Pain Management After Plastic Surgery

Pain and discomfort are common in the first days after plastic surgery. The level and duration of pain depend on the type of procedure, the use of local anaesthetics, age, and individual pain tolerance. Most patients experience peak pain in the first few days, which improves over one to two weeks. Some soreness may last longer depending on the procedure. A clear pain management plan helps recovery feel safer and more comfortable.

Discussing Pain Management Before Plastic Surgery

Always discuss pain control with your surgeon and anaesthetist before surgery. If you have a history of severe pain or sensitivities to medicines, let your team know so they can plan ahead. This planning is part of enhanced recovery after surgery (ERAS) principles, which aim to combine safe medication, early movement, nutrition, and stress reduction for better comfort and faster healing. Your anaesthetist also plays an important role in developing a multimodal pain plan using different medicines and techniques to reduce reliance on opioids.

What is ERAS?

Enhanced Recovery After Surgery (ERAS) is an evidence-based approach designed to help patients recover more quickly and safely. It combines strategies such as tailored medication, early movement, nutrition, and stress reduction. The aim is to reduce reliance on opioids, improve comfort, and support faster healing. ERAS principles guide many of the recommendations in this article.

How to Manage Pain After Plastic Surgery

1. Medication as Directed

Most patients benefit from a multimodal plan such as regular paracetamol, and when suitable, an anti-inflammatory. Stronger medicines may be used short-term if needed, but side effects can include drowsiness, dizziness, nausea, or constipation. Always follow instructions carefully. Opioids should be used sparingly, stored safely, and never exceeded beyond what is prescribed. To minimise side effects, maintain hydration and eat a balanced diet rich in fibre to reduce constipation risk.

2. Prioritise Quality Sleep

Good sleep is essential for healing and for lowering pain levels. Pain and poor sleep often worsen each other. Create a calm sleep environment and keep a routine. If you struggle with sleep, your doctor may suggest short-term solutions. Rest helps both physical recovery and emotional wellbeing.

3. Gentle Movement

Early, guided mobilisation is a key part of ERAS principles. Light activity helps circulation, lowers the risk of blood clots, and can ease discomfort. Sit up for meals and take short walks once cleared by your surgeon. After certain procedures, such as breast augmentation, gentle stretches may reduce muscle stiffness. Examples include walking around the house, rolling your shoulders, or ankle circles—always as advised by your care team.

4. Reducing Swelling and Bruising

Swelling and bruising often add to discomfort. Elevating the head or limbs as advised by your surgeon can help fluid drain. Cooling therapy can also provide relief. Ice packs or controlled cooling devices reduce local blood flow and temporarily numb the area.

5. Keeping Post-Surgery Pain Under Control

Managing pain supports both healing and emotional wellbeing. Take medication as directed and follow your surgeon’s advice. Avoid increasing activity too quickly as this can bring pain back or delay recovery. A steady pace is safer than rushing.

Introducing Hilotherm at Unveil Plastic Surgery

At Unveil, we offer Hilotherm®, a device that delivers precise, continuous cooling to surgical areas. Research in rhinoplasty and maxillofacial surgery has shown that Hilotherapy® can reduce swelling, bruising, and even pain more effectively than traditional ice packs. It avoids the risks of ice burns and maintains a steady therapeutic temperature. While results are promising, benefits may vary depending on the procedure. We present Hilotherapy® as an option to improve comfort, but it is not a replacement for medication or other aspects of recovery.

Other Considerations

Healing Timeline

Most patients notice pain easing within a week. Some discomfort can continue for several weeks, depending on the surgery and individual healing. Always contact your surgeon if pain lasts longer than expected or suddenly worsens. Typical milestones include:

• Days 1–3: Peak pain, swelling, and bruising.
• Week 1: Pain usually begins to settle.
• Week 2+: Discomfort should keep improving; some soreness may persist.

Complementary Techniques

Non-medication approaches can complement pain relief. Deep breathing, meditation, and guided imagery may reduce stress and improve pain tolerance. In some cases, physical therapy or gentle exercises are recommended to help with stiffness. These methods align with ERAS by supporting recovery beyond medicines alone.

Nutrition and Hydration

Eating a balanced diet and staying well-hydrated supports recovery and reduces common side effects of pain medicine, such as constipation and nausea. Adequate protein, fibre, and fluids help the body heal and maintain comfort.

When to Seek Help

Call your surgeon if you are worried. In particular, seek prompt advice if you have severe pain not relieved by medication, sudden swelling, fever, or any new concerning symptoms. These may indicate complications that need attention.

Patient Checklist

• Take medicines exactly as prescribed.
• Prioritise rest and good sleep.
• Stay hydrated and eat a balanced diet with fibre.
• Move gently and regularly once cleared by your surgeon.
• Follow instructions for swelling and bruising care.
• Call your surgeon if you have severe pain, sudden swelling, fever, or any concerns.

This article is general information only. It does not replace a private consultation. Every recovery is individual. Please follow your surgeon’s advice, and contact your doctor if pain is severe or persistent.

Patient Information