Bilateral Breast Lift with Implants (Augmentation-Mastopexy) + Brazilian Butt Lift

Print Card

  • Dr. Brown:
    • Gown – XL, XL Length
    • Gloves – 8 under glove, 7.5 over glove
  • Dr. Chandler:
    • Gown – L
    • Gloves – 5.5, 6 if no 5.5 available
  • Sean Kirby PA-C:
    • Gown – XL
    • Gloves – 7.5 Indicator Glove, 7 Nonlatex Glove
  • Pre-operative Medications
    • Night before:
      • Scopolamine patch placed behind ear
      • Shower with Hibiclens for couple days before surgery 4% topical chlorhexidine soap.
    • At Check In to Surgery Location:
      • Tylenol 975mg PO x1
      • Gabapentin 600mg PO x1
      • Celebrex 400mg PO x1
  • Intra-operative Medications
    • Ancef 2 grams IV (ok if allergic to Penicillins).   Vancomycin 1g IV (if allergic to Ancef)
    • Infiltration Solution for breasts (PHARMACY to prepare, in pre-op order set):
      • NS or LR 500 mL
      • Ropivicaine 300mg   OR  (Bupivicaine 150mg = 30mL of 0.5% Bupivicaine)
      • Clonidine 0.3mg
      • Dexamethasone 4mg
    • Tumescent solution for Liposuction
      • 1L LR or NS + 2 amps of 1:1000 epi
      • Be able to make approximately 1-5 bags of this depending on amount of fat to be sucked out.
      • Place in towel/blanket warmer
  • Post-operative Medications (Prescribed pre-op)
    • Tylenol 650mg PO q6 hours scheduled
    • Gabapentin 300mg PO q6 hours scheduled x3 days
    • Celebrex 200mg PO BID x3 days
    • Cephalexin 500mg PO q6 hours scheduled for 4 doses starting after surgery
    • Pericolace 1 tab PO BID scheduled
    • Phenergan 25mg PO q8 hours PRN nausea
    • Oxycodone 5mg tabs, 1-3 tabs PO q4 hours PRN pain
    • Ibuprofen 600mg PO q6 hours scheduled, starting 48 hours after surgery
  • Anesthesia
    • Anesthesia choice
  • Patient Position
    • Supine, Able to sit up 90 degrees (make sure bed can do this)
    • Will do breasts first, then liposuction of abdomen, then flip onto 2nd OR table prone to do more liposuction and fat grafting into buttock.
  • Bed Attachments
    • Arm boards, Ulnar nerve pads
  • Patient Warming
    • Lower body Bair Hugger (mid-thigh down) while supine.
    • Upper body Bair Hugger while prone.
    • IV fluid warmer
  • DVT Prophylaxis
    • Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia.
  • Foley Catheter
    • Yes, run tube thru strap of an SCD so it doesn’t pull on bladder when we flip prone
  • Instrument Sets
    • Breast & Body  OR
    • Minor plastic set
      • will need Lehey clamps x2 or kochers x2, 38mm cookie cutter, 42mm cookie cutter,
      • Tebbetts retractor AND long skinny retractor
    • Liposuction Set
    • Large Fat grafting canisters to collect fat.
  • Surgical Packs
    • Custom Body Pack OR
    • Universal Pack + two 3/4 Drapes
  • Surgical Prep
    • Chloraprep x8.  Put in blanket warmer.
  • Irrigation Solutions
    • Standard Antibiotic Solution (PHARMACY TO PREPARE, IN PRE-OP ORDER SET)
      • Ancef 2g
      • Gentamicin 160mg
      • 100mL 10% stock povidone-iodine (stock betadine paint)
      • Mixed into 1L Normal Saline
  • Blades
    • 10 x 2
    • 15 x 2
    • 11 x 1
  • Bovie
    • Short Protected ENT tip x 1
    • Long protected ENT tip x 1
    • Set at coagulate 60 fulgurate /  cut 60 pure
  • Suture
    • 3-0 Monocryl Large cutting x 4
    • 3-0 v-Loc (absorbable) Long, Large Cutting  x3
    • 2-0 PDS on Large Taper x 4
    • 2-0 Prolene Kieth Large cutting x 2
    • 5-0 fast gut x 2 – have in room but do not open
  • Drains 
    • None
  • Additional Supplies
    • 1g Ancef to mix with fat before injection.
    • 1g Vancomycin to mix with fat before injection.
    • Marking pen, Paper Ruler
    • 18G spinal, 60cc syringe for injection of local
    • Breast implants
      • Dr. Brown to bring if cosmetic
    • Liposuction Power Generator (Black and Black Vibrastat or MicroAire)
    • Infusion pump (tumescent in)
    • Infusion tubing (tumescent in)
    • Liposuction tubing (fat out)
    • Suction machine (fat out)
  • Dressing
    • Wide Long Steri strips and Mastisol
    • Fluffed Kerlex (1 roll)
    • Bra – facility to provide if insurance case, Dr. Brown to bring if cosmetic.
    • Compression garment – Dr. Brown to bring if cosmetic.
Print Card