Your Recovery, Step by Step
Recovery is one of the most important parts of your surgical experience, and I want you to feel prepared, confident, and supported every step of the way. The guides below give you a clear, honest look at what to expect — day by day, week by week — so there are no surprises.
Each procedure has its own recovery timeline and specific care instructions. Select your procedure below to access your personalized guide, including daily protocols, medication schedules, activity milestones, and answers to the questions patients ask most often.
If you are experiencing a surgical emergency, call our office at (317) 575‑0330. For life-threatening emergencies, call 911.
Recovery Guides
Deep Plane Facelift
The deep plane facelift goes beneath the superficial musculoaponeurotic system (SMAS) to lift the deeper structural layer of the face as a single, composite unit. Think of it like smoothing a wrinkled carpet by repositioning the carpet itself — not just pulling the edges tighter. The result is a natural, refreshed appearance with less tension on the skin, better scars, and results that last 10–15 years.
Your surgery is performed under general anesthesia administered by a board-certified physician anesthesiologist in our AAAHC-accredited on-site surgical center. You will stay overnight at our facility with a dedicated nurse monitoring your recovery.
- Rapid one‑sided swelling (hematoma sign)
- Escalating pain not controlled by meds
- Difficulty breathing or swallowing
- Active bleeding that won’t stop with pressure
- Fever over 101.5°F
- Sudden vision changes
- Persistent vomiting preventing medications
- Asymmetric swelling between sides
- Bruising that migrates to neck & chest
- Crackling sounds under the skin
- Numbness or shooting “zingers”
- Smile asymmetry & tight expression
- Itching, jaw stiffness, fox‑eye look
- Hair shedding near incision line
| Drug | Dose | Frequency | Note |
|---|---|---|---|
| Tylenol | 1000 mg | Every 6–8 hrs | Foundation — take around the clock |
| Oxycodone 5/325 | 1 tab | Every 6 hrs PRN | Breakthrough pain only; take with food |
| Valium | 5 mg | Every 4–6 hrs PRN | Muscle tightness & anxiety |
| Zofran | 8 mg | Every 8 hrs PRN | Dissolve under tongue for nausea |
| Cephalexin | 500 mg | Twice daily | Antibiotic — complete full course |
| Colace | 100 mg | Twice daily | Stool softener — start immediately |
| Medrol Dose Pack | Per card | Taper schedule | Reduces swelling; follow printed card |
Recovery Timeline & Emotional Journey
Recovery is not a straight line — it is a series of phases. The physical and emotional journey follow a predictable pattern, and knowing what to expect makes each stage easier to navigate.
You wake feeling groggy with a compression dressing around your face. Mild nausea, dry mouth, and a general sense of tightness are normal. By evening you’ll feel like yourself — tired, sore, and medicated, but yourself. Your overnight nurse monitors you through the night.
Peak swelling begins. You’ll rely on your caregiver for medications, meals, and wound care. Movement is limited to gentle walking. Ice 20 minutes on, 20 minutes off. The face feels tight and your expressions may look asymmetric — this is completely expected.
This is when most patients hit their lowest moment. Swelling peaks, bruising spreads and changes colors, and the mirror is not your friend. You may wonder if you made the right decision. Every facelift patient goes through this. It passes. Trust the process.
Swelling begins to resolve. Bruising migrates downward (gravity). Sutures come out around day 7. You start to feel more independent and can see the earliest hints of your new contour beneath the remaining swelling.
Most patients are comfortable in public by day 10–14. Residual swelling is subtle enough that only you notice it. Light concealer covers any remaining bruising. Energy returns. You can drive once off narcotics and neck rotation is comfortable (typically days 7–10).
Deep tissue softening continues. The “tight” sensation fades. Numbness gradually improves (though some areas may take months). You’ll start receiving compliments that you look rested, healthy, or like you lost weight. Full exercise clearance comes at weeks 4–6.
This is when patients truly see their outcome. Tissue has settled into its new position, scars are fading, and the face looks naturally youthful. Most patients say they wish they had done it sooner.
All swelling is resolved. Scars are mature and typically imperceptible. The result you see now is your result — and it will age gracefully from this new starting point for 10–15 years.
These are all normal during recovery: asymmetric swelling, bruising that migrates down the neck and chest, crackling sounds under the skin, numbness, temporary smile asymmetry, intermittent “zingers” (nerve regeneration), itching at incision sites, jaw stiffness, a “fox eye” appearance in the first weeks, temporary hair shedding at 2–4 months, and difficulty sleeping. None of these require a call unless they are worsening rapidly or accompanied by severe pain.
The Pressure Principle
If there is one rule that governs every instruction in this guide, it is this: keep the pressure in your head low. This is the single most important concept for facelift recovery, and every other restriction flows from it.
Elevated pressure in the head — from bending over, straining, coughing, high blood pressure, or lying flat — increases the risk of hematoma, the most significant surgical complication. Hematoma risk is approximately 1–4% and typically presents as sudden, one-sided swelling in the first 24–48 hours. If it occurs, it requires a return to the operating room for drainage.
- Sleep elevated at 30–45 degrees for at least 2 weeks
- Squat to pick things up — never bend at the waist
- Prevent constipation from Day 1 (straining is one of the most common pressure triggers)
- Take all blood pressure medications on schedule
- Manage pain and nausea proactively — both raise blood pressure
- No heavy lifting (>5–10 lbs) for 4 weeks
- No hot showers, saunas, or hot tubs for 2 weeks
- No alcohol for 2+ weeks (vasodilator)
- No vigorous exercise for 4–6 weeks
- Avoid the Valsalva maneuver: no bearing down, forceful nose-blowing, or holding your breath while lifting
If you take blood pressure medication, continue it without interruption. Post-surgical hypertension is a genuine and common concern. Monitor your BP twice daily and call us if readings exceed 140/90.
Preparing for Surgery
Stop all NSAIDs (ibuprofen, Advil, Aleve, aspirin) at least 2 weeks before surgery. Prescription blood thinners should be managed as directed by our office and your prescribing physician. Stop these supplements 2 weeks before surgery: fish oil, vitamin E, garlic, ginkgo biloba, ginger, turmeric/curcumin, St. John’s Wort, and high-dose Vitamin C. You may safely continue: Vitamin D, calcium, probiotics, B-complex, magnesium, and iron.
