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The Process

Your Consultation

If you’re coming to Hunstad/Kortesis/Bharti Cosmetic Surgery for the first time, plan to spend about an hour at the office.We place a high priority on ensuring you have the undivided attention of our board-certified surgeons during your consultation. Every patient gets the focused attention needed to develop a customized plan that will best achieve your specific goals. During your consultation, we will take answer all of your questions to ensure you have a full understanding of what you can expect before, during, and after the procedure. For face and breast surgeries, we can provide Vectra 3D Imaging to give you an idea how you will look after your procedure. You will be able to access these images, as well as all of your pre and post operative photos on your personal TouchMD account.

We want you to leave your consultation feeling fully informed and excited about the journey ahead.

Request a consultation now.

You can accelerate your check in process by downloading, printing and completing the forms below before your first visit to our office. Complete these by hand or message us on Klara to complete electronically. Patient Forms can be found here.

Preparing for Surgery

In an effort to prepare you for your upcoming procedure, we’ve created a list of general pre-operative and post-operative guidelines. You will receive a very specific set of pre-operative guidelines at your pre-operative visit with us, but we provide these just to help you adequately prepare ahead of time. 

Please read these well in advance of your procedure, as many of the instructions start in the weeks prior to surgery.
We are committed to your comfort and safety. 

Pre-Operative Guidelines For Plastic Surgery Patients

At Hunstad/Kortesis/Bharti Cosmetic Surgery, we recommend that you adhere to the following pre-operative guidelines:

  • STOP SMOKING AT LEAST 1 MONTH PRIOR TO SURGERY and at least 2 weeks AFTER surgery. Smoking reduces circulation to the skin, impedes healing, and can lead to major postoperative complications. 
  • DISCONTINUE MEDICATIONS CONTAINING aspirin, ibuprofen, blood-thinners, Vitamin E, and ALL herbal supplements at least 1-2 weeks prior to and 1 week after surgery. These medications can cause prolonged bleeding. Tylenol is safe to take just before and after surgery, if needed. 
  • REPORT ANY SIGN OF A COLD OR INFECTION that appear the week prior to your surgery. You may need to postpone your procedure to avoid unnecessary complications. 
  • FILL YOUR PRESCRIPTIONS BEFORE YOUR DAY OF SURGERY and keep them at your bedside at home along with a notepad to help keep track of the medications you have taken. Expect some forgetfulness up to 36 hours post-op and during narcotic use. Also, have food in your stomach before you take your medications to minimize any nausea. DO NOT drive or drink alcohol when taking narcotic pain medication. 
  • BRING YOUR PAIN MEDICATION WITH YOU on the day of surgery so that the nurse can verify your medications and administer them, if needed. 
  • CONSTIPATION IS NORMAL FOLLOWING SURGERY. General anesthesia slows down the gastrointestinal tract and narcotic pain medication increases the likelihood of constipation. It is okay to take a stool softener (such as over-the-counter Colace) following surgery. Drink lots of water and be sure to eat a well balanced diet including fruits and vegetables the days before and after surgery. 
  • WOMEN MAY EXPERIENCE A CHANGE IN THEIR FIRST MENSTRUAL CYCLE FOLLOWING SURGERY. It may be lighter and shorter. Menstrual irregularity usually lasts just one cycle. 
  • DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT THE NIGHT BEFORE SURGERY. This includes water and chewing gum. 
  • ARRANGE FOR A RESPONSIBLE ADULT TO TAKE YOU HOME AND STAY WITH YOU FOR 24 HOURS after surgery. Although everyone heals differently and has varied pain thresholds, expect some soreness, fatigue, mood swings and some fogginess for a minimum of 1 week post-op. Swelling and bruising typically peak at day 4-5 post-op during the normal healing process. Arrange child care if possible, and plan to be off work until you are feeling better and your doctor says it is safe to resume your activities. 
  • PLEASE HAVE ANY NECESSARY PRE-OP BLOOD TESTS OR EKG RESULTS FAXED TO OUR OFFICE AT 704-659-9009 ASAP. We should receive your test results at least 2 weeks before surgery.
  • PLEASE CALL IF YOU HAVE ANY QUESTIONS or email preop@hkbsurgery.com. We are all here to make your surgical experience as comfortable as possible.

