• This procedure is mostly done under local anesthesia. Make sure not to eat or drink 6 hours before te surgery.

  • Remove nail polish from at least one fingernail and toenail.

  • Do not wear any jewellery.

  • Do not take Vitamin E (including multi vitamin supplements) 5 days prior the surgery.

  • 5 days prior to surgery you can start taking ARNICA 5CH, 3 pills 3 times a day. You can continue taking these untill 5 days after the surgery.

  • The morning of your procedure, shower and wash your surgical areas with desinfectant soap (iso-Betadine, Hibiscrub). After your shower do not wear any makeup, moisturizers, oils, creams, or lotions, or deodorant.

  • It is best to shave the aerea that will be treated the evening before the surgery, and to take a shower or bath with an antiseptic soap.

  • It is recommended to stop smoking 4 weeks before the surgery.

  • Moderate alcohol consumption 2 weeks before the surgery, and stop alcohol consumption 1 day before the surgery.

  • Wear comfortable clothing on the day of surgery, ideally loose-fitting clothes that open in the front and comfortable flat shoes that slip on.

Please observe the following to try and limit bruising to a minimum:

When you take blood thinning medication or anti-inflammatory medication:

  • Marcoumar or Sintrom: ask your GP for advice on when and how to temporarily interrupt the taking of this medication.

  • Stop taking Aspirin or painkillers containing Aspirin (Excedryn, Perdolan compositum, Afebryl,...) 1 week prior to the surgery.

  • Taking ibuprofen or any other similar anti inflammatory medication (Voltaren, Apranax, Feldene, Celebrex, Biofenac, Mobic, Tilcotil, ...) needs to be stopped 1 week prior to the surgery.

  • A painkiller that is allowed during this period, is paracetamol, with or without codeine. (Dafalgan, Dafalgan Codein, Panadol)

  • Should bruising occur in spite these precautions, it is best to traet it with Hirudoid ointment.


  • The following are to be expected: swelling, bruising and aching muscles. Wearing an elastic garment will help to control the swelling. You will need to wear this garment for 6 to 8 weeks, day and night.

  • On day 5 following the surgery, lymph draining treatment is started, 2 or 3 times a week. Contact your physiotherapist for this.

  • The stiches are dissolvable and will disappear within 6 weeks.

  • After 48 hours you can take a shower. After this period you may take off the garment for a quick daily shower. After 1 month you may take a bath.

  • It is important to take enough rest after the procedure.

  • Sports: Sports that do not cause any shocks (like walking) can be practised after 1 week. Up to 6 weeks after surgery it is best not to practise more active types of sport (e.g. horse riding or jogging) or sports that involve a lot of arm movement (e.g. swimming).

  • Up to 8 weeks after the surgery, it is not recommended to visit a saunau or a wellness.

  • Exposing bruises to sunlight can result in permanent discolouring of the skin.

  • It is important to drink a lot of water the first few days after surgery.

  • Someone should accompany you after the surgery.

I wish you a speedy recovery !

Make an appointment

Contact Dr. Wim Danau to make an appointment. Together you can discuss your wishes, plans and the possibilities in all discretion.