Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-7479d7b7d-qlrfm Total loading time: 0 Render date: 2024-07-08T17:35:41.966Z Has data issue: false hasContentIssue false

Ch. 15 - Postprocedure Management and Patient Instructions

Published online by Cambridge University Press:  26 February 2010

By
Andrew A. Nelson MD  and
Joel L. Cohen MD
Edited by
Neil S. Sadick
Neil S. Sadick
Affiliation:
Cornell University, New York
Get access

Summary

INTRODUCTION

With the unprecedented rise in the use of injectable fillers, an increasing number of patients are approaching their physicians to undergo soft tissue augmentation. It is absolutely essential to educate patients about the procedure, its potential benefits, and its potential complications. As always, this should be done prior to the procedure to be most effective. Detailed pre- and postprocedure instructions are an essential part of this education process. It is this education that ultimately empowers patients and helps them to achieve their ideal cosmetic outcome.

Effectively written pre- and postprocedure instructions serve multiple important functions in educating patients regarding their cosmetic procedures. First and foremost, the instructions help patients to understand what to expect from the procedure. Second, they educate patients regarding potential adverse events and possible complications from procedures. Third, they educate patients regarding potential medications and activities that may compromise the postprocedure period or even the cosmetic outcome of the procedure. Finally, they allow the physician to instruct the patient in the management of simple and common postprocedure issues and events that may occur.

In order for these instructions to be of the most benefit, it is essential that they be written in layman's terms. Instructions with complex medical terminology will only serve to confuse the patient, increase their anxiety regarding the procedure, and decrease their likelihood of achieving their desired outcome. The instructions should always be reviewed prior to the procedure with the patient.

Type
Chapter
Information
Augmentation Fillers , pp. 137 - 148
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Otley, CC. Perioperative evaluation and management in dermatologic surgery. J Am Acad Dermatol 2006Jan;54(1):119–127.CrossRefGoogle ScholarPubMed
Schanbacher, CF, Bennett, RG. Postoperative stroke after stopping warfarin for cutaneous surgery. Dermatol Surg 2000Aug;26(8):785–789.CrossRefGoogle ScholarPubMed
Dinehart, SM, Henry, L. Dietary supplements: altered coagulation and effects on bruising. Dermatol Surg 2005Jul;31(7 Pt 2):819–826; discussion 826.CrossRefGoogle ScholarPubMed
Collins, SC, Dufresne, RG. Dietary supplements in the setting of mohs surgery. Dermatol Surg 2002Jun;28(6):447–452.Google ScholarPubMed
Kasuda, S, Sakurai, Y, Shima, M, et al. Inhibition of PAR4 signaling mediates ethanol-induced attenuation of platelet function in vitro. Alcohol Clin Exp Res 2006;30(9):1608–1614.CrossRefGoogle ScholarPubMed
Seeley, BM, Denton, AB, Ahn, MS, et al. Effect of homeopathic Arnica montana on bruising in face-lifts: results of a randomized, double-blind, placebo-controlled clinical trial. Arch Facial Plast Surg 2006;8(1):54–59.CrossRefGoogle ScholarPubMed
Seltzer, AP. Minimizing post-operative edema and ecchymoses by the use of an oral enzyme preparation (bromelain). A controlled study of 53 rhinoplasty cases. Eye Ear Nose Throat Mon 1962;41:813–817.Google ScholarPubMed
Gylling, U, Rintala, A, Taipale, S, et al. The effect of a proteolytic enzyme combinate (bromelain) on the postoperative oedema by oral application. A clinical and experimental study. Acta Chir Scand 1966;131(3): 193–196.Google ScholarPubMed
Woolf, RM, Snow, JW, Walker, JH, et al. Resolution of an artificially induced hematoma and the influence of a proteolytic enzyme. J Trauma 1965;83:491–494.CrossRefGoogle Scholar
MacKay, D, Miller, AL. Nutritional support for wound healing. Altern Med Rev 2003;8(4):359–377.Google ScholarPubMed
Shah, NS, Lazarus, MC, Bugdodel, R, et al. The effects of topical vitamin K on bruising after laser treatment. J Am Acad Dermatol 2004;50(6):982–983.Google Scholar
Hanke, CW, Higley, HR, Jolivette, DM, et al. Abscess formation and local necrosis after treatment with Zyderm or Zyplast collagen implant. J Am Acad Dermatol 1991;25:319–326.CrossRefGoogle ScholarPubMed
Hirsch, RJ, Cohen, JL, Carruthers, JD. Successful management of an unusual presentation of impending necrosis following a hyaluronic acid injection embolus and a proposed algorithm for management with hyaluronidase. Dermatol Surg 2007;33(3):357–360.Google Scholar
Beeson, WH, Rachel, JD. Valacyclovir prophylaxis for herpes simplex virus infection or infection recurrence following laser skin resurfacing. Dermatol Surg 2002;28(4):331–336.Google ScholarPubMed
Rubenstein, R, Roenigk, HH, Stegman, SJ, et al. Atypical keloids after dermabrasion of patients taking isotretinoin. J Am Acad Dermatol 1986;15(2 Pt 1):280–285.CrossRefGoogle ScholarPubMed
Zachariae, H. Delayed wound healing and keloid formation following argon laser treatment or dermabrasion during isotretinoin treatment. Br J Dermatol 1988;118(5):703–706.CrossRefGoogle ScholarPubMed
Moy, RL, Moy, LS, Bennett, RG, Zitelli, JA, Uitto, J. Systemic isotretinoin: effects on dermal wound healing in a rabbit ear model in vivo. J Dermatol Surg Oncol 1990Dec;16(12):1142–1146.CrossRefGoogle Scholar
,American Psychiatric Association (ed.). Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition, Text Revised (DSM-IV). Washington, DC: American Psychiatric Association; 2000.
Narins, RS, Jewell, M, Rubin, M, Cohen, JL, et al. Clinical conference: management of rare events following dermal fillers – focal necrosis and angry red bumps. Dermatol Surg 2006;32:426–434.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×