When you visit us, Dr. Bradley and her staff will answer any questions concerning treatments, conditions or procedures that you might have. We also want you to have access to as much information as possible before, as well as after your appointment or treatment.
- Preparing for Surgery
- Pre-Op Instructions
- Post-Op Instructions
- Ultimate Guide for All Ages
- Know Your Spots
Preparing for Surgery
Planning your cosmetic or reconstructive procedure will be an effort that our staff will carefully guide you through. It is important to recognize that each individual will recover at a different rate so be sure you set aside adequate recovery time from work and strenuous activity to allow your body to heal. This will ensure a smooth recovery and a more rapid return to normal activities. It is also important to have a supportive care group around you especially during the initial 24-72 hours after surgery.
AT LEAST 1 MONTH PRIOR TO SURGERY:
- Stop smoking at least 1 month prior to your procedure. Smoking reduces circulation to the skin, impedes healing, and can lead to major postoperative complications.
2 weeks prior to surgery:
- Talk to cardiologist or primary care doctor about stopping all medications that can thin the blood 2 weeks prior to surgery. These include drugs such as Aspirin, Coumadin, Lovenox, Ibuprofen, Vitamin E, and multiple herbal preparations. These medications may cause bleeding during and after surgery.
1 week prior to surgery:
- Report any sign of a cold or infection that appear the week prior to your surgery. You may need to postpone your procedure to avoid unnecessary complications. Make sure you fill all of your prescriptions provided to you by our staff prior to your surgery day; this will make the transition from the surgery center to your home as smooth as possible.
Once surgery is complete your stay in the recovery room will last approximately 1 to 1 1/2 hours. Most patients are fully awake within 30 to 60 minutes after their surgery, but may not remember much about their time in the recovery room due to some of the anesthesia medication. Once you are ready for discharge, a postoperative appointment will be scheduled and your discharge instructions will be reviewed.
Before surgery, you can play an important role in your own health. Because skin is not sterile, we need to be sure that your skin is as free of germs as possible. You can reduce the number of germs on your skin by carefully washing before surgery.
Pre-Operative Phisoderm Bathing Instructions
- Wash your face and shampoo your hair the night before your surgery and the morning of your surgery.
- Turn water off to prevent rinsing the soap off too soon. Wash the area gently for five (5) minutes.
- Rinse your hair and face thoroughly after you shampoo your hair to remove the shampoo residue.
- Do not scrub your skin too hard. Do not wash with your regular soap/shampoo after Phisoderm is used.
- Turn the water back on and rinse thoroughly.
- Pat your face dry with a clean, soft towel and dry your hair.
Our office carries Phisoderm for patient convenience!
Pre-Operative Hibiclens Bathing Instructions
- Shower or bathe with CHG the night before your surgery and the morning of your surgery.
- Do not shave the area of your body where your surgery will be performed.
- With each shower or bath, wash your hair as usual with your normal shampoo.
- Rinse your hair and body thoroughly after you shampoo your hair to remove the shampoo residue.
- Then apply the CHG soap to your entire body ONLY FROM THE NECK DOWN.
- Do not use CHG near your eyes or ears to avoid permanent inure to those areas.
- Wash thoroughly, paying special attention to the area where your surgery will be performed.
- Turn water off to prevent rinsing the soap off too soon. Wash your body gently for five (5) minutes.
- Do not scrub your skin too hard. Do not wash with your regular soap after the CHG is used.
- Turn the water back on and rinse your body thoroughly.
- Pat yourself dry with a clean, soft towel.
Pharmacies Stocking CHG (Hibiclens) Antibacterial Soap
CHG soap can be purchased at most large pharmacies, including CVS, Rite Aid, Stop & Shop, and Arrow. Please call your pharmacy to be sure that they have CHG soap in stock.
Diet: Start with clear liquids and toast or crackers. If those are well tolerated, progress to a regular diet.
Driving: No driving after your procedure or while taking pain medicine.
Activity: You may walk and climb stairs immediately following surgery. After 2 weeks you may resume moderate activity such as brisk walking. During the first 6 weeks, do not lift anything heavier than a gallon of milk. After 6 weeks you may resume more strenuous aerobic work and lifting activities.
Work: Depending on your career and your rate of healing, you should be able to return to work within 1 to 2 weeks of surgery. Dr. Bradley will be able to give you a better estimate depending on your physical and professional profile.
Wound Care: Keep your dressings clean, dry, and intact for the first week.
Bathing: You may shower and wash your hair 48 hours after surgery. Make sure you keep your dressings dry. Once your dressings are removed do not direct the water spray at your incision site. For the first 4 to 6 weeks do not submerge the incision in a bath or swimming pool or hot tub.
Medications: Talk to your cardiologist or primary care doctor about when you may resume your blood thinning medications. All other prescription medications may be resumed immediately, as usual. While you are taking pain medicine, you are encouraged to follow a high fiber diet or take a stool softener such as Colace (available over the counter), as pain medications tend to cause constipation. Take your full course of antibiotics as prescribed by Dr. Bradley.
