Pre-Op Appointment

All the posts on this topic are compiled here for easy reference in case you missed any.

So somehow, my surgery is just two weeks from today! I knew when I scheduled it that the time was going to fly by, but I honestly didn’t expect it to go as fast as it has! I’m already into the two week pre-operative time frame, where I have to start taking certain precautions, stop taking certain medications, and focus on a high-protein diet. I can’t believe it’s so close!

Last Thursday, I had my pre-operative appointment at Ruff Plastic Surgery, which was my last appointment at the office before the surgery itself. The appointment was supposed to be about an hour, but it ended up being almost two because I had so many questions and everyone that I met with was so thorough.

The basic purpose of this appointment was to:

  1. Go over all my (many, many) questions
  2. Meet with the nurse and the doctor one more time before surgery day to go over the procedure
  3. Review my current medications (and over the counter supplements) to make sure they were OK to keep taking
  4. Get my pre-op photos taken
  5. Get all my prescriptions for post-surgery
  6. Get my blood work done
  7. Make final payment for the surgery

I got there a few minutes early, and waited in the waiting room with my nerves in full effect with my completed almost-60 page pre-op packet on my lap.

photo 1

After a few minutes, I was called back to meet with the nurse, Sharonda, who is amazing. She was the same nurse who was there for my consultation, and will be assisting in the surgery as well as my main point of contact for post-operative care (besides the surgeon himself). I found out during my appointment that she actually had the same procedure done, and that made me feel even more comfortable and confident than I already did.

photo

She was SO patient with me and didn’t mind addressing each and every one of my million questions, since it had been quite a while since my initial consultation and also because I’d seen two other plastic surgeons between. She went through all my paperwork with me, my list of current medications, and then everything I wanted to talk about. She also told me she will check in with me the Friday before my surgery and provide me with her cell phone number, so I can reach her at any time for questions.

Some of the main questions she addressed for me were:

  • What follow up appointments will I have after surgery? I’ll have an appointment the day after surgery with Dr. Ruff to check for any signs of complication/make sure everything looks good, then 1 week after the surgery I’ll return to the office to get the drains removed, then 2-3 weeks after the surgery I’ll have an appointment with Sharonda to go over scar treatment therapy and check on progress. I’ll have appointments with Dr. Ruff at the 6 week, 3 month, 6 month, and 1 year mark to check on progress and healing. The doctor and nurse will also be on call between those appointments for any questions or concerns that may come up.
  • How long do I have to wait to shower after surgery? Dr. Ruff will give me clearance, but it’s usually after the day-after surgery check in.
  • What type of activity restrictions will I have post surgery? She said it’s expected I’ll be walking outside as soon as day 2 post op, but not for exercise just to move around more than I would in my apartment. She returned to work one week post surgery, and said she was definitely moving a little slower and sitting down more, but she was ok. She said at the 3-4 week mark I should be able to return to some cardio (power walking/jogging), and at the 6 week mark I should be completely cleared for normal activity. This was actually less time than I was expecting to need to take off from these things, so I took it as good news.
  • What type of compression garment will I have and how long do I wear it for? I will wake up in a compression garment and they will also order a second one for me included in the price of surgery. It will be high-waisted all the way up to just under my chest, and then go all the way down to mid-thigh level. I’ll have to wear it 24 hours/day for the first 4 weeks after surgery, and then 12 hours on/12 hours off for the next 2 weeks to get my body ready to not need it. She said she recommends not wearing it during the day, and sleeping in it at night for the 12 hours on/12 hours off part.
  • What should I wear the day of surgery? Yoga pants or sweat pants with a button up or zip up top (nothing that goes over your head). I will wake up from surgery in my compression garment with these clothes back on over it.
  • What should I wear while I’m recovering? This surgery is obviously very traumatic to the body, so I should expect a good amount of swelling after the surgery. She said for the first week or so after surgery, it’s normal not to fit into your fitted clothes from pre-surgery. She recommended wearing a lot of loose fitting dresses (good thing I love these anyway and have several) once I’m heading out into public.

She also went over all my pre-op instructions. The main things I have to do are:

  • Stop taking birth control 2 weeks prior to surgery, as it can effect blood clotting.
  • Stop taking aspirin or ibuprofen 2 weeks before surgery, and only use Tylenol if needed.
  • Wash with an antibacterial soap (they recommend Dial) for one week prior to surgery to reduce the amount of bacteria on the skin as much as possible.
  • Take Arnica tablets (a homeopathic medicine) for one week prior to surgery to help minimize post operative swelling, pain and bruising.
  • No drinking alcohol for one week prior to surgery.
  • Start taking Colace (stool softener) for 2 days prior to surgery, to hopefully combat the side effects of the post-op pain killers.
  • Fill all my prescriptions (antibiotics, anti-nausea, and pain killers) and get my house ready (cleaned, fridge stocked, supplies, etc).

