Facial Liposuction & Lipectomy

Overview

After your surgery the nurses will go over all instructions with the person that will be accompanying you at home.

Don’t be surprised at the pale, bruised, and puffy face you see. This is normal and will last around 10 days.

There is usually no significant discomfort after surgery; pain medication will be prescribed by Dr. Reynolds to diminish any discomfort you will have.

Cold or ice packs help to reduce swelling, bruising, and pain. Use frozen peas in the package or crush ice cubes and put the ice into a zip-lock bag. This should help not hurt. If the ice feels too uncomfortable, don’t use it as often. Ice 20 minutes per hour, when not asleep. (Stop icing if it gives you a headache). We recommend that you do NOT eat salty foods following surgery. This will only increase your swelling.

Your head will be bandaged after your surgery (and should not be removed). The dressing will typically be removed, by a team nurses or our doctors the next day during your appointment. Starting one day after surgery, wear the neck support strap we issue full time for the first week and at least half time for the second week. After two weeks you may want to wear the neck garment at night for another two weeks for additional support.

Some numbness of the skin is quite normal; it will disappear in a few months.

Sutures will dissolve in approximately two weeks. Staples in hair bearing areas will be removed in about 7 days.

Wound Care

Your hair should be washed gently everyday beginning the day after surgery. – Incisions may be cleaned twice a day using a Q-tip with dilute peroxide (50% water) followed by the application of Polysporin antibiotic ointment over all suture lines. If oral incisions were used, brush your teeth gently three times a day and rinse with warm salty water.

Recovery

  • It is recommended that you keep your head elevated and as still as possible for a couple of days after surgery, to keep the swelling down.
  • Continuously apply cold compress for 24 to 48 hours after your surgery.
  • Recovery time will vary, depending on your surgery, usually a period of 7 to 12 days will be needed.
  • Avoid driving an automobile for at least 24 to 48 hours after surgery.
  • Avoid strenuous activities, heavy housework for at least 2 weeks. Alcohol, steam baths and saunas should be avoided for several months.
  • Your first post-op appointment will be scheduled the day after surgery, and other follow-up appointments will be scheduled depending on your progress.
  • Do not apply makeup or facial creams until Dr. Reynolds feels you are ready.

Expectations

Every individual is unique and results vary from person to person depending upon ones inherent anatomy and underlying medical condition. Inherent elasticity of the skin and underlying medical conditions as well as the age of the patient are important factors. Post operative swelling may camouflage the result initially and sometimes the overall result is not seen until months subsequent. Sometimes there can be small irregularities or firmness in the regions treated; however, this will soften and smooth out over time. The final result is generally evident by approximately six weeks to six months after the procedure.

Special Instructions

Swelling and bruising are normal. Some bloody drainage is normal. Signs of hematoma – Painful, extreme hardness or bleeding, often accompanied by major bruising that may be one side causing asymmetry. Call us immediately if you have any symptoms you are concerned with.

There are some potential drawbacks to injudicious liposuction. When to much neck fat is removed, the lymphatic system is disrupted. This can result in prolonged (weeks to months) swelling and edema. Overly aggressive fat removal can also leave ridges and distortions of normal facial contours. The thin layer of fat in the face provides the padding underneath the skin . If to much is removed, the movement of the jaw and cheek muscles may become disconcertingly apparent.

It is normal for some patients to experience a brief period of “let-down” or depression after cosmetic surgery. Some may subconsciously have expected to feel and look better “instantly,” even though they rationally understand that this will not be the case. Patients commonly question their decision to have surgery during the first few days after surgery. As the healing occurs, these thoughts usually disappear quickly. If you feel depressed, understanding that this is as a “natural” phase of the healing process may help you to cope with this emotional state.

View or Download Post Operative Instructions for Facial Liposuction (Lipectomy) (shown above)

View or Download Consent Form for Facial Liposuction (Lipectomy)