Pre-Operative Instructions

For External & Nasal Surgery

If you’re having external or nasal surgery, it’s important to follow Dr. Monica Tadros’ instructions to prepare for your procedure.

Things To Do

Medical Clearance & Transportation

Medical clearance needs to be completed two weeks before surgery. The purpose of medical clearance is to get you cleared for your surgery, and your primary care physician can do it. If you do not have one, just let us know.

Please arrange for an escort to take you home from surgery and for someone to help care for you at home the night of surgery.

Pre-Op Medications

Please take Arnica Montana (5 pellets/3x a day) and Bromelain (1 capsule/3x a day) three days before surgery. Please note: The Arnica pellets should be placed under your tongue to dissolve (sublingual).

Do not chase or crush them to prevent swelling and bruising. It should be started three days before surgery and continued until all swelling and bruising have been resolved. Do not use any other supplements without first consulting Dr. Tadros.

What to Avoid

  • Avoid drinking alcohol and wine one week before surgery.
  • Avoid ALL Aspirin and Ibuprofen-containing medications two weeks before surgery, including Motrin, Advil, Aleve, Excedrin, Naproxen, etc. If you have a headache or pain, Tylenol is ok. If you have any questions about the medications you are taking, please contact our office.
  • Avoid vitamin E, fish oil, omega fatty acids, drinking herbal teas, and taking herbal supplements (including St. John's wort, Echinacea etc.,) one week before surgery. Many of these health supplements can cause blood thinning and are not recommended for use before or immediately after surgery. Vitamin B, vitamin C, and vitamin D supplements are ok to use. If you have any questions about the supplements you are taking, please contact our office.
  • Please have NOTHING to eat or drink AFTER midnight, the night before your surgery.

What To Expect
After Surgery

  • Some bruising and swelling are normal, but icing will help minimize these effects.
  • Your lips may become dry from breathing through your mouth; you may use Vaseline or Blistex Lip Ointment to lubricate them.
  • A fever of up to 101.5 is normal for the first two days after surgery.
  • Nausea or vomiting can occur for the first 24 hours following the surgery. Please notify us if you are experiencing severe nausea and vomiting and are unable to keep liquids down.
  • Do not blow your nose for at least six weeks after surgery unless Dr. Tadros clears you to do so.

Please contact our office if you have any questions. We want your experience to be a pleasant and healthy one.