After we went through all the paperwork, my questions, and her instructions, she left the room and I got undressed and back into a gown to get ready for the final exam.

photo 2

Dr. Ruff came back in with Sharonda once I was changed and asked me if I had any other questions for him, which of course I did. The main things I asked were:

  • Where exactly will my incision be located? He said it will be hip to hip, and lay very low just above the pubic area. He said if I have a string bikini or low cut underwear I’d like to bring in (which I don’t), I can bring it in on the day of surgery and they can mark me up to have the incisions hidden by that piece of clothing.
  • Where will the drains be located? I’ll have two drains, and they will be located just under the incision line in the pubic area towards either side.
  • What will the incision closure be like? Very precise (I loved that that was his first answer). There will be several layers of dissolvable sutures which will heal from the surface down over time. The surface stitches on the incision will be covered with steri strips (basically clear/white surgical tape) that should stay on for about 2 weeks or until they fall off on their own. After those come off is when I’ll meet with Sharonda again (at the 2-3 week post-op mark) to discuss scar treatment therapy.
  • How much skin/fat does he expect to remove? He won’t know until he gets in there, but if he had to guess he would estimate around 10 pounds (!!).

After going over all the questions, he did an exam and talked about his exact approach with the procedure and the results I should expect. He showed me on my body where I should expect the incision to be and how things will look after surgery. His mannerisms, professionalism, and caring personality made me so sure in my decision to go with Dr. Ruff. He was very thorough and patient, and made me feel SO good about the surgery, his ability and the results I should expect.

After I was done with the Dr. Ruff portion of the program, we got to the super scary part – the pre-op photos.

photo 5

I was completely naked for these, and they were taken from every angle – straight on, from the back, from each side, and at an angle facing each direction. They were taken with the machine pictured above that apparently produces 3D photos that will be up on the big screen (oh joy) during surgery. I was assured these photos would only be shared with the doctor, my nurse, and the surgical team. Phew!

After that, I was taken back into the room where I asked all the questions to get some pre-operative blood work done by Sharonda. Then I asked to see the room where the surgery will be performed, since it’s done onsite at the doctors surgical center rather than in a hospital. The surgical room is very nice, clean, and high-tech, and I was also shown the recovery area where I will be waking up from anesthesia. It was kind of crazy to see the room and know that the next time I’m in there, I will be on the operating table with all my stats up on the patient board (and those glamorous full body shots on display).

After the surgical center tour, I met with Michelle, the surgical coordinator. She and I went over a few final things, and then I made the payment for the surgery and the anesthesia. The anesthesia is a separate fee, and it may actually be higher than what I paid if the surgery needs to go longer than initially anticipated (4.5 hours) but we’ll cross that bridge after surgery. I paid for the bulk of the surgery itself using Care Credit (but the anesthesiologist does not take it), which is a credit service reserved for medical/dental procedures, where certain doctors offices have low or no-rate interest agreements. Dr. Ruff’s office has a 12 month 0% APR agreement, so if I pay off what I charged in 12 months (which is my goal), there will be 0 interest. Basically it’s like a free loan so I can get the surgery done sooner and not have to dip into my savings more than I already am.

After all that, I left the office feeling SO excited and like the surgery is really happening (because, well, it is). It’s crazy to think that the next time I go back there will be at 6:30am on July 29, the day of the surgery itself! I know I’ll experience a rollercoaster of emotions between now and then, but for right now I’m going to enjoy riding high and the excitement and anticipation I feel.

Some other random things of note:

  • I am planning to take 2 weeks off from work, but may return to working from home during the second week if I feel up for it. I’ve shared with my work the truth about what I am doing, and they are very supportive and flexible, which is amazing. I am obviously prioritizing my health here, so if it turns out I need more than 2 weeks I will make that work/possibly work from home for longer.
  • My mom and dad are coming next weekend (two days before surgery) and staying Saturday/Sunday night to help me get ready and spend some QT with me before I go under the knife. My dad is going to stay until I’m out of surgery and back in my apartment, and then my mom is staying with me for the entire week to help take care of me post-surgery. It’s such a blessing she is able to do that for me because I can’t think of anyone I’d rather have with me as I recover (slash anyone else who will put up with me). After my mom leaves, my good friend Kate (who happens to be an ER nurse) is going to step in to help for a couple days and assist me with getting back to Dr. Ruff’s office to get my drains removed, anything else I need help with, and also just to keep me company. And then of course my girlfriends and boyfriend will stop by to check in and help as needed, but that’s the main post-op care situation I have set up.
  • A lot of people recommend getting a recliner or hospital bed to use during recovery from surgery, but I am just going to use my regular bed. I live in a super small apartment so it would be tough to have one of those things added, and the doctor also told me I absolutely don’t need one. I have to sleep with my upper body and legs elevated, so I am getting a reading/husband pillow for my upper body and borrowing a wedge pillow from my mom for under my legs, and will just use lots of pillows around me in bed to make sure I stay in the right position for the first couple days after surgery.
  • The only supplies I need to get for recovery are the reading pillow mentioned above, a shower chair (because apparently taking a shower post surgery feels like running a marathon in terms of exhaustion), Arnica, Tylenol, Colace, and bendy straws (to help with drinking lots of fluids). I plan to thoroughly clean my apartment, have a well stocked fridge with easy protein-heavy snacks and meals, and get lots of magazines/reading material to keep me occupied post surgery outside of the TV.



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28 Comments on Pre-Op Appointment

  1. Dana W.
    July 15, 2013 at 8:56 am (9 months ago)

    Good luck! It’s great you’re asking so many questions. You might want to check with your doctor about taking high doses of vitamin C as well leading up the surgery. My dad had shoulder replacements – the right shoulder about 2 years after the left. He took 1,000mg of vitamin C for about a week before and after the second replacement and found recovery to be a lot faster and less painful. Maybe it’s completely unrelated, but it’s just vitamin C, can’t hurt, right?

    Reply
    • Beth
      July 15, 2013 at 9:35 am (9 months ago)

      Hey Dana! I forgot to include that I also have to take a multivitamin every day for at least 2 weeks before surgery. I tend to be really inconsistent about taking one in my regular life, but now that I am being mindful of it for the surgery, I’m hoping it’s a habit that will stick! The one I’m taking is Trader Joe’s Women’s Once Daily, and it has 200% (120mg) vitamin C in each pill. I figure that supplemented with the nutrients from my regular diet should (hopefully) be enough! Thanks for the tip!

      Reply
  2. Christine
    July 15, 2013 at 9:15 am (9 months ago)

    I’m so proud of you! Good luck!!!

    Reply
    • Beth
      July 15, 2013 at 9:31 am (9 months ago)

      Aww thank you!

      Reply
    • Beth
      July 15, 2013 at 9:31 am (9 months ago)

      Thank you! :)

      Reply
  3. Linda
    July 15, 2013 at 9:46 am (9 months ago)

    Good luck! You won’t regret it!

    Reply
    • Beth
      July 15, 2013 at 10:12 am (9 months ago)

      Thanks Linda! I don’t think, so either. :)

      Reply
  4. Kimberly
    July 15, 2013 at 10:19 am (9 months ago)

    Good luck! I’m so excited to see you take this step, and I am thankful you are so open about the procedure.

    Reply
    • Beth
      July 15, 2013 at 3:19 pm (9 months ago)

      Thanks Kimberly! It’s kind of refreshing to be able to share it all, and I’m excited to be able to show a totally honest, upfront account of the process.

      Reply
  5. Jen, a priorfatgirl
    July 15, 2013 at 10:29 am (9 months ago)

    Thanks for sharing this with everyone! You know I had this 1.5 years ago but it’s still so interesting to read and hear about YOUR experience!

    Reply
    • Beth
      July 15, 2013 at 3:13 pm (9 months ago)

      I’ve read all of your posts on the topic again and again. I just want it to be here already!!

      Reply
  6. cindysleepspinresearch
    July 15, 2013 at 12:25 pm (9 months ago)

    You seem very well prepared. I wish I had known a few of those things before I had my breast reduction (almost 3 years ago!). I was back to work 2 days later, so I had no downtime at all and it was hard at first.

    Good luck! I look forward to reading about your continued journey. :)

    Reply
    • Beth
      July 15, 2013 at 3:13 pm (9 months ago)

      2 days!?! WOW. I am such a baby, I would die. haha.

      Reply
  7. Rebecca
    July 15, 2013 at 2:19 pm (9 months ago)

    I just helped my aunt after she had a tummy tuck surgery. I don’t want to scare you, but you’re probably going to need help for more than just a couple days. You’re supposed to move very slowly when you do move around and even then you’re only really supposed to get up to go to the bathroom. It was incredibly painful for her to get up and I had to assist her each time. I also had to help her with just about everything, getting her food and drinks, bringing her things, emptying her drains and recording the output, etc. She had to sleep in a reclining position – you’re not supposed to lie down flat or stand up straight for at least several days. A sit-up pillow would probably work well for you. So she had to sleep in a recliner and walk around hunched over. Her recovery was not quick or easy. She is in shape but also twice your age. Hopefully you will bounce back more quickly. Just remember to take everything slow and don’t be afraid to ask for help. Also, cleaning the drains is pretty gross.

