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What to Expect Pre-Surgery

This information will help you prepare for your surgery and for the early post-operative recovery period. Included here are general instructions to prepare for surgery and to help you the day of surgery. Specific instructions will also be provided based on the procedure you are to have. If you have any questions before or after surgery, you should always feel free to call the office (614) 490-7500.

The plan for surgery will have been determined well before your surgical date. If you have any questions about your surgical plan you should call the office as soon as possible before your planned surgery date.

Pre-Surgical Testing is appropriate for most patients and must be done within 30 days of your planned surgery. This can be done at a facility, hospital, or with your primary care doctor. Our office staff will help you arrange this.

If your procedure requires post-operative compression garments, they will be provided by the facility on the day of surgery.  

Please review our current list of medications to avoid before surgery (you can find this information on our website). Many medications contain aspirin and other compounds that might increase your risk of bleeding during and after surgery. Keep in mind that many over the counter medications and herbal medications can increase bleeding risk as well. This increases the chance of developing a hematoma (blood collection) and more bruising than is necessary.  If you are on any medication that needs to be halted around the time of surgery (e.g. blood thinners) you should have received instructions for doing so. If you have not, please call within 10 days of surgery for direction.

The facility will contact you in the late afternoon regarding arrival time for your surgery.  Due to the facilities coordination of operating room schedules, we are not able to give you an arrival time.  We understand this is often inconvenient, however emergent cases often create scheduling conflicts that require changes.  The surgeon’s office has no control of this.

Report any changes in your health status that might affect your response to surgery or anesthesia. Pay particular attention to any colds, flu or upper respiratory infections, skin infections or sores around the surgical site. Call our office at (614) 604-7820 if you feel anything might be an issue.

Arrange for a ride to and from the hospital or surgery center. Ambulatory patients having surgery with a MAC (monitored anesthesia care) or general anesthetic REQUIRE A DRIVER. This is hospital policy and failure to arrange this may lead to an unnecessary hospital admission or cancellation of surgery.

No Smoking 60 days before surgery and at least 30 days following surgery.

Avoid alcoholic drinks for 24 hours before surgery.

Take all medication as normally directed the day before surgery, with the exception of blood thinners that will be managed differently.

You should have NOTHING by mouth starting at midnight the night before surgery. This includes food, liquids, coffee or tea, chewing gum, hard candy, etc.  Please take nothing by mouth even if your surgery is scheduled late in the day in the event that your surgery time is moved to an earlier time. You MAY take your routine medications with a small sip of water. You may brush your teeth with a small amount of water to rinse.

You should discuss with your doctor how to manage all of your medications. Some will be taken as normally directed, others will be held (e.g. blood thinners), and others may be modified (e.g. insulin, blood pressure medications). Please bring a list of all your medications, including vitamins and herbal supplements, with you to surgery.

Have family or a friend drive you to your surgery and stay at the facility until you are ready to be discharged.

Please be on time for your scheduled surgery. If you find that you will be late or need to cancel surgery, please call the office at (614) 604-7820.

Bring cases for holding glasses, contacts, and non-permanent dental appliances. You will need to remove these items for surgery.

Wear comfortable clothing that is appropriate for storing in a locker during your surgery and recovery.

Do NOT wear jewelry including rings, earrings, body jewelry, tongue piercings, etc.

Do NOT wear wigs or hairpieces. Do NOT use hairspray. Do NOT wear clips, pins, rubber bands or barrettes.

Remove false nails, tips and wraps from at least one finger, preferably the index or middle finger. This will enable the anesthesiologist to accurately measure your oxygen levels during surgery.

Do NOT wear makeup, perfume, nail polish, creams, lotions or deodorant the day of surgery. You should bring your personal care items with you, however, if your surgery requires an overnight stay or admission.

Do NOT bring valuables, credit cards or a large amount of money. You might want to bring a small amount of money and your prescription card if it is necessary to fill prescriptions.

If you have ASTHMA, bring all your inhalers with you the day of surgery. You should use your inhalers as usual if you need to.

If you have DIABETES, you should discuss this with your surgeon ahead of time. If you have not or have any questions, you should call the office before surgery at (614) 604-7820.

If you are HEARING IMPAIRED, you should wear your hearing aids the day of surgery so that we can accurately communicate with you.

If you require any WALKING AIDS, you should bring these with you the day of surgery.

Once you arrive at the surgery center or hospital, please check in with the receptionist. Once you are brought back to the surgical preoperative area, the staff will ask you about your current health, any known allergies and medications that you are taking. Your vital signs (temperature, pulse, blood pressure) will be taken.

You will be asked to change into a hospital gown and your belongings will be stored appropriately.

An intravenous line (IV) will be started to administer fluids and may be used to provided anesthesia or other medications, unless you are having a local anesthetic only case. The anesthesiologist will review one last time your history and talk to you about your anesthetic plan. One of the nurses who will be in the room with you will come and introduce themselves. You may find that several people ask the same questions multiple times. This is normal and designed to avoid medical errors. Please be patient.

You will also have the opportunity to see and talk to Dr Zochowski in the pre-operative area. 

Once your surgery begins, your visitors may wait in the surgical waiting area. Visitors should

check in and out with the receptionist so that messages about your status can be relayed to them. It is also appropriate to leave a  mobile phone number  with the receptionist and surgical team. If possible, please leave small children at home.

Just before going into the operating room, the anesthesiologist usually will give you some sedation that will help you relax. You may or may not remember anything after this. Once in the operating room, the room may feel cool. Warm blankets will be provided for your comfort. The Surgical team will be dressed in surgical gowns and scrubs and will be wearing caps and masks. They will be opening sterilized instruments and setting up the room.  This may sound somewhat noisy to you.  Meanwhile, your anesthesia team will be applying monitors and blood pressure cuffs. You will be anesthetized soon after that.

At the completion of the case, your incisions will be dressed; you will be awakened in the operating room and transferred to a hospital bed. Still drowsy, you will be transferred to the recovery room where nurses will monitor your recovery. You may notice them place an oxygen mask on your face and adjust your IV’s and drains if they are needed. These nurses will also frequently check your operative site and may adjust or change your dressings. They will treat your pain according to instructions provided by your anesthesiologist and surgeon. If you experience any nausea, they will help manage this as well.

It is common and normal to experience some drowsiness, nausea, sore throat, dry mouth and thirsty feelings.

If your surgery is scheduled as outpatient, you will finish your recovery when you have become alert, your vital signs are normal and you are comfortable. Upon discharge, the nurse will give you helpful specific written information and verbal instructions for your post-surgery care.

Please follow these instructions for a comfortable and safe trip home:

  • A relative or friend MUST accompany you when you are discharged
  • Someone should stay with you for at least 24 hours after surgery
  • Progress gradually from clear liquids to solid foods
  • To clear your lungs, take deep breaths and cough 10 times each hour
  • Advance your activity according to your doctor’s instructions
  • Do NOT drive or operate a car or machinery for 24 hours after surgery and not until you no longer taking narcotic medications for pain
  • Do NOT drink alcoholic beverages for 24 hours after surgery
  • Do NOT make important decisions or sign any important documents for 24 hours after surgery.

Pre-Operation Medications to Avoid

The following is a list of common medications to avoid one to two weeks prior to your surgery. This list is meant as a general guide and is not comprehensive.

  • Anti-Neoplastic:  Arimidex Nolvadex Tamoxifen
  • Anti-Coagulants: Coumadin, Heparin, Plavix, Pletal, Aggrenox
  • Ibuprofen Containing Medications: Indocin, Motrin, Advil
  • Ketolorac Containing Medications: Ketolorac, Toradol
  • Naproxen Containing Medications:  Naprosyn,  Anaprox/Anaprox DS, Naprogesic, Novo-Naprox Sodium, Darvon, Propoxyphene, Equagesic, Fiorinal, Lortab, Norgesic, Percodan, Soma, Talwin Compound Trilisate
  • NSAID Compounds: Feldene, Lodine, Daypro, Genacol, Indocin, Nuprin, Voltaren
  • Aspirin and Aspirin-like compounds
  • Anacin products
  • Bayer aspirin products: Ascriptin, Aspergum, Aspercream, Bufferin, Buffaprin, Doan’s Pills Ecotrin, Midol
  • St. Joseph aspirin products
  • Ibuprofen Containing Medications/NSAIDS: Aleve, Advil, Excedrin IB, Midol IB, Motrin, Ibuprofen, Children’s Advil, Children’s Motrin
  • Ketoprofen Containing Medications: Actron, Orudis KT

Many over the counter cold, flu, or sinus products contain ibuprofen or aspirin. Please check labels or contact your physician’s office if you are unsure of the contents of your medication

Many patients take nutritional supplements and herbal remedies.  Although these products are considered to be natural and may be beneficial for a variety of ailments, their use around the time of surgery may not be desirable. Some of these have known anticoagulant properties and may cause a bleeding complication, therefore, it is advisable to stop taking these products two weeks prior to surgery and two weeks following surgery.

  • Bilberry (vaccinium myrtillus)
  • Cayenne (capsicum annuum)
  • Dong Quai (angelilca sinensis) Echinacea (echinacea augustfolia) Feverfew (tanacetum parthenium)
  • Fish Oil Capsules
  • Garlic Tablets Ginger Tablets Ginkgo Biloba Ginseng
  • Hawthorne (crataegus laevigata)
  • Kava Kava (piper methysticum) Licorice Root
  • Ma Huang (ephedra sinica) Melatonin
  • St. John’s Wort (hypericum perforatum) Valerian (valeriana officinalis)
  • Vitamin E
  • Yohimbe (corynanthe yohimbe)

These should be eaten in moderation as they may cause excessive bleeding:

Almonds, apples, apricots, berries (blackberry, boysenberry, raspberry, and strawberry), cherries, Chinese black beans, cucumbers, currants, grapes, pickles, prunes, tomatoes, wine and alcohol.

Acutane, Advil, Aleve, Accutrim, Actifed, Adapin, Alka Seltzer, Anacin, Ansaid, Anaprox, Argesic, Arthralgen, Arthrits Pain Formula, Arthropan, Ascription, Aspercin, Aspergum, Ativan, Axotal, Bayer Aspirin, BC tab or Powder Bufferin, Capron Capsules, Chlortrimetron, Cama, Compazine, Congesprin, Cope CP-Z, Clinoril, Contact, Coricidin, Coumadin, Darvon, Dimetane, Dimetapp, Dolcin, Dristan, Duradyne, Duradyne Forte, Duragesic, Ecotringen, Emprin, Endep, Etiaron, Excedrin, Feldene, Fiorinal, Flagyl, 4-way Cold Tablets, Goody’s Tablets, Ibuprofen, Indocin, Measurin, Milain, Minocin, Momentum, Motrin, Mysteclin-F, Naprosyn, Nicobid, Nuprin, Oraflex, Pabirin PAC, Pamelor, Parodyne Analgesic, Pepto Bismal, Percodan, Persantine, Persistin, Robaxisal, Ruffen, Ru-Tass, Sal-Payne Capsules, Seldane, S-A-C Tablets, Saieto, Salacol, Sineutab, Sinequan, Sk-65 Compound, Sanback, Stelazine, Stendin, Sine-Off, Sparine, Stanback Tabs/Powder, St. Joseph’s Baby Aspirin, Supac, Surmontil, Syalgos, Talwin, Telanil, Tantab, Tenuate, Tepanil, Thorazine, Tofranil, Tolmetin, Toridol, Trilifon, Tenuate, Dospan, Tetracycline, Tolectin, Trendar, Triaminicin, Trigesic, Ursinus, Uracel, Vanquish, Vibramycin, Vioxx, Warfarin, Zomax, Zorporin  

Your Consultation & Surgery Prep With Dr. Zochowski

Your Guide To Surgery Day With Dr. Zochowski

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Body Lift Post-Operation

These postoperative instructions will help guide your recovery process; it is imperative that you and your caretaker carefully read these instructions before and after surgery.

  1. ABD pads, surgical pads, or large maxi pads. These will help to absorb normal post – operative fluid that may be seeping from the incisions.
  2. Stool softener (Ducolax, Miralax, Metamucil, or Peri-Colace)—Pain medication can
    constipate you. Peri-Colace helps soften and stimulate the bowels. These should be started the day after surgery.
  3. Dial ® antibacterial bar soap: You will use this bar soap the morning of surgery to wash the surgical areas. You may resume using your preferred soap after surgery.
  4.  Protein shakes for post-operative nutrition. A lack of appetite after surgery may prevent adequate nutrition for optimal healing.
  5. Silicone scar tape for optimal scar healing. DO NOT USE UNTIL INSTRUCTED TO DO SO.
  • You will need an adult caregiver available for at least 2-3 days after surgery.
  • You should plan to have a driver/caretaker to bring you to your first post operative appointment.

DO NOT SMOKE. This is very important!!!
NO SMOKING AT LEAST 2 MONTHS BEFORE & AFTER SURGERY
Smoking (tobacco, marijuana, or vapes) will affect important blood supply to tissues and fat. Reduced blood supply will cause tissue death or delayed wound healing. Even 0% nicotine Vapes contain a trace amount of nicotine. 

Advise the doctor of all supplements & medications you are taking.
Arnika, Bromelin, Vitamin C, Multivitamin are acceptable

  • GLP-1 medications (Ozempic, Mounjaro, Wegovy, Zepbound, Semaglutide, etc…) must be discontinued 2 weeks before surgery. Can be resumed 2 weeks after surgery.
  • Phentermine or appetite suppressants should not be taken before surgery and up to 6 weeks after surgery as these supplements increase heart rate and blood pressure and can interfere with your recovery.

If you are from out of town, you will have an option and may be encouraged to stay overnight in the hospital. If you are traveling the distance home, please wear your compression stockings. Be sure to get up every hour to walk around and/or pump calf muscles every 15 minutes to encourage blood-flow in your legs.

  • It is important to get out of bed after your surgery (with assistance) to prevent
    postoperative problems. It is good to walk for 5-10 minutes 6 times per day or get up every hour to walk to the restroom and back. This encourages blood flow throughout your legs to reduce the chance of blood clot development.
  • IF YOU HAVE SHORTNESS OF BREATH, TROUBLE BREATHING, LEG
    SWELLING, AND/OR LEG PAIN, UPPER BACK PAIN AT ANY POINT IN YOUR
    RECOVERY, GO TO THE EMERGENCY DEPARTMENT IMMEDIATELY (OR CALL
    911) TO RULE OUT POSSIBLE BLOOD CLOT.

Post-operative pain management will be e-scribed to the pharmacy on the day of surgery. Be sure to give an easily accessible pharmacy when registering at the facility. This will enable your caretaker to pick up prescriptions while you are in surgery.
Norco – Hydrocodone/acetaminophen is a narcotic to relieve moderate to severe pain.
If your pain is mild, or if you do not like the effects of the narcotics, you can take Extra Strength Tylenol® (Acetaminophen) every 8 hours (which would be 2 tablets of the Extra Strength Tylenol®, purchased over the counter). Do not exceed 3000mg in a 24-hour period.
Narcotics are habit forming, therefore we do not offer re-fills.
Flexeril – Muscle relaxer
Gabapentin – Nerve pain relief
Zofran/ Ondansetron – prevent and/or relieve nausea.
Antibiotic – prevent post-operative infection.

  • TAKE A STOOL SOFTENER with pain medication to prevent constipation.
  • DO NOT DRIVE WHILE TAKING PAIN MEDICATION.
  • DO NOT DRINK ALCOHOL WHILE TAKING PAIN MEDICATIONS.
    Only take pain medication if needed to manage pain.

As a general rule, do not use ice or cold compresses to ease swelling. Ice can damage healing skin. Staying warm promotes healthy blood flow for healing.

  •  You may shower (NO BATH) 24-48 hours after surgery.
  • You may wash the surgical area/s with soap (any kind) and water (lukewarm, never hot). Do not use surgical soaps to wash the area as these are drying to the skin. Use regular soap.
  • Remove all your garments and dressings (except for steri-strips) when showering. When out of the shower, pat dry incisions and re-apply compression garments.
  • Make sure someone is with you at your first shower.
  • A light diet is best after surgery. Begin by taking liquids slowly and progress to soups or Jell-O. You may start a regular diet the next day.
  • Though it is impossible to get rid of gas entirely, there are strategies to reduce it. Eat and drink slowly, chew thoroughly and cut down on carbonated drinks. Avoid sugar-free gums and sugar-free candies that contain sorbitol or zylitol – both sweeteners are poorly digested and can result in bloating.
  • Stay on a soft diet, high in protein, for 2 – 3 days and avoid spicy food which can cause
    nausea and gas. Then you may resume a normal, high protein diet.
  • You will likely have dissolvable & non-dissolvable sutures. Non-dissolvable sutures will be removed 14-21 days after surgery depending on your healing progression.
  • Do not apply anything on your incisions for 3 weeks unless instructed to do so.
  • When appropriate you will be instructed how/when to do scar massage and how to use silicone scar tape if appropriate.
  • Tcompression garment is to be worn 24/7 for the first 4 weeks following surgery or as instructed by the doctor.
  • Wear the surgical binder/compression garment provided after surgery. Wearing compression garments and foam as instructed is vital for optimal outcomes. The compression garment should feel like a firm hug, not too tight affecting blood circulation to the surgical areas. Please call the office if you have questions or concerns about your compression garment/s. If you want additional compression garments, our staff is happy to advise you.

