Surgical Instructions

We provide detailed instructions to facilitate rapid and healthy recovery from any surgical procedure. We strive to earn your trust by providing surgical excellence. We are skilled, compassionate surgeons committed to treating our patients fully.

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Post-Operative Instructions

***PLEASE READ THESE INSTRUCTIONS CAREFULLY***

Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, when in doubt, follow these guidelines or call our office for clarification.

DAY OF SURGERY:

FIRST HOUR: Bite down gently but firmly on the gauze packs that have been placed over the surgical areas, making sure they remain in place. Do not change them for the first hour, unless the bleeding is not controlled. The packs may be gently removed after one (1) hour. If active bleeding persists, place enough new gauze to maintain pressure over the surgical site for another 30 minutes. The gauze may then be changed as necessary (typically every 30 to 45 minutes). It is best to moisten the gauze with tap water and loosely fluff for more comfortable positioning. Keep your head elevated with pillows for the first three (3) days.

EXERCISE CARE: Do not disturb the surgical area today. Do NOT rinse vigorously or probe the area with any objects. You may brush your teeth gently. PLEASE DO NOT SMOKE OR USE STRAWS for at least 48 hours, since this is very detrimental to healing.

OOZING: Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the surgical areas and applying pressure on the gauze for 30-45 minutes at a time.

PERSISTENT BLEEDING:  Bleeding should never be severe. If so, it usually means that the gauze packs are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy, you may substitute a tea bag (soaked in very hot water, squeezed damp-dry and wrapped in moist gauze) for 20-30 minutes. If bleeding remains uncontrolled, please call our office.

SWELLING: Swelling is often associated with oral surgery. It can be minimized by using a cold pack, ice bag, or bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and twenty minutes off during the first 48 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.

PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort.  You will usually have a prescription for pain medication.  If you take the first pill before the anesthetic has worn off, you should be able to manage any discomfort better.  Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced.  The effects of pain medications vary widely among individuals.  If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as aspirin or ibuprofen/Motrin.  Some patients may even require two of the pain pills at one time.  Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medicine should lessen.  If you find you are taking large amounts of pain medicine at frequent intervals, please call our office.  If you anticipate needing more prescription medication for the weekend, you must call for a refill during weekday business hours, as these cannot be called in to the pharmacy.

NAUSEA:  Nausea is not uncommon after surgery.  Sometimes pain medications are the cause.  Nausea can be reduced by preceding each pain pill with a small amount of soft food, and taking the pill with a large volume of water.  Try to keep taking clear fluids and minimize dosing of pain medications, but call us if you do not feel better. Classic Coca Cola and/or a bland diet may help with nausea.

DIET:  Eat any nourishing food that can be taken with comfort.  Avoid extremely hot foods.  Do not use a straw for the first few days after surgery.  It is sometimes advisable, but not absolutely required, to confine the first day’s intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, smoothies, etc.)  It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get lodged in the surgical site.  Drink plenty of fluids. No alcohol is to be consumed for the first four (4) days after the procedure. Over the next several days you may gradually progress to solid foods.  It is important not to skip meals!  If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster.  If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.

SHARP EDGES:  If a tooth extraction procedure was performed and you feel something hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth.  Occasionally small slivers of bone may work themselves out during the following week or so.  If they cause concern or discomfort, please call the office.

INSTRUCTIONS FOR THE SECOND AND THIRD DAYS

MOUTH RINSES:  Keeping your mouth clean after surgery is essential.  Use 1/4 teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful.  Repeat as often as you like, but at least two or three times daily.

BRUSHING:  Begin your normal oral hygiene routine as soon as possible after surgery.  Soreness and swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort.

HOT APPLICATIONS:  After 48 hours, you may apply warm compresses to the skin over the areas of swelling (hot water bottle, hot moist towels, and heating pad) for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness.

HEALING:  Normal healing after oral surgery should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling.  On the third day, you should be more comfortable and, although still swollen, can usually begin a more substantial diet. Please avoid exercise for one week. The remainder of the post-operative course should be gradual, steady improvement.  If you don’t see continued improvement, please call our office.  If you are given a plastic irrigating syringe, DO NOT use it for the first five days.  Then, use it daily according to the instructions until you are certain the wound has closed completely and that there is no chance of any food particles lodging in the wound.

It is our desire that your recovery be as smooth and pleasant as possible.  Following these instructions will assist you, but if you have questions about your progress, please call the office where you had surgery.  A 24-hour answering service is available to contact the doctor on call after hours.  Calling during office hours will afford a faster response to your question or concern. PLEASE NOTE: telephone calls for narcotic (pain killer) prescription renewals are ONLY accepted during office hours.

