May 5, 2026
Facelift Series #9: Do's And Don’t's
The timeline after a facelift matters just as much as the procedure itself. Dr. Bass and Dr. Kylie Edinger walk through what to expect at each phase of recovery and how the right habits can make all the difference.
They explain how to manage swelling, protect your incisions, and ease back into normal activity, and share the small mistakes that can slow healing or lead to complications.
Get practical guidance on everything from sleep positioning and skincare to exercise timelines and treatments that help support recovery.
When you follow the right steps at the right time, you give your facelift the best chance to heal smoothly and deliver the result you’re hoping for.
About Dr. Kylie Edinger
Dr. Kylie Edinger is a plastic surgeon practicing in Bozeman, Montana. During the creation of this facelift series, she was training as an aesthetic plastic surgery fellow with Dr. Bass and a host of other world class plastic surgeons at Manhattan Eye, Ear, and Throat Hospital in New York City. Part of the prestigious Northwell Health program, this is one of the top aesthetic plastic surgery fellowships in the country. Dr. Edinger completed her plastic surgery residency at the University of Wisconsin.
Follow Dr. Edinger on Instagram @kylieedinger
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Welcome to Park Avenue
Plastic Surgery Class,
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the podcast where we explore controversies
and breaking issues in plastic
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surgery. I'm your co-host, Summer Hardy,
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a clinical assistant at Bass
Plastic Surgery in New York City.
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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue Plastic Surgeon,
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educator, and technology
innovator. Today's episode
is Facelift Do's and Don'ts,
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part of our series about the facelift.
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We had a facelift does and doesn't
episode, now it's Dos and Don'ts.
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What's the distinction, Dr. Bass?
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The does and doesn't episode
talked about what the facelift
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does and doesn't accomplish.
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Basically what it can do and what it
doesn't do in terms of which features of
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aging get corrected.
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This episode is focused on
what things to do or not do,
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do or don't after a facelift. In essence,
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the instructions or steps
to take and be careful to
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avoid after a facelift so the
recovery and healing proceeds as
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planned.
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Okay. First, give me
an overview, Dr. Bass.
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The big picture things are
based on time periods after the
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procedure.
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So obviously what you do in the first
day when you just came out of the
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operating room is different from
what you're doing a few days later,
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and that's different from what you're
doing at the end of a week or the end of
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three weeks and so on.
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So there are sort of time periods
during recovery when different sets of
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rules come into play.
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And every surgeon's rules
will be a little different.
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So Dr. Edinger and I will share
our individual approaches,
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but it will give everyone listening
a general idea of what to expect.
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And in addition to the timeline and the
big time points that you need to follow,
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there are also big groups of instructions.
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So rules about things to do to help
promote healing and minimize recovery.
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And then there are ways to best
take care of your incisions,
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how to take care of your lifted
face and neck skin and your hair.
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And then there are therapies to help
with your healing and recovery along the
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way as well.
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Okay. Let's start at the beginning.
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What's the plan in the first
few days after a face lift?
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This is the immediate period,
the first three to four days,
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and it's an important time.
You've just had surgery.
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Everything needs to be left
undisturbed so it can start the
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healing process.
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The plan is to rest quietly
with a minimum of activity.
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So no bending and lifting,
lounge in bed and on the sofa.
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The head should always be
elevated on two pillows,
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never totally flat because that
promotes more bruising and swelling.
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Also,
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spend as much time as you
comfortably can while awake with cool
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compresses. This also helps
minimize bruising and swelling.
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So most of the recovery is waiting for
the bruising and swelling to go away,
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so the less bruising and swelling that
comes in in that first three to four
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days, the less you have to
wait out for it to go away.
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So investment of some effort at this
point in time will pay big dividends in
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keeping everything on schedule and
the shortest possible recovery.
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And while you're cool compressing,
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there's also a few things
you're going to have to do.
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You may be applying dressings
and bandages during the day.
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You might be taking them off.
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You may have to drain your little
drainage tube that you have.
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It's usually removed
the day after surgery,
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but sometimes it's left
in a little longer.
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You might have to clean your
incisions with soap and water,
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maybe apply some sort of topical
cream or ointment to the incisions.
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And your surgeon and staff will likely
see you to help you clean up those
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incisions at your first appointment and
give you some rules on what they prefer
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for water exposure, showering,
shampooing, et cetera.
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And this is very variable
from surgeon to surgeon.
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It also varies a little bit based
on the large number of other
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procedures that are often
included with the facelift.
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So things like laser resurfacing
have a lot of hair and management
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and wrinkles on the face are often
zapped with laser resurfacing at the same
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time that a facelift is done.