Pre-Operative Testing

Certain procedures and medical history will require lab work and medical clearance prior to surgery.

All female patients 50 and over and men 40 and over receiving anesthesia are required to provide an EKG done within the last year. These are guidelines established by our anesthesia providers and cannot be waived. We do not administer EKG’s in our office.

It is recommended women 35 and over having breast surgery obtain a mammogram prior to surgery.

WARNING ABOUT BLOOD THINNING MEDICATIONS

Blood thinning products can cause excessive bleeding during and after surgery. Both prescription and over the counter medications can have blood thinning properties. If you currently take any of the medications or herbal preparations listed below, make sure you discontinue use 2 weeks prior to your procedure.

Remember this is only a partial list. If you have any questions, please contact your local pharmacist.

If you were told by a doctor to take a blood thinning medicine on a regular basis for stroke or heart attack prevention, severe arthritis, atrial fibrillation, or a prosthetic heart valve, ask your surgeon when this medicine should be discontinued.

Read the labels on all the medications that you take on a regular basis. Many products contain Aspirin (ASA or acetylsalicylic acid) and must be stopped 7 to 14 days prior to surgery.

Read the label on any new medications you take during the 14 days prior to your surgery. Many headache, cough, and cold remedies contain Aspirin (ASA or acetylsalicylic acid) and should not be used.

Below is a list of medications that must be stopped 14 days before surgery:

  • Aspirin (ASA or Acetylsalicylic Acid)
  • Ticlid
  • Coumadin
  • Garlic
  • Gingko
  • Ginseng
  • Heparin
  • Ibuprofen
  • Lovenox
  • Naproxen
  • Plavix
  • St. John’s Wort
 
  • Vitamin E

If you need pain, headache, cough, or cold medicine during the 7 to 14 days prior to surgery, you may take products containing Acetaminophen (Tylenol).

The Day Of Your Surgery

Keep the following tips in mind for the day of your procedure:

  • HAVE YOUR PHONE AVAILABLE your nurse may need to contact you to update your arrival time.
  • WEAR LOOSE FITTING CLOTHING (such as a jogging suit) and easy on/off shoes. A top with front button closure works well. Do not wear anything you pull over your head. Pants with an elastic waistband also work well, as you will be drowsy following surgery. 
  • DO NOT WEAR ANY MAKE-UP, JEWELRY, OR BRING VALUABLES on the day of surgery, except your ID and medications. Please remove all JEWELRY prior to your surgery, including, but not limited to rings, watches, earrings, nose piercings, tongue piercings, and naval piercings. If this is not possible, you must discuss with your surgeon. 
  • BRING YOUR PAIN MEDICATION WITH YOU on the day of surgery, so that the nurse can verify your medications and administer, if needed. 
  • YOU WILL BE ASKED TO CHANGE INTO A GOWN. Your surgeon will mark the surgical site and you will meet with your anesthesia provider. You will have the opportunity to ask any last minute questions. 
  • ONCE YOU’RE IN THE OPERATING ROOM and IV will be started by your anesthesiologist. A nurse will accompany you in the operating room and throughout your surgery. 
  • YOU WILL BE TRANSFERRED TO THE RECOVERY ROOM  once surgery is complete and can expect to stay for another 1-1.5 hours. Most patients are fully awake with 15-60 minutes after surgery, but may not remember much due to the anesthetic drugs. A nurse will be with you while you are recovering. 
  • YOU AND A RESPONSIBLE ADULT WILL BE GIVEN SPECIFIC DISCHARGE INSTRUCTIONS and the time of your first post-op appointment.  Ask questions anytime. 
  • MOST IMPORTANTLY, REMEMBER TO LISTEN TO YOUR BODY…Rest when you feel pain or fatigue. BE PATIENT with the healing process, and remember you may have good and bad days.