Begin 2 days before surgery: dissolve 5 pellets under the tongue, 3 times daily, 15 minutes away from food or drink. Continue for 7–10 days after surgery. Arnica is a homeopathic remedy that many patients find helpful for reducing bruising.
We recommend 6 sessions in a hard-shell chamber at 2.5 ATA — 3 sessions before surgery and 3 after. Sessions last 1.5–2 hours. HBOT saturates tissues with oxygen, which supports wound healing and may reduce bruising and swelling. This is optional but something many of our patients find beneficial.
- Sleep & positioning: Wedge pillow (30–45°) and travel/neck pillow
- Cold therapy: 4+ gel ice packs and Swiss eye masks
- Wound care: CeraVe Hydrating Cleanser, Q-tips, hydrogen peroxide 3%, bacitracin ointment
- Comfort: Bendable straws, Chapstick or Aquaphor, Biotene dry-mouth spray, baby toothbrush (if lip lift included)
- Clothing: Button-up or zip-front shirts (nothing over the head), elastic-waist pants, slip-on shoes, wide-brimmed hat
- Nutrition: 5–7 days of pre-made meals, protein shakes, electrolyte drinks, Colace stool softener
- Environment: Humidifier for your recovery space
Set up a dedicated recovery area with everything within arm’s reach: medications, water, phone charger, lip balm, remote control, and wound care supplies. You should not need to bend, stretch, or get up frequently in the first few days.
Arrive the evening before surgery (or 2 days early for patients crossing more than 2 time zones). Stay within 15 minutes of our facility. Plan to remain in the area for a minimum of 7–10 days post-operatively. A dedicated caregiver is mandatory for the first 48–72 hours. Flying is typically cleared at days 10–14, and we offer virtual follow-up appointments after you return home.
Your Medication Schedule
You’ll receive a detailed medication bag with everything organized and labeled. Here is what each medication does and how to take it.
Most patients transition off oxycodone by days 5–7, moving to Tylenol and Valium alone. The goal is effective comfort, not zero sensation. If pain is increasing rather than decreasing after day 3, call our office.
Daily Wound & Incision Care
Perform this routine 4 times daily for the first 5–7 days, then transition as directed at your follow-up:
- Step 1: Dip a clean Q-tip in hydrogen peroxide 3%
- Step 2: Gently roll along the incision line to lift any crusting or dried blood (never pick or pull)
- Step 3: Spray Briotech topical skin spray over the cleaned incision
- Step 4: Apply a thin layer of bacitracin ointment with a fresh Q-tip
Hydrogen peroxide use is limited to the first 5–7 days. After that, transition to gentle cleanser and bacitracin only.
Ear discomfort is very common after facelift surgery. Dried blood and surgical debris can accumulate in the ear canal, causing a plugged sensation and dull aching. Placing a few drops of hydrogen peroxide in the ear canal and letting it fizz for 60 seconds before draining often provides immediate relief.
You will be given specific instructions at your first post-operative visit, typically around day 2–3. When cleared: use lukewarm water (never hot), let water run gently over incisions without direct spray pressure, use CeraVe Hydrating Cleanser with fingertips only, and pat dry with a clean towel. Do not use a hair dryer on the hot setting near incision lines.
Phase 1 (Weeks 0–2): Focus on wound healing — keep incisions clean, moist, and protected. Bacitracin after every cleaning.
Phase 2 (Weeks 2–6): Begin silicone-based scar treatment (ScarAway or Biocorneum) once incisions are fully closed and no scabs remain. Silicone creates the optimal healing environment.
Phase 3 (Months 2–6): Scars mature and flatten. Continue silicone. Begin gentle scar massage if directed. Protect scars from sun with SPF 50+ (UV causes permanent darkening of immature scars).
Phase 4 (Months 6–12): Scars reach final maturity. Deep plane facelift incisions are hidden in the natural creases around the ear and hairline. Most patients report that their scars become virtually invisible.
Nutrition & Recovery Optimization
What you eat directly affects how quickly and how well you heal. Your body is doing serious repair work and it needs the right fuel.
Protein is the building block of tissue repair. Aim for 80–100 grams daily through a combination of soft whole foods (eggs, Greek yogurt, cottage cheese, tender chicken, fish) and protein shakes. If you’re not tracking, you’re probably not getting enough.
Prioritize: berries, leafy greens, fatty fish (salmon, mackerel), walnuts, olive oil, turmeric, ginger, and pineapple (contains bromelain, which may help with bruising).
Sodium is the enemy of swelling. Restrict your intake to under 1,500 mg/day for at least 2 weeks. This means avoiding most restaurant food, processed meals, canned soups, deli meats, and salty snacks. Read nutrition labels carefully.
Water, electrolyte drinks, herbal tea, and broth all count. Dehydration slows healing, thickens mucous secretions, and worsens constipation. Keep a water bottle within reach at all times.
- Alcohol for 2+ weeks (vasodilator, dehydrating, interferes with healing)
- Excessive sugar (promotes inflammation)
- Very hot foods and beverages (increases blood flow to the face)
- Hard or crunchy foods if lip lift was included
- Spicy foods (may increase swelling and discomfort)
Take anti-nausea medication before symptoms escalate. Eat a small amount of bland food before taking other medications. Avoid dairy for the first 48 hours (anesthesia slows the gut). Peppermint and ginger — as tea, candies, or aromatherapy — can be surprisingly effective. A cold washcloth on the back of the neck provides immediate relief.
Start Colace with your first opioid dose. Stay hydrated, eat fiber-rich foods, and walk regularly. If these measures aren’t enough: prune juice, Smooth Move tea, or MiraLAX as needed. The goal is zero straining above the shoulders — this is a blood pressure and bleeding risk, not just a comfort issue.
Activity & Return to Life
Walking only — slow laps around the house, 3–5 times daily. No bending at the waist, no lifting over 5–10 lbs, sleep elevated 30–45 degrees. Head above heart at all times.
Longer walks outside. Light desk work possible. Driving cleared once off narcotics and neck rotation is comfortable (typically days 7–10). No vigorous activity.
Extended walks, light yoga (no inversions or hot yoga), stationary bike at low resistance. Expect temporary swelling after activity — this is normal and resolves with elevation.
Full clearance for heavy lifting and HIIT typically at week 6. Start at 50% of your usual intensity and build back gradually. Some patients notice temporary swelling after workouts for the first month — this is normal.
