Preoperative care instruction

1. Do not shave your armpits for one week before surgery.
2. Stop using antiperspirant 3 days before surgery.
3. Take a shower bath at home before arriving for surgery.
4. On the day of operation, wear loose garments for the convenience of post-operative wound dressing.
5. Eating is allowed on the day of operation, but juicy or watery food should be avoided.
6. Stop taking any analgesics or anticoagulants the day before operation.
7. Do not shave your armpits before surgery.
8. Please be punctual, if you are not able to arrive at the time appointed,
   kindly notify us with a phone call 3 days in advance.

Postoperative care instruction

1. Do not lift your arms above your shoulders for two weeks. Any outward stretching (abduction) of arms (for instance, pulling the handle on bus; pulling on a turtleneck; riding bikes or steering wheel) is strictly prohibited. Avoid intensive exercise, over-sweating, for these activities may cause hematoma, skin necrosis or poor healing of the wounds.
2. Change dressing is unnecessary. Go back to clinic for the nursing staff to remove the gauze on the fourth day after operation.
3. After the fourth day, self wound care is advisable. Clean your arm pits with normal saline solution or boiled water, dab them dry, apply a thin membrane of ointment then cover with gauze.
4. If you have swelling or hematoma or any problem, come back to our dermatology clinic or emergency room for help.