Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153

Text Line (Non-Urgent Questions): 256-434-7520

“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17

General Care and Activity

• Arrange for a responsible adult to drive you home and stay with you for at least 48 hours.
• Rest with your head elevated at 45° (two pillows or recliner) for the first 72 hours; continue elevation for 1–2 weeks.
• Avoid flexing your neck, bending over, or lifting more than 5–10 pounds for at least two weeks.
• Engage in gentle walking to promote circulation, but avoid strenuous activities for 2–3 weeks.
• Do not drive while on prescription pain medications or if feeling impaired.

Wound and Incision CareFace/Neck Lift & Liposuction:

• Keep dressings and compression garments as instructed. Your first dressing change will be completed in the hospital, and your second dressing change will be completed by Dr. Weaver in his office.
• Bulky dressing removal at first follow-up (24–48 hours); lighter compression garment use for 1–2 weeks.
• After dressing removal, shower gently—avoid scrubbing or submerging incision sites.
• Apply antibiotic ointment to incisions 2–4 times daily for the first week.
• Drains, if placed, typically removed within 3–5 days; follow specific care instructions.

Upper Blepharoplasty:

• Clean eyelid sutures gently with hydrogen peroxide dipped Q-tip three times daily.
• Apply cold rag or ice-pack compresses to eyelids every 20–30 minutes for the first 48 hours.
• Use artificial tears or Lacri-Lube as needed for dry eyes 6 times a day.
• Avoid scrubbing around eyes for seven days; tape dressings stay in place until follow-up visit.

Medications and Pain Control

• Take prescribed pain medications as directed, then switch to Tylenol as needed.
• Avoid NSAIDs, aspirin, and certain supplements (ginkgo biloba, fish oil, vitamin E, etc.) for two weeks before and after surgery.
• Complete the full course of prescribed antibiotics.
• Avoid alcohol consumption for at least three weeks post-op.

Diet and Hydration

• Start with a bland diet; advance as tolerated.
• Maintain hydration to prevent constipation; include raw fruit and fiber in your diet.

Additional Recovery Tips

• Wear loose-fitting, button-up clothing; avoid tight garments around the head and neck.
• Absolutely avoid smoking and exposure to secondhand smoke.
• Monitor incisions daily for signs of infection; contact the office immediately if symptoms appear.
• Attend all scheduled follow-up appointments as directed.

When to Call the Office Immediately

• Sudden swelling increase, severe uncontrolled pain, persistent bleeding.
• Shortness of breath, chest pain, vision changes.
• Signs of infection (redness, warmth, drainage, fever).
• Vision changes or severe eye pain following blepharoplasty.

Quick Reference GuideInstruction
Neck Lift/Liposuction
Upper Blepharoplasty

Head Elevation
45° (1–2 weeks)
30–45° (1–2 weeks)

Cold Compresses
Cheeks/neck (72 hrs)
Eyelids (48 hrs)

Dressings
Chin strap, elastic garment
Tape, leave in place

Wound Care
Gentle cleansing, ointment
Hydrogen peroxide, ointment

Showering
After dressing removal
Avoid eyelids for 7 days

Activity Limits
Avoid bending/lifting
Avoid strenuous activity

Medications
Tylenol only, no NSAIDs
Tylenol only, no NSAIDs

Smoking/Alcohol
Avoid both
Avoid both





Your safety and successful recovery are our highest priority.
"Seek The Weaver Way for quality results, safety-centered care, and leave it to Weaver for all your plastic surgery needs."

Years of sunlight, facial movement, environmental exposure, acne, and normal aging gradually change the skin. Fine lines become etched into the surface. Brown spots accumulate. Texture becomes rougher. Pores and scars become more visible. The delicate skin around the eyes begins to look crepey.

That is where CO₂ laser skin resurfacing can become one of the most powerful tools available for facial rejuvenation.

CO₂ laser resurfacing uses controlled laser energy to remove damaged superficial skin while creating a carefully controlled thermal effect within the deeper skin. This stimulates a wound-healing response and collagen remodeling. Modern fractional CO₂ technology treats microscopic columns of skin while leaving intervening areas intact, which can allow faster recovery than traditional fully ablative resurfacing while still producing meaningful improvement.

At Weaver Plastic Surgery, I look at facial rejuvenation differently. My goal is not simply to make someone look “treated.” The goal is to improve skin quality, facial harmony, and the relationship between how you look and how you feel.

Below are the questions patients most commonly ask about CO₂ laser treatment of the face, eyelids, and neck, including exactly what to expect during CO₂ laser recovery.

What is CO₂ laser resurfacing?
A carbon dioxide, or CO₂, laser is an ablative laser that targets water within the skin. The controlled laser energy removes damaged superficial skin and produces thermal remodeling within the underlying dermis.

The result is essentially two complementary effects:

1. Resurfacing — removing or improving damaged, irregular superficial skin.
2. Remodeling — stimulating the skin's healing response and collagen restructuring beneath the surface.

CO₂ laser resurfacing has been used to improve facial wrinkles, photodamage, uneven pigmentation, acne scars, and overall skin texture. The American Society of Plastic Surgeons specifically lists fine lines, wrinkles, scars, aged or sun-damaged skin, and pigmentation abnormalities among conditions that laser skin resurfacing may improve.

Think of it this way:

Surgery primarily changes anatomy. CO₂ resurfacing changes the quality of the skin covering that anatomy.

