Patient Instructions_COLOUMNS | 蔡宗儒醫師團隊|微顏整形外科診所(捷運忠孝敦化站)

Dr. Roye Tsai Dr. Chenghan Xie Dr. Zhenxiang Yu Patient Instructions

Patient Instructions

Before surgery, please look at the following contents and explanation carefully, mark the unclear place, and communicate with the physician at the clinic. Overseas return to Taiwan for surgery, it is recommended to stay in Taiwan for 1-2 weeks. If you would like to arrange a shuttle or accommodation on a scheduled basis, please inform the scheduled date on the scheduled date. The fee is as follows:

Airport Pickup + Pickup (Taipei City) + 10 Days 4G Unlimited Internet Card NT $ 2,000
Quad Guest House 6 Days (includes three meals a day for room and ice pack service) NT $ 20,000 / double room

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Preoperative precautions

Before surgery, please look at the following contents and explain, mark the unclear place, and communicate with the physician at the clinic.

一、Preoperative precautions

The clinic accept scheduled surgery date three months in advance, and is retained until the last week for the final confirm, If the clinic is unable to confirm for the time being, the clinic may transfer the scheduled date to another surgery patient.
Surgical X-ray and physical examination should be completed one week in advance, the most urgent need three days to complete. (This clinic must accept the medical report of other medical institutions, must be within three months, and meet the requirements of surgical examination items.
X-ray and physical examination results will be informed by telephone to the surgery patient, meets the surgical safety standards then can confirm the operation; does not meet the standard, it is recommended to give up surgery, or to suspend surgery. Re-test after three months, if still does not meet the standard, it is recommended to give up surgery.
Try to relax and stay physically before surgery, stop all noninvasive drug intake, including diet pills, anticoagulant drugs or traditional Chinese medicine, and nutritional supplements for unknown ingredients.
One day before the operation, the clinic will interview by telephone to remind the anesthesia before the note, and do the surgery final confirmation.
Surgery patient should arrange at least one week after surgery necessities of life, avoid inconvenient going out after postoperative swelling. (For facial bone surgery to be prepared with liquid food and children's toothbrush)
Do not drive yourself on the day of anesthesia. Please arrange for family or friends for transfer, or the clinic will arrange for transportation.
Remember to carry sunglasses, hats, masks or scarves when perform a facial surgery, convenient for cover when return home, to avoid embarrassment.

二、Take the initiative to inform the physician whether the abnormal physiological condition or disease, including:

□ Is there a cardiovascular disease (e.g. arrhythmia)?
□ Is there abnormal bleeding (e.g. bleeding)?
□ Are there facial vascular abnormalities (e.g. hemangioma)?
□ Are there facial nerve dysfunction, or facial expression abnormalities?
□ Is there any drug allergy or other allergies?
□ Are there infectious diseases (such as hepatitis C, AIDS, tuberculosis)?
□ Have you took any other surgery?
□ Are there foreign bodies implanted in the body?
□ Is there an adverse anesthesia response record (including other family members)?
□ Is there any other major disease or genetic disease?

三、The need for facial bone surgery to complete the following preoperative examination items

Ａ. X-ray photography:

P-A View
Cephalometric View
Panoramic View

Ｂ. Physical examination:

Electrocardiogram (EKG)
Blood test

General blood test (CBC routine)
Prothrombin Time (PT)
APTT
Blood type
Rh factor
Glucose AC
Cholesterol
Liver function (GOT / GPT or AST / ALT)
Renal function (BUN, Creatinine)
Hepatitis B (HBsAg)

Ｃ. Urine examination

Osteotomy (Patient Instructions)

Before surgery

See preoperative precautions
Communicate the expected results with the physician• Preoperative examination of preparation: blood, electrocardiogram and X-ray.
8 hours before surgery, fasting, water-deprivation (tea, coffee, etc.)
Preoperative photography
take the initiative to inform the physician whether the abnormal physiological condition or disease

Surgery day

Do not ride on your own
1 to 2 nights stay in the hospital
Waked up after anesthesia will be given the injection type of pain relieve medication to reduce the pain of the wound; after eating the next day, change to oral pain medication, for 3 to 5 days.
(After jaw angle surgical removal, the wound bleeding situation is more obvious, need to install the drainage tube, drained out the residual blood in the body to avoid hematoma production, after surgery removal the next day.

After surgery

After surgery the next day can begin eating fresh liquid food and start using prophylactic oral antibiotics for 5 to 7 days.
Always rinse with boiled water to keep your mouth clean; use a mouthwash after eating to avoid wound infection.
Continuous ice for at least 3 days, after that you can change to hot compress.
If the mouth is slightly scratched around the mouth, keep it clean with water and wipe the ointment.
Can wash face, also can bathe and wash hair, cannot use hot water.
One month after surgery, the face cannot be forced to massage, to avoid bleeding also reduce the sequelae of loose skin sag. If the bleeding occurs immediately press the wound to stop bleeding and ice, after 15 minutes it should stop by itself, if still cannot stop bleeding continue to press the wound, and immediately seek medical attention.

