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Plastic Surgery General post-operative principles - After care

Immediate Post-Operative Period (First 24 Hours)

Pain Management

  • Take prescribed pain medications as directed
  • Over-the-counter acetaminophen acceptable if approved by surgeon
  • Avoid NSAIDs unless specifically approved (may increase bleeding)
  • Contact surgeon if pain is severe or uncontrolled

Wound Care

  • Keep surgical sites clean and dry
  • Do not remove or disturb surgical dressings
  • If bleeding occurs, apply gentle pressure with clean gauze
  • Contact surgeon immediately if excessive bleeding continues
  • Avoid touching or manipulating incision sites

Ice Pack Application

  • Apply ice packs for first 3-4 days post-operatively
  • Use ice 15-20 minutes at a time with 20-minute breaks
  • Place cloth or gauze between ice and skin (never apply directly)
  • Ice reduces swelling and bruising significantly
  • After day 4-5, switch to warm compresses

Positioning and Rest

  • Keep head elevated above heart level (especially for facial surgery)
  • Sleep on back with multiple pillows
  • Avoid lying on sides or stomach
  • Elevation reduces swelling and promotes drainage
  • Rest for first 24-48 hours; minimal activity only

Fluid Intake

  • Drink plenty of water and non-alcoholic fluids
  • Avoid alcohol for at least 48 hours (may increase bleeding)
  • Avoid caffeine if possible (can increase heart rate)
  • Stay hydrated to support healing

Diet

  • Soft, cool foods preferred immediately after surgery
  • Avoid hot foods and beverages (can increase swelling)
  • Avoid hard, crunchy, spicy foods
  • Progress to normal diet as tolerated and approved by surgeon
  • Ensure adequate protein for wound healing

Medication Compliance

  • Take all prescribed antibiotics completely as directed
  • Continue other prescribed medications unless instructed otherwise
  • Report any allergic reactions immediately
  • Keep medications organized and take at correct times

After care

First Week Post-Operative

Activity Restrictions

  • Avoid strenuous exercise and heavy lifting
  • No bending, stretching, or straining
  • Light walking acceptable after 2-3 days
  • Avoid contact sports and high-impact activities
  • Return to normal activity gradually and only as approved

Swelling and Bruising Management

  • Peak swelling typically occurs at 48-72 hours
  • Bruising may worsen before improving (normal)
  • Continue ice packs for first 3-4 days
  • Switch to warm compresses after day 4-5
  • Elevation continues to help reduce swelling
  • Arnica supplements may help reduce bruising
  • Sleeping elevated helps reduce morning swelling

Incision Care

  • Keep incisions clean and dry
  • If drainage occurs, gently clean with sterile gauze
  • Avoid swimming and baths until cleared by surgeon
  • Showers acceptable if dressings can stay dry
  • Pat dry gently; never rub incision sites
  • Follow surgeon's specific instructions for dressing changes

Cleansing and Hygiene

  • Avoid washing face directly for first 3-4 days
  • Use wet cloth to gently clean around surgical sites
  • After suture removal: gentle cleansing with mild cleanser acceptable
  • Hair washing must keep water away from incisions
  • Avoid hot water on surgical areas

Medication Restrictions

  • Avoid NSAIDs (ibuprofen, naproxen) for first 1-2 weeks if possible
  • Can increase bleeding and bruising
  • Acetaminophen acceptable for pain management
  • Ask surgeon before resuming any regular medications
  • Continue prescribed antibiotics until finished

Substance Restrictions

  • No smoking for minimum 1-2 weeks (preferably longer)
  • Smoking impairs healing and increases complications
  • No alcohol for minimum 48 hours to 1 week
  • Avoid recreational drugs (may interact with medications)
  • Caffeine acceptable in moderation

Heat Exposure Restrictions

  • Avoid saunas, steam rooms, hot tubs for 1-2 weeks
  • Heat increases swelling and bleeding risk
  • Avoid hot showers; use lukewarm water instead
  • No sunbathing or tanning beds
  • Avoid strenuous exercise that causes sweating

Driving

  • Do not drive while taking pain medications
  • No driving for at least 24-48 hours after surgery
  • Ensure comfortable sitting position before resuming
  • Have someone else drive for first few days if possible

