Post-Op Plastic Surgery Instructions

    Antibiotics should be taken immediately following your surgery as instructed and continued until the bottle is finished. Use prescribed pain pills and anti-nausea medication as needed. Take all medications only as instructed, as all medications can cause severe side effects. Do not take blood thinners, aspirin, ibuprofen, multivitamins, vitamin E, anti-aging medications, herbal pills, and products containing these drugs for two weeks post-surgery since they increase bleeding. Continue taking any other pills prescribed by your PCP such as; blood pressure, cholesterol, birth control, and hormones as part of your regular routine.
  2. NAUSEA (General Anesthesia only)
    Nausea is a common side effect from the anesthesia and pain medication. Dr. Byun recommends taking Zofran (antinausea medication) which has been prescribed to you, before getting nauseous. Preferably first pill should be taken when leaving the surgery center.
  3. PAIN
    Expect to feel pain even after taking pain medication. We call it “good pain.” Dr. Byun believes in NOT taking too many pain killers, but opting for Tylenol, if necessary. Do not take both. Dr. Byun believes that on a scale of 1-10 (1 being the lowest and 10 being the highest) that a range of 7-9 is normal post-operative pain. He recommends taking pain killers only if the pain shoots out of that range.
    Leave all external bandages that are not directly applied to the skin, such as Ace wraps, for 48 hours following surgery (Yes it can be loosen if on to tight). Re-apply them as instructed. Butterfly strips, such as steri-strips or foam tape, that have been applied directly to the skin should be left on until your first post-operative visit. EXCEPTION– bloody and/or smelling gauze or bandage should be removed, area should be cleaned, and reapply clean gauze and or bandage. If garment is needed bring it to post-operative appointment to be instructed in how to wear it.
    For incisions to heal, they must be kept clean following surgery (When not covered ex: lower eyelids or 48hrs after removing bandages) by using saline water and gauze 3-4 times a day. This will prevent scabbing, since scabbing may lead to infection and leave a depressed scar. DO NOT USE HYDROGEN PEROXIDE, IODINE, OR ALCOHOL AS THEY CAN CAUSE SKIN IRRITATION. Once cleansed, apply a thin layer of Bacitracin or Neosporin. Once bleeding has stopped and incision areas are closed, you can cease the use of Bacitracin and keep the incision dry.
    Post-operative swelling is a normal part of the healing process. It is normal to experience more swelling on one side of the body, face, eyes, and nostrils than the other side. Swelling peaks at about 48-72 hours after surgery. The majority of swelling will go down within the first two weeks but may continue for a few months after the procedure as the body will still be healing. You can apply reusable ice packs to surgical areas for the first 24-48 hours to help reduce swelling. Following the procedure, you may experience reduced sensation near the surgical area, which may include numbness, tingling, or complete loss of sensation. This is an expected part of the recovery process and is not a complication. New nerves grow slowly, and it may take approximately six months until normal sensation returns.
    A small amount of bleeding from incisions is an expected part of the healing process. Expect bleeding from incisions for about 24-48 hours after the procedure. If bleeding continues after this 48-hour period, apply gentle pressure to the area using clean gauze and call our office.
    You must shower 48 hours following surgery. At this time, you may also remove external bandages (Ace wrap, epifoam, gauze) unless it has been directed otherwise by your specific post-operative procedure. These individual procedures are included further on in this packet. Bandages or tape applied directly to the skin, especially those covering incisions, must NOT be removed. It is important to allow soapy water and shampoo to run gently through the incision areas. Baby shampoo is recommended as regular shampoo may sting your incisions.
    Do not exercise or do anything that will raise your heart rate, as an increased heart rate can lead to additional swelling and could compromise the healing process. Relax and take it easy for the first two weeks following surgery. We ask that you abstain from exercise and sexual intercourse for at least 2 weeks following your procedure. You must consult with Dr. Byun before returning to regular physical activity to ensure you are ready to resume without complications.
    Expect discomfort for the first few nights. Protect your bed sheets and pillows with old towels to cover the areas your incisions will contact in case of dripping. For face related procedures, sleep using two pillows for two weeks to elevate your head, neck, and shoulders. It is okay to reposition yourself by turning left and right if you feel comfortable doing so. If you have difficulty sleeping and are not taking the prescribed pain medication, Tylenol PM is the recommended sleep aid. Please do not take both Tylenol and the prescription pain medication.
    Driving is permitted as long as you are NOT taking pain medication. If you are still in pain and under medication, you must refrain from driving.
    Do not smoke or consume alcohol for at least 2 weeks before and 2 weeks after surgery. This raises blood pressure, and which may cause late bleeding. Refrain from using nicotine products, which includes nicotine gum. Instead, consider nicotine free cigarettes or Zyban as alternatives.


