Self care is a natural instinct.
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Our goals are to achieve a safe and natural result. Surgery is a huge investment into yourself, with risks and downtime. Once you're fully healed, an 80% global improvement should be considered a success. There's no such thing as perfection and there may be little things that aren't "perfect" or that you're unsatisfied with long-term. Our entire team is here for you during the whole process - we’re committed to your safety and well-being through the preoperative, operative, and postoperative periods.
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Doing a bit of pre-surgery prep can help ease the recovery process. The necessities include:
Tylenol (generic: acetaminophen)
Benadryl (generic: diphenhydramine)
Stool softener (example: MiraLAX)
Several shirts/jackets that button/zip up
Someone to help support you and cheer you on during recovery
And the extras are often just as important. These can help improve the overall ease of the long process of recovery:
Soft foods that are nutritious and protein-rich (soups, yogurt, smoothies, scrambled eggs)
Water and drinks that promote hydration
Entertainment (audiobooks, podcasts, movies, TV shows) to help pass the time
Comfortable clothing that you enjoy lounging in
Several dark colored pillowcases and soft blankets, for a cozy rest space
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Your safety is our top priority on the day of surgery.
Wear a dark colored zip-up or button-up shirt, comfortable pants, and easy-to-slip-on shoes
No metal jewelry
No metal hair extensions
No contacts
No makeup nor skincare products
Nothing in your mouth (example: Invisalign trays)
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It's normal to experience…
Poor sleep
Difficulty finding a comfortable position
Trouble falling and staying asleep
Tightness
Neck and mouth tightness
Tightness with swallowing
Difficulty opening mouth and chewing
Fatigue
Feeling fatigued by normal activities
Taking naps throughout the day
Swelling
Peak swelling 2-3 days after surgery, then slow improvements
May be more pronounced around the eyes and through the lips
Bruising
Some bruise a lot, some bruise none, most fall somewhere in between
Dark purple/blue progresses to green/yellow
Bruising can fall into the lower face, neck, and upper chest, with gravity
Ear sensations
Fullness, pressure, or pain
This is related to the suspension of the lift and nerve-related irritation
Eye sensations
Scratchiness, graininess, almost as if something is “in the eye”
This is related to the small amount of swelling across the surface of the eyeball
Encouragement: these things are temporary and part of the healing process. By 1 week, most patients are physically feeling better. By 2 weeks, most patients are looking better. As always, we’re here to walk you through the entire process.
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Fuel your body for healing. Even if you don't feel hungry, it's critical to eat several small protein-rich meals per day to give your body the fuel it needs to heal.
Focus on foods high in protein and healthy fats
Comfort foods can be the easiest to eat the first few days
Gravitate towards soft, squishy foods that are easy to chew
Healthy options include: soups, eggs, cottage cheese, yogurt, bone broth, casseroles
Expect some lip swelling, difficulty opening mouth, tightness with swallow, and sore throat
Your body heals best with the right nourishment. Eat what feels good and is easy.
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Quality sleep is vital for healing. Take one night at a time.
Sleep is universally disrupted the first night after surgery
Sleep on your back, not on your side or stomach
You can position yourself flat or elevated, whatever is most comfortable
A small rolled towel may feel good at the base of your neck
A wedge pillow may make it easier to sleep at a slight incline
Placing a pillow under your knees can relieve low back pressure
Side sleepers: try wedging a few pillows against the side you commonly sleep on to try and trick your body into thinking you're on your side
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Consistent care leads to the best results. Follow these steps for optimal incisional healing
Twice daily: clean incisions with warm soapy water
Use your hands and gently scrub incisions with baby shampoo
This will keep sutures clean and free of debris
This can be done in the shower or over the sink
Rinse soap away with water
Pat dry with clean towel
Apply thin layer of Vaseline over all incisions
Avoid skincare and makeup for 2 weeks following surgery
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This often makes you feel the most "human" after surgery.
You may begin showering day 1 after surgery
Allow warm soapy water to run over all incisions
Use baby shampoo on the incisions for the first 2 weeks
You can use your normal shampoo/conditioner in your hair
We recommend showering at least once daily for the first two weeks to keep hair and incisions clean and free of debris
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Every mark is part of your story of renewal. Be patient with your body as it heals.
