Preoperative Instuctions


Do not eat or drink anything (including gum, mints, etc.) after midnight the night before surgery. On the morning of surgery, you may have a few sips of water when you take your prescription medications. Otherwise, do not eat or drink anything that morning.


Nicotine in any form, including cigarettes, cigars, chewing tobacco, and even transdermal patches and gum can adversely affect your wound healing. If possible, you are advised to stop all forms of tobacco one month before and after surgery. There is a chance that you may compromise the success of your surgery if you should continue to take tobacco.


Try to abstain from any heavy drinking 2 weeks prior and after surgery. If possible, curtail even moderate social drinking the week prior and after surgery.

Prescribed Medications

If you are taking prescription medications, e.g., for high blood pressure, please continue to do so even the morning of surgery, unless your primary care doctor or Dr. Bray, Jr. has advised you to do otherwise.

If you are taking prescription pain medications, e.g., for arthritis, please ask us if you can safely continue these medications. Some of these medications contain aspirin or aspirin like products that may cause you to bleed. (See the previous page for list of aspirin-related products.)

If you are asthmatic, please take your inhaler(s) the morning of surgery as well as per your routine schedule.

Aspirin & Aspirin-Related Products

Aspirin and aspirin-related products (see following list) should not be taken either 2 weeks before or after surgery because they increase the tendency of bleeding.

For this reason, it is very important that contents of any “over-the-counter preparations” be checked carefully prior to their use.

Many headache preparations, cold remedies and “hangover cures” contain ASPIRIN. The chemical name of aspirin is acetylsalicylic acid.

Examples of drugs containing salicylates (aspirin) are as follows:

  • Acetidine
  • Alka-Seltzer
  • Anacin
  • Anahist
  • APC
  • Aspirin
  • BC
  • Bromo-Quinine
  • Bromo-Seltzer
  • Bufferin
  • Coricidin
  • Darvon Compound
  • Dristan
  • Ecotrin
  • Empirin Compound
  • Excedrin
  • 4-Way Cold Tablets
  • Inhiston
  • Liquiprin
  • Midol
  • Pepto-Bismol
  • Persistin
  • Sal-Sayne
  • Stanback
  • Theracin
  • Trigesic

Examples of aspirin-related products are as follows:

  • Advil
  • Anaprox
  • Ansaid
  • Arthrotect
  • Cataflem
  • Lodine
  • Mefenamic Acid
  • Clinoril
  • Daypro
  • Diclofenac
  • Naprosyn
  • Etodolac
  • Feldene
  • Ibuprofen
  • Indocin
  • Indomethacin
  • Ketoprofen
  • Ketorolac
  • Tolectin
  • Mobic
  • Motrin
  • Naprelan
  • Voltaren
  • Naproxen
  • Nuprin
  • Orudis
  • Oruvail
  • Piroxicam
  • Ponstel
  • Relafen
  • Sulindac
  • Tolmetin
  • Toradol
  • Dolobid

You can substitute TYLENOL (acetominophen) for these products if you require pain medication before surgery.

Check with your pharmacist if you are uncertain whether a medicine contains aspirin.

Herbal Medications & Nutritional Supplements

Some herbal medications and nutritional supplements may also increase bleeding or photosensitivity (i.e., sun sensitivity). Please discontinue all herbal medications and nutritional supplements 2 weeks before and 2 weeks after surgery. In particular, discontinue use of the following medications and supplements 2 weeks prior to surgery and for 2 weeks after surgery. Some of the following plant foods, such as celery, dill, fennel, may be used in moderation in your diet.

Some herbal medications that may make you bleed:

  • Bilberry
  • Black cohosh rhizome
  • Kava kava
  • Cayenne
  • Dong quai
  • Echinacea
  • Feverfew
  • Fish oil caps
  • Garlic
  • Ginseng
  • Ginkgo biloba
  • Hawthorne
  • Horse chestnut bark
  • Tonka bean seeds
  • Licorice root
  • Ma huang (ephedra)
  • Meadowsweet flower
  • Melatonin
  • Poplar bark or buds
  • St. John’s wort
  • Sweet birch bark
  • Sweet clover plant
  • Sweet vernal grass leaves
  • Sweet-scented bedstraw plant
  • Valerian
  • Vanilla leaf leaves
  • Willow bark
  • Wintergreen leaves
  • Woodruff plant
  • Yohimbe

Some herbal medications that may make you sensitive to the sun:

  • Angelica root & fruit
  • Celery
  • Dill
  • Fennel
  • Khella fruit
  • Lomatium root
  • Lovage root
  • Cow parsnip
  • Parsley
  • Queen Anne’s lace
  • Agrimony
  • Bergamot peel
  • Bitter orange peel
  • Buttercup plant
  • Fig
  • Goosefoot
  • Lemon peel
  • Psoralea seeds
  • Rue leaves
  • St. John’s wort
  • Yarrow plant


If you are taking any vitamin E pills, please stop 2 weeks before and 2 weeks after surgery, as this may increase your chance of bleeding.

On the Day of Surgery…

1. Please wear a button-down shirt instead of a pull-over shirt so that you may change clothes afterwards without disturbing your wound or soil your clothing.

2. Also do not engage in any vigorous cardiovascular exercise the morning of surgery. Increasing your blood flow with exercise the morning of surgery may increase your chance of bleeding.

3. Please make sure that you have arranged to have someone transport you home after the surgery if you’re scheduled to go home afterwards. We believe it is mandatory in many cases to have a companion or family member stay with you for the first 24 hours after surgery.

4. If you wear fingernail polish, please ensure that at least one fingernail is free of polish so that the pulse oximeter (the device that reads your oxygen levels) may properly function.


We greatly appreciate the confidence you have shown in us by allowing us to assist you in improving your appearance and health, and you may be assured of our best efforts to achieve the most satisfactory surgical result possible for your particular individual anatomy and condition.

If you have any questions or concerns, please call 310-326-9400.