You will have a bulky Ace bandage over and around your head immediately after surgery. Do not remove this bandage for 48 hours. After 48 hours, follow the instructions about showering and incision care found on the first page of this packet. Keep Ace bandage applied at all times for the first 72 hours, with the exception of removal for showering or cleaning incisions and replace the bandage* once it has been removed. After 72 hours you can switch off, 2 hours on and then 2 hours off. Dr. Byun will direct you on continued use at your follow-up appointment. Be sure to tilt your head back while shampooing, never forward. Allow water to trickle through the bandaging along the incisions. When you are applying shampoo or conditioner, be careful with incisions along the hairline. Massage the scalp gently, taking extra precaution to not irritate incisions. Avoid snagging incision sutures with a comb or brush. Cleanse any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline water (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply a very thin layer of Bacitracin to incision areas. Continue to apply light Bacitracin to incisions for one week or until you see Dr. Byun again. It is advised to sleep using two or three pillows for at least ten days. For the first two or three days, your head should be elevated 30 degrees during sleep. We recommend that you sleep on your back, but you may sleep on your side, if it does not cause pain.

Some temporary effects of surgery: headaches, bruising, swelling, blurry eyes, dizziness, clogged ears, shooting nerve sensations, numbness, a small lump behind the ear, tightness in the scalp area, and lumps along hairline. After the procedure, it is common for sutures in the hairline to have a puckered or raised appearance, this will dissipate over the next several months. These are all a NORMAL part of recovery. The forehead does not usually bruise, but bruising around the eyes, causing black eyes, may occur. Three days after your procedure, you may begin to apply makeup on the surgical site to disguise bruising. For the first two weeks, avoid clothing that needs to be pulled over your head. Do not wear earrings for one month. If you color or perm your hair, be sure this is done before your surgery. No chemicals should be applied for six weeks following surgery.

*In most cases, an Ace wrap is applied for compression. Begin by cutting a clean Ace wrap in half. Place the Ace wrap flat under the chin/jawline area and wrap it around your head. Attach using the Velcro on the end of the wrap. Wrapping should be neither too loose or too tight. It should have a gentle, but firm compression to be effective.

  • DO NOT test your expressions or force yourself into expressions. This may hinder or damage your repair. After swelling has settled and healing has completed, you will regain full movement in your face. Until then, however, minimal expression is recommended during the first few weeks while everything is returning to normal.
  • DO NOT close/seal your lips tight. Try to leave a space in between your lips, if possible. This is to prevent aging around the mouth and to prevent depressing muscles that will harm the repair.
  • DO NOT drink out of a straw or verbalize words with the letters O or A too often during the healing process. Doing so will pull down the muscles that have been lifted, hurting their repair.
  • DO NOT eat foods that require you to take bites into them, such as hamburgers, sandwiches, etc. Avoidchewy or hard food during recovery. Instead, opt for soft foods that can be cut into small pieces.
  • DO NOT exercise or increase your heart rate until you are instructed by your doctor to resume activity.

How to Support Face After Dr. Byun’s Famous Muscle Repair

BLEPHAROPLASTY (lower/upper eyelid):

You will need the following items: saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can), 4” x 4” gauze, Bacitracin, artificial tears/eye drops, and Lacrilube Slight bruising, swelling, and minor eye irritation are normal following eyelid surgery. You may not be able to close the eyes completely due to temporary swelling. For this reason, DO NOT force your eyes to open all the way. Only open your eyes as much as they can naturally during the healing process. Forcing your eyes open can cause the internal stitch to rip and lead to improper healing. You may have small strips of tape in the corner of each eye. These are used to hold the ends of the sutures in place. DO NOT PEEL THEM OFF. They will be removed, along with the sutures, during your follow-up appointment. Apply Lacrilube to keep the whites of the eye (the sclera) moist at night and apply eye drops during the day time.