For the appropriate patient, combining those concepts can produce exceptionally comprehensive facial rejuvenation.

What are the benefits of CO₂ laser resurfacing?CO₂ laser skin resurfacing may improve:

• Fine lines and facial wrinkles
• Crepey skin
• Sun-damaged skin
• Uneven skin texture
• Certain brown spots and pigmentation irregularities
• Acne scars
• Enlarged or visually prominent pores
• Rough skin
• Fine lines around the mouth
• Crow's-feet and wrinkles around the eyes
• Lower eyelid skin quality
• Overall complexion
• Mild skin laxity
• Signs of facial photoaging

Fractional CO₂ resurfacing has demonstrated improvement in rhytids, pigmentation, and photoaged skin, with treatment intensity influencing the magnitude of improvement.
The important word is improvement, not perfection.

Laser treatment does not stop aging, erase every wrinkle, or replace surgery when significant tissue laxity exists. It is one tool—albeit a very powerful one—in a comprehensive facial rejuvenation strategy.

What does CO₂ laser do for the entire face?A full-face CO₂ laser treatment allows us to think beyond one isolated wrinkle or brown spot.
Instead, we can address the face as a visual unit.
Patients may notice improvement in:

• Forehead texture
• Crow's-feet
• Cheek texture
• Acne scarring
• Fine lines
• Sun damage
• Perioral wrinkles
• Uneven pigmentation
• Overall smoothness and luminosity

There is also an important aesthetic advantage to treating broader regions when appropriate: transition zones are minimized.

If severely sun-damaged facial skin is treated but an adjacent area is ignored, differences in texture or color may become more noticeable. Treatment planning should therefore consider the entire aesthetic unit rather than simply chasing individual wrinkles.

Can CO₂ laser be used around the eyes and on the eyelids?Yes—in carefully selected patients and with appropriate technique.

The periorbital region, meaning the skin surrounding the eyes, is one of the areas where resurfacing can make a particularly meaningful difference because eyelid skin is thin and fine wrinkles can dramatically influence perceived facial age.

CO₂ laser treatment around the eyes may improve:

• Crepey lower eyelid skin
• Fine lines beneath the eyes
• Crow's-feet
• Periorbital wrinkles
• Textural irregularities
• Sun-damaged eyelid skin

Published studies have demonstrated improvement in periorbital wrinkles with fractional CO₂ resurfacing.

However, laser treatment around the eyes requires specialized expertise and proper ocular protection. The eyelid and ocular region are not areas for casual or indiscriminate laser treatment. Eye protection and appropriate treatment parameters are essential.

CO₂ resurfacing can also be combined with procedures such as upper or lower blepharoplasty in carefully selected patients when both excess tissue and skin quality need to be addressed.

Does CO₂ laser replace a blepharoplasty?

Usually not when meaningful excess eyelid skin or fat is present.
These procedures solve different problems.

Blepharoplasty changes anatomy. It can remove excess upper eyelid skin, address lower eyelid fat, or reposition tissues.

CO₂ laser resurfacing improves skin quality.

It addresses fine wrinkles, crepiness, texture, and photoaging.

Some patients need one.
Some benefit from both.

That distinction is important because trying to use a laser to solve a surgical problem—or surgery to solve a skin-quality problem—can lead to disappointment.

Can CO₂ laser be used on the neck?

Yes, but the neck deserves considerable respect.

Fractional CO₂ resurfacing has been studied for neck rejuvenation and can improve neck texture, fine wrinkles, photoaging, and mild laxity in appropriately selected patients.
However, neck skin does not heal exactly like facial skin. Facial skin contains a relatively rich concentration of pilosebaceous structures that contribute to re-epithelialization after resurfacing. The neck has different healing characteristics and generally requires more conservative treatment parameters than many areas of the central face. Reviews of fractional CO₂ resurfacing specifically describe reducing settings when treating nonfacial areas such as the neck.

Aggressive neck resurfacing has been associated with hypertrophic scarring and prolonged healing, which is why experience, patient selection, and appropriate energy settings matter tremendously.

More energy is not automatically better.

The best laser treatment is the treatment that delivers enough energy to create meaningful improvement without exceeding the healing capacity of the tissue.

Can CO₂ laser tighten loose skin?

To a degree.
CO₂ laser resurfacing can improve skin texture and produce collagen remodeling that may create some improvement in skin firmness and mild laxity.
But patients need to understand the distinction between:

skin quality
and
structural laxity.

If someone has substantial jowling, neck laxity, platysmal banding, or descended facial tissues, CO₂ laser resurfacing does not reproduce what a facelift or neck lift can accomplish.

Similarly, significant upper eyelid skin excess may require blepharoplasty.
The Weaver Way is not about forcing one procedure to do everything. It is about matching the treatment to the anatomy.

Is CO₂ laser good for wrinkles?

Yes. Wrinkle reduction is one of the classic indications for CO₂ laser skin resurfacing.
CO₂ resurfacing is particularly useful for static wrinkles—lines visible even when your face is relaxed.

