Postoperative Instructions: Lefort 1 Osteotomy

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Immediate Postoperative Care

• Pain Management: You will be prescribed pain medication. Take it as directed by your surgeon to manage pain and discomfort.
• Swelling: Expect significant swelling around the face and eyes. Use ice packs for the first 48-72 hours to help reduce swelling. Apply ice 20 minutes on and 20 minutes off.
• Bleeding: Some bleeding is normal. If bleeding is excessive, apply gentle pressure with gauze and contact your surgeon if it persists.

Diet

• Liquid Diet: Start with a clear liquid diet immediately after surgery. Gradually progress to thicker liquids and pureed foods as tolerated. Avoid using straws, as the sucking motion can disrupt the surgical site.
• Hydration: It’s crucial to stay well-hydrated. Aim to drink at least 8-10 glasses of water daily.
• Nutrition: Maintain adequate nutrition, which is vital for healing. Incorporate high-protein shakes and smoothies to your diet.

Oral Hygiene

• Oral Care: Keep your mouth clean to prevent infection. Rinse your mouth gently with salt water or an antiseptic mouthwash several times a day, especially after meals.
• Brushing: Brush your teeth gently with a soft-bristled brush. Avoid brushing over surgical wounds.

Activity

• Rest: Rest is important. Limit your activities during the first week of recovery. Avoid bending over, lifting heavy objects, or strenuous activities as these actions can increase swelling or bleeding.
• Sleeping Position: Sleep with your head elevated on pillows for the first week to help reduce swelling.

Follow-up and Monitoring

• Appointments: Attend all scheduled follow-up appointments with your surgeon. These are crucial for monitoring your healing and for the removal of any surgical splints or sutures.
• Signs to Watch For: Contact your surgeon if you experience any of the following: unusual discharge from the surgical site, persistent bleeding, worsening pain, or signs of infection such as fever and increased redness or swelling.

Long-term Care

• Jaw Mobility: Jaw exercises may be recommended to improve mobility and prevent stiffness. Follow your surgeon’s instructions regarding when to start and how to perform these exercises.
• Final Alignment: Avoid putting pressure on your jaw. Be cautious with chewing and try to eat soft foods until your surgeon advises otherwise. The final alignment and healing can take several months.

Medications

• Antibiotics: If prescribed, complete the full course of antibiotics to prevent infection.
• Decongestants: These may be prescribed to help drain the sinuses, which can be affected after maxillary surgery.

Lifestyle

• Smoking and Alcohol: Avoid smoking and consuming alcohol as they can negatively impact healing.

By adhering to these postoperative instructions, you can help ensure a smoother recovery process following your LeFort I osteotomy. Always follow the specific guidelines provided by your surgeon, as individual recommendations may vary based on your particular case and overall health status.

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