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Blepharoplasty is also very
commonly done at the same time as a
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facelift.
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So that's going to have its own set
of instructions and things to do in
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the first few days.
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Okay. So that gets us through the first
few days. Where do we go from here?
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Well, now we're talking about the first
two weeks of healing. During this time,
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there'll typically be two visits
to the surgeon for suture removal
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and to clean up the incisions
and check the healing.
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Sometimes more than that, but
typically at least that many.
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And you don't need to apply
cool compresses usually
after the first three days
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or so. And then at this point,
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you can usually start gently washing
your hair and incisions as well.
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You'll continue to sleep elevated and
maybe using a compression garment like a
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facelift strap or a chin strap during
the day or maybe just at night.
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We usually have you apply ointments like
Vaseline or Aquaphor to your incisions
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daily, and that'll help loosen up
any of those remaining crusties.
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And unless there's some kind of
a healing problem or infection,
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we usually do not use antibiotic creams.
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Sometimes people get sensitized to
that and it actually interferes.
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The allergic reaction to the antibiotics
can interfere with the healing of the
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surgery. Compression garments are
controversial, how much they help,
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how appropriate the area of
compression is to where you
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need it, where your swelling develops,
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and what impact that has on
blood supply to the skin that was
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just lifted. So that's going to
vary from surgeon to surgeon.
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Usually there's at least
something in the first day or so,
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but sometimes that's the end of it.
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And other times there's some support
with a compression garment for the first
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two or even three weeks.
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So these are all mostly
dos. What are the don'ts?
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Well, we still don't want
you to do any bending,
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lifting sports or engaging
in any sexual activity.
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We don't want you to take any aspirin
or NSAIDs so that can increase your risk
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of bleeding.
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We don't want you to use any hair dryers
or heat styling or even heating pads on
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your skin as your skin is numb and it
can actually be easily burned without you
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even realizing it. We don't want you
to do any hair coloring, like we said,
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or hair waxing. And for men,
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this means no hair shaving and then
no vigorous brushing of your hair.
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Okay.
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And what are the main dos and don'ts
in the later healing beyond two weeks?
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The basic healing period,
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both biologically and in terms of
what we observe clinically goes out to
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about six weeks.
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So most routine work and
social activities are
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okay during this period
from two to six weeks,
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you're okay to work back into
sports in a progressive way.
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Again, every surgeon varies,
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but I'll usually allow some light
cardio starting at two weeks and
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by three weeks,
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somewhat more aggressive
sports can be progressively
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resumed.
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You can also start doing scar
treatments on your incisions.
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There are a lot of them out there,
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but ones that have silicone
seem to be the best.
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Also make sure that you're covering
your incisions from sun exposure,
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whether that be some sort
of sunscreen or a hat.
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You can camouflage your incisions during
this time period and any remaining
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bruising that you might have with makeup.
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You can also style your hair in a
creative way to hide those incisions.
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Like Dr. Bass said,
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we typically allow light cardio at two
weeks with some of the heavier lifting
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and more aggressive sports
at the three to four weeks,
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but this will vary on your surgeon.
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And then you can start coloring your
hair again at four weeks and then waxing
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around four to six weeks. But again,
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we want you to use caution when you
start using heat and heat stylers,
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hair dryers, curling hair,
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straighteners. At this time period until
the sensation really starts to return
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to the skin just so you
don't burn yourself.
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And then be really careful when you
are washing, shaving, et cetera,
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in those numb areas so that
you don't damage anything.
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All that makes sense.
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So what is the overall time
course for healing and recovery?
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Be healing on the inside from that
six weeks to three months period,
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but during this time you'll look more
presentable and outsiders won't know that
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you had surgery. You'll still
notice subtle swelling, firmness.
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You'll feel things healing on the inside
and you'll notice subtle changes in
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your appearance as things continue to
improve and your incisions are not going
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to typically mature until at
least six months after surgery.
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Sometimes that takes longer
for them to mature fully,
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closer to the 12-month mark.
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And you're returning to all your
normal things in life at this
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time, but the result is still finalizing.
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You're still aware things are changing.
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So while you finish healing,
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it's important to maintain good nutrition.
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And another thing that people
don't think about a lot is
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remember you need support and positivity
from caregivers and those around
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you who know you had the procedure,
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close family members or
friends who are in the know.
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Everybody knows to expect
some swelling and bruising,
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but when you see it on your own face,
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it has a psychological impact.
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And you also have concerns about how
the facelift is going to come out,
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how are you going to look?
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And so having some support around you
and positivity is really important.
