What to Expect Before and After Facial Surgery
- David Webb
- Nov 1, 2025
- 3 min read
Facial surgery can be a life-changing decision, whether it’s for cosmetic reasons or to address medical concerns. Understanding what happens before and after the procedure helps you prepare mentally and physically, easing anxiety and improving recovery. This guide walks you through the key steps, from initial consultations to healing, so you know what to expect every step of the way.

Surgeon preparing tools before facial surgery in a sterile environment
Preparing for Facial Surgery
Choosing the Right Surgeon
Your journey begins with selecting a qualified surgeon. Look for board certification in plastic or facial surgery and check reviews or before-and-after photos of previous patients. A good surgeon will listen to your goals, explain options clearly, and set realistic expectations.
Initial Consultation
During your first visit, the surgeon will:
Review your medical history
Examine your facial structure
Discuss your goals and concerns
Explain the procedure, risks, and recovery process
This is your chance to ask questions and clarify doubts. Be honest about your health, medications, and lifestyle habits like smoking, which can affect healing.
Pre-Surgery Instructions
Before surgery, you may need to:
Stop certain medications like blood thinners
Avoid smoking and alcohol for at least two weeks
Arrange for someone to drive you home after surgery
Follow specific skin care routines to prepare your skin
Your surgeon will provide detailed instructions tailored to your procedure.
What Happens During Facial Surgery
Facial surgery varies widely depending on the type—rhinoplasty, facelift, eyelid surgery, or reconstructive procedures. Most surgeries take place under general anesthesia or local anesthesia with sedation.
The surgeon carefully reshapes, removes, or repairs tissues to achieve the desired outcome. The length of surgery depends on complexity, ranging from one to several hours.
Immediate Aftercare and Recovery
What to Expect Right After Surgery
After surgery, you will spend time in a recovery room where medical staff monitor your vital signs. You might experience:
Swelling and bruising around the surgical area
Mild to moderate pain, managed with prescribed medication
Numbness or tightness in the face
Your surgeon will provide specific care instructions, including how to clean the area and when to take medications.
Managing Swelling and Discomfort
Swelling peaks within 48 to 72 hours but gradually improves over two weeks. To reduce swelling:
Keep your head elevated, even while sleeping
Apply cold compresses as recommended
Avoid strenuous activities and heavy lifting
Pain usually decreases after the first few days. If discomfort worsens or you notice signs of infection like fever or unusual redness, contact your surgeon immediately.
Long-Term Healing and Results
Follow-Up Visits
Regular follow-up appointments allow your surgeon to track healing and address any concerns. Stitches or sutures are often removed within a week, depending on the procedure.
Scarring and Skin Care
Scars fade over time but may take several months to a year to become less noticeable. Protect your skin from sun exposure by using sunscreen and wearing hats, as UV rays can darken scars.
Moisturizing and gentle skin care help maintain skin health during recovery.
Returning to Normal Activities
Most patients return to work and light activities within 1 to 2 weeks. Avoid intense exercise or facial massages until your surgeon approves. Full recovery, including final results, may take several months.
Emotional and Psychological Considerations
Facial surgery can affect your self-image and emotions. It’s normal to feel excited, anxious, or even frustrated during recovery. Support from friends, family, or counseling can help you adjust to changes.
Remember, results develop gradually. Patience and realistic expectations are key to satisfaction.
Tips for a Smooth Recovery
Follow all surgeon instructions carefully
Keep your follow-up appointments
Eat a balanced diet rich in vitamins and protein to support healing
Stay hydrated
Avoid smoking and alcohol until fully healed
Use cold compresses and elevate your head to reduce swelling
Rest as much as possible in the first few days
Facial surgery is a significant step that requires preparation and care. Knowing what to expect before and after the procedure helps you feel confident and ready for the journey. If you are considering facial surgery, consult a qualified surgeon to discuss your goals and create a personalized plan.
Taking these steps ensures you get the best possible outcome and enjoy your new look safely.



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