Common treatment areas include:

• Fine lines underneath the eyes
• Crow's-feet
• Cheek wrinkles
• Fine forehead lines
• Upper lip lines
• Wrinkles around the mouth

Laser resurfacing can improve these lines by removing damaged surface tissue and stimulating dermal remodeling. Long-term studies of full-face CO₂ resurfacing have demonstrated durable improvements in fine wrinkles and skin texture.
Dynamic wrinkles caused predominantly by muscle movement may still benefit from treatments such as Botox or other neuromodulators.
Again, different tools address different causes of aging.

Is CO₂ laser good for acne scars?

Fractional CO₂ laser is commonly used in the treatment of selected atrophic acne scars.
By producing microscopic columns of controlled injury, fractional resurfacing can stimulate remodeling of scarred dermal tissue while simultaneously improving surface irregularity.

However, acne scars are not all identical.

Ice-pick scars, rolling scars, boxcar scars, tethered scars, and pigmentation abnormalities may require different treatment strategies. Some patients may benefit from a combination of:

• CO₂ laser resurfacing
• Subcision
• Excision
• Microneedling
• Injectable treatments
• Other energy-based therapies

Successful acne scar treatment therefore starts with correctly identifying the type of scar rather than simply selecting a device.

How long does CO₂ laser resurfacing take to heal?For many patients undergoing ablative or fractional ablative CO₂ resurfacing, surface healing occurs over approximately 7 to 14 days, although this varies based upon treatment depth, density, location, individual healing characteristics, and the specific laser protocol.

During the early healing period, patients should expect some combination of:

• Redness
• Swelling
• Oozing
• Crusting
• Peeling or flaking
• Itching
• Skin sensitivity

These are often expected components of controlled resurfacing.
The key is recognizing when the healing pattern changes from expected to concerning.

CO₂ Laser Aftercare:
Your Most Important Recovery Questions

What is the single most important thing I can do after CO₂ laser resurfacing?

Protect the new skin while it heals.
During the initial recovery period, the skin's normal protective barrier has intentionally been disrupted.
Your priorities are therefore simple:
Moist. Clean. Protected. Watched carefully.

Do not allow freshly resurfaced skin to become excessively dry, traumatized, contaminated, or sunburned.

What ointment should I use after CO₂ laser resurfacing?

Unless you were specifically given another postoperative product, use a plain, lanolin-free occlusive moisturizing ointment.

Plain petroleum jelly, or petrolatum, is commonly used after ablative laser resurfacing as an occlusive barrier while the skin re-epithelializes. Post-laser wound-care literature supports the role of occlusive topical therapy during this healing period.

Examples may include:

• Plain Vaseline
• A specifically recommended lanolin-free healing ointment
• Another postoperative balm specifically prescribed by your surgeon

Avoid products containing:

• Fragrance
• Retinoids
• Glycolic acid
• Salicylic acid
• Other exfoliating acids
• Vitamin C
• Irritating botanical ingredients
• Lanolin-based products if instructed to avoid them

During these first days, simple is usually better.
This is not the time for a complicated 10-step skincare routine.

How often should I apply ointment after CO₂ laser?

As often as necessary to keep the treated skin consistently moist and glistening.
That may mean applying ointment several times throughout the day.
The resurfaced skin should not repeatedly become dry, tight, or heavily crusted.
After cleansing or performing your recommended postoperative soak, gently reapply the ointment while the skin remains slightly damp.

How much ointment should I apply?

More than you would use with a normal facial moisturizer.
You are not applying a thin cosmetic lotion.
Think:
a protective, shiny coating over the treated skin.

If the surface begins looking dull or dry, it generally needs additional moisture.

How should I clean my face after CO₂ laser?

Be gentle.
During the initial recovery period, the goal is to remove drainage and debris without mechanically traumatizing newly healing skin.
Depending on your surgeon's protocol, you may gently soak or rinse the treated skin several times daily.

We generally favor distilled or purified water rather than tap water during the initial open-wound phase.

Some postoperative protocols may also incorporate:

• Dilute vinegar soaks
• Hypochlorous acid spray
• Another physician-directed cleansing solution

Do not aggressively wipe, scrub, or exfoliate the skin.
Instead:

1. Gently soak or rinse.
2. Allow crust or debris to soften.
3. Pat carefully.
4. Apply your ointment immediately afterward.

A gentle facial cleanser can generally be introduced around postoperative day 2 or 3 when appropriate—not during the first 24 hours unless specifically instructed otherwise.
Your individual postoperative instructions take precedence.

Should I remove crusts after CO₂ laser?

Do not pick them.
This is one of the most important rules of CO₂ laser aftercare.
Do not:

• Pick
• Scratch
• Peel
• Scrape
• Rub
• Exfoliate

Allow the skin to heal naturally.
Prematurely pulling away adherent healing tissue can create additional trauma and potentially increase the risk of infection, pigmentation changes, delayed healing, and scarring.
Your job is not to accelerate healing by force.
Your job is to create an environment in which your body can heal properly.

How do I reduce swelling after CO₂ laser?

Swelling is expected, particularly around the eyelids.
You may:

• Sleep with your head elevated.
• Use cool compresses during the first several days.
• Follow any medication instructions provided by your surgeon.
• Stay well hydrated.

​If using a reusable cold pack, never place it directly against freshly resurfaced skin.
Keep the pack clean and place a clean barrier between it and your skin.
Remember that eyelid swelling can occasionally look dramatic during the first few days even when healing normally.

Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520
“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17


GENERAL EXPECTATIONS
It is normal to experience:

• Swelling, bruising, and tightness of the upper arms
• Mild to moderate discomfort
• Temporary numbness or altered sensation along the incision lines
• Drainage from incision sites in the first 24–48 hours

Swelling may persist for several weeks and can fluctuate throughout the day. Final contour results evolve over 3–6 months.

ACTIVITY

• First 48 hours: Rest with arms elevated above heart level when possible on at least 2 -3 pillows
• Weeks 0–2:
  • No lifting greater than 5–10 pounds
  • Avoid reaching overhead or stretching the arms
  • Gentle hand, wrist, and elbow motion encouraged
• Weeks 2–6:
  • Gradual return to light daily activities
  • No strenuous exercise, weightlifting, or upper-body workouts
• After 6 weeks:
  • Resume unrestricted activity only after clearance

🚫 Do NOT perform push-ups, pull-ups, rowing, or resistance training until cleared.


COMPRESSION GARMENTS

• Wear your arm compression garment continuously (24/7) for the first 2–3 weeks, except for showering
• Afterward, wear during the day for an additional 2–3 weeks as directed
• Compression helps control swelling, supports healing, and improves contour

INCISION & WOUND CARE

• Keep incisions clean and dry
• Showering is typically permitted 48 hours after surgery unless otherwise instructed
• Allow soap and water to gently run over incisions--do not scrub
• Pat dry and reapply dressings as instructed
• No soaking (baths, pools, hot tubs) for 4 weeks

DRAINS (IF APPLICABLE)

• Empty drains 2–3 times daily and record output
• Secure drains to clothing to prevent tension
• Drains are usually removed when output is minimal, typically within 5–10 days

MEDICATIONS
PAIN CONTROL – MULTIMODAL APPROACH 
Pain following surgery is expected and is best managed using a multimodal regimen to minimize opioid use while maintaining comfort.

1. Ibuprofen (Motrin) 800 mg
   • Take every 8 hours with food, scheduled for the first 5–7 days, then as needed.
   • Avoid taking other NSAIDs concurrently.
2. Methocarbamol (Robaxin) 750–1500 mg
   • Take every 8 hours as needed for muscle tightness, chest wall discomfort, or spasms.
   • May cause drowsiness—use caution when standing or walking.
3. Percocet 5/325 mg
   • Take only for breakthrough pain not controlled with ibuprofen and Robaxin.
   • Use the lowest effective dose for the shortest duration possible.
   • Do not drive, operate machinery, or consume alcohol while taking this medication.
4. Gabapentin 100 mg
   • May take three times daily for nerve-related pain (burning, tingling, hypersensitivity).
   • Most beneficial in the first 48–72 hours after surgery.
   • Discontinue if excessive sedation or dizziness occurs.
5. Phenergan
   • Take as needed for nausea or vomiting, particularly if using opioid medication.
   • May cause drowsiness.

🚫 Avoid aspirin, NSAIDs, or supplements unless approved.


SWELLING & BRUISING

• Swelling is normal and may be asymmetric
• Elevation and compression are key
• Bruising typically resolves over 2–3 weeks

SLEEPING

• Sleep on your back
• Keep arms elevated on pillows
• Avoid pressure on incisions

DIET & HYDRATION

• Maintain a high-protein diet
• Stay well hydrated
• Avoid alcohol for at least 2 weeks
• No smoking or nicotine products—this significantly increases wound complications

WARNING SIGNS – CALL IMMEDIATELY IF YOU EXPERIENCE:

• Fever > 101°F
• Increasing redness, warmth, or pus at incision sites
• Sudden swelling or severe pain in one arm
• Shortness of breath or chest pain
• Excessive bleeding soaking through dressings
• Separation of the incision

FOLLOW-UP

• First post-operative visit: as instructed 
• Additional visits will be scheduled to monitor healing and scar progression

SCAR MANAGEMENT

• Scars will appear red and firm initially—this is normal
• Once incisions are fully healed:
  • Begin silicone gel or silicone sheets
  • Gentle scar massage may be recommended
• Scar maturation occurs over 6–12 months

IMPORTANT REMINDERS

• Results improve over time—patience is essential
• Minor asymmetries and residual swelling are common early
• Strict adherence to instructions directly affects outcomes

If you have questions or concerns, contact our office immediately.Weaver Plastic Surgery
📞 256-817-6153

Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520
​
“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17



1. Activity & General Care

• Rest for the first 48 hours, then gradually increase light activity as tolerated.
  
  
• Avoid lifting more than 8 lbs (about a gallon of milk) for the first 2 weeks.
  
  
• No strenuous exercise, pushing, pulling, or overhead arm movements until cleared by Dr. Weaver.
  
  
• Sleep on your back with your head and upper body elevated (2–3 pillows or in a recliner) to reduce swelling.
  
  

2. Incision & Dressing Care

• Leave all dressings in place until your first office visit – do not remove or change them unless instructed.
  
  
• Keep the surgical area clean and dry.
  
  
• You may take a sponge bath or sit in a shallow tub bath (water below the waist) – do NOT get breasts, dressings, or drains wet.
  
  
• You may wear deodorant, but avoid getting it on or near the incisions.
  
  
• First shower will be after your initial post-op visit when Dr. Weaver removes your dressing
  
  

3. Jackson-Pratt (JP) Drain TeachingYour JP drains remove fluid to help healing and prevent infection or seroma. You may have one or more drains. Each drain must be cared for individually.
A. How to Secure the Drain

• Attach the bulb to your clothing with a safety pin or lanyard so it doesn’t pull on your skin.
  
