Doctor’s orders — how Valley patients prepare for surgery can determine outcome

Dr. Richard J. Brown

Photo by Rachel Fischer Visuals

Surgery — no matter how minor — is a big deal. Whether you’re having a cosmetic procedure or a medically necessary operation, preparation is key to a smooth experience and an optimal recovery.

I’ve guided thousands of patients through their surgical journeys, and one thing I always emphasize is this: the better you prepare, the better your outcome.

This guide will walk you through everything you need to do before surgery to set yourself up for success.

Step 1: Get your mind right

The first step in preparing for surgery isn’t physical — it’s mental. Many patients come in feeling anxious, nervous or even second-guessing their decision. That’s completely normal. Having had rhinoplasty, I’ve been in patients’ shoes before, so I know what it’s like to be on the other side of the scalpel.

Here’s what I tell my patients:

• Know your “why.” Are you doing this for yourself? (You should be!) Are your expectations realistic? A healthy mindset is crucial.
• Trust the process. You’ve chosen your surgeon carefully, and you’re in good hands.
• Stay off the internet. Reading horror stories online will only create unnecessary fear. Focus on your journey, not someone else's.

Step 2: Follow your pre-op instructions to a T

Once you’ve scheduled your surgery, your surgeon will give you a list of preoperative instructions. Read them carefully — twice. These guidelines aren’t suggestions; they’re designed to keep you safe and ensure the best possible results.

Four things to stop doing before surgery:

• No smoking or nicotine for at least 4 weeks before and after surgery.Nicotine restricts blood flow and slows healing. Seriously, this is non-negotiable.
• No aspirin, ibuprofen or blood-thinning medications for at least 7 days before surgery.These can increase the risk of excessive bleeding.
• Avoid alcohol for at least 48 hours before surgery.Alcohol can thin the blood and dehydrate you.
• Stop taking herbal supplements like ginseng, fish oil or vitamin E.Many supplements interfere with clotting and healing.

Four things to do before surgery:

• Stay hydrated.Drink plenty of water leading up to your surgery.
• Eat a healthy diet.Your body heals best when it’s fueled with good nutrition.
• Soften your stools.Start a stool softener, such as Senokot-S or Miralax, a week or two prior to surgery.
• Plan for downtime.Arrange for someone to help with household chores, kids, or pets for at least a few days post-op.

Step 3: The day before surgery

The night before surgery can be nerve-wracking, but it’s important to follow these simple steps to set yourself up for a smooth experience:

• Shower with antibacterial soap, like Hibiclens, the night before surgery to reduce infection risk. Then throw it away and do not use it after surgery. It can be toxic to the skin if used long-term.
• No eating or drinking after midnight unless your surgeon gives you different instructions. Surgery on a full stomach is dangerous if you are having a breathing tube or being sedated.
• Wear comfy, loose-fitting clothesthat won’t require lifting your arms over your head. A button-down or zip-up top is perfect.
• Confirm your surgery time and transportation.You’ll need someone to drive you home after your procedure.

Step 4: The morning of surgery

The big day is here! Here’s what to do and to expect:

• Arrive on time at the surgery center. Being late can push back your procedure.

Then … it’s showtime!

Step 5: Prepare for recovery before you even need it

Trust me when I say that post-op you will not want to run around getting supplies. Have everything set up beforehand so you can relax and focus on healing.

• Set up a recovery space with pillows, blankets and easy access to water, snacks, and medications.
• Stock up on easy-to-digest foods like soup, crackers and smoothies.
• Pick up your prescriptions in advance. Pain meds, antibiotics or anti-nausea meds should be ready to go at home.
• Avoid lifting anything heavier than a gallon of milk for the first couple of weeks, or per your surgeon’s advice.

 Final thoughts

Surgery is a big step, but with the right preparation, you can set yourself up for a smooth and successful recovery. Trust your surgeon, follow the pre-op plan and take care of yourself post-op. You’ve got this!

If you have any questions, always reach out to your doctor — I promise, we’d rather hear from you than have you wondering or worrying. Here’s to a safe and speedy recovery!

Editor’s note: Dr. Richard J. Brown of Brown Plastic Surgery in Scottsdale is double board-certified by the American Board of Plastic Surgery. Please send your comments to AzOpinions@iniusa.org. We are committed to publishing a wide variety of reader opinions, as long as they meet our Civility Guidelines.