towards your surgery or procedure. When you are ready to book your surgery, we charge a $2,000 fee to hold the date, and this fee also goes towards your surgery. If you are not in the metro Detroit area, we offer FaceTime or Skype consultations as well!

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Pre-Operative Clearances

• Women over 40 must have a recent mammogram within the last year.
• Patients over 55 must have a stress test, EKG test, electrolyte test, CBC blood work.
• For any other medical conditions, you may be required to provide additional clearance.

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Pre-Operative Instructions

The following instructions should be followed closely except when overruled by specific procedural instructions.

8 Weeks Prior to Surgery

• You MUST obtain a primary care physician clearance for surgery if you have not already done so. If we do not receive your results, your surgery may be canceled.

2 Weeks Prior to Surgery

• Stop all Motrin (ibuprofen) or aspirin-containing medications. Tylenol is okay to take for any aches and pains.
• Discontinue any alcohol or street drug use.
• If you are taking any diet medications or certain vitamins, such as Vitamin E or Fish oils, or any over-the-counter herbal supplements, you must discontinue two weeks prior to surgery.
• You may take your Multivitamin and Bromelain as directed each day.

1 Week Prior to Surgery

• Purchase antibacterial cleanser. Scrub surgical area once a day for one week, including the day of surgery.
• You will be contacted by the office 48 hours before your surgery, and given your exact surgery time.
• You must have a guardian/driver. You will not be able to drive home.
• Please fill all prescriptions prior to surgery.
• Norco: Take when you get home from surgery 30 minutes after having a small meal. Then as needed for pain.
• Keflex: Antibiotic that you will start when you come home from surgery, then as directed.
• Medrol Dose Pack: used for swelling and inflammation. Start morning AFTER surgery, follow instructions on package.

The Night Prior to Surgery

• Do not eat or drink ANYTHING after midnight, including water.
• The anesthesia care provider will contact you to review any questions by phone.
• If you take daily medications, review this with the anesthesiologist. If you would like to speak to the anesthesiologist sooner, we will provide you with the correct information.

The Morning of Your Surgery

• Shower to reduce the chance of infection.
• If you are undergoing a tummy tuck, thigh lift, or pubic lift, please shave the pubic area.
• We do need to obtain a urine sample the day of your surgery, please do not urinate before you come to the office so that you may provide a sample when you come in.
• You must be available for the entire day of surgery due to possible schedule changes you may be called to come in earlier or later in the day.
• Do not wear makeup, nail polish, artificial nails, lotion, or jewelry.
• Remove all piercings before surgery.
• Any hair extensions must be removed prior to surgery.
• Arrive at the facility at the designated time provided. Do not be late or your surgery could be canceled if you do not arrive in adequate time.
• Wear clothing that is easy to put on and take off. A button-down or zipper shirt and pull-up pants with an elastic band work best.
• Leave all valuables at home.
• If you wear glasses, contacts, or hearing aids, bring along a case to store them in while you are in surgery.
• If your wear dentures, removable bridgework, etc., they must be removed before surgery or as designated by anesthesia department policy.
• Do not smoke.
• Robe, slippers, and basic toiletries are all you should need if being admitted. If you are being admitted for an overnight stay, bring your medications with you to the hospital.

After Your Surgery

• After you leave the operating room, you will be taken to the recovery room for a brief period.
• Someone must be responsible for staying with you the first 24-48 hours after surgery if you are having an outpatient procedure.
• If you are an overnight/hospital patient this will not be necessary, but you MUST have someone drive you home after discharge from the hospital.

Pain Management

• Any prescription you are given should be filled BEFORE surgery.
• Take pain medication with food to prevent stomach upset.
• Take stool softener as needed for constipation. For example, Colace and Ducolax are both available over the counter according to directions until you have a bowel movement.
• Increase fluids, fruits, and fibers.
• Stay on a schedule with your pain medication. Waiting too long may make it harder to control pain.
• A few days after surgery mild pain can be controlled with extra-strength Tylenol.
• Call the office if you have uncontrollable vomiting, this can be a temporary side effect of the anesthesia.

