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Plastic Surgery Recovery in Cape Town

A Calm, Well-Planned Recovery Starts Before Surgery Day

Your plastic surgery recovery shapes the final result as much as the operation itself. At Dr Nerina Wilkinson + Associates, we guide every patient with clear aftercare and close follow-up, so you heal properly.

What Is Plastic Surgery Recovery?

Plastic surgery recovery is the healing process your body goes through after an operation, until swelling subsides, tissues settle, and scars mature. 

Each plastic surgery procedure has its own recovery period, which depends on the procedure, your overall health, and how closely you follow post-operative instructions. Most patients feel ready for light routines well before their final results show, which can take several weeks to months.

Learn about our approach, typical recovery timelines, and book your consultation

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Frequently Asked Questions About Plastic Surgery Recovery

Our approach to plastic surgery recovery

We plan your recovery alongside your surgery. Before you book theatre time, Dr. Wilkinson talks you through your expected recovery period, the medication schedules you will follow and the support you will need at home. You leave your pre-operative consultation with written post-operative instructions and a clear picture of every stage, so you can recover as well as possible.

Dr. Wilkinson performs outpatient procedures at our V&A Waterfront clinic and larger operations at The Cosmetic Surgery Institute, where highly trained nurses help care for every patient. After surgery, Dr. Wilkinson and her team personally monitor your healing, answer your questions and adjust your care when needed.

Have a question about your own recovery? Contact our surgical team, and we will guide you through it.

Who needs a structured cosmetic surgery recovery plan?

Every patient benefits from one, and some need extra support. Longer operations, multiple procedures in one session, a history of blood clotting or travel to Cape Town for surgery all call for closer planning. Patients who smoke must stop 4 to 6 weeks before and after surgery, since smoking narrows blood vessels and slows wound healing.

At your consultation, we review your medical history, medication and lifestyle so your plan reflects your real circumstances. For extra peace of mind, our post-surgery accommodation options include transfers, nursing and supervision, which we arrange with you before surgery.

Unsure how much support suits you? Book a consultation to map it out with us.

Why does informed consent matter before cosmetic surgery?

Informed consent means you understand exactly what your procedure involves before you agree to it. That includes the likely outcome, the length of your recovery period, the side effects to expect and the risks involved. Patients who know what lies ahead tend to feel calmer and recover with more confidence.

At your pre-operative consultation, Dr. Wilkinson and her team take the time to talk through each of these points with you. Ask anything that feels unclear, however small. We would rather you raise it before surgery day than wonder about it afterwards.

Have questions you want answered first? Book a pre-operative consultation with Dr. Wilkinson.

What are the typical recovery timelines after plastic surgery?

Recovery time differs by procedure, yet the early stages look similar for many patients. 

In general, pain and discomfort peak in the first 2 to 3 days. Swelling peaks around days 3 to 4 and usually settles over the next 2 to 3 weeks, while bruising generally fades within 2 to 3 weeks. Some results take months to become fully visible.

As a guide, we suggest out-of-town patients stay in Cape Town for 10 to 14 days after eyelid surgery or labiaplasty, and 3 to 6 weeks after a facelift or signature procedure such as the StemCell4DLift™, EYELight360® or BELLA Lift procedure. Dr. Wilkinson confirms your personal timeline before you book any flights.

Planning travel around your operation? Confirm your recovery timeline with our team first.

How should you use pain medications during surgery recovery?

Take only the pain medications Dr. Wilkinson prescribes, at the times she sets. A steady medication schedule keeps discomfort manageable in the first 2 to 3 days, when you should plan for total rest. Avoid anti-inflammatories, blood thinners and herbal remedies unless your doctor approves them, as they can increase bleeding. Alcohol and other intoxicating substances also interfere with prescribed medicine and slow healing.

Ice packs and cold compresses reduce swelling, but never place them directly on your skin. Wrap them in a clean cloth first. Our nursing team explains each medication before discharge and stays available if you’re unsure about taking it alongside anything else.

Already on chronic medicine? Ask us about it well before your surgery date.

Why do compression garments matter after body procedures?

Compression garments apply gentle, even pressure to the surgical site. This support helps control swelling, limit fluid buildup, and hold healing tissue in place. 

If Dr. Wilkinson asks you to wear compression garments, she will specify the type, the fit and how many weeks to keep them on. Wear them exactly as she directs, even on days you feel well, since removing them early can lead to excessive swelling.

Curious about what your procedure requires? Raise it with our surgical team during your consultation.

How can you eat well and stay hydrated to promote healing?

