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Cosmetic surgeons

Post-operative day one

Headings

Procedure summary · Pain · Wound and dressing · Swelling and bruising · Drains · Medications · Instructions given · Next review

When to use it

Use this for the first check after surgery, in person or by phone. It works through pain, wound, swelling, drains and medications, which are the early warning points for hematoma or infection. It is shorter and more urgent in focus than the week one review.

Example

Fictional example

Procedure summary

P.A., 46F. Abdominoplasty with muscle plication yesterday. Uneventful. Discharged home the same evening.

Pain

5 out of 10 at rest, worse when standing. Controlled with scheduled acetaminophen and occasional oxycodone.

Wound and dressing

Dressing dry with a small old stain at the right hip. Incision edges intact.

Swelling and bruising

Expected lower abdominal swelling. Mild bruising at both flanks. No expanding firmness.

Drains

Two drains. Right 60 mL, left 45 mL in 24 hours. Serosanguinous.

Medications

Oral antibiotic and blood clot prevention dose taken as prescribed.

Instructions given

Walk every 2 hours, bent at the waist. Record drain output. Wear the binder at all times.

Next review

Clinic in 5 days for drain check.