Facelift Recovery

Thinking about a facelift, but concerned about taking time off work. When can I go in public without looking like a freak (or like I just had facelift surgery!)?

Doctor Answers (146)

Recovery from facelift takes many forms

+9

Recovery from a facelift takes many forms. Physical recovery. Social Recovery. Recovery of sensation. Because it is your face, the interruption in social activities is often the hardest part of the recovery.

Pain:

Most patients have only mild pain after a facelift and it is usually gone in one or two days. I give only Tylenol #3 since stronger medications are not needed.

Driving:

I allow patients to drive after 4 days if they are off pain meds. Before this, some mild neck stiffness may make driving safely more difficult since you may not turn your head as far to look for cars.

Swelling and Bruising:

Recovery from a facelift involves bruising (usually down low along the neck) and swelling which increases some each day for the first 4 days after surgery. On the 5th day after surgery this begins to improve rapidly and usually by the 7th or 8th day after surgery makeup can be applied. Patients often tell me with a scarf and some sun glasses they can run quick errands. At this stage they would not necessarily want to run into a close friend if they are trying to be discrete.

Dinner With Friends:

For a patient to sit down to dinner with friends and not be asked any questions, I believe it takes about two weeks. Occasionally a very dark bruise may not be completely gone but can be effectively covered with makeup. About 80 % of the swelling is gone so the remainder is hard to detect. Sometimes a slight change is hairstyle can be used to help explain away any differences a close friend might notice.

Exercise:

I ask patients to wait on exercise and heavy lifting until 3 weeks after surgery. Otherwise I don't limit their activities

Numbness:

Mild facial numbness seems to always go away completely but takes about 9 months. Fortunately this does not bother most patients especially once they realize its temporary.


Sarasota Plastic Surgeon
5.0 out of 5 stars 12 reviews

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Facelift Recovery

+8
Your recovery from a facelift will depend a great deal on the plastic surgeon you select. Start by looking at many, many before and after photos to evidence of the results a plastic surgeon has achieved. Often, the plastic surgeons with the most expertise and the most beautiful long-lasting results will also have the skills to make the initial recovery shorter with less swelling and bruising.

For very high profile patients and / or people who don't want people to know they have had surgery, I often recommend a change in hairstyle immediately before surgery. Starting to wear eyeglasses or changing your current eyeglass frame can also make a change a bit less obvious. 

Great plastic surgery won't have people asking "who is your plastic surgeon?" Instead, they will ask if you've lost weight, been on vacation, started yoga, or something else that may be responsible for you looking so wonderful. 

Follow your plastic surgeons orders very closely before and after surgery

Michael Law, MD
Raleigh-Durham Plastic Surgeon
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Going out after facelift

+4

I usually tell my patients that if they are going to be in a “high profile” situation – such as a wedding – to allow themselves a full six weeks for healing prior to the event.  Otherwise, my patients seem to feel comfortable  with their appearance at about two weeks.

George John Alexander, MD, FACS
Las Vegas Plastic Surgeon
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Face lift recovery

+4

Recovery from a facelift can vary tremendously , but in general you can look socially acceptable after seven to ten days.  You will not feel totally normal for six weeks.  Back to work ( depending on what you do, i.e. no heavy lifting) is about two weeks.It's easier for a woman because they can wear make-up.

Wishing you the best,

Tal Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

Facelift recovery depends on the type of facelift.

+4

In today's world of plastic surgery there are different degrees of facelifting. It also depends upon how you wear you hair. If you only need a facelift limited to incisions around the ear and the central neck compartment is not entered then you can be presentable in 2-3 days with your hair worn in such a way to cover your suture lines. With more complete facelifts in which the central neck compartment in entered and combined with a lateral approach, the bruising is more significant. I tell my patients to count on 7-10 days before they would attend a social gathering in which they don't mind people knowing. At this point though you will look better than before surgery. The complete recovery untill all the little minor contour irregularities are resolved and the incisions have faded will be more like 3 months.

Ed Buckingham

Edward Buckingham, MD
Austin Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Facelifts are variable

+4

There is not a standard facelift since there are different techniques and aspects to this generic procedure. Ingeneral, most bruising should be minimal enough to cover with make up 7-10 days post-op. Swelling is more variable. The more that is done higher up ( forehead, eyes, cheeks) the longer the swelling should last compared to lower face and neck. Most of the time, I tell patients they can go out in public within 7-10 days since all stitches shold be out by then and they can wear camouflage make-up.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 8 reviews

How to Minimize "Looking Like A Freak" After Facelift Surgery

+3

Of all concerns about facelift surgery, the concern of looking abnormal following the procedure and about how long it will take to look normal again are often the biggest. Appearance problems are primarily due to bruising, swelling, puckering and stretching of the skin. Those surgeons who do everything they can to speed recovery and educate their patients on their own part in the recovery process are doing a great service for their clients in this regard.

WHAT THE SURGEON DOES TO SPEED RECOVERY:

1. Respecting surgical anatomy to minimize trauma: There are subtle anatomical planes that only the most experienced surgeons consistently recognize and respect and consistently work within. By staying within these planes, less trauma and therefore less bleeding/swelling occurs.

2. Compression dressings vs tissue glue: Both work well at reducing the potential space between skin and underlying tissues, which ensures that little blood can accumulate that would otherwise increase bruising and swelling. Placing a good dressing that applies even pressure is both a skill and an art.

3. Minimize bleeding: A surgeon who takes his/her time to be meticulous at finding and stopping every small point of bleeding will produce less bruising.

4. Adequate drainage: No matter how meticulous the surgeon is at stopping any point of bleeding, there will still be some amount of bleeding that occurs under the skin following the surgery. The surgeon that places drains to remove this blood that would otherwise accumulate and create more swelling and bruising, can make a big difference in the recovery time.

5. Tighten deeper structures so the there is little tension on the skin: Tension on the skin can be minimized from the start by elevating, tightening and supporting the deeper structures first. There is then minimal tension and distortion on the skin.

6. Clearly Educate the patient about what they can do to speed recover.

WHAT THE PATIENT DOES TO SPEED RECOVERY: (primarily steps taken to minimize bruising and swelling)

1. Steps to minimize bruising:

a. Do not take any medications (unless OKed by your surgeon) that might increase bleeding tendencies: Every surgeon who does a lot of facelifts will have a list of medications and supplements that are known to increase bleeding tendencies

b. Take a natural supplement named "Arnica" -- which is safe and is known for it's anti-bruising properties

2. Steps to control blood pressure: Ensuring normal blood pressure will reduce swelling and bruising. The patient can do the following to normalize blood pressure during the critical week or two following facelift surgery:

a. Keep your head elevated: This, for obvious reasons will reduce pressure and swelling.

b. Take your blood pressure medication. Make sure you're blood pressure is controlled by an adequate dose of your medication.

c. Limit strenuous physical activity. Although walking around in encouraged within a day or two following surgery, anything that you need to strain at or that causes you to huff and puff and sweat should be postponed for at least two weeks following surgery

d. Do things that relax you: Your surgeon can even prescribe anti-anxiety/sedative medication during this period if you are overly anxious.

Richard Parfitt, MD
Madison Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews

Facelift recovery is not as bad as you think

+3
  • Two weeks for most of bruising to resolve and all sutures removed.
  • One month of no heavy lifting and straining.
  • Most of the swelling is gone in the first month, but residual swelling can take a few more months to settle. The less active one is after surgery, the faster the swelling seems to resolve.
  • Patient's usually do not have pain, but more of a "tight" sensation that relaxes somewhat over the coming months.

Anand D. Patel, MD
Austin Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.