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And conversely, if you're getting
negativity from those around you,
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that can really be disruptive
and make it a very difficult,
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unhappy time unnecessarily.
So plan a little bit for
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that when you pick your caregivers.
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There are a bunch of different options.
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There are a lot of techniques to
help the swelling go more quickly.
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So things like ultrasound,
lymphatic massage,
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and there are even some high
technology massaging kind of garments
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that will shift lymphatic
fluid out of the swollen
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tissues and back into the circulation.
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We use lasers routinely to
help speed the clearance of
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bruising and to help blend
the scars more quickly
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and more completely.
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Some surgeons will use
hyperbaric oxygen to help
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improve the amount of blood
supply in the tissues so that the
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tissues can heal more quickly.
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And some surgeons also apply
fat or platelet-rich plasma
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or exosomes during surgery
to help modulate the healing
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because fat and particularly
certain forms of fat like
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nanofat contain growth factors,
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fat in grafting contains stem cells that,
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and all of this can
signal for rapid healing,
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complete healing,
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and maybe ramp up the process
compared to going without.
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Some people also add skincare to
modulate or amplify the healing,
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and there are some skin products expressly
developed for healing after surgery
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or healing after laser treatments to
help that healing go more quickly.
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And just as you can take nutritional
supplements before surgery to be
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ready to heal,
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taking nutritional supplements
while you're healing sometimes
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can be helpful and some surgeons
are very pro on that approach.
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I had some patients recently also say
that they have some success with red light
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therapy for helping with some
of that swelling after surgery.
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Yes,
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there are a lot of biological
effects of what's called LLLT,
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low level light therapy. So these
are not high powered lasers.
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They come from light emitting diodes,
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but they trigger a variety
of biological effects in
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cells that may be clinically
significant in helping to curb
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inflammation and to speed healing.
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Okay. And can you share some takeaways
with us about caring for your facelift,
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Dr. Bass?
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The number one thing I would
say to people right after a
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facelift is understand the
rules, follow the rules.
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They're not arbitrary.
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They're based on someone else's
bad experience that your surgeon is
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trying to help you avoid.
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The time limits are based
on a lot of details of the
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biology of healing. Again,
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we said no this or that for
a certain period of time.
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There are reasons for those time
limits based on when strength
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develops in healing surgical
areas based on time periods when
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00:13:39,790 --> 00:13:41,270
bleeding risk is high.
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00:13:42,050 --> 00:13:44,910
Different care is needed
at different time points.
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Your surgeon will confirm that you're
ready to progress to next steps by
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00:13:50,470 --> 00:13:54,450
seeing you in the office monitoring
your progress during healing.
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00:13:55,310 --> 00:13:58,490
Less is more, particularly
in the first few days,
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00:13:58,630 --> 00:14:03,010
leave things quietly for the required
period of time so the healing
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00:14:03,090 --> 00:14:05,210
progresses on schedule.
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00:14:05,810 --> 00:14:10,210
Don't improve the process.
It's not too much, not too little.
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00:14:10,310 --> 00:14:14,530
The amount needs to be correct.
If there's a healing problem,
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00:14:14,710 --> 00:14:18,350
your surgeon should be involved
sooner rather than later.
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00:14:18,690 --> 00:14:21,870
So stitch in time saves nine.
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00:14:22,470 --> 00:14:26,270
They should be aware so that they
can intervene if it's appropriate.
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00:14:27,010 --> 00:14:29,790
If you're confused or
unsure about instructions,
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00:14:30,390 --> 00:14:33,590
get them clarified with your
surgeon or the surgeon's staff,
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00:14:34,150 --> 00:14:38,890
and each surgeon will employ
whatever advanced technologies
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00:14:38,950 --> 00:14:43,750
they've found to be helpful
to speed recovery or correct
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00:14:43,870 --> 00:14:47,630
some of the early changes
and help them resolve.
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00:14:49,150 --> 00:14:52,290
Overall, the recovery
is a time for patients.
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00:14:52,950 --> 00:14:55,750
As long as things are doing
what they're supposed to do,
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00:14:56,170 --> 00:14:58,890
a minimum of intervention is needed.
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00:14:59,670 --> 00:15:02,550
The healing progresses,
everything settles,
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00:15:02,670 --> 00:15:06,910
but it always takes longer
than we want. With time,
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00:15:07,030 --> 00:15:10,310
you'll get the restored
face you signed up for.
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00:15:11,510 --> 00:15:11,850
Thank you,
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00:15:11,850 --> 00:15:16,010
Dr. Edinger and Dr. Bass for sharing
this essential information about how to
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00:15:16,070 --> 00:15:17,250
care for your facelift.