Smoking & Alcohol: Do not smoke for the first several weeks after surgery as it impedes wound healing and can lead to serious wound complications. Alcohol consumption is dangerous while taking pain medicine. It has a tendency to worsen bleeding.
Post-operative Appointment: Your first follow-up visit will be 1 week after surgery. Dr. Bradley will then see you at appropriate intervals after this to monitor your progress.
Special Considerations: Call Dr. Bradley immediately if you experience any of the following: excessive pain, bleeding, redness at the incision site, or fever over 101° F.
Pain: If you experience severe pain not relieved by pain medicine, notify Dr. Bradley immediately. Some discomfort is expected after surgery and you will receive a prescription for pain medication.
Delayed Wound Healing Or Wound Dehiscence: In some instances, the incision site takes longer to heal than normal. Cigarette smoking, poor nutritional status and a compromised immune system can all cause delayed wound healing or wound separation.
The Ultimate Guide for All Ages
By Stacy Chimento MD, FAAD
It is a no brainer that endless hours of baking in the sun can lead to a not so glorious beauty and health outcome. Now that the summer is over, it is time to get yourself back to the dermatology office to recharge and refresh your skin. What are the facts and what should you do? It has been well documented that excessive sun exposure accelerates the natural aging process. We begin to develop unsightly tan to brown “sun” spots, uneven skin tones, textures, the ever so dreaded wrinkles and most worrisome, skin cancers. On top of environmental processes, natural aging decreases the collagen and elastin that gives our skin its youthful appearance. While aging is inevitable, it is never too late to reverse damage.
The One & Only 20’s
Cardinal rule number one for flawless skin: Prevent! The 20’s are considered a period of youthful growth, as collagen and elastic tissue is continuously repairing itself. This is the perfect time to begin the preventative phase of skin care. The most important product that every woman in this age bracket should have in this decade is a broad-spectrum sunscreen containing physical blockers such as titanium dioxide or zinc oxide. Antioxidants such as Vitamin C and E become a crucial addition to all skin care regimens to reverse photo damage. For those unfortunate women who are still battling raging hormones and have stubborn acne outbreaks or dark brown spots and patches called melasma, there are many available treatments including topical acne and lightening creams, chemical peels and laser procedures.
The Thrilling 30’s
Unfortunately things start to slow down a bit in this period. The collagen in your skin may need a little help in stimulating its growth. A more comprehensive skin care regimen including essential skin serums containing growth factors and peptides should be applied daily to increase collagen production and improve overall elasticity and pigmentation. In addition, women and men may start to notice fine lines. It may be a time to consider a neurotoxin such as Botox® or Dysport®. For those wanting to improve their skin even further, consider procedures that stimulate collagen and elastin such as the e-Matrix™. Considered one of the only treatments that regenerate elastin, this comprehensive rejuvenation radio frequency device improves the snap back in skin and can be safely used in all skin types. It can improve fine lines and wrinkles, acne scars, large pore sizes and uneven skin tone and texture problems. Laser genesis® or Intense Pulsed Light is another device that can be used to diffuse redness, scars, fine lines, pigmentation, large pores, and uneven skin texture. It has been scientifically proven to produce new collagen, which contributes to a more youthful appearance. Lastly, throw in an occasional chemical peel to remove sunspots for an overall brighter look!
The Fab 40’s
Time for a refresher! During the 40’s, we start to lose mid facial volume, and the placement of dermal fillers such as those that contain hyaluronic acid, a natural component found within the dermis of the skin, should be considered. The non-invasive radio frequency device Sublime contouring™ assists in toning, lifting and restoring skin to a more youthful and better you. Laser resurfacing with devices such as Fraxel CO2:RE™ generates a more radiant and youthful appearance of the skin, improving tone, damaged skin, texture and elasticity by penetrating deep into the skin to help support new collagen growth. Dramatic results can generally be obtained in one treatment.
The Best Of The 50’s & 60’s
Collagen production, elasticity and facial volume loss continues, but there is always an easy “quick fix”. This is a time for the placement of more robust dermal fillers such as Raduises® that enhances the facial contour, particularly the cheekbones. Deep etched-in lines on the face can be completely filled with very superficial hyaluronic acids fillers such as Belotero®. Even our hands can be achieved with injections of Radiesse® or other hyaluronic acid fillers such as Juvederm® and Restylane®. Fractionated ablative laser resurfacing with devices such as the Fraxel CO2:RE® is the tried and true procedure of choice for these age groups but does require a week’s downtime. You will leave the office looking 10 years younger, a procedure much worth the time! As we age, our skin thins and loses the natural lubrication and water that keeps it healthy. The application of intense moisturizers should be increased to keep a protective barrier.