The Reality of Recovery: Managing Pain After a Facelift

Before delving into recovery, it's essential to have a clear understanding of the facelift procedure itself. Whether it's a traditional facelift, a mini facelift, or a neck lift, comprehending the specifics of the surgery will help set realistic expectations and prepare for the recovery ahead.

The first week after a facelift is the “worst”. Typically, the first two days are the most challenging. You’ll be wearing a compression wrap for support to help minimize swelling and bruising. Any pain you’ll feel will be at its highest at this time. Most patients are fatigued. Some may have nausea and lethargy. Speaking of swelling and bruising, Day 3 and 4 are the usual peak days for this resulting in a slightly battered appearance, so don't be alarmed if you resemble someone who went a few rounds with a boxer. Don’t be alarmed if your face is numb, tingling, asymmetrical and you have discoloration on your neck and ears - this is all normal and will resolve.  

Many people characterize the pain during facelift recovery as a blend of discomfort and unusual sensations. Fortunately, the prescribed pain medications, when taken as directed and on schedule, is expected to effectively manage and alleviate the discomfort.

The level of pain and discomfort you generally tolerate will provide insight into what to expect during your recovery. If you've faced challenges with pain during other medical conditions, it's likely that your response to a facelift will follow a similar pattern. Understanding your personal traits and tendencies can be instrumental in preparing yourself for a smoother recovery process.

Your facial plastic surgeon will provide thorough guidance on managing pain and discomfort, tending to incisions, and addressing your needs in the initial weeks of recovery. It's essential to follow these instructions diligently and don't hesitate to seek clarification by asking any questions you may have.

It’s always best if you could have a professional care for you such as a nurse for at least 24 hours. They can monitor you for potential complications such as a hematoma (an abnormal pooling of blood underneath your skin) and infection. They will also make sure all of your post-operative instructions are followed accurately, medications are taken properly and help manage your pain.

Here are a few ways to ensure you enjoy a smooth recovery:

  • While in bed, ensure your head is elevated with several pillows to help reduce swelling.

  • Take your pain medication as recommended by your surgeon.

  • Applying ice packs will help reduce swelling and help reduce your pain.

  • Wear your compression wrap as recommended by the doctor.

  • Wear oversized satin or silk button-down shirts. This eliminates the need to struggle with pulling garments over your head.

  • Take intermittent walks around your house at regular intervals to promote blood flow and accelerate the healing process.

  • Follow the instructions on when you can shower and shampoo your hair.

Remember that discomfort is temporary and with patience you can emerge from the recovery period with your desired outcome feeling confident in your appearance.