  • DO NOT wear contacts. Glasses are acceptable. Wear contact lens whenever your eye begins to feel normal.
  • DO NOT bend your head forward as this can increase swelling and bleeding. For the first 48 hours, use ice packs at 15-minute intervals as many times as you can bear. Continual application of ice will cause swelling to reduce much quicker. Avoid touching the swollen area as much as possible until your follow up appointment.
  • DO NOT pull your lower lid down. This includes applying ointment or inserting a contact lens. When inserting a contact lens, try to pull your upper eyelids instead of the lower.
  • DO NOT look up. instead raise your head and look down. Looking up may cause damage to the ongoing repair.

After Surgery:

1st Day

    • Incision cleaning: Clean incisions with saline water, then apply a very thin layer of Bacitracin.
    • To minimize eye irritation, placed saline-soaked gauze on the eye lid until 48 hours after surgery. Only apply a small amount of saline solution to the gauze, as it should not be soaking wet. Change this gauze as needed. This keeps the sclera, the white of the eye, from getting irritated and removes blood from incisions.
    • If there is continuous bleeding from the incision, compress the area with dry gauze for 5 min or less.
    • Use ice on wound areas to minimize swelling as much as tolerable.

2nd Day

    • Continue with above 1st day instructions as necessary, using ice to minimize swelling as much as it can be tolerated.

3rd Day – 7th Day

    • You can wash your face with mild face soap. It is normal your eye feels tight, irritated, and dry. Cover your eyes with saline-soaked gauze and apply artificial tears if necessary. Don’t read or use a computer if your eye feels irritated.
    • Only apply Bacitracin if the incisions are bleeding. If the bleeding stops, Bacitracin is no longer necessary.
    • Dr. Byun demonstrates how to support his world famous muscle repair. This is to be done 48 hours after surgery.

1 week

    • Dr. Byun’s staff will remove sutures

2nd week – 6th week

    • The following recovery procedures will be demonstrated by Dr. Byun’s staff:
      • Lower lid exercise
      • Taping exercise
      • Hourly eye drops, but these can be used more as needed
      • Lacrilube applied at night, but can also be used when necessary
      • Avoiding squinting eyes

*As a reminder, lower eyelids may heal the slowest of all face surgeries. Please be patient! Protect the continued function of the lower eyes and expedite recovery by following the instructions above.


Keep all bandages, splints, and wraps intact for 48 hours as this time is crucial in producing the desired results. After 48 hours, remove and discard gauze that contains blood. Follow the instructions about showering and incision care found on the first page of this packet.

Clean any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply Bacitracin to incisions. After showering or cleaning incisions, replace gauze as necessary and reattach Ace bandage compression wrap. To reapply the Ace compression wrap, begin by cutting a clean Ace wrap in half. Place the Ace wrap flat under the chin/jawline area and wrap it around your head. Attach using the Velcro on the end of the wrap. Wrapping should be neither too loose or too tight. It should have a gentle, but firm compression to be effective. Wear the Ace bandage day and night for one week following surgery.

After your follow-up with Dr. Byun, wear the compression wrap at night for three weeks. This helps the skin with sag prevention and aids in reducing swelling. Dr. Byun may adjust this bandaging schedule based on your progress.


