Leading Up To Surgery
Medication & Supplements
Stop taking aspirin, products that contain aspirin, and all other supplements two weeks before surgery. This includes:
- BC or Goodies powders
- Fish oil
- Weight loss medication
- Vitamin E
- Herbal supplements
- Meal replacements or protein shakes
Please make sure to get your prescriptions filled prior to your surgery date. You will be expected to bring your prescriptions with you the day of surgery.
The pain medication that is prescribed can cause constipation. You can start prevention as early as two days before your surgery by taking Colace, or Activia yogurt. After your surgery, you can have things like MiraLAX or Milk of Magnesia, but these should not be taken before.
If you become ill or have to postpone your surgery for any reason, please notify us as soon as possible.
Day Before Surgery
You will receive a call and email the day before your surgery with instructions regarding where and when to arrive.
This will include instructions regarding medications.
Day Of Surgery Instructions
Food and Drink
Do not eat after midnight the night before your surgery.
- You can brush your teeth, but do not swallow any toothpaste or liquid
- Do not consume candy or gum
- You may drink water or Gatorade (any flavor except red) up to two hours before your surgery
Do not wear jewelry or make-up to your surgery appointment. Wear loose, comfortable, and warm clothing. A top that zips or buttons up is preferred. Please wear glasses instead of contacts if applicable
A responsible adult must take you home. You will need someone to stay with you for the first night after surgery.
Note: If you are a minor, a parent or legal guardian must accompany you.
What to expect
Once you arrive in our surgery suite, the clinical staff will discuss the details of your procedure and ask you to sign an informed consent. If applicable, you will take a pregnancy test prior to surgery.
You will speak with your anesthesia provider prior to your surgery. They will go over your history with you one last time before we get started and tell you what to expect when you are in the operating room.
From there, your surgeon will come in, discuss the procedure, and create his markings before we get started.
After Your Surgery
What to Expect Physically
You should have mild pain and discomfort.
You will have areas of numbness which will gradually improve over several weeks to months.
What to Expect Visually
You may experience oozing for the first 2-3 days after surgery.
You will have a compression garment that wraps around from your chin to the back of your head.
You will have 1-3 incisions. An incision right below your chin, and possibly 1 to each jawline.
Your surgeon will discuss this with you at your consult and pre-operative visit.
- You will have sutures to your incisions that will be removed at your first post-operative appointment unless they are absorbable.
- You will have swelling and bruising to your jowls and neck. Some people have bruising that will travel down to their upper chest. This can last 1-2 weeks
The swelling may look and feel uneven, this is normal and will gradually improve with time.
Note: Total resolution of swelling and skin shrinkage can take up to 3-6 months.
Please keep your head elevated as much as possible, especially for the first 2-3 days after surgery to help with swelling. (If possible, sleep in a recliner)
You may shower 24-48 hours after surgery. Please use mild soap to site.
- You may remove your garment when you are able to shower. After 48 hours is preferred.
After 48 hours you will want to wear this garment at night until your first post-operative appointment.
- The foam pad in your garment can be removed when you shower and does not need to be replaced.
- Avoid bending over, especially for the first week after surgery. This can increase swelling to site.
- Resume your normal activities as you feel comfortable.
Use ice packs to site (crushed ice in a Ziplock bag or frozen peas) for the first 2-3 days after surgery. Apply only for 30 minutes at a time then take at least a 30 minutes break in between. This will help to prevent frostbite to site.
You may take up to 1000mg of Tylenol (2 tablets of Extra-Strength Acetaminophen or Tylenol over-the-counter) and 600mg (3 tablets of 200mg over-the-counter) Ibuprofen in between your pain medication doses to help make it easier to move around.
Avoid Aspirin or Aspirin containing products for 2 weeks after your surgery
Do not use alcoholic beverages while taking pain medication
You may be prescribed 2 different medications:
- Anxiety medication- Xanax
- Take 1 tablet the night before your surgery and 1-2 tablets, 1 hour prior to your procedure.
- Pain medication – Norco or Hydrocodone and Tylenol
- Take 1 tablet every 6 hours as needed for pain.
When To Call The Office
Call the office if you have a fever over 101 degrees, experience any sudden increase in swelling (especially on one side), or notice redness around your incision sites (especially if it’s warm to the touch).
Frequently Asked Questions
How long do I have to take off work?
How long does the procedure last?
How long will I have to be in recovery?
This is only performed under general anesthesia if additional surgery is being performed.
How long will the bruising last?
Usually it will start to fade after the first week but can last up to 3 weeks.
When can I drive again?
When you are no longer taking pain medication and feel comfortable driving again. Always consider that you would need to be able to react in case of an emergency.
What can I do for scar care after surgery?
When you doctor approves we would recommend a product that contains silicone, like scar away, because this is the only thing with evidence that supports scar improvement.
When can I start exercising again?
2 weeks after surgery. Be sure to ease yourself back into everything.
When can I get in a pool/Beach/Lake?
6 weeks post-operatively