MACS Facelift by Dr. Durkin

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In Vero Beach, FL

Daily Care

• 1. Go over your suture lines 2-3 times daily with soap and water on a Q-tip around the front and the back of your ears. Apply a small amount of Bacitracin Ointment to the suture lines around the front and back of the ear.
• 2. The second day after surgery let warm water run over incisions while showering. If you had eyelid surgery do not be afraid to get sutures around the eyes wet when showering.
• 3. Report any excessive bleeding that persists after pressure for 20 minutes.
• 4. Report any signs of infection such as excessive swelling, redness, or drainage.
• 5. Under no circumstances should ASPIRIN, IBUPROFEN, or medications containing aspirin or salicylates or ibuprofen, be taken without first consulting us.

Removal Of Dressing

A facial dressing will be applied before you leave the operating room; it is to remain in place until the following morning. You should be as quiet as possible during this time; therefore, a great deal of talking and having too many visitors are discouraged. If your dressing begins to feel excessively tight or uncomfortable, please let us know. The dressing can be removed the following day after surgery unless told differently by either Dr. Durkin or the nurse. During your initial post-op appointment you will be placed in a bandeau to be worn 21 days.

Pain

There is usually little actual pain following a facial reconstruction, but you may experience a deep bruised sensation as a result of the swelling, and the face may seem heavy, this can seem worse at night and when one becomes nervous. You will receive a prescribed pain medication and it can often cause sensations of light-headedness or sleepiness, particularly in the immediate post-operative period. If you choose to not take prescribed pain medication you may take Tylenol. Under no circumstances should ASPIRIN, IBUPROFEN, or medications containing aspirin or salicylates or ibuprofen, be taken without first consulting us. If the pain is severe and the prescribed pain medication is not helping please do not increase the recommended dosage or supplement with your own medications. Notify our office and we will evaluate the next step in controlling your pain.

Swelling

Every operation, no matter how minor, is accompanied by swelling of the surrounding tissues. The amount varies from minimal to extensive. Sometimes the swelling becomes a little greater 48 hours after your operation and will gradually decrease. Swelling is generally worse when you first get up in the morning. The swelling itself is not serious and is not an indication that something is going wrong with your operation. It may take several weeks for the swelling to diminish completely. After the swelling diminishes though, you may notice or feel some unevenness (lumpiness) under the skin; this will gradually disappear. The main thing to remember is the swelling eventually subsides; you can help in several ways:

Ice Compresses

Soft washcloths or the ice packs that we provide to you can be used. Some patients have even used bags of frozen peas due to the fact that they will conform to the face. If you decide to use a soft cloth, dip in water with ice chips. They may be placed in a plastic wrapper such as a baggie to avoid wetting your clothing. Apply your preferred method across the jaws and neck for twenty minutes several times daily during the first 3 days may help reduce swelling, discomfort, and discoloration.

Discoloration

Discoloration and bruising are normal with a facial reconstruction. Like the swelling, it may become more pronounced especially in the neck and chest area after the first day or so, but remember this is temporary. You may apply Topical Arnica Cream to discolored areas avoiding incision sites.

Medication Instructions

Every post-op patient will receive the following four meds which may be adjusted due to medication allergies etc.

• Antibiotic to start the following day after surgery.
• Muscle relaxer typically this is Diazepam. Take one tablet every 12 hours as needed. Please take this one hour apart from your pain medication. This can be sedative do not drive while taking.
• Pain medication to be taken with food you may start once you get home after surgery. We advise you to take a stool softener as your pain medication may cause constipation. You may alternatively take Tylenol if you chose. DO NOT take IBUPROFEN or ASPIRIN.
• You are given a packet of Ondansetron for nausea. this is to take only as needed. Once every 8 hours. If symptoms do not resolve contact office.

Care Of Surgical Site

You may shower once you’re cleared by Dr. Durkin. When Dr. Durkin gives the ok you may shampoo your hair and gently cleanse the incisions with soap and water. Avoid “scrubbing” the incision sites. Use a gentle massage with your fingertips around the incisions. Have someone with you and a chair nearby the first couple of days that you shower. You may get a little dizzy and will need to sit down. Gently towel dry hair and allow to air dry. Do not use a hair dryer or curling iron until after the staples and sutures are removed. Your scalp could have some numbness for up to a few months after surgery so it is important that you use extreme caution when using a blow dryer or curling iron until the numbness is gone. Keep incision site clean using dial soap and applying bacitracin to incision site.

Diet

The night of your surgery you may feel nauseated. We have provided you with anti-nausea medication. You can take the medication and only take a few ounces of clear fluids until the nausea passes. There are no restrictions to what you can and can’t eat. Let your body determine what you feel like eating. Please no drinking of alcohol for the first 3 weeks and/or while taking the pain medication and the anti-anxiety medication. Alcohol may raise the blood pressure and initiate bleeding.

Depression

It is not unusual for an individual to go through a period of mild depression after cosmetic surgery because, no matter how much they wanted the operation beforehand and how much they were told about what to expect post-operatively, they are shocked when they see their face swollen and, perhaps, discolored. Be realistic and realize that this is a very temporary condition which will subside shortly. The best “treatment” consists of busying one’s self with the details of post-operative care and trying to divert one’s attention to other thoughts. Do not compare your progress with that of other patient’s, everyone heals differently.

Activity

Limit your activity over the first week following your surgery. We encourage walking, but AVOIDING bending over at the waist, or picking up heavy objects, or straining in any way. If you overexert yourself, bleeding may result. You may slowly resume your activities after the first week, but please avoid any strenuous activity until Dr. Durkin gives you the OK… this is usually around 3 weeks after surgery.

If the activity involves being outside please use the appropriate protection from the sun (sunscreen, hat, etc.), even a mild sunburn may cause prolonged swelling and/or irritation of the incisions and skin.