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Botox; Post-Operative Instructions

  • Remember, Botox takes around three (3) days to begin to work and peaks at around fourteen (14) days.
  • Effects lasts approximately three (3) to six (6) months.
  • Bruising is possible. If this happens, it will take ten (10) to fourteen (14) days for complete resolution.
  • If you are having discomfort, an ice pack or cool towel may help.
  • Otherwise, an over the counter analgesic, such as Tylenol or ibuprofen, is recommended.
  • Immediately after your injections, please adhere to the following instructions for at least two (2) hours:
  • Avoid massaging the areas of injection.
  • You may contract the muscles, in the injected area, to help expedite uptake of the Botox.
  • Please avoid: Exposure to heat, direct sun exposure or flying for 24-48 hours.
  • Please avoid strenuous exercise or “working out” for 24 hours.

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Dysort; Post-Operative Instructions

  • Remember, Dysport takes around three (3) days to begin to work and peaks at around fourteen (14) days.
  • Effects lasts approximately three (3) to six (6) months.
  • Bruising is possible. If this happens, it will take ten (10) to fourteen (14) days for complete resolution.
  • If you are having discomfort, an ice pack or cool towel may help.
  • Otherwise, an over the counter analgesic, such as Tylenol or ibuprofen, is recommended.
  • Immediately after your injections, please adhere to the following instructions for at least two (2) hours:
  • Avoid massaging the areas of injection.
  • You may contract the muscles, in the injected area, to help expedite uptake of the Dysport.
  • Please avoid: Exposure to heat, direct sun exposure or flying for 24-48 hours.
  • Please avoid strenuous exercise or “working out” for 24 hours.

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Fractional C02 Laser Therapy; Post-Care Guidelines

  • Patients should apply an occlusive ointment or intense moisturizer to prevent direct contact between the treated tissue and the air during the healing process. The use of an occlusive ointment improves patient comfort and reduces the sensation of pain and burning by preventing air from contacting the treated region. After healing is completed an intense moisturizer may be used.
  • Patient may apply cool compresses immediately after treatment. Some patients report a “hot” feeling, which last a few hours to a few days.
  • Patient can gently wash area with tepid water and a gentle cleanser 3 times a day starting the morning after your treatment. Then immediately re-apply occlusive ointment or moisturizer for at least 4 days.
  • Vinegar soaks may be applied to reduce burning sensation and reduce possibility of infection.
    • Mix 1 tablespoon white vinegar with 1 pint of warm water;
      wetted a soft cloth or gauze, soak treatment site for 15 minutes with
      dilute vinegar solution.
  • Patient may shower the next day, but avoid hot water/steam on treated areas.
  • Avoid “picking at” and aggressive scrubbing of the exfoliating skin—allow it to gently exfoliate during the washing process.
  • Sleeping with head elevated on pillows (head above heart) the first few nights post treatment can help minimize swelling.
  • Avoid direct sun exposure. Apply sun block SPF 30+, when skin has healed. Sunscreen with titanium oxide, zinc oxide provides broader protection.
  • Wear a protective hat or visor for the first 2 weeks while outdoors.
  • Environmental effects on treated skin:
    • Avoid dirty, dusty environments, hairsprays, perfumes while skin healing.
  • Avoid topical exfoliation for 4 weeks.
  • May use mineral make-up day 2 or 3 for lighter density or after skin is healed for higher density treatments.

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Kybella (Non-Invasive Fat Reduction) Instructions

Pre-Kybella Instructions:

  • DO take Ibuprofen or Motrin or Advil 600mg about 1 hour before your appointment.
  • The ideal time to schedule this procedure is at LEAST 2 weeks before a big event.
  • DO inform your nurse or doctor if you have a history of DIFFICULTY SWALLOWING, medication allergies, history of anaphylaxis and/or any other medical problems.

Post-Kybella Instructions:

  • After the treatment, DO hold ice packs on the areas that are treated with Kybella gently for a few times that day.
  • Treated areas may be red, inflamed, swollen and bruised for the first 2 to 7 days.
  • DO resume all normal activites including exercise as long as it is comfortable for you.
  • DO take Ibuprofen, Motrin, and Advil if needed for the discomfort after the treatment.
  • If bruising occurs, apply topical Arnica Gel, drink fresh pineapple juice, and/or take Bromelain supplements to help bruising resolve faster.
  • Bruising can be covered with makeup. Examples:  Dermablend (available at CVS or Macy’s) or Colorscience Corrector Palette.

