Labiaplasty + Fat Grafting (Local only) – OFFICE

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  • 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
    • Morning of
      • Keflex 500mg PO  x 1
    • Upon Arrival:
      • Tylenol 975mg PO x 1
      • Celebrex 400mg PO x 1
      • Gabapentin 600mg PO x 1
  • Intra-operative Medications
    • Topical numbing cream 30 min
    • Infiltration Solution (Dr. Brown will inject after marking, before prep):
      • Ropivicaine or Bupivicaine with Epi
    • Tumescent for fat graft harvest = 0.1% lidocaine tumescent solution.
  • Post-operative Medications (Prescribed pre-op)
    • Tylenol 650mg PO q6 hours scheduled
    • Cephalexin 500mg PO q6 hours scheduled for 4 doses starting after surgery
    • Pericolace 1 tab PO BID scheduled
    • Ibuprofen 600mg PO q6 hours scheduled, starting 48 hours after surgery
    • Gabapentin 300mg PO q6 hours scheduled (if not too expensive)
    • Celebrex 200mg PO q12 hours scheduled (if not too expensive)
    • Phenergan 25mg PO q8 hours PRN nausea
    • Oxycodone 5mg tabs, 1-3 tabs PO q4 hours PRN pain
  • Anesthesia
    • Local only
  • Patient Position
    • Lithotomy
  • Bed Attachments
    • Stirrups
  • Instrument Sets
    • Genital
  • Surgical Packs
    • Genital
  • Off Sterile Field on Side Table (to be used before prep)
    • Bonnies Blue, Q-tip, Sharpie
    • Alcohol swabs
    • 10mL syringe, 27G needle
    • ropivicaine or bupivicaine with epi  (20mL)
  • Surgical Prep
    • Betadine scrub and Paint
  • Irrigation Solutions
    • Warmed normal saline
  • Blades
    • 15 x 1
  • Bovie
    • Colorado tip x 1
    • Set at coagulate 20 fulgurate /  cut 20 pure
  • Suture
    • 4-0 Vicryl Large taper or cutting x 2
    • 5-0 Vicryl Rapide Large cutting x 2
    • 5-0 Plain Gut large cutting x 2
  • Additional Supplies
    • Sterile Marking pen, Paper Ruler x 4
    • 10cc syringes x 8
    • Red caps x 8
    • Sputum Trap
    • 18G Dermasculpt cannula x 1
  • Dressing
    • Bacitractin
    • Xeroform
    • Kerlex
    • Cotton underwear.  Ice pack
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