We tell our patients to refrain from vigorous exercise for at least a month after a facelift, but this is not the complete answer. Just as important is the manner in which they resume their exercise regimens. Very often when patients return to the gym, they feel they "have to make up for lost time." As a result, they "hit it hard" the first time they return to their athletic pursuits. This is a recipe for problems. The key is a graduated return to exercise, beginning with a very light program initially, where the patient is just "going through the motions" of their sport or workout, without significant exertion. Over a two week period, patients should gradually return to full exertion in their sport or exercise regimen.