BEFORE SURGERY Avoid sunbathing for 2 weeks prior to surgery. Quit smoking at least 2 weeks prior to surgery as nicotine can impair and delay healing. Stop all aspirin containing products, medications that contain blood thinners (Motrin, Advil etc.) vitamin E and herbal supplements 2 weeks prior to surgery. You can take 1 multivitamin a day. Let the doctor know if you develop an illness, cold, or any skin infection in the liposuction area within a week of surgery. THINGS TO PURCHASE BEFORE SURGERY Medications. Garment. Your aftercare garment will be supplied to you on the day of your procedure. Gauze. Make sure to have a box of 4x4 gauze. You can purchase at drug store. Arnica (optional). - www.alpinepharm.com - may decrease bruising, or help it to go away faster. People with high blood pressure should not take Arnica. THE DAY OF SURGERY You may shower and shampoo your hair the night before or morning of your surgery. Don't eat for 8 hours and don't drink for 6 hours before surgery (general anesthesia). You may brush and rinse your teeth, but do not eat or drink anything. No moisturiser or body lotions. Do not bring any jewellery or valuables with you on the day of surgery. Wear comfortable, loose-fitting clothing. Wear flat, comfortable shoes. Remove contact lenses and dentures before surgery. Someone must drive you home and stay with you the first night (general anaesthesia). AFTER SURGERY The time necessary to perform the procedure depends on the number of areas being Liposuctioned. The range is anywhere from 1 to 4 hours. Continue to limit yourself to light activities the first week after surgery. However, make sure that you don't stay in bed continuously. Make sure you walk around every once in a while to allow for blood flow. Make sure you drink a lot of fluid post-operatively. After the first week, limit yourself to activities that are comfortable. No strenuous aerobic activity for 4-6 weeks after surgery. The night after surgery you might want to have some protective sheets or towels on your bed. Your incisions will ooze for the first one to two days. ADJUST GARMENT/ BANDAGE EVERY 2 HOURS. This may mean undoing and repositioning the binder. You should have gentle compression. If you cannot put your finger in between the garment and your body, it means it is too tight. If the garment is too tight it will prevent proper blood flow. Apply Polysporin/Neosporin Ointment to the incisions with cotton tipped applicator daily until the sutures dissolve. You may shower as soon as you like after surgery. Make sure someone is with you. You may be nauseated from anaesthesia for up to 2 days. Pat the incisions dry and reapply the Ointment. Do not smoke for at least one week after surgery. Do not use aspirin-containing products for at least one week. You may take Tylenol or pain medication as prescribed. No weight loss diets for at least 3 weeks. Make sure to eat a healthy, well-balanced diet during this time. Avoid direct exposure of incisions to sunlight for at least 6 weeks. After 6 weeks, apply sunscreen (at least SPF 15) to the area of the incision if you will be in the sun for extended periods of time. Be sure to finish your entire prescription of antibiotics. WHAT TO EXPECT AS YOU RECOVER Immediately after surgery, some clients feel groggy or nauseous. These feelings normally subside by the next day. You will probably be very sore for the first week. Bruising is normal and will subside in 2-4 weeks. You may experience some numbness. Remember not to put ice or anything hot directly onto skin because you may have decreased awareness of temperature damage. Once all of the swelling has subsided, you may opt for a small touch-up. WHEN TO CALL US Post surgical complications are rare and are often easily solved by the doctor if you notify us. Call us if you experience any of the following: a temperature of 38 C or higher, increased local redness or warmth, chest pain, shortness of breath, legs swelling or calf pain or if you feel that anything might be wrong. POST-OP VISITS AND CARE SUMMARY

Concern Instructions Blood Clot It is important to walk at least every 2 hours while you're awake to prevent blood clotting - do not over do it. Right after surgery you will be instructed to walk around every 1 hour. Pay specific attention to leg swelling. if you notice swelling on only one leg or calf pain contact the office. Constipation If you are constipated at day 2 stop taking Vicodin or Darvocet. Encourage walking, drink a lot of fluids, consider laxative (Ex-lax or Correctol). Fever Make sure to cough and deep breaths as fever is usually in lungs for the first 3 days after surgery. Garment Placement ADJUST GARMENT/ BANDAGE EVERY 2 HOURS. This may mean undoing and repositioning the binder. You should have gentle compression. If you cannot put your finger in between the garment and your body, it means it is too tight. If the garment is too tight it will prevent proper blood flow. Activity You can take a cool shower the day after. Allow clean water to run over the body. Pat dry. Make sure you have someone helping you. Walk every hour while awake for the first day and then every 2 hours. Sleep at 45 degree angle for the first 3 nights. Regarding exercise: If it hurts don't do it. Wait for your body to tell you what you can do. You can exercise areas other than the area liposuctioned at 2 weeks. You can work out normally after 6 weeks. Wound Care Your gauze will be changed at your follow up visit. Makes sure your garment is placed correctly. Keep surgical area clean and dry at all times.

Recovery time  Time off work is highly dependent on how large of an area is Liposuctioned. If a single area is Liposuctioned then it may be possible to return to work the very next day. As more areas are Liposuctioned the amount of bruising and swelling increases and, therefore, the recovery time increases. If several areas are Liposuctioned, it will take about 3 weeks for the majority of swelling and bruising to resolve. Some people with sedentary jobs go back to work after 4 days. If your job, however, requires strenuous activity then it may take up to 2 to 3 weeks to return to work.  Possible complications  Liposuction in our hands rarely has complications but they must be discussed. The most common complications are: inadequate fat removal or contour irregularities. Because we have extensive experience in Liposuction these are uncommon. If they do occur, we address this in several ways including external ultrasound, endermology, selective Liposuction, etc. Other possible complications include infection and wound healing problems, decreased skin sensation, and fluid or blood collection.