Godfrey & Godfrey

Breast and Body Enhancement | Rhinoplasty : New York
 
 
doctor godfrey
Manhattan | Queens : NY Cosmetic Surgery
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Cosmetic Surgery New York : Patient Information

Know your medicines...

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The medications listed here (and potentially many others) may have an effect on the blood coagulation mechanism or other effects on the safety of your surgery. If your family doctor has prescribed any of these for you, be sure to tell Dr. Godfrey. In some cases, the medication may have no effect on your surgery, and you will be counseled to continue the medication as usual, but its presence needs to be noted. In no case should you medicate yourself with any drugs (even if they are not listed here) without the knowledge of your family doctor and Dr. Godfrey.

Aspirin-Containing Compounds: Aspirin Containing Ointments:
Alka-Seltzer
Fiorinal
Anacin
Ascriptin
BC Powder
Bufferin
Cheracol
Cope
Coricidin
Darvon Cmpd
Doan's Pills
Dristan
Ecotrin
Empirin
Excedrin
Midol
Pamprin
Pepto-Bismol
Percodan
Robaxisal
Sine-Aid
Sine-Off
Sinu-Tab
Stendin
Synalgos DC
Triaminicin
Vanquish
YSP
Absorbent Rub Braska Musterole
Absorbine Arthritic Counterpain Rub Neurabalm
Absorbine Jr. Dencorub Oil-O-Sol
Act-On-Rub Doan's Rub Omega Oil
Analbalm Emul-O-Balm Panalgesic
Analgesic Balm End-Ake Rid-A-Pain
Antiphlogistine Exocaine Plus Rumarub
Arthralgen Exocaine Tube Sloan's
Aspercreme Heet Soltice Hi-Therm
Banalg Icy Hot Soltice Quick Rub
Baumodyne Infra-Rub PD
Ben Gay Lini-Balm Stimurub
Ben Gay Ex Str Mentholatum Surin
Ben Gay Gel Mentholatum Deep Yager's Liniment
Ben Gay Greaseless Minit-Rub Zemo Liquid/Ointment
   
Non-Steroidal Anti-Inflammatory Agents: Anorexant: (React With Adrenalin):
Advil Motrin
Anaprox Naprosyn
Butazolidin Nuprin
Clinoril Tolectin
Indocin Tolectin DS
Kutapressin Zomax
Tenuate Dospan
   
Anti-Spasmodic: (React With Adrenalin): Anti-Depressant: (React With Adrenalin):
Tenuate Elavil Tofranil
Endep Triavil
Pamelor Surmontil
   
Antibiotics: Anticoagulants:

Flagyl
Tetracycline
Mysteclin F
Vibramycin

Coumadin
Persantine
Heparin
   
Antihistamines: Analgesics:
Ru-Tuss Nalfon 600
   
Tranquilizers: Miscellaneous:
Compazine Stelazine
Mellaril Trilafon
Sparine

Vitamin E
Zyloprim

Hidden dangers from herbals...

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Many patients do not tell their surgeons what they are taking. A recent study at the Mayo Clinic of patients undergoing a periodic health examination found that more than half of patients who take dietary supplements and nearly half of those who take nonprescription medications do not inform their physicians. (Mayo Clinic Proceedings, May 1999, vol. 74, no. 5)

Patients fail to tell their doctors about supplements for a number of reasons. Many do not think of these products as medicine, and others are afraid of what their doctor may say to them. However, the plastic surgeon needs to know everything the patient is taking ­ not just prescription drugs because some supplements adversely affect surgical outcomes.

A number of commonly used supplements can jeopardize the safety of the patient in surgery...


St. John's wort, which has a mild monoamine oxidase (MAO) inhibitory effect and may intensify the effect of anesthesia.
Yohimbe, (the "natural" Viagra®) and licorice root, which also have MAO effects and increase the potency of the anesthetic.
Gingko biloba, a powerful anticoagulant is considered to be three times stronger than vitamin E. (cause bleeding)
Ginger, garlic, cayenne and bilberry have antiplatelet activity and may inhibit clot formation. (cause bleeding)
Ginseng has been associated with episodes of hypertension and tachycardia.
Melatonin decreases the amount of anesthesia needed for surgery.
Echinacea may impact the liver when general anesthetic is used.
Aloe, used topically, can cause contact dermatitis, and when ingested, can create low potassium levels.
PC-SPES, used for prostrate cancer, has a definable incidence of deep vein thrombophlebitis.

 

The American Society of Anesthesiologists (ASA) recently noted that a number of anesthesiologists have reported significant changes in heart rate or blood pressure in some patients who have been taking herbal medications.

Just as doctors ask patients about their use of prescriptions drugs, they need to inquire about OTC drugs and any kind of dietary supplement ­ anything that is not food. Even when patients are taking multi-vitamins, physicians need to know exactly what they contain. Some of the most popular brand-name vitamins are now promoting combination pills that include the usual vitamins as well as supplements for the reduction of stress, extra energy, increasing memory and other specialized needs. In the past, herbals were found only in health food stores. Now they crowd the shelves of grocery stores, drug stores, and discount chains. American consumers self-prescribe from an increasing array of OTC drugs. Some assume that because a substance is "natural," it is safe. What they fail to understand is that many plants contain strong chemicals, and some are actually poisonous. There are no established manufacturing standards for dietary supplements and these products are not required to obtain FDA approvals or to prove efficacy and safety. The purchaser cannot even be sure that an herbal potion contains what is described on the label.

Cosmetic Surgery Pre-op instructions...

Listed below are general pre-operative instructions relevent to most cosmetic surgeries. Use the menu to have the scroller show other instructions based upon procedure type.

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 General Pre-op Instructions

PLEASE READ THESE INSTRUCTIONS CAREFULLY.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE OFFICE AT 212-628-6600.

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery.There is a long list of various headache, backache, and analgesic medications as well as creams and ointments all of which contain aspirin and should be avoided because of the effect aspirin has on the body's ability to control bleeding. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. Have any prescriptions that were given to you filled directly. This way there will be no need for you to arrange for this following the surgery and the medication will be immediately available to you upon your arrival at home.