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Post-Operative Process

Now that you have had your surgery, here are a few tips to help you heal.

Medication Instruction:

• Please fill all of your prescriptions prior to your surgery.
• Norco: Take when you get home from surgery 30 minutes after having a small meal. Then as instructed for pain.
• Keflex: Antibiotic that you will also start when you come home from surgery, then take as directed.
• Medrol Dose Pack: used for swelling and inflammation. Start morning AFTER surgery, follow instructions on package.

Diet

• Stay hydrated (drink at least 4 cups of water daily) and limit caffeine or alcohol for at least 2 weeks after your surgery. Hydration helps the healing process.
• Start with bland liquids on day 1 and advance to high fiber regular over 24 hours as you tolerate.
• Take a stool softener with meals while on your pain medication.
• Take your medications directed. Do not drive while taking pain medication.

Activity and Ice

• Get up and walk for 10 minutes every couple of hours to keep circulation in your legs on Day 1 and light activity only. Do not exercise or lift more than the weight of a gallon of milk and avoid strenuous activities, weight lifting for 4 weeks. Avoid strenuous arm exercise, lifting above your shoulders, or pulling/pushing for the first couple of weeks.
• Use frozen peas or ice placed over a paper towel on the top of your breast every half hour on and off for the first few days after surgery to minimize swelling and pain.
• Try to lay flat with one pillow behind your back and limit sitting straight up all the time for the first few days after surgery to help with healing and swelling.
• You will be taught breast exercises and massage at your first postoperative visit and do not need to do anything until then.
• Sponge bathe only. Do not shower until you are cleared to do so on your postoperative visit. Do not bathe in the tub, swim, or use a hot tub until cleared to do so (likely after 4 weeks).

Dressings and Bra

• Keep your dressings clean, dry, and in place. Do not change your dressing until you have been seen by your doctor or you have been instructed to do so.
• Wear your postsurgical bra until you have been seen for your first postoperative visit. You will be instructed when you can wear a different bra. You will be fitted and may purchase a different type of bra on your first visit.
• Keep your bra pulled down below your breast crease as it will tend to ride up with movement.

Other

• Do NOT smoke for a minimum of two months after surgery, you will compromise your healing.

You may contact our office with any questions at 248-948-5500 or after hours using our emergency line at (248) 631-6013.

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Value to Working With a Board-Certified Plastic Surgeon

Take Time to Research

Choosing a doctor to perform your cosmetic surgery can be a difficult task. You want to make sure the doctor you choose has all the training and safety measures needed to ensure the best outcome for you. That is why it is important to choose a board-certified plastic surgeon.

Training and Skillset

What sets great surgeons apart from good surgeons is their level of skill and training. Many people don’t know this, but any doctor who went to medical school can legally perform plastic surgery in Michigan. Only board-certified plastic surgeons, like Dr. Mariam Awada, have received additional requisite training which includes completing a plastic surgery residency program and passing a state board examination.

Continued Education

Not only do board-certified plastic surgeons have to complete additional training, but they also have to complete ongoing education throughout their careers to keep their board certifications. It is important to know that your plastic surgeon has the most up-to-date knowledge on the newest procedures and safety measures. Each year Dr. Mariam Awada attends multiple lectures and conferences all over the world to make sure that she remains the best plastic surgeon in Michigan. Her most recent conference was the American Society of Plastic Surgery conference in Las Vegas, NV.

Peace of Mind

While skill, training, and education are important, what sets Dr. Mariam Awada apart from any other board-certified plastic surgeon is the peace of mind she provides to her patients. We understand that your body is so important to you, and that is what drives us to continue to be the best cosmetic surgery center in Michigan. Here at Michigan Cosmetic Surgery, we treat every patient like they are family. Many of our patients even refer their friends and family members and also return back to us for other procedures!

Selecting your plastic surgeon is a big decision, and we always recommend consulting with multiple surgeons beforehand. To learn more information and start off your process, schedule a consultation with Dr. Mariam Awada at her Southfield, MI office. You can also read more patient reviews and stay up to date by following us on Facebook, Instagram, and RealSelf.com.

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