TWO WEEKS BEFORE SURGERY:
• Confirm surgery date with our office
• Arrange for a place to stay if you are not from the San Diego area
• You must have a companion for the first 24 hours after surgery. We must know their name and phone number.
• If you are over 40 years of age it is advisable to have an EKG, chest x-ray, and complete physical by your private physician at least some time during the preceding twelve months.
• Review the list of aspirin containing compounds and do not take any for at least two weeks prior to surgery.
• Try to stop smoking four weeks before surgery.

ONE WEEK BEFORE SURGERY:
• Be sure your lab tests are complete.
• Do not expose your face to the sun.
• Arrange for any facial treatments or hair coloring at this time.

DAY BEFORE SURGERY:
• Confirm time with our office.
• Shampoo hair for facial surgery.
• Wash face with special soaps.
• Take all medicines as prescribed.
• Nothing to eat or drink after midnight.

DAY OF SURGERY:
• Wash face well, brush teeth, no makeup on eyes or face.
• Wear a buttoned shirt and flat shoes. No pull over clothing or panty hose.
• Leave at home: contact lenses, jewelry, money, and handbags. We will not be responsible.
• Please be on time.
• Leave name, phone and location where you will be the evening following the surgery with the receptionist or nurse.
• We will discuss your post-operative care with your companion.
• Bring sunglasses.

AT HOME:
• Iced gauze pads are helpful continuously until night time and for up to 3 weeks after surgery.
• Oozing from the incisions is normal.
• Try to eat a light soft meal.
• Excessive bleeding, discoloration, swelling or fever over 101 degrees are not normal. Call the office.

NEXT MORNING:
• Check in with us for a progress report.
• Keep the compress on the eyes.
• Place ointment where instructed.
• Don't strain your eyes, but you can try to read.

FOLLOW-UP:
• On the second day the eyes will be more swollen and on eye may look different from the other. This is not uncommon.
• Sutures will be removed in a few days. Don't strain the eyes, the wounds could open.

POST-OPERATIVE CARE:
• Make-up and exercise can be resumed within 10-14 days.
• Alcohol and smoking will impede your healing.
• Tearing, burning, tightness, itching, puffiness, bumpiness are all normal and will disappear at different times in different patients.
• It is advisable to have a 3, 6, and a 12 month checkup
• If you are out in the sun, use a sun screen cover base to protect the skin.