Preparing for surgery

Download the pre-surgery document.

Medications to avoid 2 weeks prior to surgery

Do not take Aspirin (acetylsalicylic acid) or products containing Aspirin
  • Alka-Seltzer,
  • Anacin,
  • Antidol,
  • Apo-Asen,
  • Aspergum,
  • Asaphen,
  • Bayer Aspirin,
  • Astrin
  • AAS,
  • Bufferin,
  • Coricidin D,
  • Coryphen 325 or 650,
  • Darvon compound,
  • Dristan, Entrophen 5, 10 and 15,
  • Fiorinal,
  • Frosst (217-222-292),
  • Instantine,
  • Kalmex,
  • Midol,
  • Nervine,
  • Norgesic,
  • Novasen,
  • Percodan,
  • Robaxisal,
Do not take anti-inflammatories unless otherwise instructed by your surgeon:
  • Advil,
  • Ibuprofen,
  • Celebrex,
  • Indocid,
  • Motrin,
  • Naprosyn,
  • Orudis,
  • Vioxx,
  • Voltaren.

Stop taking all flu medications such as Tylenol Sinus, Advil Sinus, Reactine, cough syrup, etc. ;

Stop taking birth control pills ;

You should also avoid all natural and homeopathic products, garlic, vitamins and products that contain garlic. Despite their natural qualities, they may induce bleeding or delay healing.

Some new products or medications not listed above may also contain aspirin. When in doubt, consult your surgeon or pharmacist.

If you are taking antihypertensive or hypoglycemic medications, do not take them before meeting with the anesthesiologist on the morning of your surgery. The anesthesiologist will determine which ones can be taken and which ones should be avoided.

If you are taking heart, blood pressure, or diabetes medication, continue to do so until the day of your surgery. To know whether to take your medication or not on the morning of surgery, please refer to the section entitled ” Be prepared – Medications to Take or Skip.

You can however safely take certain medications such as Atasol and Tylenol to relieve pain.

Please note that it is your responsibility to verify if the medications you are taking contain or do not contain aspirin.

On the day of surgery, do not take any medications (including heart, blood pressure, and diabetes medications) before seeing the anesthesiologist. She or he will determine which medications to take or to avoid. Inhalers must be taken on the morning of your surgery even if you normally only use them as needed.

If in doubt, contact us.

If your surgeon instructed you to take your regular medication on the morning of your surgery, you may do so with a sip of water only (about 15 ml).

Avoid alcohol consumption for one (1) week prior to your operation and two (2) weeks following your operation.  Combining alcohol and medications can cause unpredictable reactions and modify the effect of medications.

We strongly advise you to stop smoking for two (2) or three (3) weeks prior to your surgery as well as for the two (2) weeks that follow it.

Toxic substances in tobacco have a negative impact on blood circulation. These substances can cause small blood vessels to tighten and lead to skin loss (necrosis) in the area of intervention. These substances can also affect healing, as well as cause nausea, vomiting, and excessive coughing that increase the risk of bleeding after surgery as well as increasing the pain that you feel.

Nicotine substitutes (Nicorette, etc.) have the same harmful effects on blood circulation as smoking does and are therefore also inadvisable during this period.

In order to accelerate the healing process, it is important to incorporate fibers and proteins into your diet before and after surgery. A balanced diet also improves immune function, providing you with better protection against infection.

Canada’s Food Guide  is a good reference for food and nutrition. You can ask the nursing staff for a copy of the Guide.

Space to store your personal effects is extremely limited. This represents a small carry-on suitcase measuring approximately 23 cm x 40 cm x 55 cm (9 in. x 15.5 in. x 21.5 in.) with wheels and handles, weighing about 10 kg (22 lb.). 

The morning of your surgery, you will need to bring:

  1. Your health insurance card;
  2. An up-to-date list of your medications, all of which MUST be in their original containers. We cannot accept medications in dosettes prepared by a pharmacist.
  3. Your inhalers and aerochambers if necessary;
  4. Your glasses case, denture case and hearing aid case;
  5. Your case and solution for contact lenses;
  6. Slip-resistant slippers;
  7. Sanitary napkins, if applicable;
  8. Loose-fitting, comfortable clothing adapted to your surgery for your return home;
  9. Books and silent entertainment (iPod, laptop, etc.).

ADD – if you are staying at the CMC:

  1. A robe, nightgown or pyjamas;
  2. A personal hygiene kit (toothpaste, toothbrush, soap, etc.).

For clients staying at the CMC, a safe is available in your room. However, we strongly suggest you leave money, jewelry, and other valuables at home.

The Centre Métropolitain de Chirurgie is not responsible for the loss of valuables or money that you keep in your possession.

Plan for an accompanying adult to leave the CMC with you as it is strictly forbidden to leave unaccompanied, with your vehicle, or in a taxi. 

  • Pack loose-fitting clothing and comfortable, easy-to-slip-on shoes for your return home ;
  • Choose a responsible person to be by your side for your first 24 hours at home to help you move around, with your personal care, and with your daily activities ;
  • Have a thermometer at home to check your temperature if required ;
  • To facilitate rest, prepare meals in advance; enough to cover the first few days of your return home ;
  • Remember to ask your surgeon about claiming a leave of absence from work and, if applicable, to suspend any gym memberships.

You must fast starting at midnight the night before your surgery; do not consume any solid food and drink nothing, including water. Do not chew gum or suck on candy. You can, however, brush your teeth and rinse your mouth.

If your surgeon instructed you to take your regular medication on the morning of your surgery, you may do so with a sip of water only (about 15 ml). 

Before surgery

  • Do not apply hair dye 10 days prior and 30 days after facelift surgery.
  • Remove artificial nails and nail polish as skin colour and nail colour are used as indicators to verify oxygen levels in the blood. Additionally, the device used to measure your oxygen level may not be able to read results if your nails are covered in polish or if you are wearing artificial nails.
  • Additionally, research has shown that nosocomial infections are transmitted primarily by the hands. Proper hand hygiene is therefore the most fundamental measure of prevention and control of infections for both staff members and clients. Wearing artificial nails and nail polish increases the amount of microorganisms and promotes the establishment of bacteria that can cause nosocomial infection.

The night before and the morning of surgery

  • Do not apply deodorant or antiperspirant on the morning before breast augmentation surgery.
  • According to your surgeon’s instructions, you should, two days before your surgery date, remove hair in the operating area with a depilatory agent (Veet , Vichy, Klorane, etc.). This type of product can be purchased at a pharmacy. Depilatory agents are irritating to the skin. Follow the instructions from the product’s packaging and ask your pharmacist for more information. Avoid waxing as well as razor blades.
  • Remove all jewelry, chains, earrings, rings, body piercings, and hair bands.

Take a bath or a shower the night before and the morning of surgery. In order to reduce the risk of infection and reduce the amount of bacteria on the skin during surgery and after surgery, use a sponge or a Chlorhexidine-based soap to wash the operating area. This product is available in pharmacies.

Be sure to carefully follow the instructions supplied with the product and avoid contact with your eyes and ears. Do not apply lotion or cream to your skin.