Post-Operative Guidelines For Plastic Surgery Patients

Planning your cosmetic procedure will be an effort that our staff will carefully guide you through. It is important to recognize that each individual will recover at a different rate so be sure you set aside adequate recovery time from work and strenuous activity to allow your body to heal. This will ensure a smooth recovery and a more rapid return to normal activities.

While every case is different, the following ball-park timelines give an idea of what you might expect:

  • Breast Augmentation: back to “normal” (i.e. desk job, driving, eating out) in 5 to 7 days, back to strenuous exercise in about 4 weeks, results look great around 3 months post-op
  • Facelift: back to “normal” in 2 weeks, back to strenuous exercise in 4 weeks, party-ready in about 12 weeks
  • Tummy Tuck: back to “normal” in about 2 weeks, back to strenuous exercise in 6 weeks, bikini-ready in 3 to 4 months
  • Liposuction: back to “normal” in 3 to 7 days, back to strenuous exercise in 4 weeks, beach-ready in 3 to 4 months, results final in about 6 to 8 months

It is also important to have a supportive care group around you, especially during the initial 24-72 hours after surgery. Many patients find it beneficial to have additional help with daily activities for the first 4-5 days after their procedure.

To ensure proper healing and the best possible results, it’s important that you adhere to the following post-operative guidelines:

  • TAKE YOUR MEDICATIONS AS DIRECTED. Pain tolerance varies from one person to the next. Stay on top of your pain by taking your medication regularly for the first few days. Take your medications with food to decrease the chances of nausea. 
  • REST FOR THE FIRST 24 HOURS following surgery. DO NOT drive or drink alcohol while taking narcotic pain medication. You may walk and climb stairs slowly. No heavy lifting or any exercising for a minimum of 2+ weeks. LISTEN TO YOUR BODY! Everyone heals at different rates. 
  • YOU MAY SHOWER 24 HOURS after surgery. Keep your incisions clean and dry. Your surgeon may remove your dressings and/or some stitches at your post-op visit. DO NOT submerge in a bath or swimming pool for a minimum of 3 weeks. 
  • CALL IF YOU EXPERIENCE excessive pain, bleeding, swelling, discoloration at the incision site, or fever over 101 degrees F. Remember, scars take a year to fully mature. Wear sunscreen (SPF 30) over your scars after they heal. 
  • WHEN CALLING THE OFFICE TO SPEAK WITH A NURSE, please be aware the nurse will return your calls based on her availability. If you have an emergency, please make this known. When you call, please have the following information available:
    1. name / date of birth
    2. date of most recent surgery
    3. type of most recent surgery
    4. name and phone number for pharmacy
    5. drug allergies
    6. symptoms and onset / temperature
      **NOTE: Oxycodone cannot be called in for a refill. These prescriptions require a new written prescription each time. 
  • SPECIAL CONSIDERATIONS AS INDICATED:
    1. GARMENTS/BINDERS: Garments (bras or girdles) help to reduce swelling and promote tissue retraction following certain surgeries. Wear it for about 3-4 weeks, around the clock, under clothing. The garment may be removed for bathing. The garment may also be loosened or adjusted as needed. Hand wash your garment and DO NOT dry it in the dryer. Keep any dressings or tape on as instructed. 
    2. DRAINS: Drains may be inserted to reduce blood/fluid accumulation at the surgical site. They should be emptied about 4 times per day, and more often if necessary. After emptying, compress the bulb before closing. Expect some oozing at the tubing insertion site. Gauze can be used to reinforce the site. The drain bulbs can be placed in the pockets of your jacket or safety pinned to your clothing. Drains are typically removed 1-2 weeks post-op. A drain record should be kept to record the amount of daily output. Bring your JP drain Log to your post-op visits.

For additional questions, please contact Hunstad/Kortesis/Bharti Cosmetic Surgery by phone at 704-659-9000 to speak to a member of our team.