- Hair coloring / chemical treatments: 4–6 weeks minimum
- Facials, massage, microneedling: 6–8 weeks minimum
- Dental work: 4–6 weeks (vibration and mouth-opening strain)
- Flying: Typically cleared at 2 weeks. Wear compression stockings, walk every hour, hydrate aggressively
- Sexual activity: 7–14 days (elevated heart rate and blood pressure)
- Alcohol: 2+ weeks minimum
Absolute cessation of all nicotine products — cigarettes, vaping, patches, gum, chewing tobacco — for 4 weeks before and 4 weeks after surgery. Nicotine causes vasoconstriction that can compromise blood supply to the deep plane flap, leading to skin necrosis. There is no safe amount.
When to Call Our Office
Rapid one-sided swelling (the most concerning sign of hematoma) ◆ Escalating pain not controlled by medications ◆ Difficulty breathing ◆ Active bleeding soaking through dressings ◆ Fever over 101.5°F ◆ Vision changes ◆ Persistent vomiting or inability to keep fluids/medications down ◆ Any symptom that is worsening rather than improving.
When in doubt, call. We would always rather hear from you and reassure you than have you worry at home. Our office line is (317) 575‑0330. For life-threatening emergencies, call 911.
Do: Sleep elevated, squat to pick things up, take BP medications on schedule, manage constipation proactively, treat pain and nausea early, move slowly when changing positions, ice 20/20 for first 72 hours, eat 80–100 g protein/day, restrict sodium, stay hydrated.
Don’t: Judge your result before 3 months, compare yourself to social media, skip meals or protein, lie flat or sleep on your side, lift more than 5–10 lbs, exercise vigorously in the first 4 weeks, use NSAIDs, smoke or use nicotine, drink alcohol.
Frequently Asked Questions
Most patients can begin transitioning to side sleeping around week 3–4, though we recommend elevating slightly even then. Your body will tell you — if it hurts or causes visible swelling the next morning, go back to elevated sleeping.
Yes. Asymmetric swelling is the rule, not the exception. One side typically swells more than the other, and they resolve at different rates. Do not evaluate symmetry until at least 3 months post-op.
Temporary numbness is expected after any facelift. Sensation returns gradually over weeks to months. You may experience “zingers” — brief, sharp electric sensations — which are actually a good sign of nerve regeneration.
Wait until incisions around the earlobes are fully healed — typically 4–6 weeks. Start with lightweight posts and avoid heavy or dangling earrings for 3 months.
Temporary hair shedding (telogen effluvium) can occur at 2–4 months. This is a stress response from surgery and anesthesia, not damage to hair follicles. The hair regrows. Incisions are placed to preserve hairline position and natural hair growth patterns.
Most patients are socially presentable by days 10–14. Close friends and family may notice subtle swelling for 4–6 weeks. People who don’t know you had surgery typically cannot tell after 2–3 weeks.
This is normal deep-plane recovery. The composite tissue layer is settling into its new position. The tightness and waxy texture resolve over weeks 4–8 as the tissues soften and mobility returns.
GLP-1 receptor agonists slow gastric emptying, which increases aspiration risk under general anesthesia. We require these medications to be held for a specific period before surgery. Discuss your current dosing schedule with us at your preoperative appointment so we can provide individualized guidance.
CPAP masks create pressure directly over surgical sites. We’ll discuss your specific situation at your preoperative appointment, but most patients can resume CPAP with modifications (such as a nasal pillow mask) within the first week.
Rhinoplasty
Rhinoplasty is a journey that rewards patience. There will be days when you love what you see, and days when the swelling plays tricks on you — this is completely normal. With more than a thousand nasal operations under my belt, I can tell you that the path from cast removal to final result is one of the most gratifying transformations in facial plastic surgery.
This guide gives you everything you need to know — daily care routines, what to expect at each stage, how to manage symptoms, and when to call our office. Stay the course, follow these instructions, and trust the process.
- Bleeding that is “pumping” or won’t stop with gentle pressure
- Fever above 101.5°F not responding to Tylenol
- Sudden, severe one‑sided pain or swelling
- Symptoms rapidly getting worse instead of better
- Feeling lightheaded, faint, or like you might pass out
- Swallowing blood or large clots
- Congestion and mouth breathing for 2–4 weeks
- Stiff upper lip or an odd smile — temporary nerve stretching
- Numbness or tingling in the nasal tip for weeks to months
- Nasal crusting that slowly improves with saline care
- Eye bruising that tracks down to cheeks, then yellow‑green
- Tip looking wide or “pig‑like” early on — swelling, not your result
- Mild nostril asymmetry — resolves as swelling settles
- Rebound swelling after cast removal (totally expected)
- Light bloody drainage on gauze for first 48–72 hours
| Drug | Dose | Frequency | Note |
|---|---|---|---|
| Tylenol (acetaminophen) | 1,000 mg | Every 6–8 hours | Foundation — take around the clock first 3 days |
| Narcotic pain med | As prescribed | Every 6 hours PRN | First 1–2 days only; take with food |
| Diazepam (Valium) | 5 mg | Every 6 hours PRN | Helps with anxiety and jaw tension |
| Arnica Montana 30C | 5 pellets | 3× daily | Start 3 days before surgery; continue 2 weeks |
| Bromelain with Quercetin | As directed | 2× daily | Anti‑swelling supplement; take on empty stomach |
Recovery Timeline & Emotional Journey
Understanding the emotional arc of rhinoplasty recovery is just as important as understanding the physical one. Every patient goes through peaks and valleys — this is normal, expected, and temporary.
Surgery is behind you. You’ll feel groggy, congested, and a bit swollen, but most patients describe the dominant emotion as relief. The hardest part — deciding to do it — is over.
Swelling peaks around days 2–3. Your eyes may bruise and swell — sometimes enough that they look nearly shut. The cast and splints feel bulky. Breathing through your nose is limited. This is the toughest stretch, but it passes faster than most people expect.
Your cast comes off around day 6–8. This is exciting — but your nose will still be swollen, the tip will look wider than the final result, and you may notice some rebound swelling. Think of it as a rough draft, not the finished product.
Swelling continues to resolve. Your profile improves week by week. You’ll start to see the shape we planned. Some days look better than others — this fluctuation is completely normal and tied to fluid shifts, activity, salt intake, and even sleep position.
Tip definition continues to improve for up to a year — and even longer for patients with thicker skin or those who’ve had revision rhinoplasty. The nose becomes more refined and natural-looking with each passing month. This is when the result truly arrives.
