Instructions After Facial Reconstructive Surgery
What Can I Expect After Facial Reconstructive Surgery?
There will be a mild to moderate amount of discomfort associated with the surgery. This should be easily controlled with oral medications. Tylenol with codeine (or equivalent if allergy to codeine exists) is generally always sufficient for pain control. Occasionally, using a medication to help you sleep may be useful for the first 7 to 10 days after the surgery. After the surgery, pain should really not be a major problem for you. As long as the resurfaced area is not allowed to dry out, you should experience only slight pain, if at all.
The discomfort should begin to significantly decrease after 72 hours, and, a significant increase in pain after this period should prompt you to call the office. Severe pain is rare; if you experience this, please contact us immediately. Bruising and swelling are to be expected after the surgery. Note that your eyelids may be swollen if the forehead or cheeks have been dermabraded. These symptoms will peak within the first 36 to 48 hours after surgery, and will gradually subside over the next 7 to 10 days. To minimize the swelling, you should sleep with your head elevated for 3 weeks after the surgery.
It is not unusual to have some slightly blood tinged drainage for the first few days after surgery. This will most often significantly improve or disappear by the end of the first week.
Prior to surgery, some patients should be on Retin-A, a glycolic acid skin regimen and a vitamin C skin preparation for a minimum of 4 to 6 weeks. Dr. Verret will inform you if this is required in your case. This treatment plan may be important in optimally preparing the skin of some patients prior to surgery, in order to provide the best result possible. In addition, dark haired, dark eyed patients may also be placed on a pigment gel to help redistribute and stabilize the pigment cells of the skin. These medications may all be purchased at the office. Information, as to how and at what times to use the different preparations, will be provided to you.
It is of utmost importance to tell Dr. Verret ahead of time if you have ever been on Accutane, received radiation therapy to the head or neck, or taken steroids or immunosuppressive agents. Immunosuppressed patients (HIV positive, chemotherapy, diabetes, etc.) and patients with certain autoimmune disorders may not be good candidates for this procedure as the risks of poor healing and infection leading to permanent scarring and poor esthetic results may be much higher. It is mandatory that you inform Dr. Verret if you have any of these conditions before surgery.
Things To Remember After Facial Reconstructive Surgery
These guidelines cover all types of facial reconstruction including around the eyes. Some of the instructions may not apply for the area of your face which is being operated.
Contact the Office Immediately After Facial Reconstructive Surgery
If you notice any of the following, please contact the office immediately at 972-608-0100:
If any of the above should occur after regular office hours, do not hesitate to call the office after hours and have Dr. Verret paged. For whatever reason, if you notice one of the above changes and cannot reach us at our office or through any of the alternate means, present yourself to the emergency department for evaluation.
Recovery Timetable After Facial Reconstructive Surgery
Day 1 Return home, leave any surgical dressing undisturbed for first day after surgery.
Day 2 Aching, throbbing. Start cleaning wound with hydrogen peroxide followed by application of antibiotic ointment. Repeat 4 times per day.
Days 5-7 Stitches removed or dissolving.
Days 7-14 Clean wound with hydrogen peroxide followed by application of vase line (unless told otherwise by Dr. Verret). Repeat 2 times per day. May use cover makeup.
6-12 Months Scar is flattening and red color is going away.
1 Year Final result.
Remember If you have any questions at any time, do not hesitate to call. We do not like surprises and would much rather hear about a small annoyance before it becomes a big problem.
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Dr. D.J. Verret is a facial plastic surgeon in the North Dallas suburb of Plano, Texas. His practice is limited to cosmetic surgery and plastic surgery of the face and neck only. For more information, call for a consultation today, 972-608-0100. Dr. Verret servces patients from Dallas, Fort Worth, McKinney, Plano, Allen, Frisco, Colleyville, Sherman, Wylie, Denton, all of North Texas, and around the world. Procedures he performs include blepharoplasty (eyelid surgery), rhinoplasty, Botox, Juvederm, Evolence, Dysport, facelift, forehead lift, hair transplants, and scar revisions. Photos are models unless otherwise noted, all landscape photos were taken by Dr. Verret. Common misspellings of Dr. Verret's name are Verret, Varret, Veret, Verrette, Verrete, Varrate, Verrett, Verett, Verette, and Varrete.