Clean incisions twice daily for the first 2 weeks (baby shampoo + Vaseline)
After 2 weeks, you can stop Vaseline and switch to once daily silicone-based scar gel
After 2 weeks, you can reinitiate skincare and makeup
As incisions heal, they will become pink and firm - this represents the strengthening process
Over time, they will soften in thickness and lighten in color
It can take 12+ months for incisions to fully mature
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Many factors can contribute to postoperative constipation. These things can help:
Over-the-counter stool softeners like MiraLAX and Colace
Drinking plenty of water
Walking 2-3x per day
Ensuring diet includes fiber-rich foods
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Dos: take it easy and allow your body to heal. Ensure you're staying hydrated and limiting sodium. Ice to help with swelling. Watch your favorite movies. Listen to your favorite albums. Wear comfy clothes. Save our office number to your phone and reach out with questions along the way.
Don'ts: don't push yourself activity wise. Now is not the time to re-organize your closets. Don't eat overly salty foods. Don't compare your progress to other patients.
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The first 2 weeks are the most critical in terms of taking it easy and resting.
Weeks 1 and 2: light walking is okay
Weeks 3 and 4: moderate intensity walking is okay
After week 4: it's okay to slowly ease into your normal workout routine. It's advised to incrementally increase the intensity of your workouts over the next several weeks, ensuring you're not overdoing it by assessing your swelling and discomfort the day after your workout.
The single most critical thing: do not stretch or strain your neck, intentionally, for the first 4-6 weeks after surgery, as this may result in the tissues pulling or tearing and negatively impacting your final result.
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At a minimum, you will need a responsible adult by your side for the first 24 hours after surgery. This is a requirement of the surgery center.
Most patients will have a support person by their side for the first 3-4 days, assisting with medications, food preparation, wound care, etc. After 1 week, most patients are feeling good enough to begin caring fully for themselves.
If you prefer to hire a private nurse to care for you after surgery, please let our team know and we can relay our recommendations. Those nurses are privately contracted between the patient and the nurse.
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You must meet 2 requirements before you resume driving:
You are no longer taking prescription pain/anxiety medication. This can impair your decision making and reaction time, making it unsafe to drive.
Physically, you feel comfortable seeing and moving your neck in response to traffic. This is something you have to decide.
On average, most patients resume driving 1-2 weeks following their surgery.
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Numbness is universal and takes months to improve.
Think of the skin as a tree that's being lifted away from its roots - when we lift the skin and reposition tissues, the tree is temporarily disconnected from its roots. After we lay the skin back down, it takes several months for those little roots to reconnect. The same occurs with the sensory nerves of the face.
Most patients regain full sensation by 12 months, although it is possible to have small areas of permanent numbness or altered sensation.
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Hyperbaric oxygen therapy is used after surgery to expedite healing. It works by delivering 100% oxygen in a pressurized cube, which helps your body carry more oxygen to healing tissues. This extra oxygen supports wound healing and reduces inflammation. Many patients feel it helps them heal faster and feel better sooner.
We offer several hyperbaric sessions to our postoperative patients during the first 2 weeks after surgery. This is included in the upfront cost of surgery and can be scheduled at your convenience.
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Lymphatic massage is a gentle technique used after surgery to reduce swelling, improve circulation, and support your body’s natural healing process. It helps move fluid away from the surgical area, which can speed up recovery and make you feel more comfortable. Many patients find it helps reduce tightness, bruising, and overall healing time.
In office / first 2 weeks: our team can perform gentle lymphatic massages after ~1 week. During the first 2 weeks of healing, it’s imperative to be gentle and not traumatize the tissues to allow for optimal healing.
After 2 weeks, you can begin your own at-home lymphatic massages once daily. Here’s an instructional video on how to do your own.
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The skin is the icing on the cake - it's what you actually see. Make the investment in your skin now and your future self will be thankful.
Several months before surgery, you can arrange a complimentary skincare consultation with our team. We can review your current skin regimen and long term skin goals. And we can help you ensure that you're using all of the right products at home to give you the best skin health.
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The first week: swollen, bruised, tight, uncomfortable.
After 2 weeks: you can be in public around strangers, with no one stopping to stare at you.
By 1 month: you're looking and feeling much more like yourself.
After 3 months: 90% healed.
By 6+ months: we're seeing our final result.