Remember to schedule your next appointment in 6 to 8 weeks.  Kybella requires 2 to 6 sessions for optimal treatment.

We want you to have an outstanding result.  If you have any questions or unexpected concerns, please call the office at (321) 255-2274 for assistance.

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TMJ Surgery; Post-Operative Exercises

Exercises Are To Be Done For The First Two Weeks Post Your TMJ Surgery

  1. The first exercise is to take your tongue and roll it as far back on the roof of your mouth as possible and while touching your tongue on the roof of your mouth, open as wide as possible without disengaging your tongue.  Do this exercise at 20 repetitions, 4 times a day.
  2. The second exercise is to move your jaw side to side and forward. Move your lower jaw to the right so that the edges of your teeth on the right side line up.  Move your jaw to the left so that the edges of your teeth on the left line up and move your jaw forward so that the edges of your teeth line up.

When you are finished with these exercises, ice your jaw down for 15 minutes.  Do not do the exercise more than 4 times a day.  Do them diligently when you do them.

The goal for your opening at the end of 6 weeks is to be able to open your mouth to 2 of your own knuckles folded over.

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Eyelid Surgery; Post-Operative Instructions

The following instructions apply to patients who have undergone eyelid surgery (Blepharoplasty).  Since no two patients are ever exactly alike in their surgical needs or rates of healing, we may elect to individualize the following guidelines for each patient.  In such instances, we will instruct you as to the changes we make.  Otherwise, we urge you to follow the provided post-operative advice very carefully, in order to accelerate your healing time and maximize your surgical outcome.

  • No dressing will be applied to your eyes following surgery. It is important, however, to keep cold, moist compresses on your eyes for 48 hours.  When you arrive home, keep a small basin with ice cubes and water beside you as you rest, keeping your eye compresses damp and cold with ice water.
  • Glasses may be worn. Contact lenses may NOT be worn for two (2) weeks following your surgery!!
  • You should continue to take prescribed medications and antibiotics as directed.
  • Sleep with your head elevated, on at least two (2) pillows, for one (1) week following your surgery, using the sleep mask provided by your doctor for a full two (2) weeks.
  • Avoid bending over sharply, performing any strenuous exercise or lifting heavy objects, for at least one week following surgery.
  • It is important to stay out of direct sunlight, as your eyes and the skin around them will be sensitive. If you must go outdoors for whatever reason, it is advisable to wear UV blocking sunglasses.
  • Clean your incision lines daily with a Q-Tip saturated in 3% hydrogen peroxide, then apply Tobradex ointment gently, to the incision lines, twice a day.
  • Beginning on day two (2), you may wash your face, avoiding the eyes.
  • Beginning on day five (5), you may wash your hair avoiding the eyes; some water over the wounds is ok.

We greatly appreciate the confidence you have shown by allowing our staff to assist you in improving your appearance and health.  Our best efforts will be given to achieve the most satisfactory surgical results possible, for your individual anatomy and needs.

NEVER RUB, TOUCH OR WASH YOUR EYES, EXCEPT TO APPLY OINTMENT OR TO CLEAN WITH HYDROGEN PEROXIDE USING A Q-TIP!!!

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Arthrocentesis; Post-Operative Instructions

Diet:  Soft, mushy diet until further notice

Therapy:  Place 5 tongue blades in mouth twice daily for 5 minutes. Continue until your 2 week post operative visit.

**Alternate ice and heat, one hour each for 48 hours**

Return:  6  weeks

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Facial Cosmetic Surgery; Pre-Operative Instructions