3. Shower, thoroughly the evening before and morning of surgery. (If you have been provided special soap, please use it for these washings). Do not apply any cosmetics or creams the day of surgery. Remove all make-up.

4. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications that you normally take and whose use has been approved by the surgeon. One needs to avoid eating or drinking in order to minimize the risk of the sedation and anesthetic medications necessary for your surgery. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

5. Avoid caffeine, smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should be avoided for 2 weeks before and after surgery to minimize fluid retention.

6. Do not wear any jewelry or bring any valuables with you to the hospital or O.R. facility. Bring only sufficient cash to cover the expense of conveniences. Wear comfortable, loose-fitting clothing that does not require pulling over your head to put on or remove. Bring a comfortable robe and slippers if you are staying in the hospital. Bring support garments if these were provided at the office.

7. Arrange for a friend or family member to accompany you to the hospital and also for the trip back home following discharge.

8. Private Duty Nurse care is available at the hospital. Inform the hospital about your desires for special care when you arrive.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. Please notify our office if you develop a cold or fever during the week prior to surgery

If additional questions regarding your surgery should arise, please call Doctor Godfrey.

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 Abdominoplasty

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Check our list of the various headache, backache, and analgesic medications as well as creams and ointments that contain aspirin. These should be avoided because of the effect aspirin has on the normal clotting of blood. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. If you were given any prescriptions, have them filled in advance. This way there will be no need for you to arrange for this following the surgery and the medication will be immediately available to you upon your arrival at home.

3. Obtain some Dial "Antibacterial" soap. Wash abdomen and groin areas thoroughly the evening before surgery. Remove all make-up. Do not apply any cosmetics or creams.

4. Do not eat or drink anything after midnight the night before surgery. The only exception is for prescription medications you normally take, the use of which has been approved by the surgeon. The avoidance of food and drink is critical to minimize the risk of the sedative and general anesthetic medications. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

5. Avoid alcohol consumption for at least 24 hours prior to surgery.

6. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothes that do not require pulling over your head to dress. Bring a comfortable robe and slippers as well as support garments if such were provided at the office.

7. Arrange for a friend or family member to accompany you to the hospital and on your way home following discharge.

8. Private Duty Nurse care is mandatory. Speak to Celeste about making arrangements. Shifts vary from 8-14 hours.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. If additional questions regarding your surgery should arise please call the office.

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 Breast Augmentation

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Check our list of the various headache, backache, and analgesic medications as well as creams and ointments that contain aspirin. These should be avoided because of the effect aspirin has on the normal clotting of blood. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. If you were given any prescriptions, have them filled in advance. This way there will be no need for you to arrange for this following the surgery and the medication will be immediately available to you upon your arrival at home.

3. Acquire some Dial "Anti-bacterial" soap. Use it to wash your breast area thoroughly the evening before surgery. Remove all make-up. Do not apply any cosmetics or creams.

4. Do not eat or drink anything after midnight the night before surgery. The only exception is for prescription medications you normally take in the morning, the use of which has been approved by the surgeon. These should be taken with a small sip of water. The avoidance of food and drink is critical to minimize the risk of the sedative and anesthetic medications. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

5. Avoid alcohol consumption for at least 24 hours prior to surgery.

6. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothes that do not require pulling over your head to dress.

7. Arrange for a friend or family member to accompany you to the hospital and back home following discharge.

8. Prepare a bolster or extra pillows to allow you to sleep or rest in an elevated position.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. If additional questions regarding your surgery should arise please call the office.

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 Brow Lift

1. Please avoid aspirin and aspirin containing medications for 2 weeks prior to surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. Also, it is necessary to discontinue taking Vitamin E for 2 weeks before surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril or Fioricette for headaches.

3. Avoid smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery.

4. Avoid caffeine, alcohol and high sodium foods to minimize fluid retention.

5. Begin taking Vitamin C (500mg two times a day) 2 weeks prior to your procedure.

6. Arrange for a friend or family member to accompany you home.

7. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications that you normally take and have been approved by Dr. Godfrey for you to continue right up until the time of surgery. You may brush your teeth on the morning of surgery, but do not swallow any water. Please take this seriously.

8. If you are going to the hospital, do not wear jewelry or bring valuables with you. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine. Wear comfortable, loose-fitting clothing that does not require pulling over your head. Bring a comfortable robe and slippers.

9. You may experience sensitivity to light during the postoperative period, therefore it is recommended that you bring sunglasses to the hospital. You may want to bring a hat and/or scarf as well to wear as head cover for the trip home.

10. Be certain to allow sufficient time for transportation to the hospital to assure prompt arrival at the specified time.

11. Please notify our office if you develop a cold or fever during the week prior to surgery.

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 Ear Prominence

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. Also, it is necessary to discontinue taking Vitamin E for 2 weeks prior to surgery. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril or Fioricette for headaches.

3. IF a prescription was given to you, fill it before your admission to the hospital. This way, the medication will be available upon your return home.

4. Shower, wash face, and shampoo thoroughly the evening before surgery. Remove all make-up. Do not apply any additional cosmetics or creams.

5. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications which you normally take and have been approved by the surgeon for you to continue right up until the time of surgery. The precaution about not eating or drinking is necessary to minimize the risk of the sedation and anesthetic medications necessary for your surgery. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

6. Avoid alcohol consumption for at least 24 hours prior to surgery.

7. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothing which does not require pulling over your head to put on or remove.

8. Arrange for a friend or family member to accompany you to the hospital and also for the trip back home following discharge.

9. Be certain to arrange transportation to the Hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

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 Eyelids

1. Please avoid aspirin and aspirin containing medications for 2 weeks before and after surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. You may take Tylenol, Datril or Fioricette for headaches. Also, it is necessary to discontinue taking Vitamin E for 2 weeks before and after surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. Avoid caffeine, smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should be avoided as well to minimize fluid retention before and after surgery.

3. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications that you normally take and have been approved by Dr. Godfrey for you to continue right up until the time of surgery. It is important to adhere to this in order to minimize the risk of the sedation and anesthesia medications necessary for your surgery. You may brush your teeth on the morning of surgery, but do not swallow any water. Please take this seriously.

