Stage 4 of 8

Week 1 Post-Op

Swelling beginning to improve. Suture removal and continued healing. You're through the hardest part.

You're Making Progress

Congratulations on reaching the one-week mark. The worst of the swelling and bruising should be behind you now. While you're still healing and may not look "normal" yet, improvements should be noticeable compared to days 2-3.

Milestone Reached

You've passed the peak swelling phase. From this week onwards, you should see steady improvement day by day. Compare your photos from day 3 to now - you'll see real progress.

Suture Removal

Most patients have their sutures removed around day 5-7, depending on your surgeon's protocol. This is typically done at a post-operative appointment.

What to Expect During Suture Removal

  • Quick and relatively painless - you may feel a slight pulling sensation but it shouldn't hurt significantly
  • Some incisions may use dissolvable sutures - these don't need removal
  • Your surgeon will check your healing - this is a good opportunity to ask questions
  • You may see your incisions more clearly - they'll be pink or red initially but will fade over time

After Suture Removal

  • Continue gentle wound care - keep incisions clean and apply any prescribed ointments
  • Protect from sun - UV exposure can darken scars permanently
  • Be patient with scarring - incisions will be red/pink for weeks to months before fading
  • Massage may be recommended - your surgeon may advise gentle scar massage after a few weeks

Swelling and Bruising

Swelling should be noticeably better than earlier in the week, though you're still quite puffy. Bruising should be fading to yellow/green tones.

Managing Ongoing Swelling

  • Continue sleeping elevated - still important for at least 2 weeks post-op
  • Compression garment - continue wearing as directed (may reduce to daytime only this week)
  • Gentle facial massage - if approved by your surgeon, very light lymphatic drainage massage can help
  • Stay hydrated - helps your body process residual swelling
  • Avoid salt and alcohol - both can worsen swelling

Numbness and Tingling

Numbness around your ears, cheeks, and jawline is completely normal and expected. This can last weeks to months.

Sensation Recovery

Tingling, buzzing, or "pins and needles" are actually good signs - they indicate nerves are waking up and healing. Full sensation can take 3-6 months to return, and in some areas, it may take up to a year.

Tightness

It's normal to feel significant tightness in your face and neck. This is a combination of swelling, tissue healing, and adjustment to your new contours.

  • Tightness is expected - your tissues need time to adjust to their new position
  • It will ease gradually - over weeks and months, this sensation reduces
  • Don't pull or stretch - let your face heal naturally without forcing movement
  • Gentle expressions - you can resume normal facial expressions, but don't exaggerate or force them

Activity Level

You can gradually increase your activity level, but still avoid anything strenuous.

What You Can Do

  • Light walking - short walks outside are encouraged for circulation and mood
  • Light household tasks - washing dishes, light tidying (no heavy lifting)
  • Showering - you can shower normally, but be gentle around incisions
  • Washing your hair - carefully, avoiding pulling or rubbing incisions
  • Reading, TV, gentle activities - avoid straining or activities that raise blood pressure

What to Avoid

  • No exercise - still too early for gym, running, or vigorous activity
  • No lifting heavy objects - nothing over 5kg (about a bag of sugar)
  • No bending over - still avoid putting your head below your heart
  • No driving - if still taking pain medication or feeling restricted in neck movement
  • No alcohol - can increase swelling and interfere with healing

Diet

You can start introducing more normal foods, but continue to avoid anything that requires excessive chewing.

  • Gradually progress diet - from soft foods to more normal textures
  • Continue avoiding very hot foods - warm is fine, but not piping hot
  • Chew slowly and carefully - your jaw may still feel tight
  • Maintain good nutrition - protein, vitamins, and minerals support healing

Appearance Concerns

It's normal to still look quite swollen and feel self-conscious. Remember:

  • You're still very swollen - this is not your final result
  • Asymmetry is normal - one side may swell more than the other temporarily
  • Don't judge results yet - it takes months for swelling to fully resolve
  • Compare to day 3, not pre-surgery - you should see improvement from peak swelling

Still Contact Your Surgeon If

While most issues resolve naturally, contact your team if you experience:

  • Increasing pain, redness, or warmth (possible infection)
  • Fever over 38°C
  • Pus or foul-smelling discharge from incisions
  • Sudden increase in swelling on one side
  • Any concerns that worry you

Emotional Wellbeing

You may experience mixed emotions at this stage:

  • Relief at reaching one week - the hardest part is behind you
  • Impatience with remaining swelling - you want to see your final result
  • Concerns about appearance - remember this is temporary
  • Fatigue from recovery - healing takes energy, rest when needed

All of these feelings are normal. Keep taking progress photos and comparing them to earlier in your recovery - seeing improvement helps maintain perspective.