  • No aspirin (or any drugs containing aspirin), no arthritis or pain medication, and no additional Vitamin E (other than what is contained in your multi-vitamin supplement). Please avoid the following supplements:  Vitamin A or Beta-Carotene (a collagen support vitamin pre-post ingestion may enhance scar formation and delay results due to a prolonged presence of “spongy” & “firm” scars), Feverfew, Ginkgo Biloba, Grape Seed Extract, Green Tea and St. John’s Wart for fourteen (14) days prior to your surgery.  These medications may cause slightly increased bruising and bleeding at the time of surgery, due to their blood clot reducing effects.  Use Tylenol products for pain relief.
  • No food or liquids after midnight the evening before or the morning of your surgery. Chewing gum is also prohibited.
  • Wash your face and hair the evening before and the morning of your surgery with Hibiclens that is provided. Reduction of skin bacteria will reduce the risk of infection.
  • Remove all makeup and nail polish the night before or the morning of your surgery, prior to arriving at Sunrise Facial and Oral Surgery .
  • On the morning of your surgery, please wear a button down, loose fitting shirt.
  • Be sure to eat a balanced diet in the weeks before your surgery. Do not attempt to lose weight in the two weeks prior to your surgery!  Proper nutrition is essential for correct healing.
  • You, or your escort, will receive prescriptions for antibiotics, pain medication and any other necessary medications upon leaving the clinic after your surgery. If you have already received your prescriptions at your initial exam, be sure to have them filled accordingly.
  • When you return home, it is important to keep your head elevated at all times and begin the application of cold packs as directed.
  • No Smoking for four (4) weeks prior to and four (4) weeks following your facelift.
  • No alcohol intake for one (1) week prior to and one (1) week following your surgery.
  • Please follow these pre-operative instructions carefully.  They were developed to give you the best chance for the best possible results from your surgery.  Should you have any questions about these instructions, please contact Sunrise Facial and Oral Surgery  and one of our highly-trained staff will be happy to assist you.

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Facelift Surgery; Post-Operative Instructions

The following instructions apply to patients who have undergone facelifts.  Since no two patients are ever exactly alike in their surgical needs or rates of healing, we may elect to individualize the following guidelines for each patient.  In such instances, we will instruct you as to the changes we make.  Otherwise, we urge you to follow the provided postoperative advice very carefully in order to accelerate your healing time and maximize your surgical outcome.

  • You have just undergone a surgical procedure. Please use common sense in the first fourteen days after your surgery by restricting your normal activities, exercise regiments and any activity involving heavy lifting or straining.
  • Following the surgery, there will be a large bulky dressing placed over your entire head and face. We will change this dressing the next day and on the fourth day postoperatively.  We will provide you with a special “face lift garment” that is to be worn at night only for two weeks.
  • You may be up and around the day after surgery but some natural fatigue may persist for two to three days due to the effects of the anesthesia and the procedure itself. This is a normal reaction of the body following a procedure of this type.
  • Avoid excessive exercise, straining, lifting or bending activities for at least two weeks. Do not overdo anything.
  • When you move, stand or change positions, do so deliberately and carefully for the first seven days. In turning your head, move shoulders and head as a single unit.
  • Please, no driving for two weeks following your surgery.
  • You will need to eat a liquid diet when you return home the day of your surgery. You may return  to  eating a normal diet the day following your surgery.  You may, however, find that soft foods tend to reduce the amount of facial tension you have to use to eat.  Talking and smiling in moderation are also acceptable the day after surgery.
  • You should elevate your head on at least two pillows at night for the first two weeks following surgery. This keeps the head higher than the heart and helps facilitate the reduction of swelling.  Do not sleep face down!!  We suggest sleeping on your back.
  • Do not take aspirin or medications containing aspirin for two weeks following your surgery.  At that point, you make take them only on the advice of your personal physician.  Other routine medications may be taken as necessary following surgery.

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Laser Resurfacing; Post-Operative Instructions

The laser procedure has the ability to produce the most dramatic results in skin rejuvenation. It also has one of the more formidable recoveries. This first week after laser skin resurfacing is challenging in terms of care. You will be swollen, covered with creams and not presentable to leave the house. This all begins to change at about day 5-6. After this the recovery is much easier. Just remember that the reward is at the end of the healing journey.

Laser resurfacing removes the outer layers of the skin. It is very important to manage this treatment to ensure proper healing. As with any burn, do not touch your face without washing hands. Bacterial and yeast infections can occur if you touch other body parts then touch your face.

The immediate post laser treatment consists of covering the lasered skin with Vaseline (Aquaphor or whatever the specific product you are instructed to use) and using cold packs for discomfort and swelling.

The best treatment to be comfortable is to apply cold compresses to the treated areas of the face. We recommend that you take a salad bowl and wash it well. Fill it with water and ice cubes and soak several wash cloths (or gauze) in the bowl and keep the bowl in the refrigerator. Apply the cold cloth to the face and this will ease the discomfort and burning and assist the swelling. When the cloth becomes warm, replace it with a new cold cloth. You can do this as much as you wish, but doing this will wash off the protective cream (Vaseline, etc), so remember to place a good coat of Vaseline (or whatever product our office recommends) over the treated areas when needed. For the first 5-6 days, you need to keep your face greasy and clean.

