It is a good idea that you have read the information here on the website before the preliminary examination and that you write down the questions that arise while you are reading and bring these with you to the preliminary examination.
During the preliminary examination, you talk to the plastic surgeon about your wishes, and you will be examined so that it can be decided which treatment can be offered. You will then receive thorough information about the operation and the aftermath.
It is important that you are well prepared for the operation. Your weight should be as close to a normal BMI of 25 as possible. Smoking is the main cause of complications such as infection and tissue death, and you must therefore stop smoking at least 4 weeks before the operation and must start again no earlier than 4 weeks after the operation.
Different kinds of medicine can affect the operation and especially cause bleeding problems. You will therefore, in connection with the preliminary examination, talk to the specialist about how you should deal with the medication you may be taking.
As you will be operated on under full anesthetic, you must attend the clinic fasting. You must not drink alcohol after 20 from the evening before the day of surgery.
6 hours before the planned operation, you must stop eating and drinking. However, you must continue to drink water or preferably sugary “transparent liquids”; eg. juice or apple juice, until 2 hours before the time of surgery. You must not eat anything in the last 2 hours before the operation.
When you arrive at the hospital, your nurse will show you to your bedside, and you will be given surgical clothes. You will then be seen by our anesthetist, who will explain the anesthesia and give you medicine in preparation for the operation. Finally, your plastic surgeon arrives, who makes sure you have no further questions, after which the necessary recording on the skin is made. You are then ready to go to the operating room, where the operating and anesthesia nurse will be waiting for you.
The operation usually takes about 2½ hours. During the operation, an incision will be made that starts in the temple region and continues down in front of the ear, around the ear and up behind the ear. Skin and subcutaneous tissue are loosened up to the eye, cheek fold and mouth as well as all the way to the midline of the neck. The deeper tissue is then tightened with the mimic muscles (called the SMAS layer). Finally, the excess skin is removed and the wound is sutured with a nylon thread. At the end of the operation, you will be given a head bandage, which must be used for 4-5 days. A drain will not normally be installed, but this will be decided by the plastic surgeon during the operation.
When the operation is completed, you will be taken to the recovery ward, where you will be observed by our recovery nurse until you are sufficiently awake to return to your bed room.
During the operation, a local anesthetic is applied, which means that you have relatively little pain for the first 4-6 hours after the operation. As the effect of the local anesthetic wears off, the nurse will ensure that you receive the necessary painkillers so that your pain is kept to a minimum. The operation is generally not associated with great pain in the aftermath.
- You will be fitted with a facial bandage, which must be used 4-5 days after the operation.
- You will already have to get up and walk during hospitalization, as this is important to limit the risk of blood clots in the legs.
- The day after the operation, you will be discharged in the morning and must be picked up at 8 o’clock.
- You will be instructed to empty the drains if a drain has been installed. After 4-5 days, you come to the first check-up, where the drains are removed.
- You will receive painkillers home from the clinic with instructions on how to take the tablets.
- The skin is sewn with threads that must be removed, you must therefore come for a check-up after 7 and 12 days respectively. Here we also make sure that everything is as it should be, and you will have the opportunity to ask questions.
- The next check-up with the plastic surgeon takes place after 3-6 months, this time can be agreed upon discharge, or you can call later and make an appointment. During this check, the result is assessed.
- It is common for one to be sick from work for 1-2 weeks after the operation.