Preop Instructions

Preoperative Instructions

Table of contents:

  1. Preoperative instructions
  2. Purchase list
  3. Minor procedure preoperative instructions
  4. Medications to avoid before and after surgery


  1. Transportation: Since you will be medicated for your surgery, it will be necessary for a responsible adult to drive you home and assist you for the first 24 hours after your surgery2
  2. Who will be staying with you?
  3. It is not necessary that they remain in the office or hospital during your procedure unless the patient is a minor. Then the parent or guardian must remain on the premises during the procedure.
  4. Our Nurse will call you the day before your procedure to go over any last minute questions.
  5. At that time you will be given the exact time to be here for your procedure. To help you plan in advance, anticipate you will need to be at our office anywhere between 7am & 11am.
  6. Cold Sores: If you have ever had a cold sore, let us know. We may need to pre-medicate you to prevent an outbreak.
  7. You are having intravenous sedation or general anesthesia with an anesthetist: DO NOT EAT OR DRINK anything after Midnight the night before surgery.
  8. You may take your regularly prescribed medication that you would normally take in the morning with a small sip of water. Exception is made if you have DIABETES. Consult Dr. Mardirossian.
  9. Take the ARNICA MONTANA (we provide for bruising, as directed. ARNICA – 5 pellets, 3 times per day, place under your tongue and let dissolve. Start 2 days before surgery and continue until finished. How to open container: Pull tab first. Turn the tube upside down (clear cap down) and twist cap 5 times to dispense 5 pellets. Carefully remove the clear cap with the pellets. Use the cap to place pellets under your tongue.
  10. Do not wear make-up, face creams, hairspray or gel, body lotion, powders, perfumes. Do not wear deodorant if you are having upper body liposuction.
  11. Do not wear any jewelry or bring any valuables with you.
  12. Wear warm comfortable clothing that does not go over your head. Warm up suits that zipper up the front and pull on pants are recommended. Bring warm socks and slip on low heeled shoes.
  13. Bring all the medications you normally take plus the prescriptions we ordered with you the morning of your surgery.
  14. Prescription drugs will be called into your pharmacy several days before your procedure. Please bring them into the office on the day of the surgery. Please be sure to buy the following supplies: frozen peas, ziplock sandwich bags, lubricating eye drops (example: artificial tears) and Bacitracin ointment (CVS).


  1. Frozen peas
  2. Ziplock sandwich bags
  3. Ocean spray (prior to rhinoplasty)
  4. Lubricating eye drops (Example: Systane, Optive)
  5. Extra strength Tylenol
  6. Soft diet food
  7. Polysporin or Bacitracin


  1. If you are having Oral Sedation you may need someone to drive you home after the procedure depending on oral sedative. (Please refer to other instructions below)
  1. Local and Oral Sedation: You may have a light breakfast for a morning surgery. If your procedure is in the afternoon, you may also have a light lunch.
  1. Do not wear any make-up, creams, lotions, jewelry or bring valuables with you.


If you are taking any medications on this list, they should be discontinued 14 -21 days prior to surgery and only TYLENOL should be taken for the pain. All other medications that you are currently taking must be specifically cleared by your doctor prior to surgery. It is absolutely necessary that all of your current medications be specifically cleared by your doctor and nursing staff. Common medications that are taken are Aspirin and Aspirin Products, Anti-Inflammatory drugs such as Advil, Aleve, Nuprin, Alka-Seltzer, Pepto-Bismol and various herbs. Also stop taking diet medications. You may take multivitamins.


Aspirin-type Medications to Avoid

4-Way Cold Tabs 5-Aminosalicyclic Acid Acetilsalicylic Acid
Adprin B Products Alka-Seltzer Products Amigesic
Anacin Products Anexsia w/Codeine Argesic-SA
Arthra-G Arthriten Products Arthritis Foundation Products
Arthritis Pain Formula Arthritis Strength BC Powder Arthropan
ASA Asacol Asciptin Products
Aspergum Asprimox Products Axotal
Azdone Azulfidine Products B-A-C
Backache Maximum Strength Relief Bayer Products BC Powder
Bismatrol Products Buffered Aspirin Bufferin Products
Buffetts 11 Buffex Butal/ASA/Caff
Butalbital Compound Cama Arthritis Pain Reliever Carisoprodol Compound
Cheracol Choline Magnesium Trisalicylate Choline Salicylate
Cope Coricidin Cortisone Medications
Damason-P Darvon Compound-65 Darvon/ASA
Dipentum Disalcid Doan’s Products
Dolobid Dristan Duragesic
Easprin Ecotrin Products Empirin Products
Equagesic Excedrin Products Firogen PF
Florimal Products Gelpirin Genprin
Gensan Goody’s Extra Strength

