Instructions Following Facelift
When you come out of surgery, there will be a bulky dressing around your face. This dressing helps to maintain gentle pressure on the operated area to prevent bleeding underneath the skin. Though there will be some discomfort, it is generally not bad. In fact, severe pain can be a sign of bleeding, and should be reported immediately to the doctor. It is totally normal to have swelling in the middle of the face especially around the eyes, mouth, and cheeks, and this will gradually resolve over the next few days.
We highly recommend hiring a private duty nurse to be with you the first night. She can help you to manage with the drains, which need to be emptied from time to time.
There is a drain to prevent the accumulation of blood and reduce bleeding. The drain bulb shoud be kept collapsed to maintain suction. Empty the drain if it fills up. If the drain refills in an hour or less, call the office to contact Dr. Mann.
First post-op day:
You will come to the office for a dressing change. We will inspect your wounds, check for problems, drain any small collections under the skin which have occurred overnight, and remove the drains.
You may begin caring for your wounds, gently cleaning them with peroxide, and covering them with ointment. Any areas treated with chemical peel should be treated per your separate instruction sheet.
You may wash your hair gently with water and peroxide to remove the dried blood which is always caked on the hair. It takes patience, but it all comes out eventually. Careful combing of the hair is OK, as long as you are mindful of the staples
Day 5 or 6:
You will return to the office for removal of most of your sutures. Some of the staples will remain. At this time you will notice much of the initial swelling beginning to recede, though some will still remain - especially around the eyes - for 2 or 3 more weeks. Bruised areas are still noticeable, but are beginning to fade.
Continue to keep your incisions clean and greased.
Any remaining staples will be removed.
Swelling should be decreasing. Black and blue should be fading to yellow.
It is OK to begin to wear cover make-up. We can help you find a good cosmetologist to help you with this, if you'd like.
It should be possible to be seen in public, though perhaps not yet by people you work with.
Only mild swelling around the eyes by the end of this period.
You should be able to return to your normal routine.
You may return to working out.
Some of the initial tightness is relaxing as your skin stretches. This is normal. Don't worry, it won't fall down the rest of the way. Overall, you should be looking good at this time.
If you have any questions, or are concerned about a possible complication, call me through my office at 508-540-0900, or use my beeper 1-888-721-2438.