  
  
• Keep tubing loose with gentle loops to avoid kinking.
  
  
  

B. How to “Strip” the Tubing (Twice Daily or If You See Clots)

1. Wash hands with soap and water.
   
   
   
2. Hold the tubing near where it comes out of your skin with one hand.
   
   
   
3. With the other hand, pinch the tubing using an alcohol pad and slide your fingers down toward the bulb, squeezing any clots along the way.
   
   
   
4. This keeps the line open and fluid flowing.
   
   
   

C. How to Empty the JP Bulb (see separate post)

1. Wash your hands.
   
   
2. Open the plug on top of the bulb.
   
   
3. Pour fluid into a clean measuring cup.
   
   
4. Record the amount and color in your drain log (see chart below).
   
   
5. To “recharge” suction:
   
   
   
   • Squeeze the bulb flat with one hand.
     
     
   • While still squeezed, close the plug securely.
     
     
   • The bulb should stay collapsed – this means suction is working.
     
     
     

D. Drain Output Goals

• Measure and record each drain separately at least twice a day (morning and evening).
  
  
• Drain removal is usually considered when output is <30 mL over 24 hours for 2 days in a row.
  
  

4. Drain Output LogBring this to every appointment. Keep a record of the drain volume every 6 hours or as needed. 




5. Pain Management

• Take prescribed pain medications as directed.
  
  
  

6. When to Call Dr. Weaver Immediately

• Fever over 101.5°F
  
  
  
• Increasing redness, swelling, or warmth around the incision
  
  
  
• Sudden firmness or swelling in one breast
  
  
  
• Drain not holding suction or drainage stops suddenly before removal
  
  
  
• Cloudy, foul-smelling, or pus-like fluid
  
  
  
• Severe pain unrelieved by medication
  
  
  
• Shortness of breath or chest pain – Call 911
  
  
  

7. Follow-Up

• Keep your scheduled first post-op appointment – bring your drain log.
  
  
  
• At that visit, Dr. Weaver will check healing, possibly remove drains, and clear you for your first shower.
  
  
  

PAIN CONTROL – MULTIMODAL APPROACHPain following breast reduction is expected and is best managed using a multimodal regimen to minimize opioid use while maintaining comfort.

1. Ibuprofen (Motrin) 800 mg
   • Take every 8 hours with food, scheduled for the first 5–7 days, then as needed.
   • Avoid taking other NSAIDs concurrently.
2. Methocarbamol (Robaxin) 750–1500 mg
   • Take every 8 hours as needed for muscle tightness, chest wall discomfort, or spasms.
   • May cause drowsiness—use caution when standing or walking.
3. Percocet 5/325 mg
   • Take only for breakthrough pain not controlled with ibuprofen and Robaxin.
   • Use the lowest effective dose for the shortest duration possible.
   • Do not drive, operate machinery, or consume alcohol while taking this medication.
4. Gabapentin 100 mg
   • May take three times daily for nerve-related pain (burning, tingling, hypersensitivity).
   • Most beneficial in the first 48–72 hours after surgery.
   • Discontinue if excessive sedation or dizziness occurs.
5. Phenergan
   • Take as needed for nausea or vomiting, particularly if using opioid medication.
   • May cause drowsiness.

Your safety is our top priority.
If you have questions or concerns, call 256-817-6153. After hours, your call will be routed to Dr. Weaver or the on-call provider.

POST-OPERATIVE AFTER CARE INSTRUCTIONS

​Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520

“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17
Proper after-care is essential for safe healing and optimal results following eyelid surgery. Please read these instructions carefully and follow them closely.


What to Expect

• Swelling and bruising around the eyes are normal and typically peak at 48–72 hours
  
  
• Mild tightness, dryness, tearing, or blurred vision may occur temporarily
  
  
• Some early asymmetry is expected during healing
  
  
• Final results continue to improve over 6–12 weeks
  

Eye & Incision Care

• Cold compresses:
  Apply cold compresses or gel eye packs for 15–20 minutes every hour while awake for the first 48 hours
  (Do not place ice directly on the skin)
  
  
• Keep incisions clean and dry
  
  
• Apply prescribed ophthalmic antibiotic ointment to incisions as directed
  (Temporary blurry vision is common while using ointment)
  
  
• Use lubricating artificial tears as needed for dryness
  
  
• Do not rub, pull, or stretch the eyelids
  
  

Activity Restrictions

• Rest with your head elevated (2–3 pillows) for the first 7 days
  
  
• Avoid bending over, heavy lifting, straining, or vigorous activity for 10–14 days
  
  
• Walking is encouraged starting the day after surgery
  
  
• Avoid activities that significantly increase blood pressure to the face
  
  
  

Medications

• Take prescribed pain medication as directed
  (Most patients only require acetaminophen)
  
  
  
• Avoid aspirin, ibuprofen, naproxen, or other NSAIDs unless specifically approved
  
  
  
• Avoid supplements that increase bleeding risk (fish oil, vitamin E, ginkgo, garlic)
  
  ​

Vision & Eye Protection

• Temporary blurry vision may occur due to swelling or ointment
  
  
  
• Wear dark sunglasses when outdoors
  
  
  
