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Thank you for your question. I will advise to my patient to sleep upright, keep head elevated as much as possible, when bending down bend from the knees for at least 7 days. These positions help decrease any swelling or bruising. All The Best
Sleeping in a reclining chair is the best position with your chin up by using a U shaped airplane pillow works best in my practice. I usually have my patients sleep that way for the first week.See the below link for addtional suggestions for a fast recovery including skin care.
In my practice, patients are encourage to sleep with their back at 30-45 degrees for at least 7 days (when sutures are removed). This may be extended based on the progress in a particular patient's recovery.
Specific post operative questions need to be addressed to your surgeon. Every surgeon has specific concerns related to the unique procedure they've done on you. They may feel you need longer time of elevation of the head based on what they did and a generic answer from a non-treating surgeon may be irrelevant. Sleeping in this position longer than you need to would not be a problem, but if you were to decrease the duration of abiding by this practice, you might increase the risk of bleeding, swelling and interfere with healing and prevent yourself from getting the best aesthetic outcome.
The amount of time to stay elevated after any head and neck surgery is dependent on the amount of bruising and swelling you may have. The main reason to stay elevated is to ensure rapid resolutin of your swelling and bruising.