If you have a history of OCD, body dysmorphic disorder (BDD), or significant anxiety, please let us know. These conditions can make the swelling phase especially difficult, and we can connect you with support resources to help you through it.
Preparing for Surgery
Stop all of the following at least two weeks before surgery. These increase bleeding risk and can worsen bruising and swelling:
- Fish Oil / Omega‑3 supplements
- Vitamin E (high dose)
- Garlic supplements
- Ginkgo Biloba
- Ginger supplements
- Turmeric / Curcumin
- All NSAIDs — Ibuprofen (Advil, Motrin), Naproxen (Aleve), Aspirin
- Antibiotic ointment (Bacitracin)
- Gauze and drip pads
- Nasal saline spray
- Hydrogen peroxide
- Q‑tips
- Cold Swiss Eye Masks
- Neck pillow (travel style) for sleeping upright
- Wedge pillow or recliner access for head elevation
- Loose, button‑front clothing (nothing pulled over head)
- Soft, bland, low‑sodium foods (soups, smoothies, yogurt, scrambled eggs)
- High‑protein foods or shakes (aim for 80–100g protein daily)
- Straws (okay to use after rhinoplasty)
- Plenty of water and electrolyte drinks
- Soft washcloths
- ChapStick or Vaseline for dry lips
- Biotene for dry mouth from mouth breathing
- Humidifier for your bedroom
- CeraVe gentle cleanser
- Nothing to eat or drink after midnight the night before
- Bring your photo ID and current medication list
- No makeup, jewelry, or contact lenses
- Wear loose, comfortable, button‑front clothing
- Arrange a responsible adult to drive you home and stay with you overnight
Daily Nasal Care Protocol
This is the most important part of your home recovery. Perform all three steps four times daily — morning, midday, evening, and bedtime — beginning the day after surgery.
Stop the hydrogen peroxide step. Continue saline spray and Bacitracin ointment twice daily for three more weeks.
Common Symptoms & How to Manage Them
Mild to moderate bloody drainage is common for the first 72 hours. It increases with leaning forward or increased activity. The drip pad under your nose will catch this — change it as needed. This is normal and expected.
You will be congested and likely breathing through your mouth for the first week. This is the worst part for most patients. Use your saline spray regularly, keep a humidifier running, and have Biotene available for dry mouth. Breathing improves significantly after cast removal, especially once we suction the nasal passages.
Your upper lip may feel stiff and your smile may look different for the first few weeks to months. This is normal — it relates to temporary swelling and tissue changes near the base of the nose. A baby toothbrush used to gently massage the upper lip area can help restore sensation and movement more quickly.
Numbness in the nasal tip and sidewalls is expected. Sensory nerves need time to recover, and this can take weeks to months. You may notice tingling or brief “zings” during the healing process — this is actually a good sign that nerves are waking back up.
Crusting inside the nose is common during the first few weeks. Do not pick at scabs or sutures — they will dissolve on their own. If crusting is heavy, increase your saline spray frequency and apply more Bacitracin ointment.
Most rhinoplasty patients report minimal pain. Scheduled Tylenol (acetaminophen) every 6 hours is typically all that’s needed — maximum 4,000mg per day. Narcotic pain medication is available if needed but rarely required beyond the first day or two.
Do not take ibuprofen (Advil, Motrin), naproxen (Aleve), or aspirin unless specifically instructed by our office. These medications increase bleeding risk after nasal surgery.
Sleep disruption, restlessness, and mild anxiety are common during the first week — especially with congestion and mouth breathing. If you were prescribed diazepam (5mg), it can be taken every 6 hours as needed for short-term relief. Avoid alcohol while taking this medication.
Swelling & Bruising
Swelling is the defining feature of rhinoplasty recovery. Understanding its pattern helps you stay patient and confident during the process.
- Swelling peaks around day 2–3 after surgery
- Eyes may bruise and swell — sometimes appearing nearly shut
- Rebound swelling is common after cast removal
- The tip will look “fat” or wide early on — this is temporary
- Nostrils may appear uneven or more visible than expected
- The tip may look turned up or “pig‑like” — this settles as swelling resolves
- Early asymmetry is swelling-related and does not reflect the final result
- Thicker skin and revision cases tend to have more prolonged swelling
The cold Swiss eye masks we provide are your best tool for managing swelling around the eyes and nose bridge.
Keep masks refrigerated. Apply 20 minutes on, 40 minutes off, as frequently as possible. Never freeze the masks — refrigerator cold only.
Apply cold compresses 3–4 times daily for 15 minutes. Continue using the Swiss eye masks or switch to a gentle cold compress.
Discontinue regular cold therapy. If you notice significant swelling flares after activity, a brief cold application is still fine.
Keep your head elevated at 30–45 degrees for the first week — including while sleeping. A wedge pillow, recliner, or stacking regular pillows all work. This significantly reduces swelling and makes breathing more comfortable.
Diet & Activity Restrictions
- High protein — aim for 80–100g daily (shakes, eggs, chicken, Greek yogurt)
- Keep sodium under 1,500mg per day for at least two weeks to minimize swelling
- Soft, easy‑to‑chew foods during the first week (avoid anything requiring wide mouth opening)
- Stay well hydrated — 64–80 ounces of water daily
- Straws are okay to use after rhinoplasty
Rest is your primary job. Light walking around the house is encouraged to prevent blood clots, but avoid bending, lifting, or straining. No exercise, no housework, no cooking over hot stoves.
Gradually increase walking distance. Still no gym, weights, running, or anything that raises your heart rate significantly. Your nose will tell you if you’re doing too much — increased congestion or swelling means slow down.
Begin with lighter versions of your normal routine and work up gradually. Expect some temporary swelling increase after workouts — this is normal and resolves. Start at about 50% of your normal intensity and increase from there.
No contact or ball sports, no submerging your head underwater, and no glasses or sunglasses resting on the bridge of your nose for four weeks after cast removal. We’ll show you how to support glasses without pressure if needed.
Cast Removal Day
Cast removal typically happens 6–8 days after surgery. This is one of the most anticipated appointments — here’s what to expect.
- External splint and tape are carefully removed
- Internal splints are removed if they were placed during surgery
- Nasal passages are gently suctioned and cleaned
- Many patients feel immediate breathing relief — it’s a great moment
Your nose will look swollen — more than you might expect. There’s typically some rebound swelling once the cast comes off. The tip will look wide, the nostrils may look different from each other, and none of this reflects your final result. Think of this as day one of the visible recovery.
