All procedures

Face

Facelift

Repositioning of deeper facial tissue with removal of excess skin. Bruising is the limiting factor for most patients rather than pain.

Demonstration content, not reviewed by a physician. This recovery guidance is generic placeholder content and has not yet been approved by the practice.

Medical clearance

  • History and physical with your primary care physician within 30 days of surgery.
  • EKG if requested based on your age or cardiac history.
  • Lab work as instructed. Requirements vary by procedure and by your history.
  • Bring a written list of every medication and supplement you take, including doses.

Two weeks before

  • Stop aspirin, ibuprofen, naproxen, fish oil, vitamin E, and most herbal supplements. These thin the blood.
  • Stop nicotine in every form, including cigarettes, vaping, patches, and gum. Nicotine constricts the small vessels that feed healing tissue and is the single largest controllable risk for wound complications.
  • Avoid alcohol.
  • Fill your prescriptions now so they are waiting at home rather than being collected on the way back from surgery.

One week before

  • Set up your recovery space. Somewhere you can rest elevated, with water, medications, phone charger, and snacks within arm's reach.
  • Arrange your ride, your overnight adult, and any childcare or pet care.
  • Do your grocery shopping. Soft, low-sodium foods and plenty of fluids.
  • Confirm your arrival time with the office.

The night before

  • Nothing to eat or drink after midnight. This includes water, gum, mints, and coffee.
  • Shower with the antibacterial soap provided or recommended by the office.
  • Remove nail polish, jewelry, and all body piercings.
  • Sleep. Set two alarms.

The morning of surgery

  • Wear a loose, front-closing top and soft pants with an elastic waist. Nothing that pulls over your head.
  • No makeup, lotion, deodorant, perfume, or contact lenses.
  • Bring your ID, insurance card, and a responsible adult driver.
  • A responsible adult must remain with you for the first 24 hours.

Specific to facelift

  • Arrange two to three weeks away from social and professional commitments.
  • Button-front shirts only. Nothing pulled over your head for at least two weeks.
  • A wedge pillow or recliner. You will sleep elevated on your back.
  • Arnica and bromelain only if the office specifically recommends them.

General guidance only, not medical advice. Follow the personalized instructions Dr. Vance gives you, and call the office at 202-555-0147 with any concerns.