Your Guide to Fat Grafting

ITEM FAT GRAFT

PREPARING FOR YOUR FAT GRAFT SURGERY

Pre and post-surgery conditioning of your body is important in order for your body to recover in the shortest time from the surgery, which will aid in producing the best results

It is very important to let us know if you have any allergies (drugs, herbs, food) which you may have, or suspected to have.

IMPORTANT REMINDER

Please keep us informed should you have any medical history (high blood pressure, heart problem or diabetes etc) and/or medication to us immediately and as well as any allergies (drugs, herbs, food), which you may have, or suspected to have.

Everyone heal at different pace, some may heal really fast without much signs of bruising and swelling while some may take a longer time to heal and recover. It is very important for patients to stay positive throughout the healing process.

For 1st Fat Grafting:

Expected Duration Of Stay ~ 8 days 7 nights

Minimum of days required to stay in Seoul ~ 3 days 2 nights

Review ~ Day 3 after surgery

Stitch Removal ~ Day 7 after surgery (Subject to doctor’s review)

Others ~ 2-3 hours stay in Clinic Recovery Room

For 2nd Fat Graft (Touch up):

Expected Duration Of Stay ~ 2days 1 night

Review ~ Day before departure

Stitch Removal ~ No stitch off required

Others ~ 2-3 hours stay in Clinic Recovery Room

Day of Your Surgery

1. Please arrive at our clinic 30 mins before your schedule appointment time.
2. Please DO NOT EAT OR DRINK ANYTHING 8 hours (1st fat graft) / 4 hours (fat graft touch up) before your scheduled surgery time.
3. Please do not wear wigs, hairpins, jewelry, false eyelashes, or contact lenses.
4. Remove nail polish, gel nails, acrylic nails and nails extension.
5. DO NOT put on make up.
6. Wear loose and comfortable clothings and comfortable foot wear.
7. This Procedure will be conducted under local anesthesia and it takes approximately 30 minutes - 1 hour and it is normal to experience mild nausea and drowsiness right after surgery.
8. 2-3 hours stay will be required in our recovery room after surgery and will be discharged once you regain conscious.  

Pre-operative Guide for Fat Graft

DO NOT ~

1. Do not smoke. If you smoke, you should stop for at least 2 weeks prior to surgery. Nicotine effects circulation and can slow down healing time.

2. Do not take aspirin or aspirin-containing product, or any Vitamin E for two weeks prior to or following your scheduled surgery. Aspirin has an effect on your blood’s ability to clot and could increase your tendency to bleed at the time of surgery and during the post-operative period.

3. Stop all medications (Except high blood pressure medications) including vitamin C at least 10 days prior to surgery. You may resume taking Vitamin C after surgery as it can help to speed up your recovery.

4. Do not take diet pills or herbal supplements 7 days prior to surgery.

The below-mentioned Medication/Supplements should stop taking 7 days before the surgery.

Weight-loss products and nutritional or herbal supplements (减肥产品或含有草药的补品):

Alpha-lipoic acid (α-硫辛酸), Echinacea (松果), Gingko biloba (银杏), L-carnosine (L-肌肽), Omega-3 (欧米加3), Acetyl- l- carnitine (乙酰基L-肉毒碱), Ephedra (麻黄), Ginseng (人参), Licorice (甘草), Resveratrol (白藜芦醇), Cinnamon (肉桂), Camomile (甘菊), Fish Oil (鱼油), Garlic (大蒜), Glucosamine-glutamine (氨基葡萄糖谷氨酰胺), Chondroitin (软骨素), Kava (卡瓦), Milk thistle (水飞蓟), Skullcap (头盖骨), St. John’s wort (圣约翰草), Creatine (肌酸), Ginger (姜), Goldenseal (毛茛), Multivitamins (多种维生素), Vitamin C & E (维他命C和E), Evening Primrose Oil (月见草油), Royal Jelly (蜂王浆).

5. Do not drink alcoholic beverages for 5 days prior to surgery. Alcohol may create complications and increasing bruising.

DO (Optional) ~

1. You may wish to take Vitamin C two months before surgery for speedy healing for scar. However, please STOP taking them 10 days before surgery date. And continue to take after surgery as long as possible.

2. 片仔癀 (Pian Zai Huang) ~ Traditional Chinese Medication according to Chinese Physician it aid healing, prevent inflammation before & after surgery, reduce swelling & pain.

If you intend to consume this traditional chinese medication, take 2 capsules of 片仔癀 (Pian Zai Huang) 1 day before surgery. After surgery you should take the medicine prescribe by doctor 3 times daily 30 minutes after meal, and as for 片仔癀 (Pian Zai Huang) you should take it at night before you rest & should be taken 3-4hrs after you have taken doctor’s prescription. Please Do Not Mix it together with doctor’s prescription as片仔癀 (Pian Zai Huang) is a very strong chinese medication that will override all kind of medication.

3. 何人可凉茶 (he ren ke liang cha/Herbal Tea) should be taken 1 week prior to surgery to relieve body heat, drink it every alternate day before & after surgery.