• Avoid wind, dust, smoke, and direct sun exposure
  
  
  
• No contact lenses until cleared (typically 10–14 days)
  

Hygiene & Cosmetics

• You may shower the day after surgery
  (Avoid direct water pressure on the eyes)
  
  
  
• Gently pat dry — do not rub
  
  
  
• No eye makeup until cleared (usually 10–14 days)
  
  
  
• Avoid facials, lash treatments, or brow services until approved
  
  
  

Sleep Position

• Sleep on your back with head elevated
  
  
  
• Avoid side or stomach sleeping for at least 1 week
  
  
  

Sutures

• Sutures are typically removed 5–7 days after surgery if not absorbable
  
  
  

Call the Office Immediately If You Experience:

• Increasing pain not relieved by medication
  
  
  
• Sudden vision changes or loss of vision
  
  
  
• Excessive swelling, firmness, or bleeding
  
  
  
• Signs of infection (fever, worsening redness, drainage)
  
  
  

For urgent concerns, call the office directly. For emergencies, call 911 or go to the nearest emergency department.

Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520
​
“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17


General ExpectationsYou have undergone breast augmentation surgery. Swelling, tightness, pressure, bruising, and soreness are normal during the first several weeks. Your breasts may initially sit higher on the chest and feel firm—this improves gradually as swelling resolves and the implants settle.
Full healing and final shape may take 3–6 months.


Activity

• First 48 hours: Rest and limit activity. Short walks are encouraged to reduce blood clot risk.
• Weeks 1–2: No lifting greater than 10 pounds. Avoid pushing, pulling, or straining.
• Arms: Keep arm movements light. Avoid repetitive overhead motion.
• Exercise:
  • Light walking is allowed immediately
  • No cardio, chest workouts, or upper-body strength training for 4–6 weeks
• Driving: You may drive once you are off narcotic pain medication and can move comfortably and safely.
• Sexual activity: May resume when comfortable, avoiding pressure on the breasts.

Incision & Wound Care

• Your incisions are covered with Prineo / skin glue or dressings.
• Showering:
  • You may shower the day after surgery
  • Gently wash with soap and water
  • Pat dry—do not scrub incisions
• Do NOT:
  • Soak in tubs, pools, or hot tubs for 4 weeks
  • Apply lotions, ointments, or scar products until cleared by Dr. Weaver
• Allow surgical tape or glue to fall off naturally.

Support Garment

• Wear your surgical bra or support garment at all times, except while showering.
• Do not wear underwire bras until cleared.
• If a strap or implant positioning band was provided, wear it exactly as instructed.

Sleeping Position

• Sleep on your back, head and chest elevated with pillows or in a recliner.
• No side or stomach sleeping for at least 4 weeks or until cleared.

MedicationsTake medications exactly as prescribed:

• Pain medication (e.g., Percocet or equivalent) as needed
• Ibuprofen (Motrin) for inflammation if approved
• Muscle relaxer if prescribed
• Antibiotics (if given): complete the full course
• Antiemetic (Phenergan/Zofran) for nausea if needed

⚠️ Do not drive or drink alcohol while taking narcotic pain medication.


Swelling, Bruising & Implant Settling

• Swelling may peak at 48–72 hours
• Breasts may appear uneven early—this is normal
• Implant settling (“drop and fluff”) occurs gradually over weeks to months
• Mild firmness is expected early; sudden tightness or worsening pain should be reported

Massage

• Implant massage is not routine for all patients
• Follow Dr. Weaver’s specific instructions, if massage is recommended for your implant type and placement

What to Avoid

• Smoking, vaping, or nicotine use (impairs healing and increases complication risk)
• Heavy lifting or chest workouts before clearance
• Excessive salt intake (worsens swelling)

When to Call the Office ImmediatelyCall 256-817-6153 if you experience:

• Fever >101°F
• Rapidly increasing pain, swelling, or firmness in one breast
• Significant redness, warmth, or drainage from the incision
• Sudden asymmetry or expanding bruising
• Shortness of breath or chest pain (seek emergency care)

For non-urgent questions, text 256-434-7520 during business hours.





Follow-Up

• Keep all scheduled postoperative appointments
• These visits are critical to ensure proper healing and optimal results

The Weaver Way
Your safety, healing, and long-term outcome matter. Follow these instructions closely, listen to your body, and never hesitate to reach out with concerns.
Seek the Weaver Way for quality care, safety-centered surgery, and excellent results.

Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520
“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17


I. INCISIONS & DRESSINGS

• All incisions are covered with Prineo + Dermabond.
  
  
• Do NOT pick, peel, or trim any adhesive film. It protects the incision and will be removed in the clinic when appropriate.
  
  
• Expect mild tightness, pulling sensations, and numbness—these are normal in the early phase.
  

II. DRAIN CARE (JP DRAINS)You will have Jackson-Pratt drains to remove fluid and reduce complications.
How to strip your drains

1. Wash hands thoroughly.
   
   
   
2. Pinch the tubing near the skin with your non-dominant hand.
   
   
   
3. Using your other hand, squeeze the tubing between your fingers and glide downward toward the bulb.
   
   
   
4. Do this slowly and deliberately to clear clots or thick fluid.
   
   
   

How to empty & record your drains

1. Open the bulb cap without touching the inside.
   
   
   
2. Pour drainage into the provided measuring cup.
   
   
   
3. Record the amount twice daily (morning & evening) on your log.
   
   
   
4. Compress the bulb fully before closing the cap to maintain suction.
   
   
   

When to call Dr. Weaver immediately

• Sudden increase in drainage (>100 mL in 8 hours)
  
  
  
• Drain stops working or loses suction
  
  
  
• Bright red bleeding
  
  
  
• Foul odor or cloudy fluid
  
  
  

Keep drains secured at all times; use a belt or clip during the day.