- Stop hydrogen peroxide cleaning
- Continue saline spray and Bacitracin ointment twice daily for three more weeks
- No nose blowing for one more week
- No glasses or masks resting on the bridge for four more weeks
- No ball sports or submerging your head for four more weeks
We offer a complimentary spa facial approximately 10 days after surgery. It’s a great way to pamper your skin after the early healing phase and a nice milestone in your recovery.
Nostril Retainer Guide
Think of the nostril retainer like a retainer after braces — it helps maintain the shape and position of the nostrils as everything heals into its final form. Not every patient needs one, but if yours was provided, here’s how to use it.
- Wear the retainer at night while sleeping
- Apply a small amount of Bacitracin ointment to the retainer for lubrication before inserting
- Mild awareness or pressure is normal — pain is not
- If the retainer causes pain, stop wearing it and contact our office
The retainer is low maintenance. Insert at bedtime, remove in the morning, clean with gentle soap and water. Our office will let you know when you can stop using it.
Severe Nose Bleed Protocol
A slow drip of blood is normal after rhinoplasty. This protocol is for active, heavy bleeding that is clearly more than a drip.
- Pinch or squeeze the tip of your nose
- Pack anything deep into your nose
- Tilt your head back (sends blood down your throat)
Bleeding is still gushing after 3 full cycles of Afrin, you feel lightheaded, faint, or weak, or you are swallowing large amounts of blood or vomiting blood or clots.
When to Call Our Office
Most symptoms during rhinoplasty recovery are normal and expected. However, some situations warrant a call. The simple rule: if something is getting worse rather than gradually improving, contact us.
Bleeding that is “pumping” out (dripping blood is expected), fever greater than 101.5°F, sudden severe pain — especially if one-sided, or any symptom that feels like it’s getting worse rather than better.
- Office Phone: (317) 575‑0330
- Hours: Monday–Thursday 9AM–4PM, Friday 9AM–3PM
- After Hours: Call the office number and follow the prompts for the on‑call provider
You can text photos to (317) 575‑0330 during business hours. This is a great way to get reassurance or flag a concern without an office visit.
- Front view (straight on)
- Profile view (left and right)
- Base view (tilt head back, looking up at the nostrils)
- Good lighting near a window
- Include a brief description of your concern
We would always rather hear from you than have you worry alone. That’s what we’re here for.
Frequently Asked Questions
Eyelid Surgery
Eyelid surgery (blepharoplasty) removes excess skin, muscle, and sometimes fat from the upper eyelids, lower eyelids, or both. Think of it like tailoring a garment — we’re removing only what is excess so the underlying structure looks refreshed and natural, not pulled or hollow.
Recovery from blepharoplasty is relatively quick compared to other facial procedures, but the delicate tissue around your eyes requires meticulous care. This guide walks you through every detail — incision care, compress protocols, eye symptom management, and the milestones you’ll hit along the way.
- Severe sudden eye pain, especially if one‑sided
- Rapidly worsening swelling that feels tight or pressured
- Sudden vision loss or new visual changes
- Uncontrolled bleeding lasting more than 15 minutes with pressure
- Increasing redness and warmth combined with fever above 101°F
- Feeling of pressure building behind the eye
- Asymmetric swelling between eyes — one side always leads
- Dryness or grittiness — use artificial tears liberally
- Excessive tearing, especially in the first week
- Light sensitivity for the first several days
- Mild blurriness after applying eye ointment
- Bruising progression: purple → yellow‑green over 10–14 days
- Morning puffiness that improves through the day
| Drug | Dose | Frequency | Note |
|---|---|---|---|
| Pain medication | As prescribed | Every 6 hours PRN | First 2–3 days only; most switch to Tylenol quickly |
| Tylenol (acetaminophen) | 500–1,000 mg | Every 6–8 hours | Mainstay of pain control — take around the clock early on |
| Antibiotic (oral) | As prescribed | Full course | Complete entire course even if you feel fine |
| Erythromycin eye ointment | Small ribbon | At bedtime | Inside lower lid; will blur vision temporarily |
| Artificial tears | 1–2 drops | 4–6× daily | Preservative‑free preferred; use liberally |
| Arnica + Bromelain | As directed | 2× daily | Reduces bruising and swelling; take for 2 weeks |
Recovery Timeline & What to Expect
Swelling and bruising are at their worst during the first 48–72 hours. Your eyelids will feel tight and heavy. You may have difficulty opening your eyes fully — this is completely normal. Keep your head elevated and follow the cold compress protocol religiously. Most patients describe mild to moderate discomfort that is well-controlled with prescribed medication.
Bruising begins to shift from dark purple to yellow-green. Swelling starts to decrease noticeably each day. Sutures are typically removed at your one-week appointment. You may notice increased tearing, dryness, or light sensitivity — all expected as the tissues heal. Most patients begin to feel significantly better during this window.
Most bruising has resolved by week two. Residual swelling may linger, particularly in the mornings, but is easily concealed with sunglasses or light makeup (once approved). Incision lines will appear pink. Most patients feel comfortable returning to work and social activities during this phase. You can begin warm compresses to help break up any remaining bruising.
Incision scars continue to fade and flatten. Minor asymmetry in swelling is common and resolves gradually. The final contour of the eyelids becomes increasingly apparent. Begin scar optimization with silicone strips or gel (detailed in the scar section below). Protect incisions from direct sun exposure with SPF 30+ and sunglasses.
Scars have matured to thin, nearly invisible lines hidden in the natural eyelid crease (upper) or just below the lash line (lower). All swelling has resolved. Your eyes look refreshed, open, and natural. This is your final result — and for most patients, it lasts well over a decade.
It is completely normal for one eye to heal faster than the other. Swelling, bruising, and even the incision appearance may differ between sides for several weeks. This does not mean something went wrong — it means your body is healing at its own pace. True symmetry is evaluated at the three-month mark, not during the first few weeks.
Preparing for Surgery
Discontinue all blood thinners, aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), vitamin E, fish oil, and any herbal supplements (especially ginkgo, garlic, and ginseng) at least two weeks before surgery. These increase bleeding risk. Tylenol (acetaminophen) is safe to continue. If you take a prescribed blood thinner, coordinate with the prescribing physician — do not stop it without their guidance.