4. Shower, wash face (remove all eye makeup) and shampoo with regular soap and water thoroughly the evening before and morning of surgery. Do not apply any additional cosmetics or creams the day of surgery.

5. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothing that does not need to be pulled over your head to dress.

6. Arrange for a friend or family member to accompany you home following discharge.

7. You may experience sensitivity to light during the postoperative period, therefore it is recommended that you bring sunglasses to the hospital. You may want to bring a hat and/or scarf as well to wear as head cover for the trip home.

8. Be certain to arrange transportation to the hospital with sufficient time allowed assuring prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

9. Please notify our office if you develop a cold or fever during the week of surgery.

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 Facelift

1. Avoid Aspirin and aspirin-containing medications for two weeks prior to surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. You may take Tylenol, Datril or Fioricette for headaches. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey. Also, avoid taking Vitamin E for 2 weeks before and after surgery.

2. If a prescription was given to you, have it filled before your admission to the hospital. This way the medication will be available to you upon your arrival home.

3. Avoid caffeine, smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should be avoided as well, to minimize fluid retention before and after surgery.

4. Shower, wash face (remove all makeup) and shampoo with regular soap and water the evening before and morning of surgery. Do not apply any additional cosmetics or creams the day of surgery.

5. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications, which you normally take and that the surgeon has approved for continued use up until the time of surgery. The precaution about not eating or drinking is necessary to minimize the risk of sedation and anesthetic medications necessary for your surgery. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in doing so.

6. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothing that does not need to be pulled over your head to dress. Bring a comfortable robe and slippers with you to the hospital, as well as a light scarf and sunglasses to wear as head cover for the trip home.

7. Arrange for a friend or family member to accompany you home following discharge.

8. Private nurse care is available. Speak to the office about making arrangements. Shifts vary from 8 to 14 hours.

9. Be certain to arrange transportation to the hospital with sufficient time allowed assuring prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. Please notify our office if you develop a cold or fever during the week of surgery.

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 Fat Injection

1. Cleanse the face thoroughly but gently with non-perfumed soap.

2. Apply no makeup or creams.

3. Do not apply lipstick.

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 Laser Treatment

1. Do not take Vitamin E for two weeks before and after surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril, or Fioricet for headaches.

3. Please advise the doctor if you have been taking Accutane. You must be off Accutane for six months prior to your treatment.

4. If you have been treating yourself with any other skin care resurfacing products, please let the doctor know prior to your treatment.

5. Avoid having any facial waxing or electrolysis done two weeks before surgery and 3 weeks after surgery.

6. Pretreatment with Zovirax or Valtrex is advisable for patients undergoing laser resurfacing if they have a previous history of Herpes Simplex. If you are given a prescription for either medication, please begin taking it the day before and continue one per day until finished.

7. If you wear contact lenses, please remove them prior to your treatment.

8. If you are going to be sedated by the anesthesiologist, DO NOT EAT or DRINK anything the morning of your procedure.

9. On the morning of your surgery, wash your face and hair thoroughly. DO NOT apply any creams or make-up to your face or neck. DO NOT use any hairspray.

10. Do not wear any jewelry or anything that will reflect light.

11. Wear loose fitting clothes that do not require pulling over your head to dress.

12. Please arrive 15 minutes early to read and sign your consent and take care of any other paper work.

13. Please notify our office if you develop a cold or fever during the week prior to surgery.

14. You may experience sensitivity to light during the postoperative period. Therefore, it is recommended that you bring sunglasses to the office. Please also bring a hat and/or scarf to wear as a headcover for the trip home.

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 Liposuction

Timetable:

Discharge : Same Day
Sutures : Absorbable
Compresive Garment : 2 weeks 24/7, 1 week daytime only
Back to work : 5-7 days, (may be more or less depending on extent of procedure)

1. Please avoid aspirin and aspirin containing medications for 2 weeks before and after surgery. See our list of various medications, creams, and ointments that contain aspirin and that must be avoided. Also, it is necessary to discontinue taking Vitamin E for 2 weeks before and after surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril or Fioricette for headaches.

3. Begin taking Vitamin C (500mg, per day, as tolerated by your body) 2 days before your procedure and continue for 3 weeks following your procedure.

4. Avoid caffeine, smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. (Smokers take much longer to heal.) Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should be avoided for 2 weeks before and after surgery to minimize fluid retention.

5. Since you are going to the hospital please do not wear jewelry or bring valuables with you. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine. Wear comfortable, loose fitting, easily-washed clothing that can be pulled on easily over the compressive garment. If staying overnight, bring a comfortable robe and slippers. Please note: Clothing worn immediately after surgery may become stained due to the normal occurrence of fluid leakage.

6. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications that you normally take and have been approved by Dr. Godfrey for you to continue right up until the time of surgery. It is important to adhere to this in order to minimize the risk of the sedation and anesthesia medications necessary for your surgery. You may brush your teeth on the morning of surgery, but do not swallow any water. Please take this seriously.

7. Shower thoroughly, washing your body with Phisohex (prescription enclosed) the evening before and morning of surgery. Do not apply any cosmetics or creams the day of surgery.

8. Arrange for a friend or family member to accompany you home.

9. Be certain to allow sufficient time for transportation to the hospital to assure prompt arrival at the specified time.

10. Immediately following surgery, you will appear swollen and feel numb. The following are approximate time guidelines for the healing process; however, be aware that healing varies widely from individual to individual: 50% of the swelling will subside within 3-6 weeks, 90% within 6-12 weeks, and nearly100% within 6 - 8 months. After the first 6 weeks, the swelling is not very noticeable. The numbness will go away as the swelling resolves. You may be bruised for 3-4 weeks. You may find that you are bruised and swollen most in the lowest part of the body to be treated, due to the pull of gravity.

11. Please notify our office if you develop a cold or fever during the week of surgery.

12. If you have any questions concerning these instructions, please feel free to contact Celeste, my Clinical Coordinator, for clarification. We want you to feel completely comfortable with the proposed surgery.

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 Mastopexy

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Attached is a list of various headache, backache, and analgesic medications as well as creams and ointments that contain aspirin. These should be avoided because of the effect aspirin has on the normal clotting of blood. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. If you were given any prescriptions, have them filled in advance. This way there will be no need for you to arrange for this following the surgery and the medication will be immediately available to you upon your arrival at home.

3. Enclosed is a prescription for Phisohex. Have it filled and wash your breast area thoroughly the evening before surgery. Remove all make-up. Do not apply any cosmetics or creams.

4. Do not eat or drink anything after midnight the night before surgery. The only exception is for prescription medications you normally take, the use of which has been approved by the surgeon. Avoidance of food and drink is critical to minimize the risk of the sedative and anesthetic medications. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

5. Avoid alcohol consumption for at least 24 hours prior to surgery.

6. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothes that do not require pulling over your head to dress. Bring the bra provided at the office with you to the hospital.

7. Arrange for a friend or family member to accompany you to the hospital and home following discharge.

8. Prepare a bolster or extra pillows to allow you to sleep or rest in an elevated position.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. If additional questions regarding your surgery should arise please call the office.

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 Nose Surgery

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. Also, it is necessary to discontinue taking Vitamin E for 2 weeks prior to surgery. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril or Fioricette for headaches.

3. If a prescription was given to you, have it filled before your admission to the hospital. This way the medication will be available to you upon your return home.

4. Shower, wash face, and shampoo thoroughly the evening before surgery. Remove all make-up. Do not apply any additional cosmetics or creams.

5. Do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications, which you normally take and that the surgeon has approved for continued use up until the time of surgery. The precaution about not eating or drinking is necessary to minimize the risk of sedation and anesthetic medications necessary for your surgery. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in doing so.

6. Avoid alcohol consumption for at least 24 hours prior to surgery.

7. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only enough cash to cover the expense of conveniences such as a book or magazine. If you are staying overnight, bring a comfortable robe and slippers with you to the hospital. Also, make sure to bring a button down shirt worn to avoid having anything come in contact with the nasal area.

8. Arrange for a friend or family member to accompany you to and from the hospital.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

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 Peels

1. Please avoid aspirin and aspirin containing medications for 2 weeks before and after surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because aspirin limits the body's ability to control bleeding. Also, it is necessary to discontinue taking Vitamin E for 2 weeks before and after surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril, or Fioricette for headaches.

3. Avoid caffeine, smoking and nicotine substitutes for a minimum of 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should be avoided for 2 weeks before and after surgery to minimize fluid retention.

4. If Dr. Godfrey gives you a precription for Zovirax or Valtrex, you need to begin taking the medication the day before surgery and continue one a day until finished.

5. Avoid having any facial waxing or electrolysis done 2 weeks before surgery and 3 weeks after surgery.

6. On the day of surgery, wear comfortable, loose-fitting clothing that does not require pulling over your head.

7. Wash face with regular soap and water. Do not apply any additional cosmetics or creams the day of surgery.

8. Please notify our office if you develop a cold or fever during the week prior to surgery.

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 Breast Reduction

1. Avoid aspirin and aspirin-containing medications for two weeks prior to surgery. Attached is a list of various headache, backache, and analgesic medications as well as creams and ointments that contain aspirin. These should be avoided because of the effect aspirin has on the normal clotting of blood. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. If you were given any prescriptions, have them filled in advance. This way there will be no need for you to arrange for this following the surgery and the medication will be immediately available to you upon your arrival at home.

3. Enclosed is a prescription for Phisohex. Have it filled and wash your breast area thoroughly the evening before surgery. Remove all make-up. Do not apply any cosmetics or creams.

4. Do not eat or drink anything after midnight the night before surgery. The only exception is for prescription medications you normally take, the use of which has been approved by the surgeon. Avoidance of food and drink is critical to minimize the risk of the sedative and anesthetic medications. Please take this seriously. You may brush your teeth on the morning of surgery but do not swallow any water in so doing.

5. Avoid alcohol consumption for at least 24 hours prior to surgery.

6. Do not wear any jewelry or bring any valuables with you to the hospital. Bring only sufficient cash to cover the expense of conveniences such as a book or magazine, etc. Wear comfortable, loose-fitting clothes that do not require pulling over your head to dress. Bring the bra provided at the office with you to the hospital.

7. Arrange for a friend or family member to accompany you to the hospital and home following discharge.

8. Prepare a bolster or extra pillows to allow you to sleep or rest in an elevated position.

9. Be certain to arrange transportation to the hospital with sufficient time allowed to assure prompt arrival at the specified time. Your surgical procedure is scheduled in a busy operating room facility and late arrival may result in deferment of your surgery to the end of the day or cancellation altogether.

10. If additional questions regarding your surgery should arise please call the office.

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 Submental Liposuction

1. Please avoid aspirin and aspirin containing medications for 2 weeks before and after surgery. Check our list of the various medications, creams, and ointments that contain aspirin. These should be avoided because of the effect aspirin has on limiting the body's ability to control bleeding. Also, it is necessary to discontinue taking Vitamin E for 2 weeks before and after surgery. PLEASE DO NOT medicate yourself with any drug without the prior approval of your family physician and Dr. Godfrey.

2. You may take Tylenol, Datril or Fioricette for headaches.

3. Begin taking Vitamin C (1000mg, 3-5 times per day, as tolerated by your body) 2 days before your procedure and continue for 3 weeks following your procedure.

4. Avoid caffeine, smoking and nicotine substitutes for 2 weeks before and after surgery. Smokers take much longer to heal. Alcohol consumption should be avoided at least 24 hours prior to surgery. High sodium foods should also be avoided for 2 weeks before and after surgery to minimize fluid retention.

5. If your procedure requires general anesthesia, please do not eat or drink anything after midnight the night before surgery. The only exception to this is for prescription medications that you normally take and which have been approved by Dr. Godfrey for you to continue taking right up until the time of surgery, or medications prescribed by Dr. Godfrey in conjunction with this surgery. You may take these medications with a very small sip of water on the day of surgery. You may brush your teeth the morning of surgery, but do not swallow any water. Please take this seriously.

6. On the evening before and the morning of surgery, wash face and hair with a mild shampoo. Do not apply any cosmetics or creams the day of surgery.

7. On the day of surgery, wear comfortable, loose fitting clothing that does not require pulling over your head.

8. Be certain to allow sufficient time for transportation to the hospital or office to assure prompt arrival at the specified time.