III. SHOWERING

• You may shower starting the day after surgery.
  
  
  
• Use a lanyard, necklace clip, or crossbody strap to hold drains while showering.
  
  
  
• Allow warm, soapy water to flow over incisions--do not scrub incisions.
  
  
  
• Pat dry. Avoid applying lotions, oils, peroxide, or alcohol to the surgical sites.
  
  
  

IV. LIPO FOAM & ABDOMINAL BINDERYou have liposuction foam and a compression binder in place to support healing.
Binder Instructions

• Wear your binder 24 hours a day except for brief removal during showers.
  
  
  
• It should be snug but not restrictive—your breathing should be easy.
  
  
  
• Adjust the binder daily to avoid rolling or creasing.
  
  
  

Foam Instructions

• Keep foams flat against your skin without folds or moisture buildup.
  
  
  
• Replace with clean, dry foam if it becomes damp or soiled.
  
  
  
• Expect to use foams for 10–14 days, depending on swelling.
  
  
  

V. ACTIVITY, POSITIONING & MOVEMENTWalking & circulation

• Walk every 2–3 hours while awake to prevent blood clots.
  
  
  
• Keep knees slightly bent and your upper body gently flexed at the waist for the first several days.
  
  
  

Sleeping

• Sleep on your back with pillows under your knees and behind your upper back.
  
  
  
• Avoid lying flat or stomach-down.
  
  
  

Restrictions

• No lifting >10 lbs for 4 weeks.
  
  
  
• No strenuous activity or elevated heart rate for 4–6 weeks.
  
  
  
• Avoid twisting motions that pull on the abdomen.
  
  
  

VI. PAIN CONTROL & MEDICATIONSTake medications exactly as instructed. Pain often comes from muscle tightening and lipo soreness, not incision pain—that is normal.
PAIN CONTROL – MULTIMODAL APPROACHPain following surgery is expected and is best managed using a multimodal regimen to minimize opioid use while maintaining comfort.

1. Ibuprofen (Motrin) 800 mg
   • Take every 8 hours with food, scheduled for the first 5–7 days, then as needed.
   • Avoid taking other NSAIDs concurrently.
2. Methocarbamol (Robaxin) 750–1500 mg
   • Take every 8 hours as needed for muscle tightness, chest wall discomfort, or spasms.
   • May cause drowsiness—use caution when standing or walking.
3. Percocet 5/325 mg
   • Take only for breakthrough pain not controlled with ibuprofen and Robaxin.
   • Use the lowest effective dose for the shortest duration possible.
   • Do not drive, operate machinery, or consume alcohol while taking this medication.
4. Gabapentin 100 mg
   • May take three times daily for nerve-related pain (burning, tingling, hypersensitivity).
   • Most beneficial in the first 48–72 hours after surgery.
   • Discontinue if excessive sedation or dizziness occurs.
5. Phenergan
   • Take as needed for nausea or vomiting, particularly if using opioid medication.
   • May cause drowsiness.

General reminders:

• Take pain medicine with food.
  
  
  
• Take stool softeners to avoid constipation.
  
  
  
• Avoid driving while taking narcotic medication.
  
  
  
• Do not mix alcohol with pain medications.
  
  
  

VII. WHAT IS NORMAL

• Swelling and bruising
  
  
  
• Tightness across the abdomen
  
  
  
• Small drainage around insertion sites
  
  
  
• Temporary numbness
  
  
  
• A “hunched” posture for several days
  
  
  

VIII. WHEN TO CONTACT DR. WEAVERText 256-434-7520 immediately for:

• Fever >101.5°F
  
  
  
• Increasing redness or spreading warmth
  
  
  
• Sudden, painful swelling in one leg
  
  
  
• Shortness of breath or chest pain (call 911)
  
  
  
• Persistent nausea or vomiting
  
  
  
• Drain issues or concerns
  
  
  
• Any sudden change that does not feel “right”
  

IX. FOLLOW-UP APPOINTMENTSYour first follow-up is scheduled with our team to:

• Remove or adjust dressings
  
  
  
• Review drain output
  
  
  
• Evaluate early healing
  
  
  
• Update your recovery plan
  
  ​

X. THE WEAVER WAY – FINAL GUIDANCE

• Healing is a journey, not a sprint.
  
  
  
• Give yourself grace and follow the instructions closely.
  
  
  
• Protect your investment—your results depend on your partnership in recovery.
  
  
  
• Reach out anytime. You are never bothering us.
  
  
  

For questions: TEXT 256-434-7520
Website: weaverplasticsurgery.com

Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive SurgeonOffice Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520

“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17

1. Pain Management

Mild to moderate discomfort is expected. Most patients manage this well with prescribed medications or over-the-counter pain relief. Consistent pain control helps enhance comfort and satisfaction during recovery.
Tip: Ice packs may be applied intermittently (20 minutes on, 20 minutes off) for the first 24 hours to reduce swelling.

2. Wound Care

• Keep the surgical area clean and dry.
  
  
  
• Apply the prescribed antibiotic ointment twice daily to prevent infection and support healing.
  
  
  
• Do not remove the dressing until your first follow-up appointment unless instructed otherwise.
  
  
  
• When using the restroom, cleanse gently with unscented soft wipes, and pat dry—do not rub.
  
  
  

3. Hygiene

• Gently cleanse the area with mild soap and lukewarm water once daily after the first 48 hours.
  
  
• Avoid soaking in bathtubs, hot tubs, or swimming pools for at least 4 weeks.
  
  
• Use sanitary pads only; do not use tampons during the recovery period.
  
  
  

4. Activity Restrictions

• Avoid any strenuous activity, exercise, heavy lifting, or sexual intercourse for 4–6 weeks post-operatively.
  
  
• Minimize walking during the first few days and avoid prolonged sitting.
  
  
• Elevate your pelvis slightly while lying down to reduce swelling.
  
  
  

5. Follow-Up AppointmentsPlease attend all scheduled follow-ups so we may monitor your healing. While some suture materials dissolve naturally, evaluation of the area is essential to ensure proper recovery.

Call us at 256-817-5163 if you are unsure whether to come in or if any concern arises.
6. When to Call the OfficeContact us immediately if you notice:

• Excessive or worsening swelling
  
  
• Redness or warmth around the incision
  
  
• Drainage or foul-smelling discharge
  
  
• Fever or chills
  
  
• Unusual pain not relieved with medication
  
  
• Opening of the incision (wound dehiscence)
  
  
• Heavy bleeding
  
  

Your comfort, safety, and satisfaction are our top priorities. Please don’t hesitate to reach out with questions or concerns. We are honored to walk with you through this transformative process.
​
“Seek the Weaver Way for quality care, excellent results & personalized plastic surgery.”
#theweaverway | #leaveit2weaver

The Weaver Way | Safety-Centered Care & Excellent Results
Tony L. Weaver, DO, FACS
Board-Certified Plastic & Reconstructive Surgeon
​
Office Phone: 256-817-6153
Text Line (Non-Urgent Questions): 256-434-7520

“I will restore you to health and heal your wounds,” declares the Lord.
— Jeremiah 30:17


PAIN CONTROL – MULTIMODAL APPROACHPain following breast reduction is expected and is best managed using a multimodal regimen to minimize opioid use while maintaining comfort.

1. Ibuprofen (Motrin) 800 mg
   • Take every 8 hours with food, scheduled for the first 5–7 days, then as needed.
   • Avoid taking other NSAIDs concurrently.
2. Methocarbamol (Robaxin) 750–1500 mg
   • Take every 8 hours as needed for muscle tightness, chest wall discomfort, or spasms.
   • May cause drowsiness—use caution when standing or walking.
3. Percocet 5/325 mg
   • Take only for breakthrough pain not controlled with ibuprofen and Robaxin.
   • Use the lowest effective dose for the shortest duration possible.
   • Do not drive, operate machinery, or consume alcohol while taking this medication.
4. Gabapentin 100 mg
   • May take three times daily for nerve-related pain (burning, tingling, hypersensitivity).
   • Most beneficial in the first 48–72 hours after surgery.
   • Discontinue if excessive sedation or dizziness occurs.
5. Phenergan
   • Take as needed for nausea or vomiting, particularly if using opioid medication.
   • May cause drowsiness.

SHOWERING & INCISION CARE

• You may shower starting the day after surgery.
• Gently wash incisions with soap and water—do not scrub.
• Pat dry with a clean towel.
• Your incisions are covered with Prineo skin closure, which should be left intact and allowed to fall off naturally.
• Do not apply lotions, ointments, oils, or antibiotic creams to the incisions unless specifically instructed.

SLEEPING POSITION

• Sleep on your back only, with your upper body elevated using pillows or in a recliner chair.
• No side or stomach (belly) sleeping until cleared by your surgeon.
• Elevation helps reduce swelling and protects your incisions during early healing.

ACTIVITY

• Walk several times daily to promote circulation and reduce the risk of blood clots.
• Avoid heavy lifting, pushing, pulling, or strenuous activity.
• No lifting greater than 10 pounds until cleared.
• Avoid activities that significantly elevate heart rate during early recovery.

BRA & GARMENT CARE

• Wear your surgical bra or compression garment at all times, except when showering, unless otherwise instructed.
• Ensure proper support without excessive tightness.

EXPECTED POSTOPERATIVE SYMPTOMSThe following are common and expected:

• Swelling and bruising
• Chest tightness or pressure
• Temporary numbness or tingling
• Mild asymmetry during healing

These typically improve gradually over several weeks.

WARNING SIGNS – CONTACT OUR OFFICE IMMEDIATELY FOR:

• Fever >101°F
• Increasing redness, warmth, or drainage from incisions
• Sudden increase in breast swelling or firmness
• Severe pain not controlled with prescribed medications
• Shortness of breath, chest pain, or calf pain (seek emergency care immediately)

COMMUNICATION

• Urgent concerns: Call 256-817-6153
• Non-urgent questions: Text 256-434-7520
• For emergencies, call 911 or go to the nearest emergency department.

Seek The Weaver Way® for quality results, safety-centered care, and personalized plastic surgery.