Preservation Deep Plane Facelift Recovery Timeline
The Preservation Deep Plane Facelift Offers a Drainless Recovery Designed for Comfort, Reduced Swelling, and Beautiful, Long-Lasting Facial Rejuvenation.
A smoother, easier recovery is one of the hallmarks of Dr. Richard Balikian’s Preservation Deep Plane Facelift.
By preserving skin attachments, avoiding drains, and supporting healing with ELIXIR MD™ light therapy, patients experience less bruising, faster swelling reduction and a more confident return to social life.
Below you’ll find a day-by-day and week-by-week recovery timeline, real patient insights, and doctor-guided tips to help you know what to expect.
Why This Recovery Feels Different
Healing well after a facelift starts with how the surgery is performed. Dr. Richard Balikian’s preservation deep plane facelift respects your skin’s natural structure, reduces unnecessary trauma, and sets the stage for a smoother recovery.
“With our preservation deep plane technique, we avoid delaminating the skin. That’s why there’s very little bruising and no drains — but you still get some swelling because it’s a deep plane lift.”
— Dr. Richard Balikian
This refined approach, paired with advanced aftercare, helps limit bruising, shorten swelling, and restore confidence sooner. Key elements of the recovery plan include:
- Less trauma to the skin. The preservation method keeps natural blood and lymph connections intact, helping swelling resolve faster.
- No drains. Drainless techniques create a broad, even seal under the skin and limit fluid buildup.
- ELIXIR MD™ light therapy. Gentle photobiomodulation treatments start the day after surgery to “open up the lymphatics and get swelling out as fast as possible.”
- Modern incision and laser care. Resurfacing around the mouth or eyes creates some redness early on but fades quickly with guided care.
Research supports this approach. Studies show that limiting skin undermining can reduce edema and bruising, and photobiomodulation has been found to decrease postoperative swelling and pain in head and neck surgery models.
At-a-Glance Recovery Timeline
| Time Point | What You’ll Notice |
|---|---|
| Day 1 | Swelling is present but controlled. Redness appears in areas treated with laser. Light therapy begins to help lymphatic drainage. |
| Day 4 | Noticeable improvement in swelling and redness after early therapy. Many patients say they already “look way better.” |
| 1 Week | Stitches removed. Redness and swelling decrease. Bruising is usually mild. “By one week the stitches are out, redness is going down, swelling is going down, and you’re well on your way.” |
| 2 Weeks | Makeup is safe. Most people feel comfortable returning to work and social plans. “At two weeks, most patients feel ready to be seen again.” |
| 1 Month | More presentable but not fully photo-ready. Some swelling may linger around the eyes, jawline, and chin. |
| 2 Months | Eyes look brighter, jowls and neck tighten. Patients often attend events and take casual photos confidently. |
| 4 Months | Swelling is minimal. High-definition photography now shows your final refined result. “Four months is when we take high-definition photos — swelling isn’t distracting anymore.” |
Deep Plane Facelift Healing — Day 1 to 4 Months
Detailed Week-by-Week Journey
Your facelift recovery is a journey with clear milestones. Each stage brings less swelling, more definition, and greater comfort.
Here is what most patients experience week by week, along with insights from Dr. Balikian and real patient feedback.
Day 1
You’ll go home with a light dressing and no drains. Expect controlled swelling and some redness if laser was performed.
ELIXIR MD™ light therapy begins immediately to support lymph flow and speed resolution.
“ELIXIR MD right after surgery helps open lymphatics and get swelling out as fast as possible.”
— Dr. Balikian
Day 4
Swelling already begins to soften. Patients often notice their eyes opening more and their facial shape becoming clearer.
Keep your head elevated and walk gently to promote circulation.
1 Week
Sutures come out. Bruising is usually light and redness fades.
Most patients describe pressure more than pain at this point.
2 Weeks
Makeup becomes safe and most people return to daily life, work, and social plans.
“It was easier than I thought — I felt ready to go out by two weeks.”
— Artiste Lift™ patient
1 Month
Your face is presentable in most settings, but small pockets of swelling can linger under the chin, along the jawline, and around the eyes. This is normal.
2 Months
You feel event-ready — dinners with friends, casual photos, and even weddings feel comfortable.
“I was out to dinner with friends by two months, feeling confident even in photos.”
— Artiste Lift™ patient
4 Months
Your result is camera-ready for high-definition photography. Any lingering swelling is subtle and no longer distracting.
Tips for the Best Recovery
Gentle choices in the first few weeks can make a big difference in how smoothly you heal.
“We’ve done everything we can to minimize swelling and make recovery as easy as possible.”
— Dr. Balikian
These simple steps help reduce swelling, protect your results, and keep recovery on track.
- Sleep on your back with your head elevated for the first two weeks
- Take short, frequent walks to encourage lymphatic flow
- Keep incision care and sun protection consistent
- Use only products cleared by your surgeon on lasered skin
- Follow your scheduled light therapy and checkups
Consistent, careful aftercare protects your investment and helps you enjoy your refreshed look as soon as possible.
Discover The Difference
Preservation Deep Plane Facelift Recovery FAQs
How long does swelling last after a preservation deep plane facelift?
Most swelling improves significantly within the first two to three weeks. Subtle puffiness under the chin and along the jawline can linger for a few months but is usually not noticeable to others.
When can I return to work or social activities?
Many patients feel comfortable seeing friends or returning to work between 10 and 14 days. If your job is physically demanding or you want to look completely event-ready, two to four weeks is ideal.
Will I have drains after surgery?
No. Dr. Balikian’s drainless technique creates a smooth seal under the skin, limiting fluid buildup while avoiding the discomfort of drain removal.
How painful is the recovery?
Most patients describe a feeling of tightness or pressure rather than sharp pain. Prescription medication is usually needed for only a few days. By the first week, most people switch to over-the-counter pain relief or none at all.
What is ELIXIR MD™ light therapy and why is it used?
ELIXIR MD™ is a gentle light-based therapy that begins the day after surgery. It helps open lymphatic channels, reduce swelling faster, and make recovery more comfortable.
When can I wear makeup again?
Most patients can safely apply makeup after two weeks, once incisions are healed and cleared by the surgical team. Always check before using products on lasered areas.
Will there be bruising?
Bruising is typically minimal with the preservation deep plane technique because the skin is not overly lifted or disrupted. Some mild bruising around the eyes and cheeks is common for the first week.
How soon can I exercise after surgery?
Light walking starts right away to promote circulation. Strenuous exercise, heavy lifting, or bending should wait about three to four weeks or until cleared by your surgeon.
How are scars cared for after surgery?
Incisions are placed discreetly and treated with advanced closure and skincare. You will be guided on scar care, sun protection, and safe products to use on lasered areas.
When will I look “normal” again?
Most people feel comfortable going out by two weeks and look photo-ready by two to four months. Small pockets of swelling may linger but are usually subtle.
Can I color or style my hair during recovery?
It is best to wait at least three to four weeks before coloring, bleaching, or chemically treating hair to avoid irritating healing incisions.
Trust Your Face to a Facial Plastic Surgeon
Dr. Richard Balikian is a highly respected facial plastic surgeon serving the San Diego area.
With over 20 years of experience and double board certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery, Dr. Balikian offers a unique combination of technical expertise and artistic vision.
He is part of an elite group of surgeons with extensive training focused exclusively on the face and neck.
Learn More About Facial Plastic Surgery
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