9. Arrange for a friend or family member to accompany you home. If that is not possible, a private car service should be arranged prior to this date.

10. Please notify our office if you develop a cold or fever during the week prior to surgery.

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Cosmetic Surgery Post-op instructions...

Listed below are general post-operative instructions relevent to most cosmetic surgeries. Use the menu to have the scroller show other instructions based upon procedure type.

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 General Post-op Instructions

PLEASE READ THESE INSTRUCTIONS CAREFULLY.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE OFFICE AT 212-628-6600.

1. Avoid aspirin and aspirin-containing medications for one weeks after surgery. Please do not medicate yourself with any drug without the prior knowledge of your family physician and Dr. Godfrey.

2. Use the pain-killer provided by Dr. Godfrey, but be aware that it may contain narcotics and can cause drowsiness, nausea or constipation. Do not use alcohol when using these medications. Change from the narcotic to plain Tylenol as your pain allows. Also be aware that new and severe pain, (particularly unilateral pain after bilateral surgery), should be reported to the doctor.

3. Some surgical wounds are kept dry for many days after surgery, but others can be sparingly wet early on. Speak with doctor Godfrey about his preferences for your surgery type.

4. Rest and relax with the head and back elevated, particularly if the face, nose or breasts have been operated upon. Move about your home and don't be bed-ridden, but avoid exertion of any kind.

5. Please notify our office if you develop fever, new or severe pain or dramatic swelling during the post-operative weeks.

6. If additional questions regarding your surgery should arise, please call Doctor Godfrey.

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 Abdominoplasty

1. Physical exertion is hazardous in the first several weeks following surgery and it should be avoided. It is ideal if a family member or friend can be available to assist you with meals and household matters initially.

2. Sleep with the head elevated on at least two pillows and the knees elevated on at least one pillow to keep the hips flexed and comfortable. A loose sofa cushion placed under the mattress at the head of the bed may also help.

3. Sponge baths only until otherwise instructed by Dr. Godfrey. Do not shower or wet the incision or dressing.

4. Change the incision dressings as necessary. 4Ó x 4Ó gauze pads and 2Ó tape (also provided) are used. Remember, a moderate amount of oozing from the incision is normal and will subside gradually over the first few days. If brisk bleeding occurs, apply direct pressure to the bleeding point and call the office at 212-628-6600.

5. Follow the instructions given to you at the hospital about emptying the drains. Record the amounts collected on the attached sheet labeled ÒDrainage RecordÓ and have it available when speaking with Dr. Godfrey. Make sure to bring it during your post-operative visits.

6. Pain medication prescriptions have been provided and should have been already filled. Take the medication when needed, but no more frequently than every four hours. Avoid driving a motor vehicle or performing work requiring intense concentration while taking medication. Alcohol should be avoided while taking the medication.

7. While infection following abdominoplasty is unusual, antibiotics may help to further reduce the risk. You should take your antibiotic pills according to the label instructions until all are gone.

8. In the first two days following surgery, some bowel irregularity is not unusual. If this becomes a problem call Dr. Godfrey at 212-628-6600.

9. No bending, straining or straightening fully for two weeks. If you must sneeze or cough, do so with the mouth open. No strenuous physical activities for two weeks. Gentle exercise not concentrating on the abdomen may begin thereafter. Sit-ups and other abdominal exercises should not begin for three months.

10. Do not apply Vitamin E in any form to incision.

11. If you should develop fever, chills, pain, tenderness, or extreme redness around the incision please call the Doctor at 212-628-6600.

12. Do not take aspirin or aspirin-containing medications for 10 days following surgery.

13. No smoking for ten days following surgery.

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 Breast Augmentation

1. You will have a tape dressing on when you are discharged. The dressing is usually removed at the first post-operative visit to the office. If you develop a rash around or under the tape, call Dr. Godfrey.

2. Following your surgery, you may notice a dry scratchy throat. It should gradually improve and be gone by the third or fourth post-operative day.

3. Sutures are internal and will absorb on their own. There will be special tapes on the incisions to reinforce the closure. You should keep the dressing that has been applied, clean and dry.

4. You may notice a small amount of bleeding on the dressing. This is normal and is no cause for concern. If the wound begins to actively bleed you can stop the flow by applying direct gentle pressure over the bleeding site. Notify the Doctor of any episodes of excessive bleeding.

5. Sleep on your back until the doctor advises otherwise. An elevated position, resting on two pillows or a bolster, may make you more comfortable.

6. You may feel soreness or discomfort in the area of the surgery. This is temporary and can be controlled with your prescribed medication.

7. Swelling and discoloration around the incisions generally will subside in a few weeks. Scars will not fade completely but, in most cases, will become very acceptable.

8. Do not smoke or drink alcohol until otherwise directed.

9. Avoid all strenuous exercise for two weeks. Impact exercise can begin after four weeks, if approved by Dr. Godfrey.

10. Refrain from overhead lifting.

11. Call the office to schedule a follow-up appointment upon your return from the hospital.

12. If you have any questions please do not hesitate to call us.

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 Brow Lift

1. Maximum swelling occurs during the first 48 hours following surgery. You will be noticeably swollen for 4-6 weeks.

2. Physical exertion is hazardous in the first several days following surgery and should be avoided. It would be ideal if a family member or friend could assist you with meals and household matters.

3. Sleep on your back for 5 days with your head elevated on extra pillows.

4. You may feel tired and weak for a few days. Be sure to drink plenty of fluids.

5. Continue to avoid taking aspirin or aspirin containing medications for 14 days following surgery. You may take Tylenol if needed.

6. Do continue to take Vitamin C (500mg two times a day) for at least 2 weeks.

7. The first two days after surgery, some bowel irregularity is not unusual. If this becomes a problem, please let the office know.

8. A soft diet may be easier to accommodate in the first 3 days following surgery.

9. No bending or straining for 2 weeks. No exercise or swimming for 3 weeks. No strenuous activities (aerobics, weight training, jogging, diving) for 1 month.

10. Sponge baths only. Please do not shower or otherwise wet the incision or dressing.

11. No sunbathing for 6 months. Avoid direct sunlight for 6 weeks. Please use sunscreen (#30 or higher), wear a hat and sunglasses when outdoors. Your skin will feel dry and sensitive after surgery.