Following surgery, you will be sent home wearing a garment which will compress the surgical area. Underneath this garment will be gauze, which controls the bleeding, and epi-foam, which maintains shape in the desired areas. Leave this intact for 48 hours. The garment will have an opening which allows for bodily functions. After 48 hours, remove, wash, and air-dry the epi-foam and compression garment. Remove and discard the gauze. Do not remove bandages covering incision areas. Once they are ready, wear the garment and epi-foam again, using new gauze. For showering and incision care, follow the instructions found on the first page of this packet. Clean any uncovered incisions 3 – 4 times a day using gauze soaked in saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply Bacitracin to all incision areas. DO NOT USE HYDROGEN PEROXIDE, IODINE, OR ALCOHOL AS THEY CAN CAUSE SKIN IRRITATION. Continue wearing the compression garment and epi-foam for the week until your follow-up appointment with Dr. Byun. He may ask you to change your garment to a smaller stage 2 garment. Our staff will assist you with obtaining this garment.

Fluid may leak out for the first 24 – 48 hours. Therefore, we suggest sleeping on an old sheet as well as the blue pad you will take home from the surgery center. If you’ve had liposuction on your thighs or legs, elevate your legs by placing a pillow beneath your knees. This will help reduce swelling in the lower legs. Foam tape or yellow sponge tape may also be applied after surgery. Please keep foam tape on for 5 – 6 days following your surgery. After a week has elapsed, you can begin to remove this tape. Showering can assist with this: in the shower, the tape will begin to peel. Please try to completely remove the tape by the first follow-up appointment to avoid a less-than-fun tape-removal process!

Even wearing compression garments, there will be swelling after surgery. A significant amount of swelling may even be present for several weeks. However, this is a normal part of the recovery process, and, given time, this swelling will dissipate. Although physical activities that increase your blood pressure and heart rate should be avoided, it is important that you walk as it greatly aids in reducing post-operative swelling. To further combat swelling, when you are sitting, elevate your feet as much as possible.


Begin taking Colace or Citrocel as soon as possible when you get home from surgery. This is a non-prescription stool softener that can be obtained from any pharmacy. It will aid in comfort as anesthetics often cause constipation. You will go home with two drains in place. They are stitched to the skin and will not fall out. They are placed to collect excess fluid from the operative site. Make sure to hold the drains up to keep them from hanging. At first, the fluids may be bloody but will dilute appear paler in color as time passes. Keep track of the amount of fluid you empty from each individual drain and the time whenever you empty them. Bring this information to your follow-up appointment. The drains will not work if the bulbs are not compressed and made airtight. To do this, after emptying, compress the drain before re-inserting the tab. Some clotting may appear in the tubes by the 2nd or 3rd day. If this occurs, pinch the tube above the clot, and with the other hand pull the clot down into the bulb in a “milking” sort of movement.

These two drains will be removed at your follow-up appointment. However, this may be painful, so it is recommended you take pain medication approximately half an hour prior to your appointment.

After surgery, you will have an abdominal binder on. This is attached with Velcro and can be adjusted as necessary. We suggest that you wear a clean long shirt underneath the binder that extends at least below your hips to protect the skin from irritation and discomfort. Because it is important to maintain compression on the operative site, the binder must remain in place for the first week. Three days following surgery, you may remove the binder briefly to shower. Follow the instructions on the first page of the packet with regards to showering. After you shower, place gauze or maxi pads over the incision(s) and reapply the binder snugly. Clean any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can). Keep incisions moist with Bacitracin. DO NOT USE HYDROGEN PEROXIDE, IODINE, OR ALCOHOL TO
CLEANSE INCISIONS. Do not take baths

Following your surgery, it will be difficult for you to stand without bending at the waist. This is normal and will only be temporary. Avoid stretching or trying to force yourself into an erect posture. These functions will return naturally in time. For the first two weeks after surgery, sleep with a pillow placed under your knees. When Dr. Byun gives you permission to return to normal exercise, usually after 2 weeks, please remember that you should not do sit-ups or crunches. Sit-ups and crunches following an abdominoplasty can be harmful and can sometimes undo the surgery that was done for you. Toning exercises for the arms, legs, and other areas besides the abdomen are appropriate, but please remember to consult Dr. Byun before returning to any normal exercise.


After surgery, you may move your arms by bending the elbows in upward and downward motions. Do not stretch, raise, or spread the arms apart. If your hands begin to feel numb and are extremely uncomfortable, please contact our office immediately. Additionally, if your hands turn blue from the wrapping or tape, remove the tape and contact our office immediately. (However, please note that this incident has never occurred!)

