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Medications and Supplements to Avoid

In the two weeks leading up to your surgery, we ask that you avoid the following.

  • Aspirin
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Vitamin E (other than what is contained in your multivitamin)
  • Drugs containing aspirin compounds
  • Fish oil
  • Omega fatty acids
  • Supplements such as Garlic, Ginger, Gingko, Ginseng, turmeric

These medications and supplements can increase the risk of intraoperative and postoperative bleeding. Tylenol and other over-the-counter medications containing acetaminophen can be safely used in place of aspirin and ibuprofen to control pain and discomfort. Once the surgery is completed, the listed drugs and supplements may be restarted almost immediately since the anticoagulant effects commence well after taking the drugs.

Refrain from Tobacco Use

If you consume nicotine in any form (smoking, vaping, chewing), then please refrain from using these products for at least two weeks before and two weeks after surgery. Tobacco contains nicotine, which causes constriction of the vessels that supply blood to the skin and underlying tissues. Any restriction of blood flow can negatively affect the healing process and lead to suboptimal outcomes.

Minimize Stress

Surgery can be mentally and physically stressful. It is important to clear your schedule and allow yourself time to recover from your procedure. Ensuring that you are well-rested and relaxed before surgery enables your body to better handle the stresses inherent to undergoing an operation.

Arnica and Bromelain for Swelling and Bruising

Arnica is an herb grown mainly in Siberia, Central Europe, and temperate North American climates, and Bromelain is an enzyme extract from pineapple stems. Although there is no conclusive scientific evidence regarding the benefits of arnica and bromelain after surgery, some patients have reported less swelling and bruising with their use after facial procedures.

Arnica and bromelain are available in pill form or as a topical cream to be applied directly to areas of bruising. As we have seen no harmful effects with its use, you may use these supplements after surgery according to your personal preference. Follow the usage instructions provided in the product insert.

Preparation For Surgery

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We are excited to announce we are now treating patients for all procedures and surgeries. After a month of optimizing our Covid-19 protocols, we are confident in our ability to offer a safe clinic and operating room setting for our patients and staff. We have instituted disinfection methods, enhanced air purification, and the use of personal protective equipment. We will continue to offer in-office and virtual consultations.

As part of our commitment to the highest safety standards, the following modifications to the patient experience for the foreseeable future. We greatly appreciate your compliance and understanding.

  1. Online check-in must be completed through our online portal 48-hours prior to the appointment.
  2. We are instituting a curbside waiting room. Please text us at 503-575-1910 upon arrival and wait in your parked car until you are notified via text message that we are ready to begin your appointment. Complimentary patient parking is located below our building.
  3. Patients are required to bring and wear masks for the duration of their appointment. If you do not have one, one will be provided.
  4. Guests, children, or visitors other than the patient will not be permitted. In the case of patients who are minors, one accompanying parent or guardian is permissible.
  5. We will obtain credit card information over the phone prior to the appointment. Payment will be processed after the treatment is completed. No payment will be handled onsite.
  6. Patients will enter our main entrance and exit out of our back exit. This one-way patient flow will allow us to comprehensively disinfect our clinic to be ready for the next patient.
  7. Coronavirus testing will be instituted for all surgeries and select in-office procedures.

We appreciate your continued patience and flexibility. See you soon.

Dr. Kim and Staff

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