    Reply
    • Beth
      July 15, 2013 at 2:41 pm (9 months ago)

      Hi Rebecca! Thanks so much for your comment – you’re not scaring me at all. I’ve read all about the good, the bad, and the ugly for this surgery, and will have my mom with me for a full week after the procedure, and then my ER nurse friend for 3 days, so it’s a total of 10 days post surgery that I’ll have full-time assistance. I am not quite 30 and in really good shape, so I’m hoping I do bounce back quickly, but I understand things don’t always go as we hope they do so I’m trying to be realistic, too! I got a husband pillow (reading pillow) and then a wedge for under my legs – and made sure to clear that all with the doctor. He actually seems more optimistic than me with the recovery – saying that I could go back to work as soon as one week after – but I’m playing it cautiously and not planning to return for at least 2 weeks. I’ve read all about the drain cleaning and am expecting that to be my least favorite part of this whole thing… haha.

      Reply
  8. brenda
    July 15, 2013 at 5:21 pm (9 months ago)

    This is so exciting!!! Sending warm, positive and loving vibes from California for a speedy recovery! Can’t WAIT to see/hear about the results, which I’m sure will be AH-MAZING!!

    Oh and by the way….screeeech….wait, what? boyfriend? did I miss that blog?? :)

    Reply
    • kath617
      July 15, 2013 at 6:11 pm (9 months ago)

      Haha! I missed that too. I used the “find” key to see where she wrote boyfriend. I have never commented on your blog but I enjoy reading about your experiences. I don’t have any tips for you as I never had plastic surgery but good luck!

      Reply
    • Beth
      July 15, 2013 at 8:12 pm (9 months ago)

      Haha totally tried to slip that in but you caught me! :) haven’t really made an “announcement” about it because I’m too awkward to.

      Reply
  9. Grace L
    July 16, 2013 at 2:04 am (9 months ago)

    Beth, you know I’ll be thinking about you! You’ll do fine! The first 2 days are the hardest, and most people say theyfeel normal again at 7-10 days, even though full recovery takes 6 weeks. You’re going to looooooove the result! I’m so excited for you! Don’t forget – you can’t have enough pillows :)

    Reply
  10. Felicity
    July 16, 2013 at 1:53 pm (9 months ago)

    Sending good vibes your way. Good luck and thank you for sharing this with us.

    Reply
  11. Nina Wassel
    July 16, 2013 at 4:32 pm (9 months ago)

    I’m so excited for you,. I had lipo surgery a few years ago and I remember the compression garment. It went above the waist and down to my ankles. I couldn’t wait to get it off, but I would definitely do it all again. So worth it. I think you will do fine and I love reading your updates. Can’t wait to see the results. Good luck!!!

    Reply
  12. Holly
    July 16, 2013 at 8:54 pm (9 months ago)

    I’ve found your pre-op appointment posts very interesting. Thanks for sharing all of this information! I’m hoping to eventually have a breast reduction/lift one day, but am waiting until I am done having children (hopefully within the next few years.) Best of luck in your recover period!

    Reply
  13. Allie B.
    July 26, 2013 at 12:30 pm (9 months ago)

    What a courageous post! Thank you for sharing your experiences in selecting your surgeon and preparing for the big day. Wishing you the quickest and smoothest recovery possible!

    Reply
    • Beth
      July 26, 2013 at 2:44 pm (9 months ago)

      Thank you Allie!!

      Reply
      • Linda
        July 26, 2013 at 4:23 pm (9 months ago)

        Beth, get little cups of apple sauce and have a few spoonfuls before and after pain meds, to coat your stomachs.

        Linda

        Reply
  14. Laura
    July 26, 2013 at 1:47 pm (9 months ago)

    If you have one of those plastic lawn chairs it can double as a shower chair! My husband had back surgery and the hospital made that suggestion. We still had to buy one but it was cheaper than a shower one, plus it was still usable for outside when he was better!

    Reply
    • Beth
      July 26, 2013 at 2:15 pm (9 months ago)

      That is a really good idea, EXCEPT my shower is so narrow that it probably wouldn’t work. I live in a teeny tiny apartment so space is always a challenge. I found one on amazon for 20-25$ that was super easy to set up and actually fits, so I am all set with that. It is definitely weird having a shower chair though!

      Reply

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