Good nutrition gives your body the essential nutrients it needs for wound healing and immune function. Build meals around a balanced diet of lean meats, fish, eggs, legumes, vegetables, fruit and whole grains. Limit processed foods high in salt and sugar, which can worsen swelling, and avoid crash diets or cutting out entire food groups during your postoperative period. Drink plenty of water to stay hydrated and avoid alcohol, which dehydrates your system.

Nutritious food supports your body’s healing process, so stock your kitchen before surgery day. We review any supplements with you in advance, since some affect bleeding.

What does scar management involve?

Scar healing continues for many months after your incisions close. 

Keep each incision site clean and dry as our nurses show you, avoid picking at scabs, and protect healing skin from the sun. Sun exposure can darken scars, so stay in the shade, wear protective clothing and apply a sunscreen with a minimum SPF of 15.

Dr. Wilkinson places incisions with micro-precision and checks your scars at each post-operative visit. Once your skin has healed enough, she may recommend scar care products or in-clinic treatments to refine the surgical outcome.

Worried about visible scarring? Talk to Dr. Wilkinson about how she plans and cares for incisions.

Why are follow-up appointments important?

Attending follow-up appointments lets your surgeon check wound healing, change dressings or remove sutures, and spot early signs of a problem. Each post-operative visit also gives you a chance to ask questions and confirm when you can shower, wash your hair, drive or return to work.

Dr. Wilkinson sees you personally at your follow-up visits, and our nurses support your care in between. If you live outside Cape Town, plan your return flight around these appointments so you don’t miss anything.

Need to schedule or move a check-up? Get in touch with our practice, and we will find a time.

When can you return to work, exercise and driving?

Resuming light activities, such as short walks around your home, helps circulation and lowers the risk of blood clots. Strenuous activities, heavy lifting and exercise must wait until Dr. Wilkinson clears you, even if you feel able sooner. Driving depends on your procedure and the pain medication you take, and you may not drive for at least 24 hours after any sedation.

Return to work at your own pace, once your doctor confirms it is safe. Rest makes all the difference to a smooth recovery, so treat your time off as part of your treatment. We provide a clear activity plan for each stage until you fully recover.

Arranging leave from work? Ask our team how much time your procedure needs.

Plastic Surgery Recovery: Before and After

Good preparation eases your recovery and lowers your risk. Use the guidance below as a starting point, and follow your doctor’s instructions for your procedure.

Before your surgery

  • Plan to arrive in Cape Town at least 5 days before surgery if you live elsewhere
  • Tell Dr. Wilkinson about any medical conditions, allergies, medication, supplements or homoeopathic treatments
  • Stop the medicines on the list we give you at least 2 weeks before surgery, including anti-inflammatories, blood thinners, herbal remedies and GLP-1 type medications
  • Stop smoking 4 to 6 weeks before and after surgery, which is mandatory
  • Prepare your home with food, entertainment and help for your first few days
  • Book post-operative accommodation, transfers or nursing care in advance if you need them
  • Settle payment as per your quotation by EFT or credit card, as agreed with our surgical booking department

Day of surgery

  • Arrive at your confirmed admission time
  • If your procedure involves general anaesthetic or intravenous sedation, do not eat or drink for 6 to 8 hours beforehand, or as we advise
  • Arrange safe and reliable transport to and from the clinic. We do not recommend a taxi or Uber, and you may not drive for 24 hours after sedation
  • Wash with the medicated antiseptic wash provided
  • Avoid make-up and any products on your face, body and hair
  • Bring your current medication, basic toiletries, your ID or passport, loose clothing with buttons or zips, slippers and a light dressing gown
  • Pack sunglasses and a scarf for facial surgery, and leave valuables at home

What to do after surgery | Post plastic surgery care

  • Rest completely for the first 2 to 3 days, when discomfort peaks
  • Keep your head elevated for 2 to 3 days after facial or neck surgery to reduce swelling
  • Use ice packs or cold compresses wrapped in a cloth
  • Take only the medication Dr. Wilkinson prescribes
  • Wear compression garments if Dr. Wilkinson recommends them
  • Check with us before you bathe, shower or wash your hair
  • Expect bruising and swelling, and give your results time to appear
  • Low mood for a day or two after surgery is common and usually passes
  • Check with Dr. Wilkinson before trying alternative therapies, and only see registered practitioners

 

Ready to start planning? Book your pre-operative consultation with our surgical team.

What are the possible risks and complications during recovery?

Most patients heal without serious problems when they follow their aftercare plan. Some side effects form an expected part of healing, while a small number of complications need prompt medical attention.

