Locs | BOSOMii

PRE-OPERATIVE LOCALIZATIONS
SEED and WIRE

To keep you safe during your procedure, please review the following:

Blood Thinners (like aspirin, Plavix, Eliquis, Xarelto, or Coumadin): Let your care team know if you're taking these before scheduling. You may need to stop them temporarily.
Anti-Inflammatory Medications (like Advil, Aleve, Motrin, or Ibuprofen): Please avoid these for 24 hours before and after your localization procedure, if possible.
Tylenol is safe to take before and after your procedure.
Take other routine medications as prescribed, unless your doctor gives you different instructions.
We recommend wearing a two piece outfit and a supportive bra for afterwards.

You’ll be given follow-up instructions and a skin marking pen to re-draw the “X” if it fades.
Your surgeon will use both the external mark and the internal seed signal in the operating room.
Always check with your surgeon for any additional pre-op steps required before surgery.

Your surgical team will provide all post-op instructions after your procedure and surgery.
Be sure to follow any dietary or medication guidance from your surgeon closely.

No dietary restrictions. You may eat and drink as normal.
You’ll meet with a radiologist to review your medical history, ask questions, and give consent.
A technologist will position you either seated (for mammogram) or lying down (for ultrasound).
After cleansing the skin and using a small amount of numbing medication, the radiologist will place a tiny seed (reflector) at the area of concern using imaging to guide them.
You may hear a beeping wand that confirms the reflector's location, and an "X" may be drawn on your skin to provide your surgeon with a visual indication of where the area is - you may be asked to re-trace this mark.
A post-procedure mammogram may be done to document the placement.
You will be permitted to go home and return on the day of your surgery.
Some seed markers can remain in the body indefinitely while others need to be removed within a specific time frame. Most need to be placed 24-72 hours prior to surgery.

You must follow your surgeon’s pre-operative instructions, which typically include:
- NPO (nothing to eat or drink) for a specific number of hours before the procedure
- Instructions on what medications to take or hold
The process is very similar to seed localization, except a thin wire is placed instead of a seed.
A post-procedure mammogram may be obtained for your surgical team.
You will be transported to the operating suite directly from the imaging center for the surgeon to excise the area.