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Pre & Post Operative Care

Below are pre- and post-operative care instructions for our facial rejuvenation and facial plastic surgery patients from Seattle, Bellevue and other Washington cities.

Pre-Operative Care

Two weeks prior to surgery

  • No aspirin or aspirin-like medications
  • No ibuprofen or similar medications such as Motrin, Advil, Aleve, Naprosyn, etc.
  • No Vitamin E by mouth other than the amount in a multivitamin
  • No herbal supplements unless specifically approved by your surgeon

The abovementioned medications can affect the clotting function of your blood and cause excessive bleeding. If you have any questions about other medications, please call our office for information.

An appointment will be made for you approximately 2 weeks prior to your surgery date where you will sign your consent form, have pre-operative photographs taken, obtain necessary prescriptions and further written pre-operative and post-operative instructions, and have any further questions you may have answered. Fees, if any, are payable at this time also.


We want your surgical experience and recovery to be smooth. One of the ways we have found to promote your recovery is to be certain that you avoid smoking for 2 full weeks before and after your surgery. Healing is jeopardized if you continue to smoke before or after your procedure. Nicotine constricts the blood vessels, and the blood flow to the area of your surgery is decreased. This deprives the healing tissues of essential oxygen and nutrients. If normal healing is to occur, patients must not smoke at the time of their surgical procedure. We, therefore, insist that smoking is terminated at least 2 full weeks before your surgery.

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Stella Desyatnikova, M.D.

Doctor Stella Desyatnikova

Meet Dr. Stella, a board-certified Facial Plastic Surgeon and Otolaryngologist who is committed to enhancing natural beauty and creating an appealing, harmonious look.

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Post-Operative Care

Please arrange transportation home after surgery. You will need a companion at home the first night. Local hotels are available at a reasonable cost if you do not live in the area. If you do not have someone to stay with you, we can give you the name of a company that provides this service at a hotel or in your home. We ask that you remain in the local area at least overnight if your residence is more than 45 minutes away or requires ferry travel.

After your surgery, avoid aspirin or ibuprofen-containing products, such as Motrin, Aleve, and Advil. These medications can cause bleeding. You may supplement the prescribed pain medication with Tylenol.

Swelling and bruising will usually peak 48 to 72 hours after surgery. To minimize swelling, keep the head constantly elevated at a 45 degree angle or greater for 10 days. This can be done by using two pillows. You may have a sore throat for a few hours. You may also have general soreness for a day or two. It is important to be patient during the healing process.


  • You may shower and wash your hair the day after surgery if desired
  • Aerobic exercise should be avoided for 14 days
  • Avoid bending or lifting for 14 days
  • Avoid sunning the face for one month. Apply sunscreen with SPF 15 or higher for six months


  • Stay on low salt diet to avoid water retention
  • Start with soft, bland diet, and increase as tolerated. Avoid food that is hard to chew
  • Protein is necessary for optimal tissue healing. Cottage cheese and yogurt are two excellent sources of protein
  • Drink 6 to 8 glasses of water per day

Avoid the following for 24 hours after anesthesia

  • Alcoholic beverages
  • Using public transportation, e.g. bus or train, without the presence of another adult
  • Driving or operating complex machinery
  • Signing any legal documents – important decision making should be delayed until a full recovery is made

Please call our office if you are experiencing significant discomfort or if you notice any visual symptoms, severe nausea or vomiting.

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