Facial Scar Revision – OFFICE

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  • Dr. Brown:
    • Gown – XL, XL Length
    • Gloves – 8 Indicator glove, 7.5 Nonlatex gloves
  • Dr. Chandler:
    • Gown – L
    • Gloves – 5.5, 6.0 if 5.5 unavailable
  • 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.
    • In pre-op holding ~1 hour before surgery:
      • Tylenol 975mg PO x1
      • Gabapentin 600mg PO x1
      • Celebrex 400mg PO x1
  • Intra-operative Medications
    • Have two 10mL syringes filled with 1% lidocaine with epinephrine
    • Have an additional vial of local anesthesia in room
  • Post-operative Medications (Prescribed pre-op)
    • Tylenol 650mg PO q6 hours scheduled
    • Methocarbamol 1500mg PO q6 hours scheduled
    • Gabapentin 300mg PO PO q6 hours scheduled  (if not too expensive)
    • Cephalexin 500mg PO q6 hours scheduled for 4 doses starting after surgery
    • Celebrex 200mg PO BID scheduled (if not too expensive)
    • 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
    • Refresh tears
    • Refresh PM ointment
  • Patient Position
    • Supine, turn bed 90 degrees
  • Instrument Sets
    • Face
  • Surgical Packs
    • Face
  • Surgical Prep
    • 5% Betadine for face
  • Irrigation Solutions
    • Warmed Normal Saline
  • Blades
    • 11 x 2
    • 10 x 2
  • Bovie
    • Colorado tip
    • 20/20 pure and fulgurate
  • Suture Available
    • 4-0 Monocryl Large cutting x2
    • 5-0 Monocryl Large Cutting x2
    • 5-0 Fast Gut Large cutting x2
    • 6-0 Fast Gut Large cutting x2
    • 5-0 Nylon Large Cutting x2
    • 6-0 Nylon Large Cutting x2
  • Drains
    • 10mm perforated, on trocar if availalbe, 100mL bulb suction
  • Additional Supplies
    • Marking pen x 4
    • Paper Ruler
  • Dressing
    • Bacitractin
    • BSS eye irrigation or any Eye saline solution
    • Refresh PM eye ointment or Erythromycin ophthalmic
    • Xeroform
    • Kerlex or 1 inch Cling wrap
    • 4″ Coban  x2
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