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
Weight loss medication
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.
If taking Xanax, it should be taken 1 hour prior to your procedure as prescribed.
If you are taking Xanax prior to your procedure, you must have a responsible adult drive you to and from our office.
If pain medication is prescribed, please note that it 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
Since this surgery in performed with you awake, you may eat and drink prior to your procedure unless it is combined with another surgery that requires general anesthesia.
You will receive a call 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
If submental is done under a local anesthetic, patient may eat and drink prior to surgery. Try to avoid heavy meals close to the procedure time to reduce the risk of nausea.
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.
From there, your surgeon will come in, discuss the procedure, and create his markings before we get started.
Once in the room, your surgical site will be numbed with local anesthetic, then we will start the procedure.
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.
Most patients only need over the counter medication for pain management with this procedure.
You can take up to 1000mg of Acetaminophen (2 Extra strength Tylenols) and 600mg of Ibuprofen (3 tablets of Advil or Motrin) every 6 hours as needed to pain and discomfort.
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.
Avoid Aspirin or Aspirin containing products for 2 weeks after your surgery.
If prescribed a pain medication do not use alcoholic beverages.
You may be prescribed 2 different medications:
Anxiety medication- Xanax
Take 1 tablet the night before your surgery, and 1-2 tablets one 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?
2-3 days depending on how comfortable you are and how you feel.
How long does the procedure last?
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?
You can drive the day after your procedure as long as you are not taking pain medication.
What can I do for scar care after surgery?
You will be given a scar gel from, Skin Medica, at your 6-week post-operative appointment.
When can I start exercising again?
You can begin working out after your first post-operative appointment (at 1 week), as you are cleared by your doctor.
When can I get in a Pool/Beach/Lake?
You may swim or submerge in water 3 weeks after your procedure