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00:15:17,870 --> 00:15:21,910
Our next episode in this series will
cover a discussion of facelift incisions.
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00:15:23,050 --> 00:15:26,990
Thank you for listening to the Park
Avenue Plastic Surgery Class Podcast.
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00:15:27,190 --> 00:15:29,710
Follow us on Apple
Podcasts, write a review,
252
00:15:29,850 --> 00:15:31,230
and share the show with your friends.
253
00:15:31,550 --> 00:15:34,990
Be sure to join us next time to avoid
missing all the great content that is
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00:15:35,050 --> 00:15:38,550
coming your way. If you want to
contact us with comments or questions,
255
00:15:38,610 --> 00:15:39,570
we'd love to hear from you.
256
00:15:39,970 --> 00:15:44,490
Send us an email at
podcast@drbass.net or DM us on
257
00:15:44,570 --> 00:15:46,730
Instagram @drbassnyc.
00:00:01,160 --> 00:00:03,520
Welcome to Park Avenue
Plastic Surgery Class,
2
00:00:03,780 --> 00:00:07,400
the podcast where we explore controversies
and breaking issues in plastic
3
00:00:07,460 --> 00:00:10,080
surgery. I'm your co-host, Summer Hardy,
4
00:00:10,320 --> 00:00:13,260
a clinical assistant at Bass
Plastic Surgery in New York City.
5
00:00:13,800 --> 00:00:17,540
I'm excited to be here with Dr. Lawrence
Bass, Park Avenue Plastic Surgeon,
6
00:00:17,740 --> 00:00:22,740
educator, and technology
innovator. Today's episode
is Facelift Do's and Don'ts,
7
00:00:22,880 --> 00:00:24,700
part of our series about the facelift.
8
00:00:25,640 --> 00:00:29,680
We had a facelift does and doesn't
episode, now it's Dos and Don'ts.
9
00:00:29,900 --> 00:00:31,480
What's the distinction, Dr. Bass?
10
00:00:32,340 --> 00:00:36,700
The does and doesn't episode
talked about what the facelift
11
00:00:37,080 --> 00:00:39,240
does and doesn't accomplish.
12
00:00:39,720 --> 00:00:43,900
Basically what it can do and what it
doesn't do in terms of which features of
13
00:00:44,000 --> 00:00:45,620
aging get corrected.
14
00:00:46,160 --> 00:00:50,940
This episode is focused on
what things to do or not do,
15
00:00:51,920 --> 00:00:55,280
do or don't after a facelift. In essence,
16
00:00:55,360 --> 00:00:59,740
the instructions or steps
to take and be careful to
17
00:00:59,820 --> 00:01:04,600
avoid after a facelift so the
recovery and healing proceeds as
18
00:01:04,680 --> 00:01:05,513
planned.
19
00:01:06,040 --> 00:01:08,760
Okay. First, give me
an overview, Dr. Bass.
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00:01:09,640 --> 00:01:14,580
The big picture things are
based on time periods after the
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00:01:14,620 --> 00:01:15,420
procedure.
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00:01:15,420 --> 00:01:19,240
So obviously what you do in the first
day when you just came out of the
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00:01:19,340 --> 00:01:23,340
operating room is different from
what you're doing a few days later,
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00:01:23,680 --> 00:01:28,440
and that's different from what you're
doing at the end of a week or the end of
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00:01:28,620 --> 00:01:30,100
three weeks and so on.
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00:01:30,580 --> 00:01:35,400
So there are sort of time periods
during recovery when different sets of
27
00:01:35,620 --> 00:01:37,440
rules come into play.
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00:01:38,120 --> 00:01:41,300
And every surgeon's rules
will be a little different.
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00:01:41,520 --> 00:01:45,700
So Dr. Edinger and I will share
our individual approaches,
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00:01:46,000 --> 00:01:50,800
but it will give everyone listening
a general idea of what to expect.
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00:01:51,920 --> 00:01:56,000
And in addition to the timeline and the
big time points that you need to follow,
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00:01:56,060 --> 00:01:57,780
there are also big groups of instructions.
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00:01:58,380 --> 00:02:02,920
So rules about things to do to help
promote healing and minimize recovery.
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00:02:03,820 --> 00:02:06,720
And then there are ways to best
take care of your incisions,
35
00:02:06,900 --> 00:02:10,360
how to take care of your lifted
face and neck skin and your hair.
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00:02:11,060 --> 00:02:13,840
And then there are therapies to help
with your healing and recovery along the
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00:02:13,860 --> 00:02:14,693
way as well.
