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wasperformed FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Essays >> Rejuvenation II >> page 19
Depression


No matter how well prepared you think you are for the sight of the healing skin peel, you will be startled by the actual sight. Your face will be swollen and round and crusting. You may be weak for a couple of days as the surgical sedatives wear off.  You probably aren't used to sleeping on your back with your head elevated. You will be busy with frequent cleaning of your peeled areas. You will not be able to exercise, and your regular daily routine will be disrupted.

Considering all of these factors, a brief period of depression after such an operation is completely normal. Because a skin peel is totally elective surgery, unlike an appendectomy, we tend to forget that it is a real surgical procedure and not as easy as having a haircut.

These temporary setbacks, however, are a necessary part of obtaining the lasting benefits of the skin peel. Going through surgery is stressful, even if the changes made were greatly desired. Just remember that the depression is normal and will resolve quickly. Read a book, watch television, or find some other way to distract yourself.



Skin peel.


The one-week checkup


You will find that most of the crusting and swelling are gone one week after surgery, and the new skin is very pink. The pinkness is caused by an increased blood supply which the body has provided for the healing process. The pinkness will fade over the next three to four months, but it will persist even longer at times of physical activity, blushing, or sun or wind exposure. The redness departs the different areas of your face at different rates. Your lower eyelid skin will probably be the last area to lose its redness, and your nose will be the first. Your skin may feel rough, like fine sandpaper, as the pinkness begins to fade.

You should continue the showers and moisturizer until all of the crusting is gone, usually by the end of the second week. The departure of all of the crusting is also a sign that you may start using makeup to cover the pinkness. Dr. Denenberg will let you know when it is safe. You may notice that makeup does not cover peeled skin as smoothly as unpeeled skin for about one month after the operation.

The first time that you wear makeup, try putting the makeup over only a small area of the peeled skin to see if your skin reacts adversely to it. If the makeup itches or burns, you are a little too early to use it. Try again in a couple days. Never put makeup on a crust or a non-healed area. Once you are wearing makeup successfully, you can go back to your regular skin moisturizer. When you are done with the day's activities, wash off all makeup and gently rub the moisturizer into your skin.

Discontinue the use of perfumed or abrasive soaps or facial cleansers until all of the redness fades. Use a mild soap.



Skin peel.



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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg