Hey guys I’m Shannon one of the physician assistants with Florida plastic surgery group today I’m going to be going over discharge instructions for doctor feluccas migraine surgery so in case you don’t know there’s two different types of migraine surgery there’s a frontal migraine surgery and there’s an occipital migraine surgery I’ll go over the instructions for wound care for both of them so first I’ll go over the frontal migraine surgery after the surgery I’m sure dr. Phil akule will tell you but he’s going to make an incision right on your eyelid he’s going to put stitches on the outside of the incision and then we’ll put steri-strips on top of that leave those there you can take a shower 24 hours after the surgery just don’t put water directly on those incisions so when you are taking a shower just tilt your head back let the water flow over your head being careful try not to get the water on those incisions don’t take the steri-strips off you could actually pull on the suture and pull the suture out if you see little pieces of the suture sticking out just leave them there when you see dr. fluke go back in the office he’ll take those stitches out for you as far as the occipital surgery goes you’ll have stitches on the outside of the incision as well I’m sure he’ll go over this too with you before the surgery but we will have to shave a small strip of your hair right in the back of your head and then we’ll put stitches on the outside of the incision will put antibiotic ointment over that if you’re a female your hair will usually come out with your hair in a ponytail just to keep the hair away from the incision to take care of this what we want you to do is a couple of times a day get some antibiotic ointment anything like Neosporin bacitracin a triple antibiotic ointment any of them are fine and put it on that incision a couple of times a day same with the frontal migraine you could take a shower 24 hours after the surgery just let water run right over everything if you want to take a gentle shampoo like a baby shampoo you can and just lightly rub around the incision don’t scrub on the incision itself but you can wash right around that incision so when you get home we do recommend you I seen the area whether you have the frontal migraine surgery or the occipital migraine surgery I do recommend taking like a little cloth or a paper towel putting it directly over the incision and then putting ice on top of that don’t ice for longer than 15 minutes every two hours so I would set a little timer just to make sure that you’re not going over that 15 minutes at a time like I said for either surgery you could take a shower of the day after surgery just let the water run right over it for the occipital and for the frontal try not to get your face wet if you are a female or a male and you are going to blow dry your hair or use a curling iron or a straightener I always tell people be extra careful because the area on your neck could be numb for a little bit so just be super careful at first because we really don’t want you to burn yourself as far as medications go we’ll give you a list of medications after the surgery to help control your pain we will go over with you with these medications before you do go into the surgery just make sure you know how to control your print pain adequately if you were taking a pain medicine specifically for your migraines before the surgery you are fine to resume it after the surgery for activities doctor flu Co doesn’t want you doing anything that causes jerking movements with your head so things specifically like driving where you have to look side to side you want to avoid for at least one week when you see doctor flu go back in the office at your one-week because that he will let you know when you can resume activities you also want to do things that avoid bending over so things like tying your shoes bending down to pick things up you want to keep your head elevated so try to exercise not doing any activities like that just in general for healing you don’t want to do anything that raises your heart rate so make sure that you’re not doing too much strenuous activities like I said before especially no jerking movements but anything that could increase your heart rate you want to make sure your heart rate stays low just why you are healing so if you are doing activities you start feeling like you’re out of breath or you feel like your heart is really racing down and relax and you want to make sure you’re doing all these things for one week things to look out for for after the surgery that you should call our office about include a fever a high fever over 101 degrees any shortness of breath any swelling or pain in your legs any pain that can’t be controlled with the medicine that we give to you any redness around the incisions hot to touch anything boozing or draining a significant amount if one surgical site of the area is much larger than the other so like increased swelling on one side compared to the other please call our office right away you do experience any of these symptoms I think that it concludes my video for today as always if you guys have any questions that weren’t listed in this video you can always give us a call we look forward to seeing you at your surgery.

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