Iced water soaked gauze or wash cloths will ease the discomfort and decrease swelling after skin resurfacing.

Your face will ooze and swell for the first 48 hours and then will quickly improve. Generally the procedure is not extremely painful, and feels more like a sunburn. The first 48 hours is the most uncomfortable and the discomfort should quickly subside. Some of our patients do not require pain medication but it is recommended to take a dose of your pain medicine about ½  hour before going to bed and shower and wash your face immediately before going to bed. By taking the pain medicine ½ hour prior to your shower, you will be more comfortable when washing as well as more ready to sleep. It is also recommended to take pain medication immediately upon awakening in the morning and taking a shower ½ hour after taking the pain medication. This way, you will be taking 2 showers per day that will soak and wash your face. Do not use overly hot shower water and only use the towel to blot dry, do not rub your face. When washing your face in the shower you can use Cetaphil Gentle Cleanser (available at drug store), baby shampoo or shaving cream for sensitive skin. The goal is to soak and gently remove the dead skin and residue from the creams. You want to keep all the “crusts” soft and do not let them dry out. Your body will secrete serum in a normal response to the burn to the skin and this will tend to accumulate like a yellowish paste, especially around the lower lids and mouth. It is nature’s “Band Aid” and help protects the healing skin. Although it looks unsightly, do not aggressively attempt to scrub it off. If the crusting is severe, soaking the area (usually lower lids) with hydrogen peroxide several minutes before your shower will help reduce them. If some of the yellowish paste comes off in the shower, that if fine and it will all come off soon, but if you remove it and the underlying skin bleeds, you are being too aggressive.

Your skin will begin to wash or peel off about the 3rd or 4th  day and your face will become red over the first few days and remain red for a week. Your skin will then gradually fade to pink, and then over the next several weeks will normalize. Some individuals progress quickly from red to pink, while others may take weeks or in some cases months. The pinkness can be covered with makeup as soon as the skin heals.

After all the crusts are gone and the skin is no longer oozing, the “greasy” creams will be stopped and you will begin using a hypoallergenic moisturizer. You may use Cetaphil Moisturizer or other similar products if directed by our office. The moisturizer is applied generously to the lasered skin and since it is less greasy than Vaseline, you need to apply more moisturizer and use it more frequently. The whole idea is to hydrate the skin so it does not dry out during the healing process.

Overview of first two weeks

Day 1 – Ice packs and “grease” (Vaseline or Aquaphor)

Day 2– Begin showering twice a day and gently washing face along with prescribed ointment.

Day 5 to 7– Begin using moisturizer instead of ointments if skin is smooth, without crusts and not oozing.

Day 7 to 14– Continue with face washing and moisturizer, makeup can be applied when skin is smooth and pink, without crusting. Begin using sun screen by day 14 or earlier if outside, riding in car, or in an windowed area such as an office.

Sunscreen – Keeping sun off the face is very important and significant for proper healing. All patients should avoid direct sunlight for 4-6 weeks after surgery. Using sunscreen, sunglasses, and a wide brimmed hat are necessary. It is also important to protect your healing skin from sunlight that comes through car or office windows. Using a high quality sun screen with at least SPF 30 is recommended. This should be applied several times per day, every day during the healing period.

Your laser resurfacing is a safe and predictable procedure. Depending on your health history medications may be prescribed to prevent viral and bacterial infection, reduce swelling, control discomfort and assist in sleeping if necessary.   The prescribed medications will vary with the health and circumstances of each patient. It is imperative that you understand the prescription regimen and take the medicines as directed.

Ask Dr. Kim if you have any questions.

Due to the laser treatment your skin will be pink. Some patients will only be pink for several weeks and other patients will be pink for months. The pink skin will eventually resolve and is generally easily covered with makeup. Special concealer makeup products are available to cover pinkness. These products can be ordered from our office, or there are some over the counter products that would be acceptable. Please check with our office to make sure the product is something we feel is safe and would recommend for post laser use. About 30% of laser patients will experience hyperpigmentation after skin resurfacing. This usually occurs about 4 weeks after the procedure. This is a temporary blotchy tanning or darkening of the lasered skin. It is a reversible situation and generally quickly responds to bleaching creams. Any irritation to the healing skin such as hot air from hair dryers, car defrosts, sun exposure, and bright overhead lights can contribute to hyperpigmentation. Again, it is always temporary. Please contact Dr. Kim if you have concerns about any of these possibilities.