Side Effects, Risks & Complications

  • Swelling and bruising, which settle over 2 to 3 weeks
  • Pain and discomfort, strongest in the first 2 to 3 days
  • Temporary low mood
  • Infection or delayed healing at the incision site
  • Deep vein thrombosis (DVT), a blood clot in the leg veins
  • Scars that darken with sun exposure

Contraindications and Risk Factors During Recovery

  • Smoking before or after surgery
  • Surgery lasting 4 hours or longer
  • Limited mobility after your procedure
  • A personal history of blood clotting
  • Oral contraceptives, which you may need to stop
  • Long-haul flights close to your surgery date
  • Weight above your optimal range

If you notice lower leg swelling or pain, or any symptom that concerns you, contact us immediately. Our team would always prefer to check.

Something feels wrong? Reach our practice without delay.

How can you prevent blood clots when travelling for surgery?

Long flights keep you seated with bent knees, which can slow blood flow in the leg veins and raise the risk of clotting. Wear full-length anti-embolism (TED) stockings during your flight and after surgery, drink plenty of water, and avoid alcohol and sleeping tablets. Choose an aisle seat, walk the cabin often, and tighten and relax your calf muscles while seated. Once you land in Cape Town, take a good walk to get your circulation moving.

For international and out-of-town patients, our team helps coordinate arrival dates, accommodation and aftercare, so you can focus fully on healing.

Flying in for your procedure? Plan your surgery dates with us before you book.

Where does recovery after plastic surgery take place in Cape Town?

Where you have your procedure, and where your recovery begins, depends on the type of surgery. 

Dr. Wilkinson performs outpatient procedures at our clinic in the V&A Waterfront, Cape Town, and you return home the same day. Larger procedures take place at The Cosmetic Surgery Institute (TCSI), a fully licensed surgical clinic registered with the South African Department of Health. After these operations, you stay at the TCSI overnight facility, where highly trained nurses monitor you throughout your stay.

Dr. Wilkinson confirms the right setting for your procedure at your consultation. All your follow-up appointments take place with her at our V&A Waterfront practice.

Want to see where your care happens? Arrange a visit and consultation at our Cape Town rooms.

More About

Post-Surgery Accommodation in Cape Town

The days after discharge call for a calm space, attentive nursing and help close at hand, especially if you have travelled to Cape Town for your procedure. We work with trusted postoperative care providers who offer comfortable recovery houses, professional nursing and day-to-day support while you heal.

Explore our recommended post-surgery accommodation and recovery houses in Cape Town, and speak to our team about arranging your stay before surgery day.

Meet

The Cosmetic Surgery Team

About Dr Nerina Wilkinson FCS (Plast SA)

Dr. Nerina Wilkinson brings over two decades of plastic surgery experience to every patient she treats, with a particular focus on the face. As a founding member of The Cosmetic Surgery Institute, she shares knowledge and clinical standards with a close group of specialist surgeons.

Precision in Theatre, Care Beyond It

Dr. Wilkinson pairs meticulous surgical technique with hands-on aftercare. She stays involved through every check-up, so each patient heals under the eye of the surgeon who knows her case best.

Our Patients'

Testimonials

Nerina and her team are so caring and professional, I would highly recommend them. They are always on hand to help when ever needed. I feel lucky to have found such a wonderful company. Good job guys!

M Bull

The staff are super helpful and attentive, the environment is beautiful and puts you at ease. The treatments they offer are perfect and have a personalised approach that cater for each customer, my skin looks absolutely amazing!

Cameron O

Absolutely 5/5! I went for my very first lip filler with Dr. Cindy Kerbel and she was beyond kind and comforting. As someone who’s usually very anxious, she made me feel completely at ease and explained everything step by step. The whole experience was basically pain-free. I was a little worried about bruising afterwards, and she even welcomed me back the next day just to check up on me. Honestly, I wouldn’t go anywhere else.

N Parker

Dr Nerina Wilkinson & Associates is a home away from home – from the moment you walk in to the clinic to the moment you leave, you are treated by the best! . The clinic prioritises treatments that 100% target your skin concerns, so every time you are having your treatment, you know it is targeting what YOUR skin needs! I go to Zeldri, who is beyond incredible and knowledgeable – visiting her is the best part of my month. I have had a few of treatments to date and already the difference to my skin is massive.

K Forshaw

What a beautiful experience from the moment you step into their environment! You can be assured of the best and highest quality products and service. Thank you Louné for always being so professional. 10/10.

B Fourie

An incredibly relaxing experience from start to finish. Claire took such care with my skin and was so thoughtful throughout, making the treatment feel calming while still being completely focused on delivering real, visible results.

S Sevenster

I can honestly say I’ve had such a positive experience at Dr Nerina Wilkinson. From the very beginning I felt genuinely cared for, and Claire has been absolutely wonderful, kind, attentive, and incredibly knowledgeable. My skin has improved more than I expected, honestly the best it’s been in a long time. I’m really grateful for the personalised care and guidance, and I couldn’t recommend the clinic more.

