The Wentworth Clinic, Bournemouth

01202 428 773 01202 422 171

Harley Street Clinic, London

0203 417 3891
The Wentworth Clinic

Immediately After Your Surgery

The following is the Wentworth Clinic's reccommendation and advice following browlift and forehead lift surgery.

Sleeping

  • Rest quietly in bed with head raised on 2 to 3 pillows.
  • Do not sleep on your sides or stomach for 4 to 6 weeks.

Bruising and Swelling

  • You will have a dressing on your head.
  • Your vision is likely to be blurred (for eyelid and brow surgery) because of an ophthalmic ointment in the eyes and swelling from the surgery.
  • Stay in the company of a responsible adult.
  • Bruising and swelling usually comes down into the upper eyelids leaving the forehead free of any bruising.
  • The amount of swelling will vary from patient to patient.
  • It is often worse the second day after surgery, so do not panic for the majority of the swelling will quickly disappear in the first week.
  • Obvious bruises and much of the swelling subside in 2 to 3 weeks generally. Your result is best at 6 to 8 weeks but you can usually return to work in 2 to 3 weeks.
  • After eyelid and facial surgery, it is not uncommon for the eyelids to become swollen. Continue applying ice packs periodically to the eyes and face for 48 hours.
  • Soreness and headaches are normal for 1 to 2 weeks. Pain is unusual and should not persist for longer than 1 to 2 weeks and if it does, pain killers should be prescribed.
  • For pain take the prescribed analgesics regularly.
  • DO NOT drink alcohol, drive or operate machinery after your anaesthetic or whilst on medications for pain.
  • DO NOT make any legal decisions while under the influence of medications or immediately after surgery.
  • DO NOT take Aspirin, Vitamin E or any medication containing Aspirin for at least 2 weeks after surgery.

Diet

  • A light diet is best, not too rich on the night after surgery to avoid any vomiting.
  • No chewing of hard or tough foods for the first week after surgery.
  • You are to stay on a light diet. Failure to follow this rule may cause severe swelling, haematoma (collection of blood under the skin) and /or breakage of the deep stitches of the face.
  • No smoking for at least 2 weeks after surgery to avoid coughing.

Activity

  • During the first 48 hours, bed rest is recommended and is the most convenient position to apply ice compresses.
  • During the first 5 days after your surgery, it is important not to engage in any activity which will elevate your blood pressure and swelling and possibly produce bruising under the skin and may cause bleeding.
  • During the first 5 days, you should restrict your normal activities, no housework, no physical labour.
  • No heavy exercise of any kind for 6 weeks.
  • After a week, walking, leg exercises and light leg weights or riding an exercise bike only may be resumed. You may resume aerobic activity, swimming, jogging, weights after 6 weeks.
  • Do not gain or lose more than 5 pounds of possible or your result could be adversely affected. IF this is essential, lose weight before surgery.
  • No flying for 2 weeks unless advised by your doctor.

Personal Hygiene

  • Try not to get hair wet until you have had stitches/clips removed, your surgeon will advise you on this.

Wound Care

  • Gently cleanse your eyes with normal saline only using gauze or cotton balls.
  • Only apply eye drops or eye ointment to your eyes if prescribed by your doctor.
  • Sutures and staples will be removed in 10 to 14 days.

Hair and Makeup

  • Make up can be applied 3 days after the last of the stitches have been removed. However, if you have had a facelift and eye surgery as well, then it is advisable to avoid applying makeup for 14 days.
  • Do not colour your hair until your doctor gives you permission (usually 4 to 6 weeks).
  • Do not use rollers or hairdryers for 3 weeks until staples have been removed.
  • Do not use contact lenses for 3 weeks if you have had eye surgery with your browlift.

A week to a few months following your surgery

  • You will experience numbness or itching in the frontal scalp which is only temporary.
  • Occasionally numbness has been reported to be permanent, but rare (approximately 1 % of patients).
  • Expect to feel tired for 7 to 10 days after surgery. It is therefore advisable to get adequate rest.
  • Intermittent blurring of vision and other minor discomfort may occur during the first month.
  • Numbness in various areas of the face, neck, ears etc is common and may persist for weeks, months even up to a year but almost always subsides. With the passing of each week, symptoms improve.
  • Do not lie directly on the face or side for one month otherwise swelling will persist longer.
  • The face and neck may feel rigid or tight during this time, this will ease with the course of time.
  • Avoid sun exposure on incision lines for 2 months as it causes swelling and redness. After this use sun blocks (factor 15+) and sunglasses.
  • Expect no to look your best for 1 to 2 months following surgery.

You can expect:

  • Moderate discomfort
  • Moderate swelling
  • Black and blue discolouration (bruising)
  • Blood shot eyes
  • Slight signs of blood on bandages

Call us if you have:

  • Severe pain not responding to medications
  • Marked swelling or obviously more swelling on one side than the other
  • Bright red spots on bandages which continue to enlarge.
  • If bandages seem too tight
  • If any other problems or questions arise
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