Post Laser Skin Care

If you have been using Retin-A, Obagi,or other skin care products before your laser, you need to stop them until your healing is complete. We like to have all patients on Retin-A and skin care products before and after their skin resurfacing. We generally begin the post laser skin care 4-6 weeks after the laser procedure. Your new skin is sensitive and requires gentle care. You will love the changes but it takes some time to get to that point.

Itching is a common symptom of newly healing skin. This can be controlled by using topical steroids (with permission from Dr. Kim), Benadryl, or white vinegar soaks. You can take a quart of tap water and add a tablespoon of white vinegar. Placing saturated wash clothes or paper towels with the vinegar solution will help the itching. If the itching is persistent, Dr. Kim can prescribe specific medications.

As always, call with any questions, problems, or concerns. Dr. Kim can be reached at 321-255-7724

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Otoplasty Surgery (Ear Surgery); Post-Operative Instructions

The following instructions apply to patients who have undergone Otoplasty (ear surgery).  Since no two patients are ever exactly alike in their surgical needs or rates of healing, we may elect to individualize the following guidelines for each patient.  In such instances, we will instruct you as to the changes we make.  Otherwise, we urge you to follow the provided post-operative advice very carefully, in order to accelerate your healing time and maximize your surgical outcome.

  • You have just undergone a surgical Please use common sense in the first fourteen (14) days after your surgery, by restricting your normal activities, exercise regiments and any activity involving heavy lifting or straining.
  • Following the surgery, there will be a large, bulky dressing placed over your entire head and face. We will change this dressing at 24 and 48 hours post-operatively.  We will provide you with a special “facelift garment” that is to be worn at night, only for two (2) weeks.
  • You may be up and around the day after your surgery, but some natural fatigue may persist for two (2) to three (3) days, due to the effects of the anesthesia and the procedure itself. This is a normal reaction, of the body, following a procedure of this type.
  • Avoid excessive exercise, straining, lifting or bending activities for a least two (2) weeks. Do not overdo anything.
  • When you move, stand or change positions, do so deliberately and carefully for the first seven (7) days. In turning your head, move the shoulders and head as a single unit.
  • Please, no driving for two (2) weeks following your surgery.
  • You will need to eat a liquid diet, when your return home the day of your surgery. You may return to eating a normal diet the day following your surgery.  You may, however, find that soft foods tend to reduce the amount of facial muscle tension you have to use to eat.  Talking and smiling, in moderation, are also acceptable the day after surgery.
  • You should elevate your head, on at least two (2) pillows, at night for the first two (2) weeks following surgery. This keeps the head higher than the heart and helps to facilitate the reduction of swelling.  Do not sleep face down!!  We suggest sleeping on your back.
  • Do not take aspirin or medications containing aspirin for two (2) weeks following your surgery.  At that point, you may take them only on the advise of your personal physician.  Other routine medications may be taken, as necessary, following surgery.
  • All surgery is, on some level, invasive. Your body will react with some pain, swelling and possible small amounts of fever.  These things are to be expected.  However, any development of unreasonable pain, excess facial swelling or fever (over 100°F) should be reported to the Sunrise Facial and Oral Surgery
  • Some facial and neck swelling and bruising are normally present after Otoplasty surgery. However, the degrees of each vary widely from patient to patient.  Do not be concerned if you have more or less than others who have undergone the same operation.  As a general rule, most patients appear quite socially acceptable within two (2) weeks after their surgery.
  • You may gently cleanse the incision lines daily with 3% hydrogen peroxide and cotton balls or Q-Tips . Apply Neosporin  ointment sparingly twice daily to the incision lines, to avoid excessive crusting of the incision and to speed healing.  Do not apply any other ointments, or medications, unless we prescribe them.
  • You may gently shampoo your hair 72 hours after surgery, but do not use leave-in conditioners or any other styling products for one (1) week. Avoid any strong rubbing or combing that could traumatize the incision lines.  Do not use a blow dryer for a week and postpone any planned chemical hair treatments (perm, coloring, etc.) for at least four (4) weeks following surgery.
  • It is acceptable to do some light walking 72 hours after your surgery. Jogging and light non-contact exercise should not be resumed until at least three (3) weeks after surgery.  Strenuous sports will require at least six (6) weeks of recovery time before they can be safely resumed.
  • Avoid excessive exposure to sun, including sun tanning beds, in the first three (3) weeks after surgery, as this may result in prolonged swelling and possible injury to the skin. If you must be exposed to the sun after three (3) weeks after your surgery, you should always protect your skin with an SPF 15, or higher, sunscreen to decrease the aging effects of the sun on your skin.  WE DO NOT RECOMMEND THE USE OF SUN TANNING BEDS!
  • EXPECT a tight sensation in the neck area after your surgery. This will ease over a period of two (2) to four (4) weeks.
  • Finally, it is very important that you follow all post-operative instructions completely. We will need to follow up with you on a regular basis, to check your progress and update our files and photos.

