Patient Care Guide — What to Do After Your Procedure

• Keep the external splint, tape or internal support dry and undisturbed until the planned review.
• Sleep with the head elevated and avoid pressure on the nose. Swelling can fluctuate, particularly in the morning.
• Do not pick crusts inside the nose. Use saline or prescribed ointment only as instructed.
• Avoid forceful nose blowing, heavy straining and activities that can raise nasal pressure until cleared.
• Do not place glasses or sunglasses directly on a newly operated nasal bridge unless Dr. Shahane has permitted it.
• Protect healing skin from sun. After splint removal, use sunscreen when the surface is healed and your surgeon approves.
• Call promptly for persistent heavy bleeding, worsening one-sided swelling, severe increasing pain, fever, foul drainage or a splint that has shifted after trauma.

Applies to: primary rhinoplasty, revision rhinoplasty, cosmetic nose surgery, nasal hump removal, nose bridge reduction, wide-nose correction, crooked-nose correction and rhinoplasty with septoplasty.

• Keep the head elevated during early recovery and use cool compresses only in the manner advised.
• For eyelid surgery, use prescribed lubricating drops or ointment and avoid rubbing the eyes or incision.
• Dark sunglasses and careful sun protection help protect healing eyelid skin and scars.
• For facelift or brow lift, avoid pressure, vigorous facial massage and hair treatments until cleared. If drains are present, record output as instructed.
• Do not bend, strain or resume heavy exercise just because bruising is improving; deeper tissues are still healing.
• Urgent: sudden vision reduction, severe eye pain, rapidly increasing swelling around one eye, uncontrolled bleeding, facial weakness that is new or a severe headache with neurological symptoms needs immediate assessment.

• Protect the ears from folding, rubbing and accidental traction during sleep and clothing changes.
• Wear the prescribed head dressing or supportive headband for the schedule given by Dr. Shahane, particularly at night if advised.
• Sleep on your back initially rather than directly on the operated ear.
• Keep incisions behind the ear clean and dry as instructed; do not insert cotton buds or apply unapproved products.
• Call for increasing redness, hot swelling, discharge, exposed sutures, skin colour change or severe asymmetric pain.

• If an incision is inside the mouth, use the prescribed mouth rinse and keep oral hygiene gentle but regular.
• Choose soft, easy-to-chew foods initially if advised; avoid very hot, spicy or sharp foods that repeatedly irritate fresh sutures.
• Do not pull the lip or cheek repeatedly to inspect internal stitches.
• For chin surgery, wear tape or support if prescribed and avoid direct pressure on the chin.
• Swelling and temporary tightness are common. Call for rapidly increasing swelling, difficulty swallowing or breathing, pus-like discharge, persistent fever or severe worsening pain.

• Do not expose a fresh wound to direct sun. Once healed, use daily sun protection to reduce unwanted darkening and contrast.
• Use a bland moisturiser after the surface has healed if advised. Avoid exfoliating acids, retinoids or bleaching products until cleared.
• Silicone gel or sheets may be used after complete surface healing when appropriate.
• Scar massage begins only after the incision is closed and Dr. Shahane confirms it is ready.
• Raised, itchy, widening, tethered or progressively dark scars should be reviewed rather than self-treated aggressively.
• After laser or resurfacing-based scar treatment, follow the skin/laser care section below as well.

• Expect swelling, bruising, firmness and temporary altered sensation. These should generally trend toward improvement, even if not day-to-day.
• Walk gently and frequently. Avoid prolonged immobility, but do not begin gym work, running or heavy lifting until cleared.
• If small incision sites drain fluid early, protect clothing and follow the dressing instructions rather than sealing the site with home adhesives.
• Do not aggressively knead hard areas in the first days. Massage timing matters.
• Manual lymphatic drainage: at Mayflower Clinic, this may be considered from about day 15, after Dr. Shahane reviews the wounds and confirms it is appropriate. Use a trained therapist and gentle technique.
• Do not perform massage over an open wound, active infection, drain, rapidly enlarging swelling, suspected seroma/hematoma, painful swollen calf or when a blood clot is possible.
• Call for one-sided calf pain/swelling, breathlessness, chest pain, rapidly increasing body swelling, severe pain, fever, foul drainage or skin that becomes unusually pale, dusky or blistered.

• Wear the prescribed abdominal compression garment. Unless your individual plan differs, remove it briefly 3–4 times daily for skin inspection, hygiene, drying and correct refitting.
• Walk in the posture Dr. Shahane has advised and gradually straighten as comfort and surgical plan allow. Short frequent walks are preferable to long periods in bed.
• If drains are present, keep them secured, measure output as instructed and bring the record to follow-up. Do not pull, milk or remove a drain yourself unless specifically trained to do so.
• Avoid heavy lifting, forceful abdominal exercise and straining until the abdominal wall has healed sufficiently.
• Support the abdomen when coughing or changing position if advised. Treat constipation early.
• Manual lymphatic drainage may be considered from around day 15 only after wound/drain review and surgeon clearance.
• Prompt review is needed for a tense enlarging abdominal swelling, wound opening, persistent vomiting, high fever, spreading redness, darkening skin, foul drainage or pain that is becoming substantially worse.
• Sudden breathlessness, chest pain, coughing blood, fainting or a painful swollen calf is an emergency.