*Hint – If the compression binder irritates your skin, wearing a thin camisole under the binder may help. Be sure there are no wrinkles in the shirt or binder, as this can cause lasting wrinkles in the healing skin.

  • No overheating for the first 4 weeks (No spas, hot baths, hot tubs, sun exposure, etc).
  • Generally, gentle sexual activity can resume about 4 weeks post op with doctor
    approval.
  • Mild cardio (walking) may resume about 4 weeks following surgery with doctor
    approval.
  • Do not lift anything heavier than 10 lbs for the first 4 weeks.
  • All other exercises (including squats or any activity that requires flexion at the hip) can generally resume at 6-8 weeks with doctor approval.
  • No swimming 6-8 weeks with doctor approval
  • Moderate swelling to the surgical area is to be expected. Swelling will be at its worst between 1-2 weeks. Swelling starts to subside at 6 weeks but may take 6-12 months to resolve. Listen to your body, swelling may indicate you are doing too much activity too soon.
  • Bruising is a normal expectation following surgery. Bruising could be apparent for as long as 3 – 4 weeks afterwards.
    The bruises will move down your body as they are absorbed.
  • It is not uncommon for minor healing delays at the gluteal cleft (top of buttock). This is easily treated with simple wound care and patience.
  • It takes 6-12 MONTHS to achieve final results. In the interim, you may notice
    asymmetry and swelling that changes from day-to-day. Be patient with your body. Try not to focus on these issues before the 6-month period.
  • A burning sensation (raw, sensitive) or sharp shooting pains along the surgical areas and incision sites is normal and indicative of nerve regeneration. These “neuralgias” will burn out by 9 months.
  • Numbness will improve over 9-12 months.

Week 1 & 2:
General assessment of progress, inspection of incision sites. Post operative care instructions & education.
Week 3:
General assessment of progress, inspection of incision sites. Removal of tape & sutures. Post
operative care instructions & education.
Week 5-8:
General assessment of progress, inspection of incision sites. Pulse dye laser treatment to scars.
Month 3 & 4:
Pulse dye laser treatment to scars.
5-6 month:
Final PDL treatment. Progress pictures.
9-12 month:
Final pictures. Review final results.

*This is the average plan for post-operative care. Actual post-operative course is patient-specific and may vary depending on your own individual healing and/or complications.

It is common for patients to undergo significant emotional “ups and downs” after any type of surgery. Factors such as underlying stress, medications, and/or psychological tendencies can result in patients experiencing a “post-operative depression” that generally resolves 3-6 weeks post-surgery. Having a partner, family member, or friend who is supportive can help with this process. Understanding & recognizing the stages of emotional “ups and downs” can help patients stay calm and recover from this emotional process faster.

  • Phase 1: Being Out of It Swelling and discomfort is most severe over the first few days after surgery. Pain medications also can make you disoriented and emotional.
  • Phase 2: Mood Swings
    Post-operative adjustment to a sudden change in appearance with much anticipation is part of the healing process. The presence of bruising, swelling, and asymmetries will distort a patient’s self-image. Mood swings (especially sadness), worry and depression are common emotions as a result. Recognizing these feelings as part of the process is important. Lean on your support
    group.
  • Phase 3: Being overly critical
    Week 2-3, patients are generally starting to feel a lot better. It is natural to be critical of your new body; worrying about symmetry, scars, etc…. This is too soon to assess your results. Most concerns are resolved during the healing process 6-12 months.
  • Phase 4: Happy at last
    At 4 – 6 months post op, patients generally start appreciating their new look and feeling much better overall.

Please call the office to schedule appointments, general questions/concerns (614)490-7500. We have an answering service after office hours/weekends to reach Dr Zochowski if necessary. You will also be provided with email information to contact the nurse with general questions or concerns. Please understand the nurse is seeing patients during the work day and will respond to emails as time allows.

Any questions regarding scheduling, rescheduling, or confirming appointments should be communicated with our front office staff/ patient coordinator 614-490-7500.

The most common emergencies that might need attention are:

  • Nausea/vomiting that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain/upper back pain
  • Leg swelling/leg pain
  • Loss of consciousness

During your procedure, lidocaine (an injectable numbing agent) is used. If you experience numbness around the mouth, tongue paresthesia, dizziness, blurred vision, ringing in your ears, a metallic taste in your mouth, restlessness, agitation, nervousness, or paranoia, these may be signs of lidocaine toxicity. If experiencing these symptoms, please call 911 or proceed to your nearest emergency room immediately

Breast Augmentation Post-Operation

Start your diet with clear liquids or a light soup. Most people can resume a normal diet the day after surgery. Advance your diet as tolerated to your regular diet over the next 24 hours.

You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or a stool softener is recommended. If this is not sufficient, then dulcolax or suppository may be necessary. These can be purchased over the counter at the pharmacy.

Mild activity is encouraged in the first few post-operative days. Walking short distances is fine, no lifting, pushing or pulling. Being active after surgery is important in preventing formation of blood clots. You should refrain from high impact or heavy exercise for 4-6 weeks or when advised by the doctor.

Leave the surgical bra and gauze dressings on for 24 hours. After 24 hours, you may remove the surgical bra and dressings to shower. After showering, please pat yourself dry, reapply clean gauze and the surgical bra. The surgical bra should be worn continuously until advised by the doctor.

Any residual surgical soap (yellow) or marker can be gently removed with rubbing alcohol.

Slight swelling, bruising, redness and of the skin is normal and will resolve over time. If one breast (or both) is markedly swollen, tender, and bruised call your surgeon. This may reflect a collection of flood in the surgical pocket.

Showers can be taken the day after surgery. Remove the surgical bra and dressings for the shower and replace the bra and other dressings after drying.

Pain medication will be prescribed to manage post operative pain. Do not drive until you are no longer taking the narcotics (and muscle relaxants) and you are free of significant pain. If you do not need narcotic pain medication to manage your pain, Extra Strength Tylenol is an acceptable over the counter option.

If there is a problem, please call the office. If after hours, the service will contact the Dr Zochowski. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • Sudden enlargement and/or pain of one side with bruising
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain that is considerably worse on one side
  • Leg swelling

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in about 7 days and should be scheduled by calling the office at (614) 490-7500 if it has not already been arranged.

Breast Lift Post-Operation

Most people can resume a normal diet the evening of surgery. If you feel queasy or nauseated, start with clear liquids or soup. Advance your diet as tolerated to a regular diet. You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or a stool softener is recommended. If this is not sufficient, dulcolax or a suppository may be necessary.

Walking short distances is encouraged in the first few days after surgery. No lifting, pushing or pulling in the first week post-op. Mild physical exercise can be resumed as directed by the doctor after your first post- operative appointment. Please refrain from high impact or heavy exercise until released to do so, up to 4 weeks.

Leave all dressings and the surgical bra in place for 24 to 48 hours. After 24 to 48 hours, you may remove the gauze and bra for a brief period of time to shower. Following a shower, pat yourself dry, apply clean gauze and the surgical bra. Any residual surgical soap (yellow) or marker can be gently removed with rubbing alcohol.

Swelling, bruising, redness and of the skin is normal and will resolve over time. Many patients have drainage from the bottom of the breasts were the incisions come together. This drainage is quite normal and may be bloody, yellow or clear in color.

Showers can be taken after two days. Remove the surgical bra and dressings for the shower and replace with clean gauze and the surgical bra after patting dry.

Take the narcotic pain medication as prescribed to manage post operative pain. Do not drive until you are no longer taking the narcotics and are free of significant pain. When a narcotic is no longer needed to manage pain, Extra Strength Tylenol is an acceptable substitute.

If there is any concerns, please call the office (614) 490-7500. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • Sudden enlargement and/or pain of one side with bruising
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain that is considerably worse on one side
  • Leg swelling

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in 7-10 days and should be scheduled by calling our office at (614) 490-7500 if it has not already been arranged.

Breast Reduction Post-Operation

Most people can resume a normal diet the evening of surgery y. If you feel queasy or nauseated, start with clear liquids or soup. Advance your diet as tolerated to a regular diet. You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or stool softener is recommended. If this is not sufficient, then dulcolax or a suppository may be necessary. This can be purchased over the counter at your pharmacy.

Mild activity is encouraged during the first few post-operative days. Walking short distances is fine, however no lifting, pushing or pulling. Moderate physical exercise can be resumed when recommended by the doctor, usually 3-4 weeks post op. Please refrain from high impact or heavy exercise until released to do so.

Leave all dressings and the surgical bra in place for two days. After 2 days you may remove the gauze and bra for a brief period of time to shower. Following a shower, apply clean gauze to the incisions and put the surgical bra on. The surgical bra should be worn at all times until the doctor advises otherwise.

Any residual surgical soap (yellow) or marker can be gently removed with rubbing alcohol.

Swelling, bruising, redness and of the skin is normal and will resolve over time. Many patients have drainage from the bottom of the breasts were the incisions often come together. This drainage is quite nor mal and may be bloody, yellow or clear in color.

Showers can be taken after two days. Remove the surgical bra and dressings for the shower and replace the bra and clean dressings after drying. If you have drains, please secure the drains to something while in the shower, do not allow the drains to hang.

Pain medication will be prescribed to manage post operative pain. Do not drive until you are no longer taking the narcotics and are free of significant pain. If you do not need prescribed pain medication, Extra Strength Tylenol is an acceptable over-the-counter option.

If there is a problem, please call our office (614) 490-7500. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • Sudden enlargement and/or pain of one side with bruising
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain that is considerably worse on one side
  • Leg swelling

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in 7-10 days and should be scheduled by calling our office at (614) 490-7500 if it has not already been arranged.

Breast Surgery Post-Operation Instructions

  1. ABD pads, surgical pads, or large maxi pads. These will help to absorb normal post -operative fluid that may be seeping from the incisions, as well as provide padded protection for incision
    areas.
  2. Stool softener (Ducolax, Miralax, Metamucil, or Peri-Colace)—Pain medication will make you constipated. Starting a bowel regimen a few days before surgery and a week after surgery is encouraged.
  3. Dial ® antibacterial bar soap: You will use this bar soap the morning of surgery to wash the surgical areas. You may resume using your preferred soap after surgery.
  4. Protein shakes for post-operative nutrition. A lack of appetite after surgery may prevent adequate nutrition for optimal healing.
  • You will need an adult caregiver for at least 2-3 days after surgery.

DO NOT SMOKE or VAPE. This is very important!!!

NO SMOKING AT LEAST 2 MONTHS BEFORE & AFTER SURGERY Smoking (tobacco, marijuana, or vapes) will affect important blood supply to tissues and fat. Reduced blood supply will cause tissue death anddelayed wound healing. Even 0% nicotine vapes contain a trace amount of nicotine.

Advise the doctor of all supplements & medications you are taking. Arnika, Bromelin, Vitamin C, Multivitamin are acceptable.

GLP-1 medications (Ozempic, Mounjaro, Wegovy, Zepbound, Semaglutide, etc…) must be discontinued 2 weeks before surgery. Can be resumed 2 weeks after surgery.

Phentermine or appetite suppressants should not be taken before surgery and up to 6 weeks after surgery as these supplements increase heart rate and blood pressure and can interfere with your recovery.

Most people can resume a normal diet the evening of surgery. If you feel queasy or nauseated, start with clear liquids or soup. Advance your diet as tolerated to a regular diet. You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or a stool softener is recommended. If this is not sufficient, dulcolax or a suppository may be necessary.

Rest and sleep are important for recovery. Sleep on your back only, no side sleeping until instructed to
do so.

Walking short distances is encouraged in the first few days after surgery. No lifting, pushing, pulling, or reaching until instructed by the doctor. Mild physical exercise can be resumed as directed by the doctor. Please refrain from high impact or heavy exercise until released to do so, up to 4 weeks.

Keep surgical areas clean with soap and water. Avoid scrubbing or direct water pressure on surgical areas. DO NOT REMOVE THE SURGICAL TAPE that has been applied over the incisions. This tape provides support and protection for healing incisions and will be removed by our clinical staff 2nd-3rd week post op. Some swelling, bruising, redness of the skin is normal and will resolve over time. Many patients have drainage were the incisions come together. This drainage is normal and may be bloody, yellow or clear in color. Compression should be worn 24/7, per the doctor’s instructions. If you have drains, please see instructions about drain care – drains must be emptied at least 2 times a day.

Keep the surgical area warm to encourage blood flow for optimal healing.

DO NOT APPLY ICE OR COOL COMPRESSES ON THE SURGICAL AREA.

A shower (No Baths) can be taken 24-48 hours after surgery with the assistance of a caretaker. Remove compression garment and dressings before showering. DO NOT REMOVE THE SURGICAL TAPE that has been applied over incisions. This tape provides support and protection for healing incisions and will be removed by the nurse at the 2nd/3rd post operative appointment. You may notice residual surgical soap (yellow) or marker, this can be gently removed with warm soap and water in the shower. If you have post surgical drains, secure the drains to a lanyard or something you can loosely hang around your neck or wrap around your waist (belt from a robe works well) before entering the shower. Following a shower pat dry, replace gauze and compression garment. Ensure compression garment is not too tight or cutting off drain tube.

Post-operative pain medication will be sent to your pharmacy a few days before surgery. Our nurse practitioner will call to review medications and confirm your pharmacy preference before sending them in.

  • Norco – Hydrocodone/acetaminophen is a narcotic to relieve moderate to severe pain.
    ONLY TAKE AS NEEDED
    If your pain is mild, or if you do not like the effects of the narcotics, you can take Extra Strength Tylenol® (Acetaminophen) every 8 hours (which would be 2 tablets of the Extra Strength Tylenol®, purchased over the counter). Do not exceed 3000mg in a 24-hour period.
    Narcotics are habit forming, therefore we do not offer re-fills.
  • Flexeril – Muscle relaxer (take as needed)
  • Gabapentin – Nerve pain relief (scheduled)
  • Zofran/ Ondansetron – prevent and/or relieve nausea. (take as needed)
  • Antibiotic – prevent post-operative infection. (scheduled)

Take a stool softener with pain medication to prevent constipation.
DO NOT DRIVE WHILE TAKING PAIN MEDICATION.
DO NOT DRINK ALCOHOL WHILE TAKING PAIN MEDICATIONS.
Only take the pain medication if needed to manage pain.

  • Moderate swelling to the surgical area is to be expected. Swelling will be at its worst between 1-4 weeks. Compression is necessary to control swelling. Swelling starts to subside at 6 weeks but may take 6-12 months to resolve. Listen to your body, swelling may indicate you are doing too much activity too soon.
  • Bruising is a normal expectation following surgery. Bruising could be apparent for as long as 3–4 weeks after surgery. The bruises will move down your body as they are absorbed.
  • It takes 6-12 MONTHS to achieve final results. In the interim, you may notice asymmetry and swelling that changes from day-to-day. Be patient with your body
  • A burning sensation (raw, sensitive) or sharp shooting pains along the surgical areas and incision sites is normal and indicative of nerve regeneration. These “neuralgias” will burn out by 9 months.
  • Numbness will improve over 9-12 months. For some, minor “numb” feeling skin of the skin can persist.

Call 911 and/or proceed directly to the closest emergency room. In the case of emergency, notify the office after arrival at the emergency department or have the emergency room staff call Dr Zochowski to provide guidance for your care. Urgent Care Centers are not equipped to manage post-operative emergencies, go to the emergency room at a hospital where emergency care equipment and resources are available 24/7.

GO IMMEDIATELY TO THE EMERGENCY ROOM (NOT Urgent Care Center)
Symptoms that are considered an emergency:

  • Shortness of breath
  • Upper back pain
  • Chest pain that is considerably worse on one side
  • Leg swelling or pain in the calf muscle

Other symptoms that may indicate an emergency

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent
  • Sudden enlargement and/or pain of one side with bruising
  • High fever lasting more than a few hours and not responding to medication

A follow up appointment is typically scheduled 7-10 days post operatively. If you do not have a follow up appointment scheduled, please call the office at 614-490-7500 to schedule.

Carpal Tunnel Post-Operation

Start your diet with clear liquids or a light soup. Most people can resume a normal diet the day after surgery. Advance your diet as tolerated to your regular diet over the next 24 hours.

You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or a stool softener. If this is not sufficient, then dulcolax or suppository may be necessary. These can be purchased over the counter at the pharmacy.

On the day of surgery and for 2 days after, please avoid exertion, straining, bending or lifting. I encourage you to be modestly active after the first few post-operative days. Walking is perfect. Avoid exercise until we discuss it at your first post op visit. Do not use the operated hand for exercise until we discuss this at the first post op visit.

Open and close the fingers and thumb 10 times each hour to keep the joints moving and help reduce swelling.

Do not apply pressure to the palm of your operated hand (activities like using a cane or walker). This may cause splitting of your suture line.

Elevate the hand to help reduce swelling and pain. The hand should be held at a level above your heart. When sleeping, prop the hand up on pillows.

Keep the bulky dressing on and dry for 2 days. If you shower, cover the hand with a plastic bag and a rubber band. After 2 days you may remove the dressing. At this point you will notice a suture line. After 2 days, and the removal of the dressing, you should begin to wash the hand at least twice daily with soap and water. Then apply bacitracin (or other antibacterial ointment) and a band-aid.

You may notice some numbness in the fingers after surgery that may last anywhere from several hours to days. This is quite normal and is from the local anesthesia we use in the operating room.

It is fine to bathe when you feel well. Keep the dressing intact and dry the first 2 days, after that you may get the wound wet. Avoid submersion of the wound in stagnant water and water of questionable cleanliness (hot tub, lakes, ponds, etc…)

Pain medication will be prescribed for post operative pain management. In one or two days you will probably be able to substitute Tylenol every 6-8 hours as needed. (Do not take the Tylenol with the Percocet, both have acetaminophen). Please do not drive until you are no longer taking the narcotic and are free of significant pain.

If there is a problem, please call the office (614) 490-7500. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Sudden increase in pain
  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is profuse and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath or chest pain
  • Leg swelling
  • Loss of consciousness

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in about 7 days and should be scheduled by calling the office at (614) 490-7500 if it has not already been arranged.

Dermabond® Topical Skin Adhesive

Dermabond® Topical Skin Adhesive (2-octyl cyanoacrylate) is a sterile, liquid skin adhesive that holds wound edges together. The film will usually remain in place for 5 to 10 days, then naturally falls off your skin. The following will answer some of your questions and provide instructions for proper care for your wound while it is healing:

Some swelling, redness, and pain are common with all wounds and normally will go away as the wound heals. If swelling, redness, or pain increases or if the wound feels warm to the touch, contact the doctor. Also contact the doctor if the wound edges reopen or separate.

  • If your wound is bandaged, keep the bandage dry.
  • Replace the dressing daily until the adhesive film has fallen off or if the bandage should become wet, unless otherwise instructed by your physician.
  • When changing the dressing, do not place tape directly over the DERMABOND adhesive film, because removing the tape later may also remove the film.

Do not apply liquid or ointment medications or any other product to your wound while the
DERMABOND adhesive film is in place.

These may loosen the film before your wound is healed.

You may occasionally and briefly wet your wound in the shower. Do not soak or scrub your wound, do not swim, and avoid periods of heavy perspiration until the DERMABOND adhesive has naturally fallen off. After showering or bathing, gently blot your wound dry with a soft towel. If a protective dressing is being used, apply a fresh, dry bandage, being sure to keep the tape off the DERMABOND adhesive film.

  • Apply a clean, dry bandage over the wound if necessary to protect it.
  • Protect your wound from injury until the skin has had sufficient time to heal.
  • Do not scratch, rub, or pick at the DERMABOND adhesive film. This may loosen the film before your wound is healed.
  • Protect the wound from prolonged exposure to sunlight or tanning lamps while the film is in place.

If you have any questions or concerns about this product, please call the office at (614) 604-7820.

Drain Care Post-Operation

During your surgery tissue layers were separated from each other creating a space that could possibly fill with fluid. For normal healing to occur, these tissues must be in contact. Your drain safely removes this fluid from the space. As a surgical site heals, the size of this space gets smaller, and the amount of fluid produced in the wound decreases. Eventually the space closes completely and there is no fluid accumulation. The entire process may take only a few days or up to several weeks. Your drain is removed when your surgeon feels that the amount fluid collected over 24 hours is low enough to remove the device. That is why it is important for you to accurately record the drain amounts.

Drains have 3 parts: the drain, the drain tube, and the drain bulb. The drain is a specially coated white tube that collects the fluid from your surgical site. You cannot see this part. The drain tube connects the drain to the drain bulb. This clear plastic tube carries the fluid from the drain to the bulb. The drain tube is normally anchored to your skin with a stitch near the incision. The drain bulb is a device that creates a vacuum pulling the drain fluid into it. This is the part that you will need to empty.

All drains work on the same principle- Negative pressure. Be sure that the chamber is “charged.” This is done by collapsing the bulb with the vent open, holding it in a collapsed position reapply the stopper on the vent.

Your surgeon will tell you if you may shower. On most occasions it is OK to shower. When you do take a shower with a drain in place, you should use a rope or belt around your waist or neck and pin the drains to this by their tabs. This will prevent inadvertent dislodging of the drains.

Gently wash around the area where the drain tube enters your skin. Be sure the drain site is dry prior to covering with a dressing or your clothes.

In general, you should empty the drain bulbs two times every 24 hours or whenever the drain bulb fills up.

Sometimes the bulb may need to be emptied more frequently. Always record the amount of the drainage. If you have more than one drain, record the output for each separately.
You may notice that as you move around more, that the drainage may increase. This is expected within reason. The color may change from dark red, to a thinner yellow fluid. You may also note some clots in the bulb. This is also expected. If you have questions, feel free to call your surgeon.

You may want to proceed with the following steps in your bathroom with the sink and toilet nearby.

  1. Wash your hands with soap and water.
  2. Hold the drain bulb upright and remove the stopper from the stem.
    The bulb will expand to an egg shape.
  3. Hold the bulb over the measuring cup. Turn the bulb over with the stem over the cup. Gently squeeze the bulb to empty the drain fluid into the cup.
  4. After emptying the drain, squeeze all of the air out of the bulb by grasping the bulb between your thumb fingers.
  5. Continue to squeeze the bulb. With the bulb completely empty of air, replace the stopper into the drain stem. When you release your grip on the bulb, it will stay collapsed.
  6. Secure the drain bulb back to your clothing.
  7. Look at the amount of fluid that was emptied into the cup and write down that amount on the record sheet provided. Be sure to also write down the date and time that the drain was emptied.
  8. Pour the fluid from the cup into the toilet or sink and flush the toilet or rinse the sink
  9. Repeat steps 2 to 8 for each drain if you have more than one drain.
  10. Rinse out your cup(s) and wash your hands.

* If you have more than one drain, always record each drain’s amount in the same column each time.
* Write down the date and time prior to starting the process of emptying the drains.
* Empty drains at the same times each day.

Record Here

Hand Surgery Post-Operation

Start your diet with clear liquids or a light soup. Most people can resume a normal diet the day after surgery. Advance your diet as tolerated to your regular diet over the next 24 hours.

You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or a stool softener are recommended. If this is not sufficient, then dulcolax or a suppository may be necessary. These can be purchased over the counter at the pharmacy.

On the day of surgery and for 2 days after, please avoid exertion, straining, bending or lifting. I encourage you to be modestly active after the first few post-operative days. Walking is perfect. Very limited use of the operated hand is acceptable. Avoid exercise until we discuss it at your first post op visit.

Elevate the hand to help reduce swelling and pain. The hand should be held at a level above your heart. When sleeping, prop the hand up on pillows.

You may apply ice packs to the operative site through the dressings. Do not remove the dressing or splints unless specified otherwise.

Keep the dressing and splint dry and intact unless instructed to do otherwise.

You may notice some numbness in the fingers after surgery that may last anywhere from several hours to days. This is quite normal and is often from the local anesthesia we use in the operating room.

