Breast Implant Removal-OFFICE

Print Card

  • Dr. Brown:
    • Gown – X
    • 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 (prescribed pre-op)
    • Night before:
      • Shower with Hibiclens for couple days before surgery 4% topical chlorhexidine soap.
    • In office ~1 hour before surgery:
      • Tylenol 975mg PO x1
      • Gabapentin 600mg PO x1
      • Celebrex 400mg PO x1
  • Intra-operative MedicationsĀ 
    • Lidocaine 1% with epinephrine – have two 10mL syringes in room with additional vial of local anesthesia in room
  • Post-operative Medications (patient has these in their possession as they were provided at theirĀ pre-op appointment)
    • Tylenol 650mg PO q6 hours scheduled
    • Methocarbamol 1500mg PO q6 hours scheduled
    • Gabapentin 300mg PO q6 hours scheduled
    • Celebrex 200mg PO BID
    • 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
  • Patient Position
    • Supine
    • Bra underneath patient with folded chux pads on top
  • Instrument Sets
    • Breast
      • Need Tebbetts double ended breast retractor & Long skinny breast retractor
  • Surgical Packs
    • Breast
  • Surgical Prep
    • Chloraprep x 3 – in breast surgical pack
  • Irrigation Solutions
    • Warmed Normal Saline
  • Blades
    • 10 x 2
  • Bovie
    • Short Protected ENT tip x 1 provided in breast surgical pack
  • Suture
    • 3-0 Monocryl Large cutting x2
    • 3-0 v-Loc (absorbable) Long, Large Cutting x2
    • 2-0 PDS Large taper x2
    • 5-0 Fast Gut Large, Cutting (have in room but do not open)
    • 2-0 Nylon large cutting x 2
  • Drains
    • 10mm perforated flat JP drain, on trocar if available, 100mL bulb suction x 2
  • Additional Supplies
    • Marking pen x 4
    • Paper Ruler
  • Dressing
    • Mastisol
    • Wide Long Steri strips
    • Kerlex fluffed in a bra
Print Card