We greatly appreciate the confidence you have shown by allowing our staff to assist you in improving your appearance and health.  Our very best efforts will be given to achieve the most satisfactory surgical results possible for your individual anatomy and needs.

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Tissue Fillers; Pre/Post-Operative Instructions

  • Remember there is an inflammatory reaction, which will cause swelling, to the injected material which will take approximately a week to resolve.
  • The injected material is temporary and lasts approximately 6-9 months
  • Bruising is possible. If this happens it will take 10-14 days for complete resolution.
  • If you are having discomfort, an ice pack or cool towel may help
  • Otherwise, an over the counter analgesic such as Tylenol of Ibuprofen is recommended
  • Immediately following your injections, please avoid massaging the areas of injection for 5 days

Immediately following your injection, please avoid massaging the area of the injection for 5 days.

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TCA Cross; Pre-Peel Instructions

  • Most people do not require sedation.
  • If the doctor indicates sedation, you will need someone to drive you home. Remember that you will also need a ride to the office and home, if we only use Valium.
  • The TCA Peel is safe for all skin types.
  • You will experience “bee sting” sensations to each acne pit.
  • If you are using the Obagi Nu-Derm System, please stop four (4) days before the TCA Peel.
  • Remember, once the TCA Peel has been applied, there is no way to take it off.
  • The TCA Peel can be repeated in two (2) to six (6) weeks and up to three (3) to six (6) peels.
  • During the Peel, tears form in the corners of eyes due to simulated sinuses.

Potential Risks and Complications:

  • Due to the nature of the TCA Peel, complications usually seen in deeper peels and other procedures, such as keloids or scars, are possible, but are unlikely to occur.
  • Infections due to bacterial contamination may occur, if post-peel instructions are not followed.
  • Temporary, mild pigmentation problems may occur and can usually be corrected using the Obagi Nu-Derm Skin Care System.
  • Long-term complications resulting from the TCA Peel are rare.

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TCA Peel; Pre-Peel Instructions

  • Most people do not require sedation.
  • If the doctor indicates sedation, you will need someone to drive you home. Remember that you will also need a ride to the office and home, if we only use Valium.
  • The TCA Peel is safe for all skin types.
  • One or more coats will be applied. Without sedation, you will experience a mild to intense burning sensation that lasts two (2) to three (3) minutes for each coat.
  • If you are using the Obagi Nu-Derm System, please stop four (4) days before the TCA Peel.
  • Remember, once the TCA Peel has been applied, there is no way to take it off.
  • The TCA Peel can be repeated in six (6) to eight (8) weeks and up to three (3) peels.
  • During the Peel, tears form in the corners of eyes due to simulated sinuses.

Potential Risks and Complications:

  • Due to the nature of the TCA Peel, complications usually seen in deeper peels and other procedures, such as keloids or scars, are possible, but are unlikely to occur.
  • Infections due to bacterial contamination may occur, if post-peel instructions are not followed.
  • Temporary, mild pigmentation problems may occur and can usually be corrected using the Obagi Nu-Derm Skin Care System.
  • Long-term complications resulting from the TCA Peel are rare

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TCA Peel; Post-Peel Instructions

  • After the peel, you may shower and bathe normally but you must avoid having shampoo or water run onto peeled areas. Excessive facial expressions should be avoided, as well as unnecessary touching of the face, picking, scratching, or peeling of the peeled areas.  Men can shave gently in one direction, daily, if desired.
  • You should sleep on your back. You may stay home during initial healing or go to work, as desired.
  • To reduce swelling, a steroidal anti-inflammatory agent may be prescribed.
  • If you are susceptible to Herpes it is essential that you continue your antiviral treatment.
  • You should wash your face twice daily with a recommended skin cleanser. You will be prescribed an ointment, such as Neosporin.  Topical reactions to these in the peri-orbital area are common and an ophthalmic grade ointment may be necessary in the peri-orbital area.
  • Scaling, helping to remove thick scabs after a TCA Peel, is not recommended, as it may leave a scar and may cause hyperpigmentation.

