Elective cosmetic surgery recovery

Elective cosmetic surgery encompasses procedures performed to enhance appearance rather than address medical conditions. Recovery is a critical phase that directly impacts surgical outcomes.

55 steps across 12 sections

1. Medical Clearance

  • Get full physical exam and lab work as required by your surgeon
  • Disclose ALL medications, supplements, vitamins, and herbs (many interact with anesthesia or increase bleeding)
  • Stop blood-thinning medications and supplements (aspirin, ibuprofen, fish oil, vitamin E) 2 weeks before surgery per surgeon instructions
  • Stop smoking at least 4-6 weeks before surgery (smoking reduces blood flow and delays healing)

2. Home Preparation

  • Stock up on easy-to-prepare meals and snacks
  • Set up a comfortable recovery area with pillows for elevation
  • Place frequently needed items at waist height (no reaching or bending)
  • Install a shower bench or handheld showerhead if needed
  • Purchase compression garments if prescribed
  • Fill all prescriptions before surgery day

3. Logistics

  • Arrange a responsible adult to drive you home and stay with you for at least the first 24-48 hours
  • Plan time off work based on your specific procedure (see timelines above)
  • Arrange childcare and pet care if needed
  • Inform your employer well in advance; consider timing surgery around holidays or slow periods

4. Day Before Surgery

  • Follow fasting instructions (typically nothing to eat or drink after midnight)
  • Shower with antibacterial soap if instructed
  • Remove nail polish, jewelry, and contact lenses
  • Wear loose, comfortable clothing with front closures (button-up or zip-up)

5. First 48 Hours (Most Critical)

  • Rest and follow all post-op instructions exactly
  • Take pain medication as prescribed (stay ahead of pain; uncontrolled pain raises blood pressure and increases bruising)
  • Always take pain medication with food to prevent nausea
  • Apply ice packs as directed to reduce swelling
  • Keep incision areas clean and dry
  • Monitor for signs of complications (excessive bleeding, high fever, severe pain not controlled by medication)

6. Weeks 1-2

  • Attend all follow-up appointments
  • Wear compression garments as directed (24/7 for most body procedures)
  • Begin gentle walking to promote circulation and prevent blood clots
  • Avoid bending, lifting anything over 5-10 pounds, or strenuous activity
  • Sleep in the position your surgeon recommends (usually elevated)
  • Stay hydrated and eat a protein-rich diet to support healing

7. Weeks 2-6

  • Gradually increase activity as approved by your surgeon
  • Begin scar treatment once incisions are fully closed (typically around 2 weeks post-op)
  • Use silicone gel or sheets on scars for at least 12 hours daily for several months
  • Protect scars from sun exposure for at least 1 year (SPF 30+ broad-spectrum sunscreen)
  • Continue wearing compression garments if instructed

8. Ongoing

  • Final results may take 3-12 months depending on procedure
  • Attend all follow-up appointments even if you feel fine
  • Report any new or worsening symptoms immediately

9. Work

  • Desk/remote work: Most patients can return in 3-14 days depending on procedure
  • Physically demanding jobs: 4-8 weeks minimum; discuss with your surgeon
  • Public-facing roles: Allow extra time for visible bruising/swelling to subside (2-4 weeks for facial procedures)

10. Exercise

  • Walking: Usually approved within a few days (encouraged to prevent blood clots)
  • Light exercise (yoga, swimming): Typically 2-4 weeks
  • Moderate exercise (jogging, cycling): 4-6 weeks
  • Heavy lifting and high-intensity workouts: 6-8 weeks minimum
  • Always get surgeon clearance before resuming any exercise program

11. The ABPS Standard

  • Verify your surgeon is certified by the American Board of Plastic Surgery (ABPS) — the only board recognized by the American Board of Medical Specialties for plastic surgery
  • Check certification at abplasticsurgery.org or the ABMS verification site
  • ABPS certification requires completion of an accredited plastic surgery residency (6+ years of surgical training), passing rigorous written and oral exams, and ongoing continuing education

12. Red Flags

  • Surgeon is not board-certified by ABPS (beware of similar-sounding boards that have lower standards)
  • No before-and-after photos of their own patients
  • Procedure performed in a non-accredited facility
  • Pressure to decide quickly or book immediately
  • Unusually low prices compared to other surgeons in the area
  • Unwillingness to discuss risks, complications, or alternative options

Common Mistakes

  • Choosing a surgeon based on price alone
  • Not disclosing medications and supplements
  • Ignoring smoking cessation requirements
  • Returning to activity too soon
  • Skipping compression garments

Pro Tips

  • Time your surgery strategically
  • Pre-make and freeze meals
  • Buy a wedge pillow
  • Download entertainment
  • Take "before" photos

Sources

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