Here are some non-compulsory items/treatments that will help to condition your body.

1. Manuka Honey UMF 16 ~ Soothing, Conditioning and Boost up your Immunity
2. Nutritional or Meal Replacement Shake ~ Supplement your normal meals
3. REJURAN HEALER Treatment ~ Aid in Skin Regeneration & Repair Damage Cells

4. REJURAN ~ A Natural Healing Cosmetics Set ~ Please refer to our local consultant for more information.

      

         

Medication

1. You may be prescribed with medication that comes in a pre-packed form consisting of different tablets and capsules in each pack.
   

   

In most cases, our standard medication like Painkiller, antibiotic and digestive pill are prescribed at no additional cost. Should you required any other special medication, Doctor will provide the prescription for you and the medication may be purchase over any medical counter at your own cost.

2. The Pre-Packed Standard Medication to be taken 3 times a day, 30 mins after each meal, unless advised otherwise.
3. If there are Korean words on your medication such as 아침, 점심 and 저녁, please note that they mean that they should be taken after:

• 아침: breakfast
• 점심: lunch
• 저녁: dinner

If you develop a rash or think you are having an allergic reaction to the medication, please call our clinic immediately.

Terramycin ointment is usually prescribed for patients undergoing surgeries. Please apply this ointment starting immediately after the surgery, over the stitch areas, twice daily. Once in the morning and once in the evening for at least 2 weeks.

Post-Operative Care for Fat Graft

Please DO NOT:

Wound/Stitch/Swelling

• Do not drink alcohol and smoke for at least 1 month post surgery for better blood supply, tissue regeneration and to avoid inflammation.
• Do not wear glasses and hats for at least 2 months if forehead fat graft is done.
• Avoid vigorous physical activities, aerobics, swimming, weight training etc for at least 1 month. Continuous physical forces acting on the surgical site can cause movement or wrong deviation on grafted site.

• Do not take the medical tapes/bandages off from the grafted site.  The bandages will be removed on Day 3 during your review appointment.
• Use baby oil if necessary to remove the tacky residue from the stitch off site at back of thigh.
• After removal of tapes/bandages off on Day 3, use waterproof plaster to cover the stitch site and change it daily until stitch off day (Day 7)
• Swelling and bruising are expected on day 2-3 post surgery and mostly will subside after 1-2 weeks and gradually over 3 months onwards.

Must Read Notes

• It is normal to experience mild nausea and drowsiness right after surgery.
• Please abide to all advice on taking of the prescribed medication.
• Take nutritious food to increase fat survival rates.
• Vitamin E, Evening Primrose Oil, Royal Jelly Vitamins and Omega-3 should be avoided if you are still having swelling to prevent prolonged swelling.
• Makeup is possible post surgery but makeup must be removed thoroughly upon cleansing.
• Daily Sunblock is a must and we highly recommend to use Sunscreen with SPF 50+ PA+++ with thorough cleansing.

• Fat graft around the lips or eyes may result in more swelling as the skin layer is closer to the transplant.
• Keep your head elevated 45 degree while sleeping by using two pillows - this may helps reduce swelling throughout the night for at least 2-3 weeks.
• You may start to wash your face gently on Day 1 post surgery.
• Patient may shower on Day 7 after stitch off by protecting the wound at back of thigh with waterproof plaster, to avoid incision site in contact with water up to Day 14. Thereafter, normal shower routine as usual.
• No heat/cold facial treatments or equipments for at least 1 month except for paper or soft mask.
• Do not exert physical force on grafted sites for at least 1-2 months.
• You can swim or resume your exercise 1 month post surgery but do not exert force on the surgical site as bleeding may occur.  Sauna is not advisable when swelling has not subside.
• Do not compare your progress with other patients. Remember that everyone’s healing process varies. Also, if you have any questions or concerns, contact us directly.
• Keep your emotion under control and Stay Positive for speedy recovery!

Complimentary ITEM Selfcare Pouch

Selfcare Pouch includes ice pack, mini ice pack, cosmetic facial mask, ointment, cotton swab and cotton pad.

• Ice Pack & Mini Ice Pack

To reduce your swelling around your surgical site, you need to apply the ice pack as much as you can do. Mini ice pack can be used for patients who had rhinoplasty

• Ointment

A day later from the surgery, you have to apply the ointment two times a day around your stitches area not make your scar dry.

• Cotton Swab & Cotton

Whenever applying the ointment around your surgical site, you need to use cotton swab to apply them gently. After the surgery, the blood temporarily can be released. That is a very normal symptom and please wipes off the blood with cotton pad.

• Cosmetic Facial Mask Pack

After removing stitches around your surgical site, you can apply the cosmetic facial mask to rejuvenate your skin condition. During your healing process, you may not wash your face as normal daily life.

• Concentrated Pumpkin Juice

Drink it once a day and it helps to reduce swelling.

We hope this help and good luck for your surgery. We wish you a speedy recovery!

If there’s any doubts, please do not hesitate to seek help from us.

Thank you for choosing ITEM Plastic Surgery Clinic! ^^