Preparation
& After-care
Every plastic surgeon has his personal pre-operative
regimen and care plan after a facelift. While preparing
for your facelift experience, you should be well-informed
about your cosmetic surgeon’s routines. Rarely, a
cosmetic surgeon’s approach is to just “wing
it”; most surgeons understand that excellence in before
and after-care is extremely important for the overall success
of the facelift operation.
Recovery time from a facelift varies but
is around 2 to 3 weeks. You have to be prepared for this
period as you will not be accustomed to spending such a
long time period away from your otherwise busy life. Having
support from your significant other or a good friend is
important.
Outlined are a few things you can expect
– your doctors schedule may differ slightly.
Before Your Facelift
Preparations before your facelift are determined
with your safety as the top priority and to ensure a smooth
procedure and a fast recovery. Therefore, it is advisable
to follow all of your doctor’s instructions closely.
If you decide to deviate from your doctor’s recommendations,
you should discuss it with him beforehand. You cannot smoke.
Smokers choke blood flow through small vessels which can
cause problems in the recovery after the facelift. Even
if smokers stop tobacco for their facelift, they carry a
higher risk for wound-healing and infectious complications.
A nicotine patch or gum is also not advisable. In preparation
for your facelift procedure, your surgeon will likely ask
you to discontinue any medications that could cause increased
bleeding and bruising, i.e. Aspirin and aspirin-like products
(ibuprofen, naproxen etc.), Vitamin E, blood thinners etc.
Also, because of their myriads of possible effects, most
nutritional supplements are discouraged. You should continue
most of your other prescription medications, especially
any blood pressure, heart and asthma medications. If you
take medications that could interfere with your healing,
your plastic surgeon will decide with your primary care
physician how to proceed.
Lastly, although some last-minute apprehension
is normal, you should look forward to this procedure. A
positive outlook will help you in your recovery period.
After Your Facelift
Facelifts are performed safely as outpatient
procedures. After your facelift operation, you will spend
some time in the day surgery recovery room. Once you feel
comfortable and your physical status meets discharge criteria,
you will be released home with your companion. At home,
you will have a caring person with you so that you can rest
to recover from the facelift procedure. Some surgeons prefer
that the patient stays in the hospital for a night or two.
Commonly, your doctor will place a bulky dressing
to lent support to your face and prevent collection of blood
under the skin. This dressing is left in place for a few
days and afterwards, it is commonly replaced by a smaller
version. The exact length you will have to wear the dressing
varies depending on your facelift surgeon’s experience.
Some plastic surgeons will place drain tubes in your neck
to collect possible blood and tissue fluid. These drains
will be removed after a couple of days. You will receive
prescriptions, commonly for pain medications, antibiotics
and others. Some cosmetic surgeons recommend the use of
homeopathic Arnica Montana for faster recovery. Hard evidence
for the usefulness of this remedy is slim but some surgeons
report anecdotal success.
Swelling and bruising are a normal part of
the facelift recovery process but you can minimize the swelling
by keeping your head elevated, even at nighttime. Icing
is employed to further lessen bruising and swelling. After
a few days, warm compresses can promote faster resolution
of remaining bruises. In order to support your fast recovery,
you should avoid exercise, straining, heavy lifting, alcohol
and spicy food in the early facelift recovery phase.
A soft diet is usually recommended. Your doctor
will advise you, when you can take a shower. Most patients
feel much better after the hair is cleansed. Pain is commonly
not a significant problem after the first 24 hours. Temporarily,
your face will feel tight and you may notice some numb areas.
Sometimes, there are some initial asymmetries of the face
due to swelling and bruising. After 7 days or so, sutures
will be removed. At this time, you may resume some regular
activities such as walking outside. Exercise has to wait
for 2 to 3 weeks.
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