Begin Arnica Montana and Bromelain (or BruiseMD, which combines both) five days before surgery. These natural supplements help reduce bruising and swelling. Continue them for two weeks after surgery. They are available over the counter at most pharmacies and health stores.
- Cold compresses or gel eye masks (keep several in the freezer)
- Artificial tears (preservative-free recommended)
- Eye ointment (as prescribed — typically erythromycin ophthalmic)
- Clean gauze pads and cotton-tipped applicators
- Hydrogen peroxide (diluted 50/50 with water for incision cleaning)
- Antibiotic ointment (Bacitracin or as directed)
- Extra pillows or a wedge pillow for sleeping elevated
- Sunglasses (large, dark — both for sun protection and discretion)
- Button-down or zip-up shirts (avoid pulling clothing over your face)
- Nothing to eat or drink after midnight the night before surgery
- Take any approved medications with a small sip of water
- Shower and wash your face — no makeup, lotions, or creams
- Wear comfortable, loose-fitting clothing with a front opening
- Arrange a responsible adult to drive you home and stay with you the first night
- Leave jewelry, contacts, and valuables at home
The 7-Step Incision Care Protocol
Proper incision care is the single most important thing you can do to ensure clean healing and optimal scars. Follow this protocol beginning the day after surgery and continue until sutures are removed (typically days 5–7).
Once sutures are out, you can transition from hydrogen peroxide cleaning to gentle face washing. Continue applying Bacitracin for an additional 2–3 days, then switch to Aquaphor or Vaseline to keep the healing incision moisturized until you begin silicone scar therapy.
Cold & Warm Compress Protocol
Compresses are your best tool for managing swelling and bruising. The protocol changes as your recovery progresses — here is the complete schedule.
Apply cold compresses for 20 minutes on, 20 minutes off, as continuously as you can tolerate while awake. This is when cold therapy makes the biggest difference. Use gel eye masks, frozen peas wrapped in a thin cloth, or dampened gauze stored in the freezer. Never apply ice directly to skin. Keep multiple compresses rotating in the freezer so you always have a cold one ready.
Continue cold compresses 3–4 times per day for 15–20 minutes per session. Swelling is still resolving and cold therapy helps keep it in check. You can reduce frequency as swelling improves, but maintain consistency especially in the mornings when swelling is typically worst.
You may use cold compresses as needed for comfort, particularly in the morning. At the two-week mark, you can begin warm compresses (a clean washcloth dampened with comfortably warm water) for 10–15 minutes, 2–3 times daily. Warmth increases blood flow to help the body reabsorb any remaining bruising and promotes healing. Always test temperature on the inside of your wrist first.
Most patients no longer need compresses after the third week. If you are still experiencing morning puffiness, a brief cold compress upon waking is fine but not required. Focus shifts to scar optimization and sun protection at this stage.
Never apply ice or frozen items directly to the delicate eyelid skin. Always use a protective barrier (thin cloth, gauze). Frostbite on healing eyelid tissue can cause permanent skin damage.
Eye Symptoms & How to Manage Them
Your eyes will go through a range of symptoms during recovery. Nearly all of these are expected and temporary. Understanding what’s normal will save you a lot of worry.
Eyelid surgery can temporarily affect the way your lids distribute your tear film. Use preservative-free artificial tears liberally — at least 4–6 times daily, and more often if your eyes feel gritty, scratchy, or fatigued. At night, apply the prescribed eye ointment to keep the eye surface protected while you sleep. Dryness typically improves significantly by weeks 2–4 but can linger for several months in some patients.
Paradoxically, your eyes may water excessively even though they feel dry. This is a reflex response — irritated eyes produce more tears to compensate. It resolves as the underlying dryness improves. Continue artificial tears as directed; they actually help reduce the reflex tearing by keeping the eye surface comfortable.
Expect increased sensitivity to bright light for the first 1–2 weeks. Wear dark sunglasses outdoors and consider reducing screen brightness on devices. This is temporary and improves as swelling around the eyelids resolves.
Mild blurriness is common, especially after applying eye ointment. It can also result from eyelid swelling affecting the shape of your tear film. If you notice significant or sudden changes in vision, contact our office immediately. Normal post-operative blurriness is mild, intermittent, and resolves within the first 1–2 weeks.
One eye will almost certainly look different from the other during recovery. This does not indicate a problem with your surgery. The side you tend to sleep on, natural differences in lymphatic drainage, and individual tissue response all contribute. True symmetry assessment happens at your 3-month visit, not during the swelling phase.
Contact us right away if you experience severe eye pain (not just soreness), rapidly worsening or new-onset double vision, a sudden decrease in vision, excessive bleeding that does not stop with gentle pressure, or increasing redness/swelling after it had been improving (especially with fever). These are uncommon but require prompt evaluation.
Medication Schedule
You will be sent home with specific medications. Here is your general protocol — always follow the exact instructions on your prescription labels if they differ.
Avoid ibuprofen (Advil, Motrin), naproxen (Aleve), aspirin, and any NSAID for at least two weeks after surgery. These thin the blood and significantly increase your risk of bleeding and bruising. Tylenol (acetaminophen) is your safe over-the-counter option.
Activity & Restrictions
Rest with your head elevated at 30–45 degrees (2–3 pillows or a wedge pillow) at all times, including while sleeping. Avoid bending over, heavy lifting (anything over 10 pounds), straining, or any activity that increases blood pressure to the head. Limit screen time — reading and screens cause eye fatigue and increase dryness. Take frequent breaks if you must use devices. No contacts — glasses only.
Most patients return to work and light daily activities. Gentle walking is encouraged. You may resume wearing contact lenses once approved at your follow-up visit. Continue sleeping elevated if morning swelling persists. Avoid any activities where something could bump or hit your eyes. No strenuous exercise yet.
Light cardio (walking, stationary bike) may be resumed. Avoid heavy lifting, intense cardio, or anything that causes significant straining for at least 4 weeks. No swimming (pool chemicals and bacteria). Makeup can typically be worn starting at the 2-week mark (mineral makeup preferred, avoid the incision line directly until fully healed).
Most activity restrictions are lifted at the 4-week mark. You may resume full exercise, weight training, and swimming. Continue to protect your scars from direct sun for at least 6 months using SPF 30+ sunscreen and sunglasses. If an activity causes your eyelids to swell or throb, it’s too soon — back off and try again in a few days.