Return to Work

  • Depends on type of surgery and job requirements
  • Most office work: 1-2 weeks
  • Physical jobs: 2-4 weeks or longer
  • Discuss with surgeon before returning to work

Weeks 2-4 Post-Operative

Activity Progression

  • Light exercise may resume after 1-2 weeks
  • Gradually increase activity level as tolerated
  • Avoid heavy lifting and strenuous exercise for 3-4 weeks
  • Contact sports: typically wait 3-4 weeks minimum
  • Discuss specific activities with surgeon

Swelling Reduction

  • Most swelling improves significantly by week 2-3
  • Some residual swelling may persist for weeks to months
  • Continue elevation when possible
  • Lymphatic massage may help reduce swelling (if approved)
  • Compression garments if prescribed should be worn as directed

Scar Management

  • Scars appear red and raised initially (normal)
  • Will gradually fade and flatten over months
  • Avoid direct sun exposure to scars (prevents darkening)
  • Use SPF 50+ sunscreen on scars when needed
  • Scar care products may be recommended after healing

Incision Care (Post-Suture Removal)

  • After suture removal: gentle cleansing acceptable
  • Normal showering can resume
  • Gradually return to normal skincare routine
  • Continue sun protection on scars
  • Avoid picking or scratching healing areas

Makeup and Personal Care

  • Facial surgery: avoid makeup until sutures removed
  • After suture removal: mineral or gentle makeup acceptable
  • Contact lenses: discuss with surgeon about timing
  • Hair care: avoid products near incisions until healed
  • Deodorant: avoid if near surgical site

Exercise and Activity

  • Light walking encouraged to improve circulation
  • Gentle stretching acceptable
  • Avoid heavy lifting (over 10-15 pounds) for 3-4 weeks
  • No running or high-impact exercise for 2-4 weeks
  • Return to full activity gradually

Heat Exposure

  • After first 1-2 weeks, gentle heat acceptable
  • Avoid excessive heat that increases swelling
  • Swimming may resume after sutures removed and site is fully healed
  • Sauna/steam: typically safe after 2-3 weeks if no open incisions
  • Chlorine exposure: be cautious with fresh wounds

Months 2-3 Post-Operative

Return to Normal Activities

  • Most restrictions lifted by 6-8 weeks
  • Full activity resumable after 8-12 weeks
  • Discuss timeline with surgeon for specific activities
  • Results continue improving over several months

Scar Evolution

  • Scars continue to fade over 6-12 months
  • Red/raised appearance gradually improves
  • Final appearance often not evident for 1 year
  • Sun protection remains important during this time
  • Scar treatments may be beneficial if needed

Final Results Assessment

  • Initial results visible by 2-3 weeks
  • Continued improvement over 1-3 months
  • Final results often evident at 6-12 months
  • Swelling fully resolves in most cases by 3 months
  • Schedule follow-up with surgeon if concerns arise

PROCEDURE-SPECIFIC AFTERCARE

EYELID SURGERY (Blepharoplasty)

Immediate Care (First 24-48 Hours)

  • Ice packs for eyes 15-20 minutes every 2-3 hours
  • Keep head elevated constantly
  • Sleep on back with extra pillows
  • Avoid rubbing or pressing eyes
  • Wear sunglasses to protect eyes from light and wind

First Week

  • Continue ice packs for 3-4 days
  • Switch to warm compresses from day 4-5
  • Keep sutures dry until removal
  • Gentle warm water cleansing only (no soap near eyes)
  • Eye drops may be prescribed; use as directed
  • Lubricating ointment may help reduce dryness

Weeks 2-4

  • After suture removal: gentle cleansing acceptable
  • Contact lenses: wait 1-2 weeks after suture removal
  • Makeup: wait until sutures removed; mineral makeup preferred
  • Avoid pulling eyelids or heavy eye movements
  • Continued sun protection important

Activity Timeline

  • Light activity: 3-4 days
  • Office work: 1-2 weeks
  • Contact sports: 3-4 weeks
  • Swimming: after sutures removed and fully healed (2-3 weeks)
  • Full recovery: 4-6 weeks

Plastic Surgery

Comprehensive and General Principles

Individual Procedures

Facial and Neck Procedures

Breast Procedures

Body Fat Procedures

General Complications and Precautions

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