Begin one day prior to surgery

Start taking Valtrex (Antiviral) 500 mg two times a day, starting one day prior to surgery…
DO NOT take aspirin or ibuprofen products (i.e. Bufferin, Anacin, Advil, Motrin, Anacin-free, Excedrin) 1 week prior or 2 weeks post surgery. Tylenol (acetaminophen) is okay.
Cleanse face prior to surgery (WEAR NO MAKE-UP TO THE OFFICE THE DAY OF SURGERY).
DO NOT SMOKE! Smoking can cause poor wound healing and may result in bad scarring.

Supplies for lip augmentation

• Prescriptions- pain medication, antibiotics, anti-viral.
• Small tube of Bacitracin or Neosporin ointment
• Q-tips
• Small bottle of Hydrogen Peroxide
• Crushed ice and small Ziploc bags to make cool packs
• Vaseline, Carmex or Chapstick to keep lips moist
• Small Childs toothbrush

Post-operative instructions

General instructions
• Rest quietly the rest of your surgery day. The next day you can perform routine activities. No exercise for 1-2 weeks.
• Sleep on your back with head elevated using 3-4 pillows for at least 7 days to minimize swelling.
• No bending over, lifting or straining for 3-4 days.
• Eat foods that are soft and require minimal chewing. No hot or salty foods or fluids for 48 hours.
NO SMOKING for at least two weeks after surgery. Smoking will inhibit your healing process.
AVOID opening the mouth wide to prevent incision site separation (opening)
• Brush your teeth and rinse your mouth after meals.
• Clean incisions at corner of mouth with diluted hydrogen peroxide (½ hydrogen peroxide, ½ water) then apply antibiotic ointment (Neosporin, Polysporin) 3 times per day.
• Use cool compresses for 24 – 48 hours to reduce swelling. NO DIRECT ICE.
• Keep lips moisturized for 2-3 weeks with Vaseline, Carmex, or Chapstick.

1 week post surgery appointment

• Verify that the implant remains centered. Gently feeling the tapered ends of the implant are in the same position on each side / top and bottom.

2 week post surgery appointment

Discuss stretching exercises: should be performed 2-3 times a day for 2-3 months to help alleviate excessive scar tissue formation.
• Stretching exercises are to be started when sutures are gone and incisions have healed (usually by 2 1/2 – 3 weeks Post-op).
• Examples of stretching will include:
1. Opening mouth widely.
2. Excessive smiling (pulling lips tightly against teeth)

Dr Neophytos Demetriades (DDS, MD, MSc)

American Medical Center, Nicosia

215, Spyrou Kyprianou Ave Strovolos,
P.O.Box 25610 Nicosia,

T.: +357 2270007484  |  M.: +357 99400200  |  Fax: +357 22 476797
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Results of Facial cosmetic surgery varies from person to person based on facial skeletal features and ethnic characteristics