Sleep on your back with your head elevated for the first two weeks. Side sleeping pushes fluid into the downward eyelid and worsens asymmetric swelling. If you absolutely cannot sleep on your back, alternate sides throughout the night. A travel pillow placed around your neck can help prevent rolling over.
Scar Optimization
Eyelid incisions are placed in the natural crease (upper lids) or just below the lash line (lower lids) so they heal to near-invisibility. But the best scars still require intentional care. Think of scar optimization like investing — the effort you put in during the first 3–6 months pays dividends for years.
Begin scar therapy 2–3 weeks after surgery, once the incision is fully sealed and any scabbing has completely resolved. Starting too early can irritate healing tissue. Your surgeon will confirm you are ready at your follow-up appointment.
Medical-grade silicone is the gold standard for scar treatment. It works by hydrating the scar, regulating collagen production, and creating a protective barrier. You have two options:
- Silicone strips (ScarAway, Mepitac, or similar) — cut to size and wear along the incision for 12+ hours daily. Many patients apply at night.
- Silicone gel (Biocorneum, ScarGuard, or similar) — apply a thin layer twice daily. This is often preferred for eyelids because strips can be tricky on curved surfaces.
Continue silicone therapy for a minimum of 8–12 weeks. Many patients see continued benefit up to 6 months.
UV radiation is the enemy of healing scars. Sun exposure causes new scars to darken permanently (hyperpigmentation) rather than fading to a natural skin tone. Apply SPF 30+ sunscreen to the incision area daily, even on cloudy days. Wear large sunglasses whenever outdoors. Maintain diligent sun protection for at least 6–12 months post-surgery.
Once your incisions are fully healed (typically around week 3–4), gentle scar massage can help soften the tissue and improve the final appearance. Using a small amount of Aquaphor or silicone gel, massage along the incision with gentle circular pressure for 2–3 minutes, 2–3 times daily. Massage helps break up scar tissue and improves pliability.
Your incision will go through several phases: initially pink/red (weeks 2–6), then slightly raised or firm (months 1–3), and finally flat and pale (months 3–6+). This is normal scar maturation. If a scar becomes excessively thick, raised, or itchy, let us know — early intervention produces the best outcomes.
When to Call Our Office
Severe, sudden eye pain — especially if one-sided. Rapidly increasing swelling that is getting dramatically worse (not gradually better). Sudden loss of vision or significant new visual changes. Bleeding that does not stop after 15 minutes of gentle, steady pressure. Increasing redness and warmth around the incision, especially with fever above 101°F. Any sensation of pressure building behind the eye.
These symptoms are uncommon, but they require prompt evaluation. It is always better to call and have us reassure you than to wait and wonder. We expect calls during recovery — it is part of taking great care of you.
Our office can be reached at (317) 575‑0330 during business hours. For after-hours surgical concerns, the same number connects to our on-call line. You may also send photos to our patient portal for non-urgent questions or progress check-ins.
- Persistent dryness not improving with artificial tears after 3–4 weeks
- A stitch that feels like it’s poking or irritating you
- Small areas of incision separation (usually minor, but we want to see it)
- Concern about scar appearance at any point
- Eyelid swelling that returns or worsens after initially improving
- Difficulty closing your eye completely (especially at night)
Between appointments, we welcome photo updates through the patient portal. Take photos in natural lighting, straight on, with eyes open and eyes closed. This allows us to monitor your healing remotely and address any concerns early — without you needing to make an extra trip to the office.
Frequently Asked Questions
When to Call Our Office
Most recovery follows a predictable pattern, and the guides above walk you through exactly what to expect. But every patient is unique, and sometimes things come up that need a quick conversation with our team. Below is a clear guide for when to reach out.
- Difficulty breathing or swallowing
- Chest pain, dizziness, or fainting
- Signs of allergic reaction (hives, throat swelling, difficulty breathing)
- Sudden, severe bleeding that does not stop with gentle pressure
- Sudden loss of vision in one or both eyes
- High fever (over 101.5°F) not responding to Tylenol
- Sudden severe headache with neck stiffness
- One-sided facial droop or new facial weakness
- Increasing pain that is not controlled by your prescribed medications
- Sudden increase in swelling, especially if one-sided
- Warmth, redness, or spreading discoloration around an incision
- Drainage from an incision that is thick, cloudy, yellow, or foul-smelling
- Fever between 100.4°F and 101.5°F
- An incision that opens or separates
- Nausea or vomiting that prevents you from taking medications
- Eye that becomes suddenly more swollen, painful, or develops new vision changes
- Nosebleed that does not stop after 20 minutes of proper technique
- Ear numbness combined with significant new swelling behind the ear
- Questions about your medication schedule or refills
- Mild bruising or discoloration that is stable or improving
- A stitch that feels loose or is poking
- Itching around incision sites
- Mild asymmetry in swelling between sides
- Questions about when you can resume a specific activity
- Dry eyes or mild eye irritation that responds to artificial tears
- Nasal congestion or minor crust buildup
- Numbness or tingling in the surgical area
- Emotional ups and downs during recovery (completely normal)
- You can text photos to our office at any time for a visual check-in
- Take photos in good lighting, front-facing, with both sides visible
- Include a brief description of your concern with the photo
- Our team will review and get back to you, usually within a few hours during business hours
Frequently Asked Questions
How much pain should I expect after surgery?
Most patients describe post-surgical discomfort as a 3–5 out of 10 — more tightness and pressure than sharp pain. Facelift patients often compare it to a sunburn sensation. Rhinoplasty patients feel more congested than painful. Eyelid patients describe mild soreness and heaviness. Pain typically peaks in the first 48 hours and improves significantly by day three or four. Your prescribed medication will keep you comfortable during this window.
When can I go back to work?
This depends on your procedure and the nature of your work. For desk jobs with no heavy lifting: facelift patients typically return around 10–14 days, rhinoplasty patients around 7–10 days, and eyelid patients around 7–10 days. If your job involves physical activity, we may recommend a longer timeline. Many patients choose to work from home a few days earlier than these windows if their role allows it.
Will I look “done” or obvious?
In the first week or two, yes — you will have visible swelling and bruising. That is completely normal and expected. But once the initial healing phase passes, the goal is for people to notice that you look refreshed and well-rested, not that you had surgery. My approach focuses on natural results that respect your unique anatomy, not a one-size-fits-all look.