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00:02:15,380 --> 00:02:17,180
Okay. Let's start at the beginning.
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00:02:17,400 --> 00:02:20,420
What's the plan in the first
few days after a face lift?
40
00:02:21,560 --> 00:02:25,820
This is the immediate period,
the first three to four days,
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00:02:26,000 --> 00:02:29,140
and it's an important time.
You've just had surgery.
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00:02:29,920 --> 00:02:34,520
Everything needs to be left
undisturbed so it can start the
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00:02:34,580 --> 00:02:35,680
healing process.
44
00:02:36,380 --> 00:02:41,100
The plan is to rest quietly
with a minimum of activity.
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00:02:41,640 --> 00:02:46,460
So no bending and lifting,
lounge in bed and on the sofa.
46
00:02:47,060 --> 00:02:50,480
The head should always be
elevated on two pillows,
47
00:02:50,940 --> 00:02:55,620
never totally flat because that
promotes more bruising and swelling.
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00:02:56,220 --> 00:02:57,020
Also,
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00:02:57,020 --> 00:03:01,540
spend as much time as you
comfortably can while awake with cool
50
00:03:01,640 --> 00:03:05,960
compresses. This also helps
minimize bruising and swelling.
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00:03:06,360 --> 00:03:10,160
So most of the recovery is waiting for
the bruising and swelling to go away,
52
00:03:10,500 --> 00:03:14,180
so the less bruising and swelling that
comes in in that first three to four
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00:03:14,300 --> 00:03:18,440
days, the less you have to
wait out for it to go away.
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00:03:18,660 --> 00:03:23,520
So investment of some effort at this
point in time will pay big dividends in
55
00:03:23,600 --> 00:03:27,680
keeping everything on schedule and
the shortest possible recovery.
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00:03:28,560 --> 00:03:30,240
And while you're cool compressing,
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00:03:30,300 --> 00:03:31,940
there's also a few things
you're going to have to do.
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00:03:32,460 --> 00:03:34,940
You may be applying dressings
and bandages during the day.
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00:03:35,200 --> 00:03:36,180
You might be taking them off.
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00:03:36,680 --> 00:03:40,480
You may have to drain your little
drainage tube that you have.
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00:03:40,600 --> 00:03:42,260
It's usually removed
the day after surgery,
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00:03:42,320 --> 00:03:43,920
but sometimes it's left
in a little longer.
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00:03:44,280 --> 00:03:46,800
You might have to clean your
incisions with soap and water,
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00:03:47,040 --> 00:03:50,500
maybe apply some sort of topical
cream or ointment to the incisions.
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00:03:51,020 --> 00:03:54,420
And your surgeon and staff will likely
see you to help you clean up those
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00:03:54,460 --> 00:03:58,420
incisions at your first appointment and
give you some rules on what they prefer
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00:03:58,540 --> 00:04:01,420
for water exposure, showering,
shampooing, et cetera.
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00:04:02,500 --> 00:04:06,300
And this is very variable
from surgeon to surgeon.
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00:04:06,660 --> 00:04:10,920
It also varies a little bit based
on the large number of other
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00:04:11,020 --> 00:04:15,300
procedures that are often
included with the facelift.
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00:04:15,400 --> 00:04:20,380
So things like laser resurfacing
have a lot of hair and management
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00:04:20,680 --> 00:04:25,540
and wrinkles on the face are often
zapped with laser resurfacing at the same
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00:04:25,600 --> 00:04:27,520
time that a facelift is done.
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00:04:28,140 --> 00:04:32,700
Blepharoplasty is also very
commonly done at the same time as a
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00:04:32,760 --> 00:04:33,593
facelift.
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00:04:33,640 --> 00:04:38,580
So that's going to have its own set
of instructions and things to do in
77
00:04:38,640 --> 00:04:39,900
the first few days.
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00:04:41,100 --> 00:04:45,240
Okay. So that gets us through the first
few days. Where do we go from here?
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00:04:46,160 --> 00:04:50,880
Well, now we're talking about the first
two weeks of healing. During this time,
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00:04:50,940 --> 00:04:55,320
there'll typically be two visits
to the surgeon for suture removal
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00:04:55,680 --> 00:04:59,180
and to clean up the incisions
and check the healing.
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00:04:59,340 --> 00:05:03,620
Sometimes more than that, but
typically at least that many.
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00:05:04,460 --> 00:05:07,780
And you don't need to apply
cool compresses usually
after the first three days
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00:05:07,820 --> 00:05:09,240
or so. And then at this point,
85
00:05:09,300 --> 00:05:12,360
you can usually start gently washing
your hair and incisions as well.
