Cosmetic Surgery Post-Operative Follow-up Form
Patient Name
Date of Surgery
Date of Follow-up
Type of Surgery
Symptoms / Complaints
Pain Level (1-10)
Swelling
None
Mild
Moderate
Severe
Redness
None
Mild
Moderate
Severe
Fever
No
Yes
Other Symptoms
Wound / Surgical Site Assessment
Incision Site Appearance
Well Healed
Healing
Inflamed
Signs of Infection
Drainage
None
Serous
Sanguineous
Purulent
Assessment Notes
Medications
Current Medications
Allergies
Instructions Given
Follow-up Instructions
Next Appointment Date
Additional Notes