Preoperative Recommendations


	You will be asked to remove your underarm hair by using depilatory cream instead of razor. The use of razors prior to surgery increases the incidence of wound infection.

	Patient preparation includes treating the surgical site before surgery, using appropriate antiseptic agents for skin preparation.

	In the operating room the intravenous therapy or IV will be initiated. The IV is the giving of liquid substances directly into a vein. Through a needle you will receive saline solution, anesthesia, and other medications you may need during surgery.

	Once you have moved over the operating table, you will be placed in a supine position with arms in abduction. This means that you will be lying down with the face up and open arms. The elbows are cushioned with pillows to prevent any postoperative discomfort.

	This procedure usually does not require of drainage tubes.

	The surgery may take 1-2 hours and it is performed on an outpatient basis.

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*	Hyperhidrosis - Excessive Sweating
*	Preoperative recommendations
*	Postoperative recommendations - Surgical treatment of hyperhidrosis

Postoperative recommendations - Surgical treatment of hyperhidrosis


1	Patients are instructed to care the postoperative dressings.

2	On the first postoperative day, you will be asked to press the axillae and the arms against the thorax, and repeat this movement several times every hour.

3	Dressings are removed one week following surgery.

4	Sweating may completely disappear for 3-6 months and gradually return in time.

5	Some patients refer a sensation of numbness after surgery. This is a completely normal consequence of surgery. Sensation will return as healing

6	Progresses.

7	Sutures are removed two weeks after the procedure.

8	You must rest at home for the first 48 hours following surgery.

9	You will be given a prescription with antibiotics and pain medication to minimize any discomfort.

10	Inform immediately to your physician if you develop an unexpected reaction to the prescribed medication.

11	You must make arrangements for a responsible adult friend or family member to take you home after the procedure and take care of you during your convalescence.

12	Avoid taking any medication that has not been prescribed by your doctor, especially aspirin (acetyl salicylic acid) or aspirin-like products (Ibuprofen, Advil, Motrin or Aleve). These medicines have anticoagulant adverse effects and may increase the risk of bleeding or scarring complications.

13	You should expect some bruising and swelling as a natural part of reconstruction surgery. This condition will fade within days after surgery.

14	Avoid any strenuous physical activity for 2 weeks after surgery.

15	Please do not remove dressings.

16	Do not raise your arms above your head as possible.

17	You will not be able to drive a vehicle for the following weeks..

18	Lifting heavy things, animals or children may affect the area of surgery. You must avoid any activity that increases risk of hitting.

19	Do not allow sutures or dressing to get wet until they have been removed.

20	You must avoid shaving the axillary area for 2 weeks after surgery.

21	You will not be able to drive a vehicle for the following weeks.

22	Lifting heavy things, animals or children may affect the area of surgery. You must avoid any activity that increases risk of hitting.

23	Do not allow sutures or dressing to get wet until they have been removed.

24	You must avoid shaving the axillary area during the time recommended by your physician.

25	Avoid sun exposure following surgery.

26	You should avoid contact sports or very vigorous activity for three months.

27	Patient must return to the office for general check up as indicated by the physician.

28	Please inform Dr. Nieto if you present heavy bleeding from the wound, severe pain, high fever (more than 38 degrees), significant redness or severe discomfort.