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00:05:12,880 --> 00:05:16,340
You'll continue to sleep elevated and
maybe using a compression garment like a
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00:05:16,400 --> 00:05:19,920
facelift strap or a chin strap during
the day or maybe just at night.
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00:05:20,520 --> 00:05:23,940
We usually have you apply ointments like
Vaseline or Aquaphor to your incisions
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00:05:24,020 --> 00:05:26,600
daily, and that'll help loosen up
any of those remaining crusties.
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00:05:27,340 --> 00:05:30,700
And unless there's some kind of
a healing problem or infection,
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00:05:30,800 --> 00:05:34,240
we usually do not use antibiotic creams.
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00:05:34,300 --> 00:05:38,740
Sometimes people get sensitized to
that and it actually interferes.
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00:05:39,020 --> 00:05:43,920
The allergic reaction to the antibiotics
can interfere with the healing of the
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00:05:44,020 --> 00:05:48,800
surgery. Compression garments are
controversial, how much they help,
95
00:05:49,360 --> 00:05:54,200
how appropriate the area of
compression is to where you
96
00:05:54,300 --> 00:05:56,280
need it, where your swelling develops,
97
00:05:56,560 --> 00:06:01,260
and what impact that has on
blood supply to the skin that was
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00:06:01,340 --> 00:06:05,660
just lifted. So that's going to
vary from surgeon to surgeon.
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00:06:06,240 --> 00:06:09,780
Usually there's at least
something in the first day or so,
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00:06:10,060 --> 00:06:11,740
but sometimes that's the end of it.
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00:06:11,800 --> 00:06:16,620
And other times there's some support
with a compression garment for the first
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00:06:16,800 --> 00:06:18,740
two or even three weeks.
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00:06:19,840 --> 00:06:23,140
So these are all mostly
dos. What are the don'ts?
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00:06:23,840 --> 00:06:25,780
Well, we still don't want
you to do any bending,
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00:06:25,920 --> 00:06:28,640
lifting sports or engaging
in any sexual activity.
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00:06:28,940 --> 00:06:32,380
We don't want you to take any aspirin
or NSAIDs so that can increase your risk
107
00:06:32,420 --> 00:06:33,253
of bleeding.
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00:06:33,320 --> 00:06:37,660
We don't want you to use any hair dryers
or heat styling or even heating pads on
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00:06:37,680 --> 00:06:41,380
your skin as your skin is numb and it
can actually be easily burned without you
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00:06:41,420 --> 00:06:44,940
even realizing it. We don't want you
to do any hair coloring, like we said,
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00:06:45,000 --> 00:06:46,080
or hair waxing. And for men,
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00:06:46,760 --> 00:06:50,480
this means no hair shaving and then
no vigorous brushing of your hair.
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00:06:51,600 --> 00:06:52,080
Okay.
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00:06:52,080 --> 00:06:56,360
And what are the main dos and don'ts
in the later healing beyond two weeks?
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00:06:57,520 --> 00:06:59,320
The basic healing period,
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00:06:59,640 --> 00:07:04,360
both biologically and in terms of
what we observe clinically goes out to
117
00:07:04,720 --> 00:07:05,760
about six weeks.
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00:07:06,600 --> 00:07:11,120
So most routine work and
social activities are
119
00:07:11,480 --> 00:07:15,120
okay during this period
from two to six weeks,
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00:07:15,720 --> 00:07:19,800
you're okay to work back into
sports in a progressive way.
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00:07:20,800 --> 00:07:22,360
Again, every surgeon varies,
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00:07:22,760 --> 00:07:27,280
but I'll usually allow some light
cardio starting at two weeks and
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00:07:28,040 --> 00:07:28,920
by three weeks,
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00:07:29,560 --> 00:07:34,560
somewhat more aggressive
sports can be progressively
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00:07:35,480 --> 00:07:36,313
resumed.
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00:07:37,160 --> 00:07:40,120
You can also start doing scar
treatments on your incisions.
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00:07:40,480 --> 00:07:41,680
There are a lot of them out there,
128
00:07:42,000 --> 00:07:44,240
but ones that have silicone
seem to be the best.
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00:07:44,880 --> 00:07:47,560
Also make sure that you're covering
your incisions from sun exposure,
130
00:07:47,680 --> 00:07:50,040
whether that be some sort
of sunscreen or a hat.
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00:07:50,600 --> 00:07:54,280
You can camouflage your incisions during
this time period and any remaining
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00:07:54,400 --> 00:07:56,240
bruising that you might have with makeup.
