BILATERAL AUGMENTATION MAMMAPLASTY
1. Please take all medications as directed.
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact.
4. Please sleep on your back rather than on your side as this will be more comfortable.
5. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
6. Please rest for the first few days after your operation.
7. Notify us if there is excessive pain, swelling, or bleeding from the breast.
8. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact.
4. Please sleep on your back rather than on your side as this will be more comfortable.
5. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
6. Please rest for the first few days after your operation.
7. Notify us if there is excessive pain, swelling, or bleeding from the breast.
8. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
CORRECTION OF GYNAECOMASTIA
1. Please take all medications as directed.
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact.
4. Try not to disturb the drain, and pin to clothing as instructed. This will be removed in 24 – 48 hours.
5. Please sleep on your back rather than on your side as this will be more comfortable.
6. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
7. Please rest for the first few days after your operation.
8. Notify us if there is excessive pain, swelling, or bleeding from the breast.
9. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact.
4. Try not to disturb the drain, and pin to clothing as instructed. This will be removed in 24 – 48 hours.
5. Please sleep on your back rather than on your side as this will be more comfortable.
6. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
7. Please rest for the first few days after your operation.
8. Notify us if there is excessive pain, swelling, or bleeding from the breast.
9. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
CORRECTION OF PROMINENT EARS
1. Keep crepe bandage dry and intact.
2. Sleep with head elevated on 2 – 3 pillows. Lie on your back rather than your side.
3. For pain take oral Panadol, 1 – 2 tablets four hourly, or other medication as directed.
4. Please rest for 48 hours.
5. Please make an appointment to see Dr. Knox as advised.
Possible adverse reactions and drug interactions
Panadol (Paracetamol): (Rare) Stomach upset, nausea, rash [see below]
NB: Paracetamol may be used to treat pain, or temperatures over 38oC. It is not to be used for mild fever, gastroenteritis or as a sedative.
Oral Paracetamol dosage recommendations for children up to puberty:
Follow dosage instructions on the packet. In all cases, Paracetamol should not be administered to children up to puberty for more than 48 hours without medical review.
Oral Paracetamol dosage recommendations for adults and children after puberty:
Use Paracetamol 4 to 6 hourly, with a maximum of 6 tablets daily, and for no more than 48 – 36 hours for patients of normal or average build. If pain persists seek medical advice before continuing.
All patients taking Paracetamol for extended periods should be aware of the Paracetamol content in over the counter and prescription products that they are taking as there could be an increased risk of liver problems.
Download these instructions in pdf format
2. Sleep with head elevated on 2 – 3 pillows. Lie on your back rather than your side.
3. For pain take oral Panadol, 1 – 2 tablets four hourly, or other medication as directed.
4. Please rest for 48 hours.
5. Please make an appointment to see Dr. Knox as advised.
Possible adverse reactions and drug interactions
Panadol (Paracetamol): (Rare) Stomach upset, nausea, rash [see below]
NB: Paracetamol may be used to treat pain, or temperatures over 38oC. It is not to be used for mild fever, gastroenteritis or as a sedative.
Oral Paracetamol dosage recommendations for children up to puberty:
Follow dosage instructions on the packet. In all cases, Paracetamol should not be administered to children up to puberty for more than 48 hours without medical review.
Oral Paracetamol dosage recommendations for adults and children after puberty:
Use Paracetamol 4 to 6 hourly, with a maximum of 6 tablets daily, and for no more than 48 – 36 hours for patients of normal or average build. If pain persists seek medical advice before continuing.
All patients taking Paracetamol for extended periods should be aware of the Paracetamol content in over the counter and prescription products that they are taking as there could be an increased risk of liver problems.
Download these instructions in pdf format
EYELID REDUCTION
1. Sleep on 2 or 3 pillows to keep the head elevated. This will reduce swelling.
2. Moisten gauze with saline and place on your eyelids as tolerated. This is soothing and reduces discomfort.
3. If there is severe pain or visual impairment contact us immediately – this would be an extremely unlikely occurrence.
• For lubrication of the eyes:
Day: “Tears Plus” (optional)
Night: “Visco-Tears Gel”
Should you experience any difficulty looking after the wound or there are problems with the wound itself, please contact Dr. Knox’s office on 9553 9188.