12. Avoid alcohol for about 10 days following surgery.

13. There may be a small amount of oozing or scab formation on the incisions. This should not alarm you. You may press gently on them with a gauze sponge for 5 minutes and then release the pressure.

14. You may have waterproof tape on your face, which will be removed 5 days postoperatively by Dr. Godfrey. It is important that you keep the tape as dry as possible.

15. You may shampoo your hair gently after the removal of tape. Use a mild shampoo (such as Johnson's Baby shampoo or Neutrogena). It is best to shampoo your own hair taking care to be very gentle in the area of the incisions (sutures will be tender to the touch).

16. You may color or perm your hair after 3 weeks.

17. If you should develop fever, chills, pain, tenderness, or extreme redness please call Dr. Godfrey.

18. Plan on a conservative schedule for 2-3 weeks and allow 6-8 weeks for important engagements.

19. You may experience numbness of the scalp and brow for weeks or even months after surgery which will resolve spontaneously. Expect to have some bruising for up to 4 weeks.

20. DO NOT tweeze, wax or bleach any facial hair for 3 weeks after surgery.

21. Avoid smoking or nicotine substitutes for at least 2 weeks following surgery.

22. Do not use Retin-A or have Collagen Replacement Therapy around the brow or temple area for 6 weeks after surgery.

23. Avoid traveling by plane for 10 days after surgery.

24. You will begin to see the results of the surgery within 2-3 weeks. Approximately 80% of the final result will be obvious at 8 weeks. Final healing will occur gradually over the next 2 months. Please be patient. Everyone heals at their own individual pace.

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 Ear Prominence

1. Physical exertion is hazardous in the first several days following surgery and it should be avoided. It is ideal if a family member or friend can be available to assist you with meals and household matters.

2. Sleep with the head elevated on at least 2 pillows.

3. You may shampoo your hair gently on the day after you arrive home. Use a mild shampoo, do the shampoo yourself, and take care to be very gentle in the area of the incisions where sutures and staples will be tender to the touch.

4. There may be a small amount of oozing or scab formation on the incisions. This should not alarm you. If any particular areas are troublesome in this way, press gently on them with a gauze sponge for 5 minutes and then release the pressure. If this does not stop the problem or if brisk bleeding occurs, call Dr. Godfrey at 212-628-6600.

5. No bending or straining for 2 weeks. No strenuous physical activities (aerobics, weight training, jogging, diving) for 6 weeks. No sunbathing for 6 months.

6. Do not apply Vitamin E in any form to the area.

7. If you should develop fever, chills, pain or tenderness, please call Dr. Godfrey at 212-628-6600.

8. Do not take aspirin or aspirin-containing medications for 10 days following surgery. You may take Tylenol instead.

9. Do not smoke for ten days following surgery.

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 Eyelids

1. Physical exertion is hazardous in the first several days following surgery. It should be avoided. It is ideal if a family member or friend can be available to assist you with meals and household matters.

2. Sleep with the head elevated on at least 2 pillows (as comfortable). A loose sofa cushion placed under the mattress at the head of the bed may also help.

3. You may shampoo your hair gently on the day after arrival at home. Use a mild shampoo, do the shampoo yourself, and take care to be very gentle in the area of the incisions where sutures will be tender to the touch.

4. Apply ice-water compresses to the eyes for 36 hours after the surgery. Dip clean gauze sponges into a bowl of ice water, wring them partially dry and apply to the eyelids. Exchange them with a second set (left in the ice water) when they become dry and warm. The compresses may be discontinued to eat, sleep, or walk to the bathroom.

5. There may be a small amount of oozing or scab formation on the incisions. This should not alarm you. If any particular areas are troublesome in this way, press gently on them with a gauze sponge for 5 minutes and then release the pressure. If this does not stop the problem or if brisk bleeding occurs, call Dr. Godfrey at 212-628-6600.

6. While infection following blepharoplasty is rare, antibiotics will be administered to you before the onset of surgery and continuing during your hospitalization in the hope that these may even further reduce the risk.

7. A soft diet may be easier to accommodate in the first two days following surgery.

8. Make-up may be worn on the face and around the eyes after one week, but avoid applying it directly on the incisions. Although bruising may persist longer, a highlighter may be applied over purplish areas. A hypo-allergenic water-based product is usually best. Occasionally discoloration around the eyes may persist for a longer period of time.

9. Do not apply Vitamin E in any form to the face or eyes.

10. If you should develop fever, chills, pain, tenderness, or extreme redness on the eyes, please call the doctor at 212-628-6600.

11. Widened or elevated scars, contour irregularities, pigmentary changes and some sagging of the skin tightened by the surgery are potential risks of blepharoplastic surgery. Minor revisions may occasionally be elected.

12. Do not take aspirin or aspirin-containing medications for 10 days following surgery. You may take Tylenol instead.

13. Do not smoke for ten days following surgery.

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 Facelift

1. Physical exertion is hazardous in the first several days following surgery. It should be avoided. It is ideal if a family member or friend can be available to assist you with meals and household matters.

2. Sleep with the head elevated on at least 2 pillows (as comfortable). A loose sofa cushion placed under the mattress at the head of the bed may also help.

3. You may shampoo your hair gently on the day after arrival at home. Use a mild shampoo, do the shampoo yourself, and take care to be very gentle in the area of the incisions where sutures and staples will be tender to the touch.

4. There may be a small amount of oozing or scab formation on the incisions. This should not alarm you. If any particular areas are troublesome in this way, press gently on them with a gauze sponge for 5 minutes and then release the pressure. If this does not stop the problem or if brisk bleeding occurs, call Dr. Norman Godfrey.

5. A soft diet may be easier to accommodate in the first two days following surgery.

6. No bending or straining for 2 weeks. No nose blowing for 3 weeks. If you must sneeze, do so with the mouth open. No strenuous physical activities (aerobics, weight training, jogging, diving) for 6 weeks. No sunbathing for 6 months.

7. Do not apply Vitamin E in any form to the face.

8. If you should develop fever, chills, pain, tenderness, or extreme redness on the face, please call Dr. Norman Godfrey.