Headache Powders

Halfprin Products
Isollyl Improved Kaodene Lanorinal
Lortab ASA Magan Magnaprin Products
Magnesium Salicylate Magsal Marnal
Marthritic Meprobamate Mesalamine
Methocarbamol Micrainin Mobidin
Mobigesic Momentum Mono-Gesic
Night-Time Effervescent Cold Norgesic Products Norwich Products
Olsalazine Orphengesic Products Oxycodone
P-A-C Pabalate Products Pain Reliever Tabs
Panasal Pentasa Pepto-Bismol
Percodan Products Phenaphen/Codeine #3 Pink Bismuth
Propoxyphene Compound Products Robaxisal Rowasa
Roxcprin Saleto Products Salflex
Salicylate Products Salsalate Salsitab
Scot-Tussin Original 5 Action Sine-Off Sinutab
Sodium Salicylate Sodol Compound Soma Compound
St. Joseph Aspirin Sulfasalazine Supac
Suprax Synalgos-DC Talwin
Triaminicin Tricosal Trilisate
Tussanil DH Tussirex Products Ursinus-Inlay
Vanquish Wesprin Willow Bark Products

Ibuprofen-type Medications to Avoid

Actron Acular (ophthalmic) Advil Products
Aleve Anaprox Products Ansaid
Cataflam Clinoril Daypro
Dicofenac Dimetapp Sinus Dristan Sinus
Etodolac Feldene Fenoprofen
Flurbiprofen Genpril Haltran
IBU Ibuprin Ibuprofen
Ibuprohm Indochron E-R Indocin Products
Indomethacin Products Ketoprofen Ketorolac
Lodine Meclofenmate Meclomen
Mefanamic Acid Menadol Midol Products
Motrin Products Nabumetone Nalfon Products
Naprelan Naprosyn Products Naprox X
Naproxen Nuprin Ocufen (ophthalmic)
Orudis Products Oruvail Oxaprozin
Piroxicam Ponstel Profenal
Relafen Rhinocaps Sine-Aid Products
Sulindac Suprofen Tolectin Products
Tolmetin Toradol Voltaren

Other Medications to Avoid

4-Way w/Codeine A-A Compound A.C.A.
Accutrim Actifed Anexsia
Anisindione Anturane Arthritis Bufferin
BC Tablets Childrens Advil Clinoril C
Contac Coumadin Dalteparin Injection
Dicumerol Dipyridamole Doxycycline
Emagrin Enoxaprin Injection Flagyl
Fragmin Injection Furadantin Garlic
Heparin Hydrocortisone Isollyl
Lovenox Injection Macrodantin MAO Inhibitors; Maplin
Marhan Mellaril Miradon
Nardil Opasal Pan-PAC
Parnate Pentoxyfylline Persantine
Pheylpropanolamine Prednisone Protamine
Pyrroxate Ru-Tuss Salatin
Sinex Sofarin Soltice
Sparine Stelazine Sulfinpyrazone
Tenuate Tenuate Dospan Thorazine
Ticlid Ticlopidine Trental
Ursinus Vitamin E (no more than 400 mgs per day Warfarin

Tryciclic Antidepressant Medications to Avoid

Adapin Amitriptyline Amoxapine
Anafranil Asendin Aventyl
Clomipramine Desipramine Doxepin
Elavil Endep Etrafon Products
Imipramine Jaimine Limbitrol Products
Ludiomil Maprotiline Norpramin
Nortriptyline Pamelor Pertofrane
Protriptyline Sinequan Surmontil
Tofranil Triavil Trimipramine

Herbal Medications to Avoid

Black Cohosh Echinacea Ephedra
Ginkgo Biloba Ginseng Glycosides
Herbal Diuretics Kava Meletonin
St. John’s Wort Yohimbe Goldenseal
Chondroitin Ginger Glucosamine
Milk Thistle Valerian Saw Palmetto