Possible adverse reactions and drug interactions
Tears Plus: Stinging and burning
Visco-Tears Gel: Mild transient burning, sticky eyelids, blurred vision
If you encounter any adverse reaction/s to any of your medications, cease the medication and contact your Surgeon for further advice.
Download these instructions in pdf format
2. Moisten gauze with saline and place on your eyelids as tolerated. This is soothing and reduces discomfort.
3. If there is severe pain or visual impairment contact us immediately – this would be an extremely unlikely occurrence.
• For lubrication of the eyes:
Day: “Tears Plus” (optional)
Night: “Visco-Tears Gel”
Should you experience any difficulty looking after the wound or there are problems with the wound itself, please contact Dr. Knox’s office on 9553 9188.
Possible adverse reactions and drug interactions
Tears Plus: Stinging and burning
Visco-Tears Gel: Mild transient burning, sticky eyelids, blurred vision
If you encounter any adverse reaction/s to any of your medications, cease the medication and contact your Surgeon for further advice.
Download these instructions in pdf format
FACELIFT
1. Take all medications as directed on medication chart.
2. Sleep on 2 or 3 pillows to keep the head elevated. This will reduce swelling.
3. Avoid bending down. Keep your head elevated at all times.
4. Apply ice packs to the face as much as possible for the first 48 hours, eg. for 20 minutes every 1 – 2 hours.
5. REST ONLY. Do no exercise. Keep cool.
6. Expect some swelling of the face. A small amount of blood ooze through the bandage can also be expected.
Further instructions will be given when we remove the dressings in two days. Please bring a scarf with you to this appointment.
7. Keep the dressing on and dry; maintain sling at all times.
8. Avoid extremes of neck movement.
9. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. Sleep on 2 or 3 pillows to keep the head elevated. This will reduce swelling.
3. Avoid bending down. Keep your head elevated at all times.
4. Apply ice packs to the face as much as possible for the first 48 hours, eg. for 20 minutes every 1 – 2 hours.
5. REST ONLY. Do no exercise. Keep cool.
6. Expect some swelling of the face. A small amount of blood ooze through the bandage can also be expected.
Further instructions will be given when we remove the dressings in two days. Please bring a scarf with you to this appointment.
7. Keep the dressing on and dry; maintain sling at all times.
8. Avoid extremes of neck movement.
9. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
HAND OPERATION
1. Keep the dressing dry and intact until you see Dr. Knox.
2. Keep your hand elevated in a sling at shoulder level.
3. Take your hand out of the sling several times a day to exercise the elbow and shoulder by raising your arm several times to avoid stiffness.
4. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. Keep your hand elevated in a sling at shoulder level.
3. Take your hand out of the sling several times a day to exercise the elbow and shoulder by raising your arm several times to avoid stiffness.
4. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
RHINOPLASTY
1. DO NOT TAKE ASPIRIN.
2. Please take all medications directed.
3. Change “dribbler” pad under the nose when it becomes moist with blood. REMEMBER, YOU HAVE TO BREATHE THROUGH YOUR MOUTH.
4. Lie and sleep with your head elevated on three pillows.
5. Apply ice packs to your forehead, and cold moist packs to your eyes, regularly: especially for the first 48 hours, eg. for 20 minutes every 1 – 2 hours. No pressure to the nose or splint.
6. Apply Vaseline on the stitches at the base of the nose (if present) two times per day.
7. Avoid bending down. Keep your head up at all times.
8. Don’t get hot with exercise, hot showers etc as this may cause bleeding.
9. Don’t blow your nose or sneeze.
10. If you have excessive bleeding (other than spotting), persistent headache, or a temperature above 38°, please let Dr. Knox know.
11. Packs in the nose (if present) are usually removed 2 days after surgery. Clean 1⁄2 – 1 cm inside the nostrils with a moist cotton bud, and after this apply a thin layer of Vaseline inside the nostrils with a separate cotton bud.
12. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. Please take all medications directed.