9. Widened or elevated scars, contour irregularities, pigmentary changes and some sagging of the skin tightened by the surgery are potential risks of facialplastic surgery. Minor revisions may occasionally be elected.

10. Do not take aspirin or aspirin-containing medications for 10 days following surgery. You may take Tylenol instead.

11. Do not smoke for ten days following surgery.

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 Fat Injection

1. Do not exert yourself for the next 24 hours to avoid causing any bruising or bleeding.

2. If some bleeding occurs, take some gauze and apply pressure gently to the site for about 5 minutes.

3. You may have some bruising around each surgical area. This is normal and will resolve.

4. You can expect the injected area to get worse in the FIRST 48 HOURS before it gets better. There will be swelling, unevenness and possibly bruising. This is normal.

5. You may take Tylenol, not aspirin, if you experience pain.

6. The local anesthesia given by the doctor should start to wear off in 2-3 hours. However, you may have numbness or a funny sensation in the area around your mouth that may persist for some time. If you had fat injections to the lips, please DO NOT eat or drink anything hot until you can move and feel your lips and mouth normally. Use a straw to drink.

7. You may start your normal routine after 24 hours of your procedure.

8. You will see Dr. Godfrey post-operatively in subsequent visits, but it will take at least SIX MONTHS to know if the fat graft has taken.

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 Laser Treatment

1. For the first 24 hours, keep the skin moist using the Aquaphor ointment provided by Dr. Godfrey. Larger tubes can be purchased at your local drugstore. You may use gauze soaked in ice water to the treated areas to help the burning sensation you may experience. Dip clean gauze sponges into a bowl of ice water, wring them partially dry and apply to the areas.

2. After the first 24 hours, you may gently wash the treated area using a mild soap and then apply a thin layer of Aquaphor. Do this twice a day until you see Dr. Godfrey on your first post- operative visit. Do not apply any other creams or cosmetics to any of the treated areas.

3. Have someone available to accompany you home. You may need some assistance, as you will be recovering from the sedatives administered by the anesthesiologist.

4. Please notify the doctor if you develop any fever or chills.

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 Liposuction

1. Physical exertion is hazardous in the first several days following surgery and should be avoided. It would be ideal if a family member or friend could assist you with meals and household matters.

2. No exercise or swimming for 2 weeks. After 2 weeks you may slowly increase exercise activities (aerobics, weight training, jogging, driving). You may go for a walk at anytime.

3. You may feel tired, weak and sore for up to 3 weeks. Be sure to eat healthily, drink plenty of fluids and rest. You may be bruised for up to 3-4 weeks.

4. The first two days after surgery, some bowel irregularity is not unusual. If this becomes a problem, please let the office know.

5. Clothing worn immediately after surgery may become stained due to the normal leakage of fluids injected into the liposuction areas during surgery.

6. Please take sponge baths only, being careful not to get the compressive garment or incisions wet. Your first compressive garment will become stained immediately after surgery. However, please do not shower and/or take off the compressive garment for the first 24 hours. After the first 48 hours, you can take a quick lukewarm shower and quickly change into a second, fresh garment. Thereafter, you may shower quickly each day and get back into our garment until you see Dr. Godfrey at your first post-op visit.

7. The incisions are generally about 1/4 inch long. Some oozing from your incisions is normal. Apply pressure to the area to stop bleeding. You may apply Bacitracin to the incisions while they are healing. The scars may be pink for 6-12 months and will fade gradually. Please apply sunscreen if your incisions will be exposed to the sun within the first six months.

8. If you should develop a fever, chills, pain, tenderness, or extreme redness around the incision, please call Dr. Godfrey. Excessive bleeding is unusual, so if it occurs, please call us.

9. It is unusual for a liposculpture patient to experience much discomfort; Extra Strength Tylenol is often sufficient, but you will be given stronger medication as well. Report any severe pain to Dr. Godfrey.

10. Continue to avoid caffeine and aspirin or aspirin containing medications for 1 week following surgery.

11. Continue to take Vitamin C (500mg per day) for 3 weeks following your procedure.

12. Do not take Vitamin E supplements by mouth for 2 weeks and avoid using topical Vitamin E on the incisions until they are fully healed.

13. The results of liposculpture are permanent. If you gain weight after liposculpture, you will tend to deposit fat in other areas.

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 Mastopexy

1. You will have dry gauze inside a surgical bra when you are discharged. The bra and gauze can be changed in 48 hours for fresh gauze and your second bra. If the doctor has placed drains in your incision, follow the instructions given to you at the hospital about emptying these. Record the amounts collected on the attached sheet labeled ÒDrainage RecordÓ and have it available when speaking with Dr. Godfrey. Make sure to bring it during your post-operative visits.

2. Following your surgery, you may notice a dry scratchy throat. It should gradually improve and be gone by the third or fourth post-operative day.

3. Sutures are internal and will absorb on their own. There will be special tapes on the incisions to reinforce the closure. You should keep the tapes and any dressings clean and dry. If the area should get wet, pat dry with a clean towel or cloth and replace with a new dressing.

4. You may notice a small amount of bleeding on the dressing. This is normal and is no cause for concern. If the wound begins to actively bleed you can stop the flow by applying direct gentle pressure over the bleeding site. Notify the Doctor of any episodes of excessive bleeding.

5. Sleep on your back until the doctor advises otherwise. An elevated position, resting on two pillows or a bolster, may make you more comfortable.

6. You may feel soreness or discomfort in the area of the surgery. This is temporary and can be controlled with your prescribed medication.

7. Swelling and discoloration around the incisions generally will subside in a few weeks. Scars will not fade completely but, in most cases, will become acceptable in time.

8. Do not smoke or drink alcohol until otherwise directed.

9. Avoid all strenuous exercise for two weeks after surgery. Impact exercise can begin after four weeks, if approved by Dr. Godfrey.

10. Refrain from overhead lifting.

11. Call the office to schedule a follow-up appointment upon your return from the hospital.

12. If you have any questions please do not hesitate to call us.

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 Nose Surgery

1. Physical exertion is hazardous in the first several days following surgery and it should be avoided. It is ideal if a family member or friend can be available to assist you with meals and household matters.