It is fine to bathe when you feel well as long as you keep the dressings and splints dry. The splint and dressings can be covered with a plastic bag and a rubber band to ensure that water does not soak the dressings.

Take the narcotic pain medicine as needed. In one or two days you will probably be able to substitute Tylenol every 6-8 hours as needed. (Do not take the Tylenol with the Percocet, both have acetaminophen). Please do not drive until you are no longer taking the narcotic and are free of significant pain.

If there is a problem, please call the office (614) 490-7500. The answering machine will lead you to the on call surgeon’s pager. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Sudden increase in pain
  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is profuse and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath or chest pain
  • Leg swelling
  • Loss of consciousness

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in about 7 days and should be scheduled by calling the office at (614) 490-7500 if it has not already been arranged.

Liposuction Post-Operation

Start your diet with clear liquids or a light soup. Most people can resume a normal diet the day after surgery. Advance your diet as tolerated to your regular diet over the next 24 hours.

You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or stool softener is recommended. If this is not sufficient, then dulcolax or suppository may be necessary. These can be purchased over the counter at the pharmacy.

Modest activity is encouraged during the first few post-operative days. Wiggle your toes to keep the blood flowing in your legs while sitting or lying in bed. Walking short distances is acceptable. Mild physical exercise can be resumed in 1-2 weeks as you are able, but refrain from heavy exercise until cleared with your doctor.

Expect considerable drainage from the areas that underwent liposuction. This drainage may seem like a very large volume and mostly consists of the anesthetic fluid infiltrated used during the liposuction. It will look quite bloody the first day and will drain quickly during changes in position, such as sitting or standing up in the bathroom. The actual amount of blood loss is very small even though the fluid looks bloody. We recommend you take precautions to avoid staining your bedding the first couple of nights. The drainage usually decreases by the first post operative day and is done by the second.

Leave the surgical compression garment and any dressings in place until your first post operative appointment.

Swelling, bruising, redness and of the skin is normal and will resolve over time. Numbness of the skin is also normal and will improve in several months.

No showers or baths are to be taken until the first dressings are removed (sponge baths are okay).

Pain medication will be prescribed to manage post –operative pain. When pain is more manageable, it is recommended you switch to Extra Strength Tylenol. Please do not drive until you are no longer taking the narcotic and are free of significant pain.

If there is a problem, please call the office (614) 490-7500. you. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Sudden increase in pain
  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is profuse and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath or chest pain
  • Leg swelling
  • Loss of consciousness

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in about 7 days and should be scheduled by calling the office at (614) 490-7500 if it has not already been arranged.

Male Breast Reduction Post-Operation

Most people can resume a normal diet the evening of surgery. If you feel queasy or nauseated, start with clear liquids or soup. Advance your diet as tolerated to a regular diet. You may experience some constipation as a result of the pain medication. Over the counter laxatives such as Milk of Magnesia or stool softener is recommended. If this is not sufficient, then dulcolax or a suppository may be necessary. This can be purchased over the counter at your pharmacy.

Mild activity is encouraged during the first few post-operative days. Walking short distances is fine, however no lifting, pushing or pulling. Moderate physical exercise can be resumed when recommended by the doctor, usually 3-4 weeks post op. Please refrain from high impact or heavy exercise until released to do so.

Leave all dressings and the compression garment i n place for 2 days. After 2 days you may remove the gauze and compression garment for a brief period of time to shower. Following a shower, apply clean gauze to the incisions and put the compression garment on. The compression garment should be worn at all times until the doctor advises otherwise.

Any residual surgical soap (yellow) or marker can be gently removed with rubbing alcohol.

Swelling, bruising, redness and of the skin is normal and will resolve over time. Many patients have drainage were the incisions come together. This drainage is to be expected and may be bloody, yellow or clear in color.

Showers can be taken after 2 days. Remove the compression garment and dressings for the shower and replace them with clean dressings after patting skin dry.

Take the narcotic pain medicine as instructed and needed. Do not drive until you are no longer taking the narcotics and are free of significant pain.

If there is a problem, please call our office (614) 490-7500. Most issues are easily addressed and do not require significant intervention.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • Sudden enlargement and/or pain of one side with bruising
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain that is considerably worse on one side
  • Leg swelling

If you feel the situation is urgent, call 911 and/or proceed directly to the closest emergency room. Please call us as well.

Follow-up is typically in 7-10 days and should be scheduled by calling our office at (614) 490-7500 if it has not already been arranged.

Tummy Tuck Post-Operation

These postoperative instructions will help guide your recovery process; it is imperative that you and your caretaker carefully read these instructions before and after surgery.

  1. ABD pads, surgical pads, or large maxi pads. These will help to absorb normal post -poperative fluid that may be seeping from the incisions, as well as provide padded protection for incision areas.
  2. Stool softener (Ducolax, Miralax, Metamucil, or Peri-Colace)—Pain medication will make you constipated. Starting a bowel regimen a few days before surgery and a week after surgery is encouraged.
  3. Dial ® antibacterial bar soap: You will use this bar soap the morning of surgery to wash the surgical areas. You may resume using your preferred soap after surgery.
  4. Protein shakes for post-operative nutrition. A lack of appetite after surgery may prevent adequate nutrition for optimal healing.
  • Recliner for easy resting.
  • Raised toilet seat.
  • You will need an adult caregiver available for at least 5-7days after surgery.

DO NOT SMOKE or VAPE. This is very important!!!
NO SMOKING AT LEAST 2 MONTHS BEFORE & AFTER SURGERY
Smoking (tobacco, marijuana, or vapes) will affect important blood supply to tissues and fat. Reduced blood supply will cause tissue death and delayed wound healing. Even 0% nicotine vapes contain a trace amount of nicotine.

Advise the doctor of all supplements & medications you are taking. Arnika, Bromelin, Vitamin C, Multivitamin are acceptable.

  • GLP-1 medications (Ozempic, Mounjaro, Wegovy, Zepbound, Semaglutide, etc…) must be discontinued 2 weeks before surgery. Can be resumed 2 weeks after surgery.
  • Phentermine or appetite suppressants should not be taken before surgery and up to 6 weeks after surgery as these supplements increase heart rate and blood pressure and can interfere with your recovery.

If you are from out of town, you will have an option and may be encouraged to stay overnight in the hospital. If you are traveling the distance home, please wear your compression stockings. Be sure to get up every hour to walk around and/or pump calf muscles every 15 minutes to encourage blood-flow in your legs.

  • Minimal activity is encouraged after surgery. Walking short distances around your home encourages blood flow throughout your legs to reduce the chance of blood clot development. **DO NOT STAND UP STRAIGHT. You must remain flexed/bent at the hips to reduce any tension on the incision and muscle repair for at least 1+ week after surgery or until cleared by Dr Zochowski.
  • IF YOU HAVE SHORTNESS OF BREATH, LEG SWELLING, AND/OR LEG PAIN AT ANY POINT IN YOUR RECOVERY, GO TO THE EMERGENCY DEPARTMENT
    IMMEDIATELY (OR CALL 911) TO RULE OUT POSSIBLE BLOOD CLOT.

Post-operative pain medication will be sent to your pharmacy a few days before surgery. Our nurse practitioner will call to review medications and confirm your pharmacy preference before sending them in.
Norco – Hydrocodone/acetaminophen is a narcotic to relieve moderate to severe pain.
If your pain is mild, or if you do not like the effects of the narcotics, you can take Extra Strength Tylenol® (Acetaminophen) every 8 hours (which would be 2 tablets of the Extra Strength Tylenol®, purchased over the counter). Do not exceed 3000mg in a 24-hour period. Narcotics are habit forming; therefore, we do not offer re-fills.
Flexeril – Muscle relaxer
Gabapentin – Nerve pain relief
Zofran/ Ondansetron – prevent and/or relieve nausea.
Antibiotic – prevent post-operative infection.

  • Take a stool softener with pain medication to prevent constipation.
  • DO NOT DRIVE WHILE TAKING PAIN MEDICATION.
  • DO NOT DRINK ALCOHOL WHILE TAKING PAIN MEDICATIONS.

Only take the pain medication if needed to manage pain.

DO NOT STAND UP STRAIGHT or LAY FLAT until cleared by the doctor (at least 7
days). You must remain bent at the waist enough to take tension off the muscle repai  and lower abdominal incision to ensure optimal healing and best scar outcome. It is best to rest/sleep in a recliner. However, if you are sleeping in a bed, your upper body should be slightly elevated and keep legs bent supported by pillows. STAY WARM, NO ICE!