3. Change “dribbler” pad under the nose when it becomes moist with blood. REMEMBER, YOU HAVE TO BREATHE THROUGH YOUR MOUTH.
4. Lie and sleep with your head elevated on three pillows.
5. Apply ice packs to your forehead, and cold moist packs to your eyes, regularly: especially for the first 48 hours, eg. for 20 minutes every 1 – 2 hours. No pressure to the nose or splint.
6. Apply Vaseline on the stitches at the base of the nose (if present) two times per day.
7. Avoid bending down. Keep your head up at all times.
8. Don’t get hot with exercise, hot showers etc as this may cause bleeding.
9. Don’t blow your nose or sneeze.
10. If you have excessive bleeding (other than spotting), persistent headache, or a temperature above 38°, please let Dr. Knox know.
11. Packs in the nose (if present) are usually removed 2 days after surgery. Clean 1⁄2 – 1 cm inside the nostrils with a moist cotton bud, and after this apply a thin layer of Vaseline inside the nostrils with a separate cotton bud.
12. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
SIMPLE SUTURE LINES & SKIN FLAPS
Generally speaking the site of operation will be covered by a light cotton gauze and secured with some light-weight paper tape. This should be left untouched for 24 hours, after which time the gauze can be removed and the sutures exposed.
After 24 hours it is safe to shower on your wound but be careful to pat it completely dry at the end of your shower. Avoid fully immersing any wounds at this early stage (ie baths, swimming pools, saunas etc).
If you wish to cover the wound with a replacement gauze and tape, you will not cause any problems and you may wish to do so for cosmetic reasons. However, it will not make any difference to the wound whether it is covered or left open at this stage.
Please check with the nursing staff prior to your discharge that arrangements have been made for a follow up appointment in Dr. Knox’s rooms.
If you have had surgery on the nose then you should avoid wearing glasses for 3 days post operatively.
Smoking can irreversibly damage skin flaps and grafts and should be avoided for 3 weeks post operatively.
Should you experience any difficulty looking after the wound or have problems with the wound itself, please contact the rooms on 9553 9188.
Download these instructions in pdf format
After 24 hours it is safe to shower on your wound but be careful to pat it completely dry at the end of your shower. Avoid fully immersing any wounds at this early stage (ie baths, swimming pools, saunas etc).
If you wish to cover the wound with a replacement gauze and tape, you will not cause any problems and you may wish to do so for cosmetic reasons. However, it will not make any difference to the wound whether it is covered or left open at this stage.
Please check with the nursing staff prior to your discharge that arrangements have been made for a follow up appointment in Dr. Knox’s rooms.
If you have had surgery on the nose then you should avoid wearing glasses for 3 days post operatively.
Smoking can irreversibly damage skin flaps and grafts and should be avoided for 3 weeks post operatively.
Should you experience any difficulty looking after the wound or have problems with the wound itself, please contact the rooms on 9553 9188.
Download these instructions in pdf format
SKIN GRAFTS ON THE FACE
The grafted area will usually have a light gauze held on with some light paper tape. This could be removed after 24 hours. Underneath this layer is generally a small piece of sponge rubber which has been sutured on top of the graft to protect and secure it. This should be left alone and kept dry until your next appointment in Dr. Knox’s office.
Please check with the nursing staff prior to your discharge that arrangements have been made for a follow up appointment in Dr. Knox’s rooms.
Smoking can irreversibly damage skin flaps and grafts and should be avoided for 3 weeks post operatively.
In many instances the skin for a skin graft on the head and neck will have been taken from behind one or other ear, and looking after this area is simple. If a head bandage has been applied you should remove this on the day after your surgery.
Beneath that bandage there is usually a piece of light cotton gauze which should be left alone and kept dry until your next appointment. If you are having problems with either the grafted area or the donor site for the graft, please contact Dr. Knox’s office on 9553 9188.
Download these instructions in pdf format
Please check with the nursing staff prior to your discharge that arrangements have been made for a follow up appointment in Dr. Knox’s rooms.
Smoking can irreversibly damage skin flaps and grafts and should be avoided for 3 weeks post operatively.