You should sleep on your back during the immediate postoperative period. Prop both of your arms up using pillows so that they are elevated above your heart. This will help decrease swelling. Normal sleeping position can be resumed about 2 – 3 weeks after surgery.

Before surgery, purchase a compression long-sleeve workout shirt (like Spanx or Under Armor, for example) to wear. Bring it with you on your first post-op visit so Dr. Byun may determine if it is the right fit.


Right after surgery, you need to refrain from pushing or pulling heavy objects and other heavy lifting avoid straining your chest and arms. You should not lift your arms above your shoulders prior to your first pre-operative visit. Exercising or physical activity that increases your heart rate should be avoided until Dr. Byun allows you to resume. This includes sex, so we ask that you abstain from EXERCISE, SEXUAL INTERCOURSE, and BREAST MANIPULATION for 2 – 6 weeks after the procedure. This period allows the swelling to settle down. In your first post-operative visit, Dr. Byun will determine which activities you will be allowed to resume.

Everyone heals at a different pace! Asymmetry and swelling are part of the recovery process. The incision site may initially be bumpy and raised. This will flatten out and heal on its own. Do not apply scar creams, peroxide, alcohol, or other substances without consulting with Dr. Byun first. If your incision is in the inframammary fold, expect the incision to lower over time as swelling settles and reduces. The incision will eventually tuck beneath the breast. You may notice what feels like a chord or string near the incision. This is often mistaken for a suture but is a vein that has enlarged after surgery. Applying a warm compress to this vein will often reduce its growth.

Keep all bandages, dressings, and tapes intact for 48 hours. This time is critical in creating the desired results. After 48 hours, you may take your first shower. External bandages not applied directly to the skin, like Ace wraps and gauze, must be removed and discarded. Do not replace these. Do not remove the Micro-foam sponge tape that supports the breasts. You must wait until your first follow-up appointment with Dr. Byun, where you will receive further instructions. Do not remove any bandages or tapes that cover incisions and have been applied directly to the skin. If the tape loses adhesiveness, it is acceptable to trim the edges. Do not, however, remove the tape completely. Clean any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply Bacitracin to incision areas. After your first shower, keep the incision area dry. If necessary, pat gently using clean gauze to absorb any moisture. Follow the instructions from the first page of the packet about showering and cleaning incisions.

(Breast Augmentation ONLY)

You may wear a soft bra or a sports bra, but not a bra that causes excess compression of the breasts, such as a push-up bra. These bras do not allow your implants to settle properly and may result in your implants permanently remaining too high. It is advised that you first contact our office for approval by Dr. Byun before wearing any form of bra.

It is not uncommon to experience discomfort for several weeks after surgery, especially while opening doors or pushing and pulling objects. This is normal. Expect asymmetry, size differences, and folds at different areas. These concerns will be addressed by Dr. Byun during your post-operative appointments in following weeks. You must shower on the day of the appointment to clean and prepare the incisions for suture removal during the appointment.


Do not bend at the knee or squat; this will cause tension and stretch the incision at the tailbone area. A “donut” will be needed for sitting when using the bathroom. Clean any uncovered incisions 3 – 4 times a day using gauze soaked in saline solution (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply Bacitracin to all incision areas. This is also covered on the first page of this packet. Keep compression garment on for first 48 hours, after which you may shower. After your shower, immediately put the clean compression garment back on. In your post-operative appointments, Dr. Byun will assess how long the garment will be needed. Clean gauze may be used to protect any irritated areas from the garment. Expect swelling and pain as your body heals and be sure to consult with Dr. Byun before resuming any activities.


If you have a history of cold sores/herpes outbreaks, notify your doctor so that Zovirax can be prescribed. This will help in preventing an outbreak. Begin taking the prescription as directed one day prior to your surgery.

For the first day, you can expect swelling, oozing, redness, bleeding, and/or stinging sensations. Do not remove gauze.

