Preparing for a facelift in Richmond, VA? Learn how to get ready for surgery with tips on medications, diet, lifestyle, and recovery from Montante Aesthetics.


I’ve Decided to Get a Facelift — What’s Next?

Deciding to move forward with a facelift in Richmond, VA is an exciting step toward rejuvenating your appearance. Proper preparation not only improves your comfort during recovery but also helps you achieve the best results. Here’s what you should know before your facelift surgery.


1. Get Medical Clearance

Your overall health is the foundation of safe and successful surgery. If you have ongoing medical conditions, schedule a visit with your primary care provider (PCP) to obtain medical clearance.

  • Conditions like uncontrolled hypertension or diabetes may require adjustments before surgery.

  • Review your current medications with your doctor to ensure they are safe to continue.


2. Review Your Medications

  • Continue taking prescribed medications, especially those for blood pressure, unless your PCP or anesthesia provider tells you otherwise. Stable blood pressure helps minimize risks like bleeding or hematomas.

  • Avoid medications that increase bleeding risk, such as:

    • Prescription anticoagulants (e.g., Coumadin, Eliquis)

    • Over-the-counter NSAIDs (e.g., aspirin, ibuprofen, naproxen)

  • If you take blood thinners, work with your PCP or cardiologist to create a safe management plan before surgery.


3. Stop Certain Supplements

Many supplements can interact with anesthesia or increase bleeding risk. Common ones to stop include fish oil, ginseng, turmeric, and multivitamins. Share your full supplement list with your surgeon so they can guide you safely.


4. Focus on Diet and Nutrition

Fueling your body helps optimize recovery after a facelift.

  • Hydration: Stay well-hydrated in the days leading up to surgery. Consider an electrolyte drink like Pedialyte the day before surgery to reduce nausea.

  • Protein intake: Increase protein several days before surgery to support healing and tissue repair.

  • Weight-loss medications: Stop GLP-1 agonists (like semaglutide or tirzepatide) 3–4 weeks prior, as they slow digestion and increase anesthesia risks.

  • Pre-op fasting: Do not eat after midnight the night before surgery, unless instructed otherwise. Small sips of water with morning medications are usually allowed.


5. Avoid Smoking, Nicotine, and Alcohol

  • Nicotine: Stop all nicotine products at least 3–4 weeks before and after surgery to avoid poor healing and complications.

  • Alcohol: Avoid alcohol (especially red wine) for 1 week before surgery to reduce bleeding risks and anesthesia interactions.

  • Cannabis: If you use THC or cannabis regularly, discuss it openly with your surgeon. Policies may vary.


6. Prepare Your Home in Advance

Set yourself up for a smooth recovery:

  • Stock up on pillows to keep your head elevated and minimize swelling.

  • Arrange for a trusted friend or family member to help you in the first few days.

  • Prep meals ahead of time to avoid cooking stress.

  • Stick to soft foods during the first week (avoid salty or spicy meals if you’re having a deep plane facelift).


7. Maintain Gentle Skin Care

  • Continue your regular skincare routine leading up to surgery.

  • Avoid aggressive treatments (like chemical peels or lasers) for 2–4 weeks before your facelift.


8. Mental and Emotional Preparation

Your mindset matters. You’ve researched, chosen a board-certified surgeon you trust, and are on your way to feeling more confident. Take time to relax before surgery:

  • Go for a walk, meditate, or do yoga.

  • Spend time with loved ones or pets.

  • Keep a positive outlook — you’re in excellent hands.


Written by:

Dr. Steven J. Montante, MD

 

Preparing for Your Facelift in Richmond, VA

Proper preparation helps ensure safe surgery, smoother recovery, and beautiful results. At Montante Plastic Surgery & Aesthetics, our team provides detailed pre- and post-operative instructions to support you every step of the way.