London Women’s Care
803 Meyers Baker Rd.
London, KY 40741
Post-Operative Instructions for Labial/Vulvar Plastic Surgery
The ultimate success of your surgery is partially dependant on your self-care in the weeks after your procedure It is very important that you follow the instructions as given. Instructions are as follows:
- Keeping clean: Rinse yourself well with your “peri-bottle” and gently dab (Do NOT Rub) the are with a “tucks” (witch-hazel) pad or paper towel after each urination and bowel movement, then apply a clean sanitary pad. Do not use toilet/tissue paper for the first 5-7 days as it can get stuck to your incisions.
- Showering: Starting the evening of surgery, thoroughly rinse the area in the shower ONCE daily for the first 5-7 days. You may “cup” your hand between your legs, let it fill with water and hold it there for 1-2 minutes. Pat (DO NOT RUB) the area dry with a soft cloth/towel or dry with a hair dryer, then apply a clean sanitary pad.
- Icing: Place your ice pack in a plastic “zip-lock” bag and cover with a hand paper towel, place against the labia for 15-20 minutes, 4-5 minutes per day for the first 4-5 days after surgery to help with swelling and discomfort. (You may also do this by filling a plastic “zip lock” bag with crushed ice). After this time, you may use a heating pad if needed for swelling and discomfort.
- Medications & Creams: Remember to use your Arnica, Vicodin/Norco (or substitute) and Dermaplast as directed. Start your Arnica as soon as possible (When you leave the office or after you get home). Take it as directed on the packaging starting the day of surgery and until the swelling and “oozing” is gone. Take Arnica on an empty stomach, then eat, then take your pain medication. If you were given Cu3 intensive hydrating gel by the office, gently apply it to your incisions 2 times a day ONLY (1 time a day in addition to once after you shower) for the first week. Use your Dermaplast spray only for surface stinging. Pain medications can cause constipation. See below for prevention instructions.
- Swelling: For significant swelling not well relieved by ice, please take ibuprofen (Advil) 600mg (3 OTC tabs) every 6-8 hours around the clock until swelling subsides. Please take with food and do not take longer than 5 days maximum.
- Shaving/Waxing: you should NOT have or wax in the vaginal area until cleared by _____________ at your one month post op appointment.
- Activities: For 2 full weeks after surgery it is extremely important NOT to do any heaving lifting, vigorous activities or exercising, including but not limited to: fast walk-ins, stair climbing, dancing, swimming, etc. Sexual intercourse, biking, running, and horseback riding should be withheld for at total of ONE month. Do not have intercourse or insert anything into the vagina until cleared by __________. (Please use pads only for your period after surgery). Anytime you can lie down and elevate pelvis and legs. Avoid ups and downs, walking/’rub, rub, rub”.
- “Looking/touching/tugging/rubbing…” After surgery, your vulva will become VERY discolored and swollen from approximately day 1-7. Please evaluate yourself for signs of excessive bleeding, wound separating, or blood clots (“goose egg”) formation in the first 36 hours after surgery ONLY. Following that, it is important and best not to visualize the area frequently, nor handle it excessively. The appearance will change day by day, and the changes and irregularities noted initially can “drive you crazy”.
**PLEASE AVOID EXCESSIVE “HANDLING”**
- Avoid constipation: Take your pain medication only if you need it, stay hydrated, eat prunes (5-6) per day, drink “smooth move” tea, and take Senokot, or other laxative if needed.
- It is normal to have: a small to moderate amount of bloody spotting swelling, and bruising discoloration in the area. It is also not unusual to have a small area (not >1/4) where the supervision skin may separate.
- Danger signs include: evidence of infection (redness, swelling, and perhaps a yellowish discharge, and/or fever), increasing day by day pain, and bleeding that is more than light spotting. If you notice one area/side is significantly more swollen than others, please apply 5 minutes of firm pressure to the area with a pad or wash cloth, using the heel of your hand. Look at the area, if it seems unchanged, apply 5 more minutes of pressure and call ____________.
- You will have your first post op visit 5-10 days after surgery for evaluation and possible suture removal. If you have any questions or concerns prior to or after time, please call ___________ or his nurse Kacey at the office 606-878-3240. If you do not reach someone, or it is outside office hours, please call Kacey at 606-224-7037.