Following dermabrasion/laser treatments, the surgical area will be covered with gauze containing Vaseline, which will help these areas heal. Leave the gauze in place, but trim lifted edges if necessary. You need to clean the surgical areas every 2 – 3 hours using gauze soaked in wound wash or saline solution (available at your local pharmacy). After cleaning, apply a fresh coat of Bacitracin or Neosporin on top of the dressings. Do this until Vaseline gauze becomes dry and peels off. Do not rub, as this may cause early peeling of the skin and possible scarring.

An old towel should be placed over your pillow at night to prevent staining your pillowcase. Try to avoid lengthy sun exposure to protect your skin from discoloration. Do not apply makeup of any kind until the entire area has healed. This may take 7 – 10 days. Follow this regimen until you see your doctor, where it will be revised based on an assessment of your healing process.


There is minimal post-operative care for this procedure. Get plenty of rest. Use ice packs to the affected area 3 times a day in 10- 20-minute increments for the first few days. You may take Tylenol for pain if needed. Do not rub or apply any form of pressure to the affected area. Gently wash your face and apply a light moisturizer. Some patients may experience slight swelling and bruising in affected areas. Limit physical activities such as running, swimming, and weight training until cleared by Dr. Byun as this will increase your blood pressure and additional swelling will occur. If the area around your mouth was treated, try to limit movement to the mouth and lips, such as drinking through a straw, smoking, pursing of the lips, and eating soft foods for the first week.


Prior to your labiaplasty procedure, please remove hair and piercings from the surgical area. Immediately after your labiaplasty, you should remain in bed with an ice pack on the surgical site until the morning after surgery. This will reduce the amount of post-operative swelling and discomfort. It is normal to have swelling and bruising of the labia, but this will resolve itself over the next 2 – 3 weeks.

You will have gauze covering the incision areas. Dressings can be removed anytime they are saturated. Clean with gauze and saline solution then apply a thin coat of bacitracin on incision areas. Cover the surgical site with a clean maxi pad or gauze. There will be bloody drainage for a few weeks. Wash the labia area with a handheld shower head each time you have a bowel movement or urinate, to clean bacteria from incision areas. Apply bacitracin and a clean maxi pad or gauze after each wash.

Patients who experience minimal swelling and bleeding should be able to resume sedentary work activities within a few days and resume light exercise at one week. After two weeks, there will be no restrictions. However, patients with more swelling and discomfort may want to limit their activities until they feel comfortable, after which they may gradually progress to performing normal activities. You may resume sexual activity as soon as the incision areas are completely healed, which may be approximately six weeks.


Do not remove any bandages covering sutures or incisions for 48 hours following the procedure. After 48 hours, cleanse any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline water (found at your local pharmacy, may be labeled as “wound wash” in a spray can) and apply a very thin layer of Bacitracin to incision areas. These instructions may also be found on the first page of this packet. DO NOT USE HYDROGEN PEROXIDE, IODINE, OR ALCOHOL TO CLEANSE INCISIONS. Most sutures on the face will be removed within 7-10 days but may be slightly longer on other parts of the body.


There is minimal care for this procedure. Please be aware there may be slight bruising, swelling and lumpiness. This
is normal. Do not massage affected areas. Wash face gently. Sleep on your back for the next several days.


Dr. Byun does not usually pack gauze in the nose, but if you have gauze packing in the nose, it can be removed after 24 hours by gently pulling it out. Avoid hanging your head forward. Do not remove the cast or tape on the surgical area. These will be removed by Dr. Byun’s office in your post-operative appointment. Cleanse any uncovered incisions 3 – 4 times a day using clean gauze soaked in saline water (found at your local pharmacy, may be labeled as “wound wash” in a spray can). If you only have bandages covering your nose, then it is acceptable to get your face wet, but avoid doing so, if possible. If you have a cast, do not allow the cast to get wet.

You must not blow your nose for two weeks. You may gently clean slightly inside the nostril using a Q-tip moistened with saline solution. If you have to sneeze, do so through your mouth with your mouth open. Bruising along the lower eye area is normal and expected. Do not wear eyeglasses or sunglasses until after receiving permission from Dr. Byun. Failure to adhere to this precaution may result in adverse effects following surgery.