Postoperative recovery
Zygomatic surgery pain is very mild, jaw bone surgery pain is more obvious, the more close to the chin more obvious, this is because the mandibular nerve pass through so; swelling is the physiological response any surgery will happen, the main stages include: bleeding (initial) , Inflammation (mid-term), and lymphatic circulation block (late), swelling and bruising degree varies from person to person, most people are as follows:

Day 1 to 3 days
Wound bleeding still slowly continues, so the wound will become more swollen, blood stasis will become more and more obvious, most people will feel fear, in fact, this is normal, and therefore the wound need to use elastic bandages, and continue ice, to keep up the posture, to rest completely.
Day 3 to 4 days
Bleeding phenomenon is stopped, is the most swollen time, but also the most obvious of the bloody inflammation, inflammation reaction began to increase, the feeling of swelling of the wound becomes obvious, but the pain continue to reduce.
Day 5 to 6 days
Swelling peak has passed, began to show signs of swelling, bruising also began to fade yellow, but the color is still obvious.
Day 7 to 10 days
There is a close observation of wound inflammation: the normal situation of the wound is no longer pain, persistent eliminate swelling, bruising may have been disappeared, regain clear speak, if the wound suddenly swollen, become more painful, redness, meaning there is inflammation phenomenon, the need for medical diagnosis and treatment, so this is usually the first time back to the clinic after surgery
Day 10 to 14 days
Swelling has been eliminated more than 50%, bruising has also been disappear completed, leaving only some yellow ecchymosis on the neck, it is the time able to go out, also can resume to work, but still can see the face swelling; some people will find a goodwill lie to explain to avoid interpersonal embarrassment.
2 weeks to 1 month after surgery
Eliminating swelling slows down, it is because the inflammatory reaction has been transformed into a reorganization stage, the change is very slow, this is the most important time to prevent skin relaxation and help skin tightening, no massage, it is best to continue to use supportive elastic bandages, help skin shaping.
1 to 2 months after surgery
Wound reorganization continues, the lymph circulation has not yet been re-established, so the swelling situation becomes ups and downs, and will change with the amount of water intake and the height of the body posture changes, can use hand lightly press to help eliminating swelling, cannot use rubbing, most of these phenomena can be ignored, will naturally recede, this is the time when the surgical effect gradually show up, so wait with patient.
2 to 6 months postoperative
Postoperative wound reorganization of the physiological period is 3 to 6 months, including skin tightening and bone regeneration, etc., it is recommended to avoid eating hard food at least six months to help bone healing, but also to prevent bone regeneration, in addition to the establishment of lymph circulation also need several months’ time to complete, during this time the wound changes very little, but still the swelling gradually eliminate, feeling like more and more thin, so the final fixed time of face is 6 months.

Face lift (Patient Instructions)

Before surgery

See preoperative precautions
Communicate the expected results with the physician• Preoperative examination of preparation: blood, electrocardiogram and X-ray.
6 to 8 hours before surgery fasting, water (tea, coffee, etc.)
Preoperative photography

Surgery day

Do not ride on your own
Can return home the same day or one night in the hospital

After surgery

Remove the soft drain short tube the next day
arrange hair wash
Cap shape for 1 week
Every 1 to 3 days back visit for light therapy, wound observation, ice.
7~10 days remove the stitches

Lipid surgery (Patient Instructions)

Before surgery

See preoperative precautions
Communicate the expected results with the physician• Anticoagulant drugs should be discontinued for 7-14 days
6 to 8 hours before surgery, fasting, water-deprivation (tea, coffee, etc.)
Stop smoking for two months
Preoperative photography

Surgery day

Do not ride on your own
return home on a daily basis (with few exceptions)

After surgery

Generally return to work within 2 weeks after surgery
Continue to wear elastic clothing for about 2 weeks

Postoperative recovery

General day-to-day activities are resumed after 3-4 days
Swelling will last for 3-5 days
Bruise will begin to decrease after 7-10 days
moderate exercise after 2 weeks
can feel the changes in the volume of the treatment area after about 2-6 weeks
Final results will stabilize in 3-6 months

Consultation

Add：5F., No.107, Sec. 4, RenAi Rd., Taipei, Taiwan

Tel：02-2772-8887 Fax：0227725822
Wechat ID：miniface_info LINE ID：ID:@miniface

Miniface have no counselors, reply letters by the physician himself, please forgive me if the reply letter late, in general, reply time of 2 to 7 days, no patient to wait for the appointment of outpatient consultation.
Online consultant please provide the following photos: No makeup positive photo / left side 45 degrees / left side 90 degrees / right side 45 degrees / right side 90 degrees
Suggestions to add photos: makeup photo / whole body of life photos

Miniface no consultants, all professional issues answered by the physician personally. Friends or relatives can participate in the consultation, in order to maintain the quality of consultation, do not exceed three person. For special personal privacy needs, please inform the physician first. Can carry information or photos for the physician reference, discuss. The initial cost of five hundred dollars, can be deducted from the surgery fee.

Before the appointment of surgery by physician assessment, consultation method: (1) consultation physician mailbox (2) appointment outpatient consultation.
Please read the preoperative instructions and check items before surgery. After payment of the deposit, we will reserve your scheduled date of operation. "The surgical procedure need physicians with a high degree of focus and commitment, every day of surgery, every physician, only a large amount of surgery, for you to go all out." - is a micro-mini insistence. If you have any reasons need to change the date of operation, please call one day before the operation, otherwise the deposit is not refundable, please be understandable.

Please inform us if you have any suggestion.

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