2. Sleep with the head elevated on at least 2 pillows.

3. Tub baths only. Do not shampoo hair or otherwise douse the nasal dressing.

4. Apply ice-water compresses to the eyes for 36 hours after the surgery to minimize bruising and swelling. Dip clean gauze sponges into ice water, wring them partially dry and apply to the eyelids. Exchange them with a second set (left in the ice water) when they become dry and warm. The compresses may be discontinued to eat, walk to the bathroom, or sleep.

5. Change the nasal drip pad as necessary. Fold a 2" x 2" gauze pad on the diagonal and secure it with 1/2" tape. Remember, a moderate amount of oozing from the nose is normal and will subside gradually over the first few days. If brisk bleeding occurs, call the office at 212-628-6600.

6. A soft diet may be easier to accommodate in the first few days following surgery. Patients having chin augmentation associated with rhinoplasty will have to remain on a liquid diet for the first week.

7. No bending or straining for 2 weeks. No nose blowing for 3 weeks. If you must sneeze, do so with the mouth open. No strenuous physical activities (aerobics, weight training, jogging, diving) for 6 weeks. Use sunscreen and wear a hat when outdoors.

8. Make-up may be worn on the face and around the eyes after one week, although bruising may persist longer. A coverup may be applied over purplish areas. A hypoallergenic water-based product is usually best. Occasionally discoloration around the eyes may persist for a longer period of time.

9. Do not apply Vitamin E in any form to the face or nose.

10. If you should develop fever, chills, pain, tenderness, or extreme redness around the nose please call the doctor at 212-628-6600.

10. Internal nose blockage, bony ridges, changes in smell, and cosmetic imperfections are potential risks of rhinoplastic surgery. Minor revisions may occasionally be elected.

11. Do not take aspirin or aspirin-containing medications for 10 days following surgery.

12. Do not smoke for 10 days following surgery.

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 Peels

1. For the first 24 hours, every 4 hours, wipe off any exudate (white, yellow or gray matter) from the areas treated with the chemical peel by using gauze sponges that have been soaked in ice water. Be sure to keep the skin looking pink. Then apply Bacitracin (this ointment will be supplied to you by Dr. Godfrey) to the areas.

2. After the first 24 hours, place gauze sponges, which have been soaked in chilled water, on the areas which have been treated with the chemical peel for 10 to 15 minutes, 4 times a day. Do not pick or rub to remove dead skin or scabs as this action may increase the risk of scarring. Pat the skin dry with a clean towel and apply a layer of Bacitracin to the areas. Reapply the Bacitracin whenever the skin feels dry. Continue with this regimen until the first postoperative visit with Dr. Godfrey. At that time, he will give you further instructions as to how to proceed.

3. Oozing of clear fluid from the peel sites may occur for the first 3 to 7 days. This oozing should be gently removed. If cloudy drainage develops please call Dr. Godfrey.

4. The skin will be quite pink and red for the first 10 to14 days. If you have dark skin or severely sun-damaged skin and have a deep treatment you may find that the pinkness or redness will persist for 3 to 6 months.

5. The areas treated with the peel may be quite swollen, but this swelling should resolve after the first 3 to 7 days.

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 Submental Liposuction

1. No strenuous activity for the first 2 weeks following surgery.

2. Sleep on your back for 5 days with your head elevated on extra pillows.

3. Immediately after surgery, you may feel tired and weak from the anesthesia. Be sure to eat healthily, drink plenty of fluids and rest. Bruising and soreness should be minimal.

4. You may take a shower 24 hours after surgery. Dr. Godfrey will give you additional instructions as to how to take care of the affected area.

5. If you should develop a fever, chills, pain, or tenderness, please call Dr. Godfrey.

6. It is rare for a patient undergoing this procedure to experience much discomfort. Extra Strength Tylenol should be sufficient for any pain.

7. Continue to avoid caffeine, nicotine, and aspirin or aspirin containing medications for 2 weeks following surgery.

8. Continue taking Vitamin C (1000mg, 3-5 times per day, as tolerated by your body) for 3 weeks following your procedure.

9. Do not take Vitamin E supplements by mouth for 2 weeks after surgery. Avoid using topical Vitamin E on the affected areas until fully healed.

10. Dr. Godfrey will advise you as to the schedule for postoperative visits following surgery.

11. You will begin to see the results of the liposculpture within 2 weeks. The final result will occur gradually 3 months postoperatively but may take as long as 6 months. Please be patient. Everyone heals at his or her own individual pace.

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 Breast Reduction

1. You will have dry gauze inside a surgical bra when you are discharged. The gauze and bra can be changed in 48 hours for fresh gauze and your second bra. If the doctor has placed drains in your incision, follow the instructions given to you at the hospital about emptying these. Record the amounts collected on the attached sheet labeled ÒDrainage RecordÓ and have it available when speaking with Dr. Godfrey. Make sure to bring it during your post-operative visits.

2. Following your surgery, you may notice a dry scratchy throat. It should gradually improve and be gone by the third or fourth post-operative day.

3. Sutures are internal and will absorb on their own. There will be special tapes on the incisions to reinforce the closure. You should keep these tapes and any dressings clean and dry. If the area should get wet, pat dry with a clean towel or cloth and replace with a new dressing.

4. You may notice a small amount of bleeding on the dressing. This is normal and is no cause for concern. If the wound begins to actively bleed you can stop the flow by applying direct gentle pressure over the bleeding site. Notify the Doctor of any episodes of excessive bleeding.

` 5. Sleep on your back until the doctor advises otherwise. An elevated position, resting on two pillows or a bolster, may make you more comfortable.

6. You may feel soreness or discomfort in the area of the surgery. This is temporary and can be controlled with your prescribed medication.

7. Swelling and discoloration around the incisions generally will subside in a few weeks. Scars will not fade completely but, in most cases, will become acceptable in time.

8. Do not smoke or drink alcohol until otherwise directed.

9. Avoid all strenuous exercise for two weeks after surgery. Impact exercises can begin after four weeks, if approved by Dr. Godfrey.

10. Refrain from overhead lifting.

11. Call the office to schedule a follow-up appointment upon your return from the hospital.

12. If you have any questions please do not hesitate to call us.

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