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00:07:56,480 --> 00:08:00,200
You can also style your hair in a
creative way to hide those incisions.
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00:08:00,600 --> 00:08:01,720
Like Dr. Bass said,
135
00:08:01,840 --> 00:08:05,280
we typically allow light cardio at two
weeks with some of the heavier lifting
136
00:08:05,320 --> 00:08:07,400
and more aggressive sports
at the three to four weeks,
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00:08:07,520 --> 00:08:08,880
but this will vary on your surgeon.
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00:08:09,400 --> 00:08:12,960
And then you can start coloring your
hair again at four weeks and then waxing
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00:08:13,160 --> 00:08:15,520
around four to six weeks. But again,
140
00:08:15,680 --> 00:08:19,440
we want you to use caution when you
start using heat and heat stylers,
141
00:08:19,640 --> 00:08:20,960
hair dryers, curling hair,
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00:08:21,080 --> 00:08:24,400
straighteners. At this time period until
the sensation really starts to return
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00:08:24,480 --> 00:08:26,080
to the skin just so you
don't burn yourself.
144
00:08:26,680 --> 00:08:30,080
And then be really careful when you
are washing, shaving, et cetera,
145
00:08:30,200 --> 00:08:32,320
in those numb areas so that
you don't damage anything.
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00:08:33,400 --> 00:08:34,280
All that makes sense.
147
00:08:34,720 --> 00:08:37,800
So what is the overall time
course for healing and recovery?
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00:08:38,560 --> 00:08:42,680
Be healing on the inside from that
six weeks to three months period,
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00:08:43,000 --> 00:08:46,990
but during this time you'll look more
presentable and outsiders won't know that
150
00:08:47,070 --> 00:08:50,650
you had surgery. You'll still
notice subtle swelling, firmness.
151
00:08:50,830 --> 00:08:54,210
You'll feel things healing on the inside
and you'll notice subtle changes in
152
00:08:54,250 --> 00:08:58,170
your appearance as things continue to
improve and your incisions are not going
153
00:08:58,180 --> 00:09:01,230
to typically mature until at
least six months after surgery.
154
00:09:01,490 --> 00:09:04,270
Sometimes that takes longer
for them to mature fully,
155
00:09:04,350 --> 00:09:05,570
closer to the 12-month mark.
156
00:09:06,540 --> 00:09:11,030
And you're returning to all your
normal things in life at this
157
00:09:11,110 --> 00:09:15,790
time, but the result is still finalizing.
158
00:09:15,870 --> 00:09:18,710
You're still aware things are changing.
159
00:09:18,870 --> 00:09:21,370
So while you finish healing,
160
00:09:21,540 --> 00:09:24,230
it's important to maintain good nutrition.
161
00:09:24,650 --> 00:09:29,070
And another thing that people
don't think about a lot is
162
00:09:29,570 --> 00:09:34,530
remember you need support and positivity
from caregivers and those around
163
00:09:34,610 --> 00:09:36,990
you who know you had the procedure,
164
00:09:37,410 --> 00:09:40,430
close family members or
friends who are in the know.
165
00:09:41,390 --> 00:09:45,350
Everybody knows to expect
some swelling and bruising,
166
00:09:45,530 --> 00:09:48,230
but when you see it on your own face,
167
00:09:48,370 --> 00:09:50,650
it has a psychological impact.
168
00:09:50,990 --> 00:09:55,710
And you also have concerns about how
the facelift is going to come out,
169
00:09:55,770 --> 00:09:57,090
how are you going to look?
170
00:09:57,530 --> 00:10:02,270
And so having some support around you
and positivity is really important.
171
00:10:02,370 --> 00:10:07,130
And conversely, if you're getting
negativity from those around you,
172
00:10:07,770 --> 00:10:11,630
that can really be disruptive
and make it a very difficult,
173
00:10:11,730 --> 00:10:16,490
unhappy time unnecessarily.
So plan a little bit for
174
00:10:16,570 --> 00:10:18,970
that when you pick your caregivers.
175
00:10:27,390 --> 00:10:30,050
There are a bunch of different options.
176
00:10:30,770 --> 00:10:35,630
There are a lot of techniques to
help the swelling go more quickly.
177
00:10:35,830 --> 00:10:39,150
So things like ultrasound,
lymphatic massage,
178
00:10:39,310 --> 00:10:44,310
and there are even some high
technology massaging kind of garments
179
00:10:44,470 --> 00:10:49,190
that will shift lymphatic
fluid out of the swollen
180
00:10:49,270 --> 00:10:51,850
tissues and back into the circulation.
