ADAM LOWENSTEIN, MD, FACS
Guidelines for thighplasty
Before your surgery
• Maintaining a well balanced diet will facilitate optimal healing. It’s also important to keep well hydrated
• Stop smoking at least 3 months before surgery. Nicotine reduces blood flow to the skin and can cause
significant complications during the healing process.
• Stop taking blood thinning medications, herbs, and supplements 10 days before surgery. Please refer to
• Schedule any pre-operative testing and medical clearance examinations required by Dr. Lowenstein. EKG
needs to be within 6 months and blood work within 2 weeks.
• Plan accordingly. Secure a responsible adult to drive you to and from surgery and remain with you for a
minimum of 24 hours. Plan to stay in a hotel in town if you are from out of town.
• Discuss with Dr. Lowenstein the amount of time needed off work and other restrictions such as driving,
• We will provide you with your prescriptions at your pre-operative appointment. Bring your prescribed
pain medication to the office day of surgery.
• You may find it helpful to have lozenges, crackers, soup and other comfort foods available for after
• Maintain optimal health and hygiene. A cold, virus, or other illness may require your surgery to be
rescheduled. Call the office if any illness or change in health status arises.
• Maintain proper skin care. This includes daily use of sunscreen or sunblock. Also, wash your thighs with
an antibacterial soap twice a day starting two days before surgery.
• Shower the night before and the morning of surgery using antibacterial soap. Do not apply any lotions, or
• You may not eat or drink anything after midnight, including candy, gum, and mints. Only take
medications cleared by Dr. Lowenstein.
• Wear loose-fitting, comfortable clothes that do not need to be pulled over your head and easy-to-slip-on
• Do not wear makeup, jewelry, contact lenses, or body piercing. If there is an item unable to be removed,
• It is very common to be nervous. Try to get adequate rest and avoid unnecessary stress. Call us if you are
experiencing serious stress or difficulty sleeping.
Certified by the American Board of Plastic Surgery
• Your anesthesia provider will call you the night before surgery and will also see you morning of surgery.
Morning of surgery you will also see Dr. Lowenstein’s nurse and Dr. Lowenstein. If you have any questions in the meantime, do not hesitate to call our office.
After your surgery
Immediately after surgery you can expect:
• Feeling drowsy following waking up from anesthesia.
• Sore throat.
• Swelling and bruising of your thighs. You may also experience a “tight” sensation. It will be tender to
• Usually temporary loss of sensation of the skin of your inner thighs.
• Moderate discomfort.
• You will have a compression garment.
• There will be small pieces of tape over the incisions, eliminating the need for any wound care.
Call the office at (805)969-9004 promptly if you are experiencing:
• Pain not controlled by the prescribed medication.
• Excessive or sudden swelling at one site.
• A temperature higher that 101 °F.
• Severe nausea and vomiting.
• Pain in calf, knee, groin or shortness of breath. • Continuous dizziness or unusual behavior.
• Any other questions or concerns.
Day of and day after surgery
• Rest, yet keep moving. Rest is important, although it is equally important to walk inside for 5-10 minutes
• Keep your legs elevated when resting.
• Take the pain medication, as directed, to address any discomfort. The period of greatest discomfort does
usually not last longer than 24-48 hours. If you experience consistent, sharp pain that is not relieved by the pain medication, call the office.
• Remember that your pain medication can constipate you, take measures to counteract that.
• Take other prescribed medications as directed.
• Check under the dressings every 2-3 hours and assess for excessive swelling.
• Drink plenty of fluids, 8 oz every couple of hours. Make sure to replenish electrolytes.
• Do not drink any alcohol.
• Do not do any heavy lifting.
• You may shower after your post-operative visit with Dr. Lowenstein day after surgery. Do not submerge
• Keep wearing provided compression garment day and night. • Stay nicotine free for three weeks after surgery, as nicotine can adversely affect your ability to heal.
2 to 7 days following surgery
During this time you can expect to slowly progress day by day.
• Dr. Lowenstein will advise you as to when you can begin to drive and return to work or a regular routine
• Continue a well-balanced diet with adequate hydration.
• Avoid exposure to sun and heat. • Continue to take prescribed medications as directed.
• Transition from prescribed pain medication to an over the counter alternative. Dr Lowenstein can guide
• Keep wearing provided compression garment day and night.
• Avoid exercise except for walking. Leisurely daily walks will help you feel better and prevent blood clots. • Make sure to get up and move every 30 minutes while awake.
• Continue no smoking and no alcohol.
• Continue not to take blood thinning medications. See provided list (Aspirin, Advil, Aleve etc).
1 to 4 weeks following surgery
Healing is a gradual process. It is normal to feel discouraged while waiting for swelling, bruising, discomfort, and numbness to diminish. Extra rest, a nutritious diet, and avoidance of stress are important aids to recovery. Once cleared by Dr. Lowenstein, you may take Aspirin, Advil, Aleve etc (see list) at this time.
• Maintain a well balanced diet, use of sun block, and rest.
• Tape over incisions will fall off 2-3 weeks after surgery.
• Keep wearing compression garment day and night.
• Once cleared through Dr. Lowenstein, you may begin to ease in to your workout routine.
• Continue to avoid exposure to sun and heat.
• Continue no smoking.
4 to 6 weeks following surgery
Overall swelling continues to subside and you will begin to settle in to your natural appearance. Tenderness, tightness, skin numbness, or bruising (if remaining) will continue to diminish.
• You may submerge your body in water, following complete healing of your incisions. • You can stop wearing your compression garment.
The first year
Continued refinements in the appearance of your thighs may take up to a year. Appearances continue to change with age. Just as other areas of your body may change with age, so can your thighs.
• Avoid direct sun exposure to scars the first year. • Call our office if you notice a stitch coming up like a bristle brush along your scar. If the area around the
stitch looks red and irritated, you may need antibiotics.
• Call our office if your scar becomes raised and/or ropy.
Please be sure to call us if you have any questions or concerns.
MEDICATIONS TO DISCONTINUE 10 DAYS PRIOR SURGERY THROUGH 7 DAYS AFTER
Please read the labels of any medications you are taking. If you are unsure whether or not you can take a particular,
please give the doctor or nurse the name of the medication. Please notify us of ANY and ALL medications you are
currently taking, including over the counter medicines. You must discontinue any herbal remedies and supplements.
The diet drug known as Phen-Fed is marketed under the following generic and brand names. If you are on any of these drugs please inform this office. You must be off these drugs for at least two weeks prior to surgery, or your surgery will be canceled.
Original Paper Received: November 14, 2001Accepted: December 25, 2001 Natural Plasmid Transformation in Escherichia coli Suh-Der Tsena Suh-Sen Fanga Mei-Jye Chena Jun-Yi ChienaaDepartment of Microbiology, Graduate Institute of Microbiology and Immunology, National Yang-Ming Universityand bTaipei American School, Taipei, Taiwan, ROC Key Words mids, a most frequent sequence was identified.
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