When can I exercise again?
Light walking is encouraged from day one — it promotes circulation and reduces the risk of blood clots. Gentle walking can increase in duration throughout the first two weeks. Light exercise (stationary bike, easy yoga without inversions) is typically allowed around week three to four. Full exercise including running, weight lifting, and high-intensity workouts usually resumes at six weeks, once your tissues have had enough time to heal securely.
How long will swelling last?
The most dramatic swelling resolves within the first two to three weeks. By one month, most patients feel comfortable in public and most people around them won’t notice residual swelling. However, subtle swelling continues to refine for months — up to 12 months for facelift and rhinoplasty, and 3–6 months for eyelid surgery. This is why your “final result” takes time. Patience during this phase is truly rewarded.
Can I sleep on my side after surgery?
For the first two weeks after any facial procedure, sleeping elevated (30–45 degrees) on your back is important. This significantly reduces swelling and promotes healing. A wedge pillow or recliner works well. After two weeks, facelift and eyelid patients can gradually transition to side sleeping. Rhinoplasty patients should avoid putting any pressure on the nose for at least six weeks. Sleeping habits do adjust — most patients find a comfortable routine within a few days.
When will my scars fade?
Scars go through a maturation process that takes 12–18 months. They typically appear pink or slightly red for the first few months, then gradually lighten and flatten. Proper scar care — including silicone sheets or gel and diligent sun protection — makes a real difference. Facelift incisions are placed within natural creases and the hairline. Eyelid incisions hide in the eyelid crease. Rhinoplasty scars (for open rhinoplasty) are on the columella and become nearly invisible over time.
Is it normal to feel emotional during recovery?
Absolutely. The combination of anesthesia, pain medication, disrupted sleep, temporary changes in your appearance, and the vulnerability of the recovery process can bring unexpected emotions. Many patients experience a low point around days three through five — sometimes called the “day three blues.” This is completely normal and almost always passes within a few days. Be patient with yourself, lean on your support system, and remember that how you feel at day five is not how you will feel at week five.
What should I eat during recovery?
Focus on hydration and nutrition. Drink plenty of water and aim for protein-rich foods that support tissue healing — eggs, chicken, fish, Greek yogurt, and legumes are all great choices. Fresh fruits and vegetables provide vitamins that aid recovery. Avoid excessive sodium, which contributes to swelling. Avoid alcohol for at least two weeks, as it thins the blood and increases swelling. Soft foods are especially helpful for facelift patients in the first few days when jaw movement may be uncomfortable.
Can I wear glasses or sunglasses after surgery?
After rhinoplasty, avoid resting any glasses on the bridge of your nose for at least six weeks — the weight can affect healing and shape. Tape glasses to your forehead or use a glasses splint. After eyelid surgery and facelift, sunglasses are actually encouraged to protect sensitive skin from the sun. Lightweight frames are best in the early weeks. We’ll give you specific guidance at your post-op visits based on your healing progress.
When can I color my hair or get a facial?
Hair coloring is typically safe after four to six weeks for facelift patients — you want to avoid chemical exposure near incisions until they have matured sufficiently. Facials and any skincare treatments that involve manipulation of facial skin should wait at least six to eight weeks, and longer if you had a facelift. Always let your aesthetician or stylist know you’ve had surgery. We are happy to give you specific clearance at your follow-up appointments.
Do I need someone to stay with me after surgery?
Yes. You will need a responsible adult to drive you home and stay with you for at least the first 24 hours. For facelift patients, having someone with you for the first 48–72 hours is ideal. This person can help with medications, ice application, meal preparation, and simply being there for reassurance. After the first day or two, most patients manage well independently, though having someone check in on you is always a good idea during the first week.
What if I notice something asymmetric?
Asymmetric swelling is one of the most common concerns — and one of the most normal parts of recovery. Everyone heals at slightly different rates on each side of their face, and it is very common for one side to be more swollen, more bruised, or to resolve more quickly than the other. True symmetry assessment cannot happen until swelling has fully resolved, which takes months. If asymmetry is dramatic, sudden, or accompanied by pain, call us. Otherwise, patience is the best medicine.
How do I protect my results long-term?
Sun protection is the single most important thing you can do. Use SPF 30 or higher daily, even on cloudy days, and wear a hat when outdoors. Maintain a healthy lifestyle — proper nutrition, hydration, regular exercise, and adequate sleep all support your skin and tissues. A consistent skincare routine with retinoids, antioxidants, and moisturizer extends your results. Avoid smoking, which accelerates skin aging. Most patients find that their surgical results, combined with these habits, last for many years.
Important Information
Medical Information Disclaimer. The recovery guides, medication references, care protocols, and timeline information on this page are provided for general educational and informational purposes only. They reflect typical post-operative experiences and are not a substitute for the individualized medical instructions provided to you by Dr. Sturgill and the Meridian Plastic Surgeons care team. Always follow the specific post-operative instructions given to you at your appointments, as your care plan may differ based on your anatomy, health history, and surgical details.
Individual Results. Recovery timelines, downtime estimates, longevity figures, and surgical outcomes described on this page represent typical ranges based on clinical experience. Individual results vary based on factors including age, skin quality, health status, adherence to post-operative instructions, and the specific surgical plan performed. No specific outcome is guaranteed.
No Doctor-Patient Relationship. Viewing this page or reading these recovery guides does not establish a doctor-patient relationship with Dr. R. Luke Sturgill or Meridian Plastic Surgeons. A doctor-patient relationship is established only through a formal in-person or telehealth consultation.
Medication Information. Medication names, dosages, and schedules referenced on this page are examples of typical post-operative regimens. Your prescribed medications may differ. Do not start, stop, or change any medication based solely on the information provided here. Follow the medication instructions given to you by your surgeon and care team, and contact our office with any questions about your specific prescriptions.
Emergency Limitations. This website is not designed to address medical emergencies. If you are experiencing a life-threatening emergency, call 911 immediately. For urgent post-surgical concerns, call our office at (317) 575‑0330. Do not rely on this website, email, or text messaging for time-sensitive medical concerns.
Content Ownership. All content on this page — including text, images, care protocols, and recovery guides — is the intellectual property of R. Luke Sturgill, MD, and Meridian Plastic Surgeons. Reproduction, redistribution, or use of this content without written permission is prohibited.
Last updated March 2026 · Privacy Policy · Full Disclaimers · Accessibility