In many instances the skin for a skin graft on the head and neck will have been taken from behind one or other ear, and looking after this area is simple. If a head bandage has been applied you should remove this on the day after your surgery.
Beneath that bandage there is usually a piece of light cotton gauze which should be left alone and kept dry until your next appointment. If you are having problems with either the grafted area or the donor site for the graft, please contact Dr. Knox’s office on 9553 9188.
Download these instructions in pdf format
SKIN REDUCTION MAMMAPLASTY
1. Please take all medications as directed.
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact for 24 hours. After 24 hours you can shower. Remain in the surgical bra unless showering.
4. Please sleep on your back rather than on your side as this will be more comfortable.
5. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
6. Please rest for the first few days after your operation.
7. Notify us if there is excessive pain, swelling, or bleeding from the breast.
8. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. DO NOT TAKE ASPIRIN.
3. Keep the dressing dry and intact for 24 hours. After 24 hours you can shower. Remain in the surgical bra unless showering.
4. Please sleep on your back rather than on your side as this will be more comfortable.
5. Please restrict your arm movements, and for the first few days try to keep your elbows down at your sides.
6. Please rest for the first few days after your operation.
7. Notify us if there is excessive pain, swelling, or bleeding from the breast.
8. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
SUCTION LIPECTOMY ABDOMEN
1. Please take all medications as directed.
2. The abdominal binder dressing may be adjusted for comfort. It is often necessary to undo it and put it on lower down as it tends to ride up.
Three days after the operation you may temporarily remove the binder and cotton wool. Do not remove the white steri-strips across the wound(s). You can now shower, and after gently drying the area replace the cotton wool and binder. This can now be done on a daily basis until returning to see your doctor.
4. Please rest for the first few days after your operation. You may walk around, but do not engage in any strenuous exercise.
5. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
2. The abdominal binder dressing may be adjusted for comfort. It is often necessary to undo it and put it on lower down as it tends to ride up.
Three days after the operation you may temporarily remove the binder and cotton wool. Do not remove the white steri-strips across the wound(s). You can now shower, and after gently drying the area replace the cotton wool and binder. This can now be done on a daily basis until returning to see your doctor.
4. Please rest for the first few days after your operation. You may walk around, but do not engage in any strenuous exercise.
5. Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
SUCTION LIPECTOMY THIGHS
1. Please take all medications as directed.
2. At the end of the operation a quite firm elasticised garment would have been put on, and this extends from generally the waist area to just below the knees, occasionally it goes down lower.
The small wounds underneath are covered with cutifilm. Occasionally, you may experience a small amount of bleeding from these areas, and if this is the case a small pad or gauze can be placed underneath the garment over the wound. If it is only quite a small ooze then one can simply leave it be. It is quite unusual to get very large amounts of oozing from this.
Please leave the garment in place for at least the first three days after the operation. If it is tight around the abdomen or other areas you can temporarily undo the zipper for some minutes then do it up again.
You may find it more convenient to shower in the garment for the first week. Use a hairdryer to dry the garment. This will save you the trouble and discomfort of getting in and out of the garment.
If you take the garment off to shower (after three days) leave the cutifilm on the wounds. Replace if they fall off.
At this time you can also wash the garment. Whilst this is drying it is best to wear firm clothing, such as lycra tights or bicycle shorts, or very firm pantihose.
3. Please rest for the first few days after your operation. You may walk around, but do not engage in any strenuous exercise.
4. Please make an appointment to see Dr. Knox as advised.
COMPRESSION GARMENT CARE INSTRUCTIONS
• Use cold/cool water only
• Use gentle soap
• Hand wash
• Do not bleach
• Do not use fabric softener
• Do not place in dryer
• Do not dry clean
• Do not iron
Download these instructions in pdf format
2. At the end of the operation a quite firm elasticised garment would have been put on, and this extends from generally the waist area to just below the knees, occasionally it goes down lower.
The small wounds underneath are covered with cutifilm. Occasionally, you may experience a small amount of bleeding from these areas, and if this is the case a small pad or gauze can be placed underneath the garment over the wound. If it is only quite a small ooze then one can simply leave it be. It is quite unusual to get very large amounts of oozing from this.