  • You may shower (NO BATH) 24-48 hours after surgery.
  • You may wash the surgical area with soap (any kind) and water (lukewarm, never hot). Do not use surgical soaps to wash the area as these are drying to the skin. Use regular soap.
  • Remove all your garments and dressings (except for steri-strips) when showering. When out of the shower, pat dry incisions and apply usual compression garments.
  • Make sure someone is with you for the first few showers.
  • A light diet is best after surgery. Begin by taking liquids slowly and progress to soups or Jell-O. You may start a regular diet the next day.
  • Though it is impossible to get rid of gas entirely, there are strategies to reduce it. Eat and drink slowly, chew thoroughly and cut down on carbonated drinks. Avoid sugar-free gums and sugar-free candies that contain sorbitol or zylitol – both sweeteners are poorly  digested and can result in bloating.
  • Stay on a soft diet, high in protein, for 2 – 3 days and avoid spicy food which can cause nausea and gas. Then you may resume a normal, high protein diet.
  • You will likely have dissolvable & non-dissolvable sutures, tape and glue to support the surgical incisions. Non-dissolvable sutures, tapes and glue will be removed about 3 weeks after surgery depending on your healing progression. Do not apply anything on your incisions for 3 weeks unless instructed to do so.
  • When appropriate you will be instructed how/when to do scar massage.
  • The compression garment is to be worn 24/7 for at least the first 4 weeks following surgery or as instructed by the doctor.
  • Wear the surgical binder/compression garment and foam provided after surgery. Following drain removal (1-3 weeks), a new compression garment may be provided if necessary. Wearing compression garments as instructed is vital to optimal outcomes. The compression garment should feel like a firm hug, not too tight affecting blood circulation to the surgical areas. Keeping the foam in place on the abdomen is important to prevent “dents” in the skin that can inhibit good blood supply. Please call the office if you have questions or concerns about your compression garment/s. If you want additional compression garments, our staff is happy to advise you.

Hint – If the compression binder irritates your skin, wearing a thin camisole under the
binder may help. Be sure there are no wrinkles in the shirt or binder, as this can cause
lasting wrinkles in the healing skin

  • No overheating for at least the first 4 weeks (No spas, hot baths, hot tubs, sun
    exposure, etc).
  • Generally, gentle sexual activity can resume about 4 weeks post op with doctor
    approval.
  • Mild cardio (walking) exercise may resume about 4 weeks following surgery with doctor approval.
  • Do not lift anything heavier than 10 lbs for the first 4 weeks.
  • All other exercises (including squats or any activity that requires flexion at the hip) can generally resume at 6-8 weeks with doctor approval.
  • No swimming 6-8 weeks with doctor approval
  • Moderate swelling to the surgical area is to be expected. Swelling will be at its worst between 1-4 weeks. Swelling starts to subside at 6 weeks but may take 6-12 months to resolve. Listen to your body, swelling may indicate you are doing too much activity too soon.
  • Bruising is a normal expectation following surgery. Bruising could be apparent for as long as 3 – 4 weeks afterwards.
    The bruises will move down your body as they are absorbed.
  • It takes 6-12 MONTHS to achieve final results. In the interim, you may notice
    asymmetry and swelling that changes from day-to-day. Be patient with your body.
  • A burning sensation (raw, sensitive) or sharp shooting pains along the surgical areas and incision sites is normal and indicative of nerve regeneration. These “neuralgias” will burn out by 9 months.
  • Numbness will improve over 9-12 months. For some, minor “numb” feeling skin of the lower abdomen can persist.

Week 1 & 2:
General assessment of progress, inspection of incision sites. Potential drain removal if fluid output meets criteria. Post operative care instructions & education.
Week 3:
General assessment of progress, inspection of incision sites. Assess/removal of any remaining drains. Removal of tape & sutures. Post operative care instructions & education.
Week 5-8:
General assessment of progress, inspection of incision sites. Pulse dye laser treatment to scars.
Month 3 & 4:
Pulse dye laser treatment to scars.
5-6 month:
Final PDL treatment. Progress pictures.
9-12 month:
Final pictures. Review final results.

*This is the average plan for post-operative care. Actual post-operative course is patient-specific and may vary depending on your own individual healing and/or complications.

It is common for patients to undergo significant emotional “ups and downs” after any type of surgery. Factors such as underlying stress, medications, and/or psychological tendencies can result in patients experiencing a “post-operative depression” that generally resolves 4-6 weeks post-surgery. Having a partner, family member, or friend who is supportive can help with this process. Understanding & recognizing the stages of emotional “ups and downs” can help patients stay calm and recover from this emotional process faster.

  • Phase 1: Being Out of It
    Swelling and discomfort is most severe over the first week after surgery. Pain medications also can make you disoriented and emotional. Try to minimize narcotic use as soon as possible.
  • Phase 2: Mood Swings
    Post-operative adjustment to a sudden change in appearance with much anticipation is part of the healing process. The presence of bruising, swelling, and asymmetries will distort a patient’s self-image. Mood swings (especially sadness), worry and depression are common emotions as a result. Recognizing these feelings as part of the process is important. Avoid critical selfassessment of healing surgical areas. Lean on your support group.
  • Phase 3: Being overly critical
    Week 2-3, patients are generally starting to feel better. It is natural to be critical of your new body, worrying about symmetry, scars, etc…. This is too soon to assess your results. Most concerns are resolved during the healing process 6-12 months.
  • Phase 4: Happy at last
    At 4 – 6 months post op, patients generally start appreciating their new look and feeling much better overall. However, it can take up to 1 year to achieve final results. Be patient with your healing body!

Please call the office to schedule appointments, general questions/concerns (614)490-7500. We have an answering service after office hours/weekends to reach Dr Zochowski or our Nurse Practitioner if necessary. You will also be provided with email information to contact the nurse with general questions or concerns. Please understand the nurse is seeing patients during the work day and will respond to emails and calls as time allows.
Any questions regarding scheduling, rescheduling, or confirming appointments should be communicated with our front office staff/ patient coordinator 614-490-7500.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain
  • Leg swelling
  • Loss of consciousness

During your procedure, lidocaine (an injectable numbing agent) is used. If you experience numbness around the mouth, tongue paresthesia, dizziness, blurred vision, ringing in your ears, a metallic taste in your mouth, restlessness, agitation, nervousness, or paranoia, these may be signs of lidocaine toxicity. If experiencing these symptoms, please call 911 or proceed to your nearest emergency room immediately

Brazilian Butt Lif Post-Operation

These postoperative instructions will help guide your recovery process; it is imperative that you and your caretaker carefully read these instructions before and after surgery.

  1. ABD pads, surgical pads, or large maxi pads. These will help to absorb normal post – operative fluid that may be seeping from the incisions.
  2. Stool softener (Ducolax, Miralax, Metamucil, or Peri-Colace)—Pain medication can
    constipate you. Peri-Colace helps soften and stimulate the bowels. These should be started the day after surgery.
  3. Dial ® antibacterial bar soap: You will use this bar soap the morning of surgery to wash the surgical areas. You may resume using your preferred soap after surgery.
  4. Protein shakes for post-operative nutrition. A lack of appetite after surgery may prevent adequate nutrition for optimal healing.
  • You will need an adult caregiver available for at least 2-3 days after surgery.

DO NOT SMOKE. This is very important!!!
NO SMOKING AT LEAST 2 MONTHS BEFORE & AFTER SURGERY
Smoking (tobacco, marijuana, or vapes) will affect important blood supply to tissues and fat. Reduced blood supply will cause tissue death or delayed wound healing. Even 0% nicotine vapes contain a trace amount of nicotine

Advise the doctor of all supplements & medications you are taking.
Arnika, Bromelin, Vitamin C, Multivitamin are acceptable.

  • Phentermine or appetite suppressants should not be taken before surgery and up to 6 weeks after surgery as these supplements increase heart rate and blood pressure and can interfere with your recovery.

If you are from out of town, you will have an option and may be encouraged to stay overnight in the hospital. If you are traveling the distance home, please wear your compression stockings. Be sure to get up every hour to walk around and/or pump calf muscles every 15 minutes to encourage blood-flow in your legs.