• There are two recovery zones: the donor area where fat was removed and the recipient area where fat was placed.
• The donor area may need compression similar to liposuction. The recipient area may need protection from direct pressure depending on the site.
• Do not massage or compress the grafted area unless specifically instructed; newly transferred fat needs time to establish blood supply.
• Sleep, sitting and bra/garment instructions are site-specific. Buttock, breast and facial fat grafting therefore do not share one universal pressure rule.
• Swelling can temporarily make the grafted area look larger. Some transferred volume may change during healing.
• Contact the clinic for increasing redness, severe pain, fever, abnormal skin colour, drainage or marked asymmetry that appears suddenly.

• Wear the chest compression garment according to the plan. Remove briefly for hygiene and skin inspection, then refit smoothly without folded edges.
• Keep incisions clean and dry as instructed and attend review for dressings or drain removal if used.
• Gentle walking starts early; chest exercise, push-ups, heavy upper-body lifting and contact sports return later after clearance.
• Temporary swelling, firmness, numbness and asymmetry can occur. A rapidly enlarging one-sided chest, severe pain, active bleeding or skin colour change needs prompt assessment.
• Scar care begins only after the incision has healed and may include silicone, moisturiser, sun protection and later massage if advised.

• Wear the prescribed surgical/support bra. The type, pressure and duration differ between augmentation, reduction, lift and fat transfer.
• Do not switch to an underwire or tight fashion bra until the incision and breast shape are ready and Dr. Shahane has cleared it.
• Sleep on your back or in the position advised during early healing; avoid direct breast pressure.
• Limit heavy lifting and forceful chest/upper-body exercise until cleared.
• For implants, do not begin implant massage or displacement exercises unless Dr. Shahane specifically recommends them for your implant position and technique.
• For fat-transfer augmentation, avoid unnecessary pressure on the grafted breast and also follow donor-site liposuction care.
• For reduction/lift, monitor the skin and nipple-areola area. Report unusual pallor, dusky/black colour, blistering, marked coldness, wound separation or increasing drainage promptly.
• A suddenly enlarged, tense and painful breast—especially on one side—needs urgent review.

• Protect recipient grafts from rubbing, scratching and high-pressure water. Wash exactly as the transplant team demonstrates.
• Do not pick crusts or try to “clean faster.” The timing of gentle washing and crust release is part of the graft-care plan.
• Sleep with the head elevated initially if advised to limit forehead swelling.
• Avoid strenuous exercise and contact sports during the early graft-healing period; increased scalp blood flow can contribute to bleeding.
• FUT donor wounds and FUE donor sites need different care. Follow the specific dressing and suture instructions given to you.
• Temporary shedding of transplanted hair can occur before new growth develops. Do not judge the transplant outcome in the first weeks.
• Call for persistent bleeding, rapidly spreading redness, pus-like drainage, fever, severe increasing pain or unusual skin darkening.

• Aftercare depends on the technology or medicine used; do not assume the liposuction compression-garment plan applies to a non-surgical treatment.
• Temporary redness, tenderness, swelling, numbness or firmness may occur depending on the method.
• Avoid vigorous rubbing, unapproved heat treatment or aggressive massage of the treated area unless Dr. Shahane has advised it.
• Resume exercise and normal skincare according to the specific treatment instructions given on the day.
• Contact the clinic for severe or escalating pain, blistering, persistent marked swelling, spreading redness, drainage, fever or an unexpected skin colour change.

• Do not rub or massage the injected areas unless you have been specifically told to do so.
• Apply makeup gently without firm pressure over injection points.
• Avoid strenuous activity for the first few hours; follow the exact timing Dr. Shahane gives you.
• Small injection-point bumps or bruises can occur and usually settle.
• Contact the clinic for an unexpected functional problem such as marked eyelid droop, difficulty swallowing, unusual weakness or symptoms that are severe or progressive.

• Use cool compresses only if advised. Avoid aggressive pressure, facial massage or “moulding” unless Dr. Shahane has specifically shown you what to do.
• Avoid strenuous exercise until the next day unless your clinician gives a different plan.
• Avoid strong sun/heat exposure while there is significant redness or swelling.
• Do not repeatedly touch injection sites. Temporary swelling and bruising are common, especially in the lips.
• Emergency filler warning: unusual severe pain, sudden blanching/white-grey-blue or mottled skin, new visual symptoms, severe headache with neurological symptoms, facial weakness or speech difficulty requires immediate medical attention. Do not wait for a routine clinic reply.

• Keep the treated face clean and avoid vigorous rubbing, facial massage and unnecessary pressure during early healing.
• Sleep on your back with the head elevated if advised and avoid activities that excessively stretch or compress the treated area.
• Choose softer foods temporarily if wide mouth opening or chewing is uncomfortable after facial thread placement.
• Mild swelling, bruising, tenderness, tightness or temporary dimpling can occur. Contact the clinic if pain is increasing, skin changes colour, there is drainage, fever or a thread becomes exposed.