Please leave the garment in place for at least the first three days after the operation. If it is tight around the abdomen or other areas you can temporarily undo the zipper for some minutes then do it up again.
You may find it more convenient to shower in the garment for the first week. Use a hairdryer to dry the garment. This will save you the trouble and discomfort of getting in and out of the garment.
If you take the garment off to shower (after three days) leave the cutifilm on the wounds. Replace if they fall off.
At this time you can also wash the garment. Whilst this is drying it is best to wear firm clothing, such as lycra tights or bicycle shorts, or very firm pantihose.
3. Please rest for the first few days after your operation. You may walk around, but do not engage in any strenuous exercise.
4. Please make an appointment to see Dr. Knox as advised.
COMPRESSION GARMENT CARE INSTRUCTIONS
• Use cold/cool water only
• Use gentle soap
• Hand wash
• Do not bleach
• Do not use fabric softener
• Do not place in dryer
• Do not dry clean
• Do not iron
Download these instructions in pdf format
WOUND CARE
Please follow the instructions below as marked:
1. • Leave dressing(s) dry and intact for
• After this time you may remove the outer dressing but leave the clear dressing.
• You can now shower but don’t rub the wound vigorously. Gently pat dry.
• If you have excessive bleeding, apply DIRECT PRESSURE FOR 10 MINUTES. If necessary,
the dressing(s) may be replaced with a similar type. If bleeding persists, ring our
rooms or your GP.
• DO NOT shave or apply make-up over the sutures.
• If there is excessive redness, irritation, or any signs of possible infection ring our rooms.
If you can’t contact the rooms call the after hours number above or see your GP.
• If required, pain medication may be taken (not Aspirin).
• If your wound is on your arm, leg or head keep the area elevated for the first 2 days,
and whenever possible until the wound is completely healed.
• No swimming or exercise until you have seen and been advised by Dr. Knox.
2. • Keep jelonet on for 2 – 3 days.
• Apply vaseline over surface of jelonet.
• After 2 – 3 days remove jelonet and apply vaseline to the wound.
3. • Leave dressing(s) dry and intact until seen by your Surgeon.
• If you have excessive bleeding, apply DIRECT PRESSURE FOR 10 MINUTES. If bleeding
persists, ring Dr. Knox on 9553 9188.
• If there is excessive redness, irritation, or any signs of possible infection ring Dr. Knox.
• If required, pain medication may be taken (not Aspirin).
• If your wound is on your arm, leg or head keep that limb elevated for the first 2 days,
and whenever possible until the wound is completely healed.
• Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
1. • Leave dressing(s) dry and intact for
• After this time you may remove the outer dressing but leave the clear dressing.
• You can now shower but don’t rub the wound vigorously. Gently pat dry.
• If you have excessive bleeding, apply DIRECT PRESSURE FOR 10 MINUTES. If necessary,
the dressing(s) may be replaced with a similar type. If bleeding persists, ring our
rooms or your GP.
• DO NOT shave or apply make-up over the sutures.
• If there is excessive redness, irritation, or any signs of possible infection ring our rooms.
If you can’t contact the rooms call the after hours number above or see your GP.
• If required, pain medication may be taken (not Aspirin).
• If your wound is on your arm, leg or head keep the area elevated for the first 2 days,
and whenever possible until the wound is completely healed.
• No swimming or exercise until you have seen and been advised by Dr. Knox.
2. • Keep jelonet on for 2 – 3 days.
• Apply vaseline over surface of jelonet.
• After 2 – 3 days remove jelonet and apply vaseline to the wound.
3. • Leave dressing(s) dry and intact until seen by your Surgeon.
• If you have excessive bleeding, apply DIRECT PRESSURE FOR 10 MINUTES. If bleeding
persists, ring Dr. Knox on 9553 9188.
• If there is excessive redness, irritation, or any signs of possible infection ring Dr. Knox.
• If required, pain medication may be taken (not Aspirin).
• If your wound is on your arm, leg or head keep that limb elevated for the first 2 days,
and whenever possible until the wound is completely healed.
• Please make an appointment to see Dr. Knox as advised.
Download these instructions in pdf format