The Healing Stages of the TCA Peel are as follows:

  • Healing Stage (three (3) to ten (10) days post peel)
  • Home care instructions to be followed
  • Swelling expected for two (2) to three (3) days
  • Skin will appear as a tight, dark mask
  • Skin will start to peel off in two (2) to three (3) days
  • No pain with normal healing. Pain suggests an infection
  • Anticipated reaction may appear (swelling, post-inflammatory hyperpigmention, milia)

Recovery Stage (two (2) to six (6) weeks post peel):

  • Camouflaging with make-up may be necessary
  • Skin reconditioning should be started
  • True complications should be identified and proper treatment initiated

Return to Normal (six (6) to eight (8)  weeks post peel):

  • Results of the procedure can be evaluated at this stage
  • Treatments of any complications to continue
  • Plan for a second blue peel, if needed
  • Wait seven (7) days after a TCA Peel before having Collagen, Botox or

Dysport injections

  • Wait seven (7) days after TCA Peel before having electrolysis
  • Wait seven (7) days after a TCA Peel before having hair chemicals

Wait seven (7) days after a TCA Peel before having waxing/depilatories

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Sculptra Aesthetic Instructions

Pre-Sculptra instructions:

  • DO NOT take aspirin, Motrin, Naproxen, Aleve, Vitamin E, Gingko Biloba, fish oil, St. John’s Waort, garlic pills or other anti-inflammatory medications for 1 to 2 weeks prior to your treatment, if okay with your primary physician.  For mild pain or headaches Tylenol is preferred.
  • If you are currently taking any blood thinners, please inform your nurse or doctor before having your treatment.
  • DO consider taking over the counter Arnica supplements (available at most supplement stores or Whole Food, etc.) starting 3 to 5 days before your treatment as they have been shown to decrease bruising.
  • DO inform your nurse or doctor if you have a history of medication allergies, history of anaphylaxis and/or any other medical problems.
  • The ideal time to schedule this procedure is at LEAST 2 weeks before a big event.

Post-Sculptra Instructions:

  • DO massage the treated areas 5 times a day for about 5 minutes for 5 days after your treatment.
  • DO hold ice packs on the treated areas gently for about 3 to 5 minutes a few times that day.
  • Feel free to wear make up a few hours after your treatment.
  • Treated areas may be red, swollen and bruised for the first 2 to 7 days.
  • DO NOT get a facial or massage for 2 weeks after your filler procedure.
  • Avoid strenuous workouts and alcohol for 24 hours, if possible.
  • If bruising occurs, continue Arnica supplements. DO apply Arnica gel, drink fresh pineapple juice and/or take Bromelain supplements to help bruising resolve faster.
  • Bruising can be covered with makeup. Examples:  Dermablend (CVS or Macy’s) or Colorscience Corrective Palette.
  • A few days after treat, you will look as you did before treatment. This is normal, over time, Sculptra will replace lost collagen

Follow Up Treatment:

  • Follow up treatments should be scheduled about every 4 to 6 weeks.
  • Visible results may not be seen until 3 sessions have been completed.
  • Results can last more than 2 years.

We want you to have an outstanding result.  If you have any questions or unexpected concerns, please call the office at (321) 255-7724 for assistance.

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Stage II Physical Therapy Exercises

These exercises are to be done daily, 4 times a day, 20 repetitions at a time.  The idea is to get your mouth open as wide as you can, as quick as you can.  Decrease motion of the jaw post surgery causes adhesions, limited opening and pain.  Please be diligent with your exercises and do not let discomfort be the limiting factor on being able to get your mouth open.  I will advise you if you are doing too much.

  1. Prybar– Place the thumb on the under surface of the upper front teeth and the middle finger on the lower front teeth and pry open your mouth to the maximum extent.
  2. Rubber Tubing– Place the rubber tubing near your eye teeth on your right lower jaw and move your jaw to the right as far as possible while biting down lightly on the rubber tubing. Then place the rubber tubing on your left eye teeth area and move your lower jaw to the left as far as possible while biting down lightly on the rubber tubing.  Then place the rubber tubing on your front teeth and move your lower jaw as far forward as possible while biting down lightly on the rubber tubing.
  3. Painting of the Teeth– Take the tip of your tongue and touch your right most posterior molar outside surface and then paint all of your teeth running from posterior molar to the left posterior molar and then back to the right again. That is one cycle.

Again, all of these repetitions are to be done 4 times a day, 20 times a week each.  If you have any further questions, my staff will answer them for you.  Work hard and get a good result.

Dr. King Kim