181
00:10:52,490 --> 00:10:57,350
We use lasers routinely to
help speed the clearance of
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00:10:57,410 --> 00:11:02,170
bruising and to help blend
the scars more quickly
183
00:11:02,470 --> 00:11:03,570
and more completely.
184
00:11:04,410 --> 00:11:09,190
Some surgeons will use
hyperbaric oxygen to help
185
00:11:09,510 --> 00:11:14,070
improve the amount of blood
supply in the tissues so that the
186
00:11:14,150 --> 00:11:16,070
tissues can heal more quickly.
187
00:11:16,550 --> 00:11:21,290
And some surgeons also apply
fat or platelet-rich plasma
188
00:11:21,470 --> 00:11:26,270
or exosomes during surgery
to help modulate the healing
189
00:11:26,590 --> 00:11:31,190
because fat and particularly
certain forms of fat like
190
00:11:31,270 --> 00:11:33,570
nanofat contain growth factors,
191
00:11:34,150 --> 00:11:38,410
fat in grafting contains stem cells that,
192
00:11:38,830 --> 00:11:42,850
and all of this can
signal for rapid healing,
193
00:11:42,970 --> 00:11:44,090
complete healing,
194
00:11:44,610 --> 00:11:49,230
and maybe ramp up the process
compared to going without.
195
00:11:50,270 --> 00:11:54,910
Some people also add skincare to
modulate or amplify the healing,
196
00:11:54,970 --> 00:11:59,350
and there are some skin products expressly
developed for healing after surgery
197
00:11:59,890 --> 00:12:03,810
or healing after laser treatments to
help that healing go more quickly.
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And just as you can take nutritional
supplements before surgery to be
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ready to heal,
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taking nutritional supplements
while you're healing sometimes
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can be helpful and some surgeons
are very pro on that approach.
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I had some patients recently also say
that they have some success with red light
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therapy for helping with some
of that swelling after surgery.
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Yes,
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there are a lot of biological
effects of what's called LLLT,
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low level light therapy. So these
are not high powered lasers.
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They come from light emitting diodes,
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but they trigger a variety
of biological effects in
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cells that may be clinically
significant in helping to curb
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inflammation and to speed healing.
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Okay. And can you share some takeaways
with us about caring for your facelift,
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Dr. Bass?
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The number one thing I would
say to people right after a
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facelift is understand the
rules, follow the rules.
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They're not arbitrary.
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They're based on someone else's
bad experience that your surgeon is
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trying to help you avoid.
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The time limits are based
on a lot of details of the
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biology of healing. Again,
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we said no this or that for
a certain period of time.
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There are reasons for those time
limits based on when strength
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develops in healing surgical
areas based on time periods when
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bleeding risk is high.
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Different care is needed
at different time points.
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Your surgeon will confirm that you're
ready to progress to next steps by
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seeing you in the office monitoring
your progress during healing.
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Less is more, particularly
in the first few days,
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leave things quietly for the required
period of time so the healing
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progresses on schedule.
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Don't improve the process.
It's not too much, not too little.
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The amount needs to be correct.
If there's a healing problem,
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your surgeon should be involved
sooner rather than later.
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So stitch in time saves nine.
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They should be aware so that they
can intervene if it's appropriate.
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If you're confused or
unsure about instructions,
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get them clarified with your
surgeon or the surgeon's staff,
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and each surgeon will employ
whatever advanced technologies
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00:14:38,950 --> 00:14:43,750
they've found to be helpful
to speed recovery or correct
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some of the early changes
and help them resolve.
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Overall, the recovery
is a time for patients.
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As long as things are doing
what they're supposed to do,
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a minimum of intervention is needed.
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The healing progresses,
everything settles,
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but it always takes longer
than we want. With time,
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you'll get the restored
face you signed up for.
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Thank you,
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00:15:11,850 --> 00:15:16,010
Dr. Edinger and Dr. Bass for sharing
this essential information about how to
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care for your facelift.
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00:15:17,870 --> 00:15:21,910
Our next episode in this series will
cover a discussion of facelift incisions.
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Thank you for listening to the Park
Avenue Plastic Surgery Class Podcast.
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Follow us on Apple
Podcasts, write a review,
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00:15:29,850 --> 00:15:31,230
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00:15:31,550 --> 00:15:34,990
Be sure to join us next time to avoid
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00:15:35,050 --> 00:15:38,550
coming your way. If you want to
contact us with comments or questions,
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00:15:38,610 --> 00:15:39,570
we'd love to hear from you.
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00:15:39,970 --> 00:15:44,490
Send us an email at
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00:15:44,570 --> 00:15:46,730
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