A Othman

Growing up in the US, I went to dermatologist after dermatologist, and each one said the same three things: I have acne, it’s genetic, and it could be a lot worse. When I moved to Cape Town a few years ago, I heard from a friend that I needed to go see the women at the Nerina Wilkinson skin clinic, so I made an appointment – but I didn’t expect anything different. I left their office after my first appointment with Kim and I had some real hope for my skin to improve. She changed my home care, worked out a long term plan for me, and even gave me her personal cell number so I could message her if things weren’t working. It’s been over two years now and I have never been so happy with my skin. Kim and the other women at the skin clinic form the kindest and most caring team of professionals and I can’t thank them enough. From scalp PRP treatments for thinning hair, to lasers and peels for my rosacea, I’ve tried my fair share of treatments at this office and every single one of them has been worth it – I can honestly say these women have helped me feel like the best version of myself!

A Newell

My experience with Claire Roux at Dr Nerina Wilkinson, has been nothing but pure joy.
From stepping into this beautiful tranquil space, to the wonderful care I receive from Claire is just exceptional. Claire is so passionate about skincare. I have had Erbium, IPL and I-Peel-L, as well as fruit acid Peels. Claire explains the treatment so well and and my comfort is of top priority to her. She is empathetic and target driven. I am so impressed with my skin journey and always look forward to my next visit. It’s a pamper session extraordinaire! Thank you Claire, for this exciting experience.

Bea S

Growing up I did not pay much attention to looking after my skin properly, but after starting my journey with Dr Nerina Wilkinson + Associates it has become one of the most important steps in my daily routine and I am loving it thanks to their delightful, informed and supportive team. I have always struggled with broken capillaries and dehydration, but have never known how to go about treating it and preventing further damage in the future. I had my first IPL session last week and I am absolutely shocked by the amazing results thus far. I was very wary about leaving my home during the COVID19 pandemic, but the team at Dr Nerina Wilkinson + Associates not only made me feel incredibly safe but I was also treated like a true queen during my session. After the treatment I received a ‘lucky packet’ of aftercare products and Bernice was there at my every beck and call (as I had many questions which were answered in such a timely and gracious manner). She also recommended products that have made my face feel softer and more youthful than ever before and I can already start seeing/feeling a difference. I am so grateful to the incredible team and I look forward to a future of beautiful care and loving myself in my own skin.

K Fourie

Having attended a VISIA skin analysis and three aesthetic treatments with Claire this year, I am super impressed by her knowledge and professionalism. She always creates a warm and welcoming space where she is able to answer all my questions about my skin concerns, whilst always making me feel comfortable despite sometimes experiences some more intensive treatments. I’m looking forward to continuing with my skin care journey with Claire at Dr Nerina Wilkinson.

Charne M

I have been with Dr Nerina Wilkinson and her team since 2021 and the level of professionalism is unmatched. So are the treatments, they truly have a solution for almost every skin or aesthetic concern. Could not love them more!

A Davids

I am so glad that, at the age of 30, I finally decided to come here! Such a warm and professional atmosphere, and Chantel made me feel so comfortable and excited for this journey. After my in-depth skin analysis and consultation, I was very happy with the first treatment, and for what has been planned ahead. Thank you!

F Badenhorst

Embarking on any medical, cosmetic, or aesthetic journey can feel daunting, and that’s exactly how I felt heading into my first VISIA Skin Analysis session. However, from the moment I stepped into Dr Nerina Wilkinson + Associates, the calming atmosphere and welcoming staff immediately put me at ease.

A special mention goes to Claire Roux, the Skin Specialist who guided me through my session. Her deep knowledge, patience, and warmth made all the difference to my experience. Claire took the time to thoroughly explain every aspect of my skin analysis and simplify any scientific or technical detail so that I could fully understand the results of the scan. Her professional yet compassionate approach reassured me and helped me see my skin’s unique needs in a whole new way. With her clear, practical recommendations, I now feel confident and excited about my skin journey ahead, knowing I’m in safe and capable hands – thank you Claire!

 

Megan C

I’ve gone for 2 appointments so far and 1. the service is incredible, such friendly and professional staff, 2. I had my skin analysed and then also went for a skin treatment and my skin is thanking me for it. I cannot wait to go back for more treatments. Highly recommend.

N Jacobs

Start your

Plastic Surgery Recovery Journey

The right preparation turns recovery into a confident, well-supported chapter of your treatment. 

At our V&A Waterfront practice, Dr. Wilkinson and her surgical team will build your aftercare plan with you, step by step, long before surgery day.

Contact us today to book your consultation and start planning a recovery you can feel at ease with.

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