  • It is important to get out of bed after your surgery (with assistance) to prevent
    postoperative problems. It is good to walk for 5-10 minutes 6 times per day or get up every hour to walk to the restroom and back. This encourages blood flow throughout your legs to reduce the chance of blood clot development.
  • IF YOU HAVE SHORTNESS OF BREATH, LEG SWELLING, AND/OR LEG PAIN AT
    ANY POINT IN YOUR RECOVERY, GO TO THE EMERGENCY DEPARTMENT
    IMMEDIATELY (OR CALL 911) TO RULE OUT POSSIBLE BLOOD CLOT

Post-operative pain management will be escribed to the pharmacy on the day of surgery. Be sure to give an easily accessible pharmacy when registering at the facility. This will enable your caretaker to pick these prescriptions up while you are in surgery.
Norco – Hydrocodone/acetaminophen is a narcotic to relieve moderate to severe pain.
If your pain is mild, or if you do not like the effects of the narcotics, you can take Extra Strength Tylenol® (Acetaminophen) every 8 hours (which would be 2 tablets of the Extra Strength Tylenol®, purchased over the counter). Do not exceed 3000mg in a 24-hour period.
Narcotics are habit forming; therefore, we do not offer re-fills.
Flexeril – Muscle relaxer
Gabapentin – Nerve pain relief
Zofran/ Ondansetron – prevent and/or relieve nausea.
Antibiotic – prevent post-operative infection.

  • Take a stool softener with pain medication to prevent constipation.
  • DO NOT DRIVE WHILE TAKING PAIN MEDICATION.
  • DO NOT DRINK ALCOHOL WHILE TAKING PAIN MEDICATIONS.

Only take the pain medication if needed to manage pain.

IMPORTANT: DO NOT SIT ON YOUR BUTT FOR THREE WEEKS AFTER SURGERY
Sleep on your stomach or sides for 3 weeks
Sitting on your buttocks creates pressure that will compromise the circulation to the fat that was just transferred there. Not sitting on your buttock for this extended period will allow the fat transferred to regain its blood supply from the surrounding fat’s blood supply. You can purchase a “Booty Buddy” pillow (or one like it) if you must sit prior to three weeks (in the car on the way home). The Booty Buddy seat cushion works by supporting your thighs, which enables your butt to hang free when seated. You can purchase at http://thebootybuddy.com.

  • You may shower (NO BATH) 24-48 hours after surgery.
  • You may wash the surgical area with soap (any kind) and water (lukewarm, never hot). Do not use surgical soaps to wash the area as these are drying to the skin. Use regular soap.
  • Remove all your garments and dressings (except for steri-strips) when showering. When out of the shower, pat dry incisions and apply usual compression garments.
  • Make sure someone is with you for the first few showers.
  • A light diet is best after surgery. Begin by taking liquids slowly and progress to soups or Jell-O. You may start a regular diet the next day.
  • Though it is impossible to get rid of gas entirely, there are strategies to reduce it. Eat and drink slowly, chew thoroughly and cut down on carbonated drinks. Avoid sugar-free gums and sugar-free candies that contain sorbitol or zylitol – both sweeteners are poorly  digested and can result in bloating.
  • Stay on a soft diet, high in protein, for 2 – 3 days and avoid spicy food which can cause nausea and gas. Then you may resume a normal, high protein diet.
  • You will likely have dissolvable & non-dissolvable sutures. Non-dissolvable sutures will be removed 7-10 days after surgery depending on your healing progression.
  • Do not apply anything on your incisions for 3 weeks unless instructed to do so.
  • When appropriate you will be instructed how/when to do scar massage.
  • The compression garment is to be worn 24/7 for at least the first 4 weeks following surgery or as instructed by the doctor.
  • Wear the surgical binder/compression garment provided after surgery. Following drain removal (1-3 weeks), a new compression garment will be provided. Wearing compression garments as instructed is vital to optimal outcomes. The compression garment should feel like a firm hug, not too tight affecting blood circulation to the surgical areas. Please call the office if you have questions or concerns about your compression garment/s. If you want additional compression garments, our staff is happy to advise you.

Hint – If the compression binder irritates your skin, wearing a thin camisole under the
binder may help. Be sure there are no wrinkles in the shirt or binder, as this can cause
lasting wrinkles in the healing skin

  • No overheating for the first 4 weeks (No spas, hot baths, hot tubs, sun exposure, etc).
  • Generally, gentle sexual activity can resume about 4 weeks post op with doctor
    approval.
  • Mild cardio (walking) may resume about 4 weeks following surgery with doctor
    approval.
  • Do not lift anything heavier than 10 lbs for the first 4 weeks.
  • All other exercises (including squats or any activity that requires flexion at the hip) can
    generally, resume at 6-8 weeks with doctor approval.
  • No swimming 6-8 weeks with doctor approval.
  • Moderate swelling to the surgical area is to be expected. Swelling will be at its worst between 1-2 weeks. Swelling starts to subside at 6 weeks but may take 6-12 months to resolve. Listen to your body, swelling may indicate you are doing too much activity too soon.
  • Bruising is a normal expectation following surgery. Bruising could be apparent for as long as 3 – 4 weeks afterwards. The bruises will move down your body as they are absorbed.
  • It takes 6-12 MONTHS to achieve final results. In the interim, you may notice
    asymmetry and swelling that changes from day-to-day. Be patient with your body. Try not to focus on these issues before the 6-month period.
  • A burning sensation (raw, sensitive) or sharp shooting pains along the surgical areas and incision sites is normal and indicative of nerve regeneration. These “neuralgias” will burn out by 9 months.
  • Numbness will improve over 9-12 months.

Week 1 & 2:
General assessment of progress, inspection of incision sites. Potential drain removal if fluid output meets criteria. Post operative care instructions & education.
Week 3:
General assessment of progress, inspection of incision sites. Assess/removal of any remaining drains. Removal of tape & sutures. Post operative care instructions & education.
Week 5-8:
General assessment of progress, inspection of incision sites. Pulse dye laser treatment to scars.
Month 3 & 4:
Pulse dye laser treatment to scars.
5-6 month:
Final PDL treatment. Progress pictures.
9-12 month:
Final pictures. Review final results.

*This is the average plan for post-operative care. Actual post-operative course is patient-specific and may vary depending on your own individual healing and/or complications.

It is common for patients to undergo significant emotional “ups and downs” after any type of surgery. Factors such as underlying stress, medications, and/or psychological tendencies can result in patients experiencing a “post-operative depression” that generally resolves 3-4 weeks post-surgery. Having a partner, family member, or friend who is supportive can help with this process. Understanding & recognizing the stages of emotional “ups and downs” can help patients stay calm and recover from this emotional process faster

  • Phase 1: Being Out of It
    Swelling and discomfort is most severe over the first few days after surgery. Pain medications also, can make you disoriented and emotional.
  • Phase 2: Mood Swings
    Post-operative adjustment to a sudden change in appearance with much anticipation is part of the healing process. The presence of bruising, swelling, and asymmetries will distort a patient’s self-image. Mood swings (especially sadness), worry and depression are common emotions as a result. Recognizing these feelings as part of the process is important. Lean on your support
    group.
  • Phase 3: Being overly critical
    Week 2-3, patients are generally starting to feel a lot better. It is natural to be critical of your new body; worrying about symmetry, scars, etc…. This is too soon to assess your results. Most concerns are resolved during the healing process 6-12 months.
  • Phase 4: Happy at last
    At 4 – 6 months post op, patients generally start appreciating their new look and feeling much better overall.

Please call the office to schedule appointments, general questions/concerns (614)490-7500. We have an answering service after office hours/weekends to reach Dr Zochowski if necessary. You will also be provided with email information to contact the nurse with general questions or concerns. Please understand the nurse is seeing patients during the workday and will respond to emails as time allows.
Any questions regarding scheduling, rescheduling, or confirming appointments should be communicated with our front office staff/ patient coordinator 614-490-7500.

The most common emergencies that might need attention are:

  • Nausea that lasts 4 hours or more and does not respond to medication
  • Bleeding that is persistent and uncontrolled
  • High fever lasting more than a few hours and not responding to medication
  • Shortness of breath
  • Chest pain
  • Leg swelling
  • Loss of consciousness

During your procedure, lidocaine (an injectable numbing agent) is used. If you experience numbness around the mouth, tongue paresthesia, dizziness, blurred vision, ringing in your ears, a metallic taste in your mouth, restlessness, agitation, nervousness, or paranoia, these may be signs of lidocaine toxicity. If experiencing these symptoms, please call 911 or proceed to your nearest emergency room immediately