• For the first day, treat the skin as freshly injured: clean hands, gentle care and no picking or scrubbing.
• Use the moisturiser/repair product recommended by the clinic. Avoid unnecessary acids, retinoids, scrubs and fragranced products until skin sensitivity settles.
• Use careful sun avoidance and, once appropriate for the treated surface, broad-spectrum sunscreen.
• Delay heavy sweating, swimming, steam/sauna and potentially contaminated water until the skin barrier has recovered.
• Call for blistering, spreading redness, increasing warmth, pus, severe pain or a rapidly worsening rash.

• Use only the cleanser, ointment or moisturiser prescribed for the stage of healing. Keeping treated skin appropriately moisturised reduces cracking and unnecessary trauma.
• Do not scratch, peel flakes, remove crusts or use scrubs to accelerate peeling.
• Avoid direct sun while healing. After the surface has recovered, use daily broad-spectrum SPF 30+ protection and physical shade.
• Delay retinoids, exfoliating acids, bleaching agents and other active products until Dr. Shahane confirms they can restart.
• Makeup timing depends on depth of treatment and whether the surface is fully healed.
• Call for increasing pain, blistering, spreading redness, pus, fever, persistent marked swelling or unexpected dark/white patches.

Mayflower device note: procedure pages may reference the clinic’s Femto Derma CO₂ laser where clinically relevant. Aftercare depends on treatment depth and skin response.

• Keep the area clean and dry using the method advised. Use loose, breathable clothing and avoid friction.
• Use pads rather than inserting tampons or other products until internal healing is complete and you are cleared.
• Avoid sexual intercourse, cycling, strenuous lower-body exercise and soaking/swimming until Dr. Shahane confirms healing is adequate. Timing differs by procedure.
• After labial/perineal surgery, mild swelling and bruising may occur. Cold packs should never be placed directly on numb or delicate skin; use only if specifically advised.
• After vaginoplasty, dilation—if part of your procedure—must follow the exact size, timing and hygiene plan prescribed. Do not improvise.
• For O-Shot/G-spot and other injection-based procedures, follow the specific activity and hygiene instructions given on the day; recovery is different from surgery.
• Contact the clinic for increasing bleeding, foul discharge, fever, severe swelling, wound separation, difficulty passing urine, worsening pelvic pain or skin colour change.

• Keep the dressing and wound clean according to the technique used. Do not remove a ring/stapler device or stuck dressing yourself unless instructed.
• Use loose clothing or supportive underwear according to comfort and your surgeon’s advice.
• Temporary swelling and bruising can occur. Avoid friction, masturbation and sexual intercourse until the wound has healed and you have been cleared.
• Do not apply powders, herbal oils or strong antiseptics unless prescribed.
• Seek prompt review for persistent active bleeding, inability to pass urine, rapidly increasing swelling, severe pain, fever, pus-like drainage or skin that becomes unusually dark, pale or cold.

• After surgery, keep the wound and dressing as instructed and use supportive positioning/clothing if prescribed.
• Avoid intercourse, masturbation and strenuous lower-body activity until Dr. Shahane confirms the incision and deeper tissues are ready.
• Do not cycle, inflate, manipulate or “test” a penile implant until you have been shown exactly when and how to do so.
• For penile/testicular implants, report fever, increasing redness, drainage, wound opening, exposed material, severe persistent pain or marked skin colour change promptly.
• After penile fillers or injections, do not massage unless specifically instructed. Severe pain, blanching/mottling, progressive swelling or skin colour change needs urgent review.
• For P-Shot/Botox-type treatment, injection-point tenderness can occur; follow the individual hygiene and activity instructions given on the day.
• Difficulty passing urine, uncontrolled bleeding or rapidly increasing genital swelling requires urgent assessment.

• Protect function as well as the wound. Splints, casts, dressings and limb positions are often part of the reconstruction and should not be altered casually.
• For hand, tendon, nerve and brachial plexus procedures, physiotherapy timing is surgery-specific. Too little movement can cause stiffness; too much or too early can damage a repair. Follow the prescribed rehabilitation plan.
• For grafts/flaps, avoid direct pressure and monitor colour, warmth and swelling as instructed. Report a sudden change in colour, coldness, increasing congestion, blistering or severe pain immediately.
• For complex wounds or burns, dressing products and change frequency depend on wound depth, grafting and infection risk. Do not substitute household remedies.
• After maxillofacial/face injury surgery, follow oral hygiene, diet, sinus/nose and jaw-movement instructions specific to the fracture or repair.
• After oncoplastic reconstruction, coordinate care with the treating oncology team; drainage, wound issues and timing of additional cancer treatment may affect recovery.
• New weakness, loss of finger/toe movement, severe increasing limb pain, a very tight swelling, loss of sensation, a cold/pale limb or bleeding through the dressing needs urgent assessment.