How to Prepare for Surgery
We will have you come in for a pre-surgical appointment 1-2 weeks prior to your surgery date to go over post op instructions and give you a list of medications that will be called in prior to your surgery. All prescriptions that are called in are to be taken after surgery. If you have someone that will be taking care of you, it is recommended that they come to this pre-surgical appointment to hear and understand post-op instructions. We will provide one dose of arnica to help prevent bruising, which you can start taking 8 days prior to your surgery. If you would like to take another dose after surgery, arnica supplements can be purchased at our office or in common drugstores. We recommend obtaining all necessary items before surgery, that way after surgery you can go straight home and relax.
What Can I Expect After Surgery?
- Facial swelling that will start to minimize within 7-10 days. We recommend sleeping in a reclined position for at least 5-7 days to help minimize swelling.
- You will leave the office with a layer of Aquaphor on the incision.
- You should not try to clean the sutured area. Apply a small amount of Aquaphor over the incision site to keep it moist. This will allow for optimal healing of the incision and minimal scarring.
- Your upper lip may feel strange and you will not be able to fully animate for the first 3-4 weeks following surgery. This will resolve as the swelling goes down.
Prescriptions After Surgery
- You will be prescribed medications based on your health history.
- You will receive pain medication to use for the first 3-5 days after surgery.
- An antibiotic will be prescribed for you to begin taking the day after surgery.
- An oral steroid will be prescribed to help reduce swelling.
- Anti-nausea medication will help limit any nausea you may experience after surgery.
Wound Care for the Surgical Site
- Always keep a thin coat of Aquaphor on the incision site. You will need to apply this 3-5 times per day for the first week.
- You may shower following surgery, but please avoid getting the incision site wet.
What Happens at the Follow-Up Visits?
- You will have a follow-up 1 week after the procedure to assess your incisions and overall healing progress. At this appointment, we will remove some of the sutures.
- We have a Candela Vbeam Prima Perfecta Laser Machine, a pulsed-dye laser (PDL), that will help reduce the appearance of dark red or purple bruising more quickly.
- We take photos at each follow-up appointment to monitor your healing progress.
- You will have a follow-up 2 weeks after the procedure to assess your healing progress and address any concerns with healing you may have at that time.
- You may call or email at any time during your recovery if you have questions or concerns between follow-up visits.
Skin Care After Surgery
- We will provide a scar cream (Silagen Scar Refinement System) at your 1 week follow-up for you to start using twice daily to help minimize scarring.
- Protect your facial skin from any sun exposure for months after surgery. Please use sunscreen anytime that you are outside. Exposing the healing scars to the sun can cause more prominent scarring.
Activity Level After Surgery
- Avoid any strenuous physical activity for 1 week.
- Do not hit or bump your nose. Be careful with animals and small children.
- DO NOT rub your nose with a Kleenex. Use a drip dressing for drainage if needed.
- You may return to school or light duty work (non-physical labor) within a week of the surgery, or as tolerated..
- Although you just had surgery, we recommend you do not stay in bed while awake. The more movement and blood flow, the easier recovery can be.
- Try to transfer to a chair and walk around the house. You want to be as active as possible, but avoid doing anything too strenuous.
- The swelling will worsen over the first 3-4 days after surgery, which is expected, but it will begin to subside shortly thereafter.
When Should I Call My Doctor?
- If you have difficulty breathing
- If you have difficulty closing your eyes after surgery
- If you are unable to urinate
- If you have severe pain that is not improved with medications
- If you experience a rash, nausea, vomiting, severe headache, severe constipation, or other unexpected reactions
- If you have an oral temperature over 100.5 degrees.
- If you have a question or concern that must be addressed prior to the follow-up visit.
Who Should I Call if I Have Questions?
Please call our office at (972) 914-3660. You may also email photos or questions to info@dsa.live and someone will get in touch with you within 24-48 hours.