Being Ready for the Ups and Down during Recovery

Overall, reconstructive surgery is a hugely positive experience in one’s life. But in addition to having feelings of celebration about what’s to come, it’s important for us to touch a bit today on the possibility of a temporary feeling after surgery that is called “postoperative depression”.

Postoperative depression does not affect everyone, but when it happens it can be confusing. This is because people understandably think that emotions after surgery should be universally positive, but that is not always the case at first. There are a variety of reasons that sadness can occur after surgery; some reasons are physiological and metabolic, some are psychological, and some can even be from having too much time on one’s hands to ruminate about life’s challenges.

If feelings of postoperative depression occur to you, it’s important to note that these feelings tend to go away by the end of the second to third week of the recovery process, and then begin to be replaced by happiness and confidence.

Your support system

Undergoing an elective procedure takes courage and it is important to have a strong support system in place to aid you through your recovery. The person or people caring for you should be warm, encouraging, and ideally not critical or afraid of the healing process as you will truly need their support during this time.

If you have a therapist…

In the modern world, many people see a therapist on an ongoing basis. If you are currently seeing a therapist as part of your support system, then it is a very good idea to plan a session about 7-14 days after your surgery date, in case symptoms of postoperative depression occur to you. Even though these feelings are transient, it can be really helpful to talk about them.

Below are some timelines to further explain what you may experience post-surgery:

Emotional Roller Coaster


  • The Day of Surgery: Tired, ‘out of it’
  • 2–7 Days Post-Surgery: Anxiety, sadness, irritable, doubting decision to have surgery
  • 8–14 Days Post-Surgery: Hyper-critical, impatient, scared, eager for the recovery period to end
  • 15–21 Days Post-Surgery: Noticing results, feeling more positive, more confident in your decision to have surgery
  • 1 Month Post-Surgery: Boost in confidence, happy you went through with it, getting positive reactions from others
  • Beyond: Results keep improving as healing continues

Nature Healing Curve

This diagram will help you understand the timeline and pace of healing’s progress.


Physical reactions: swelling

Many patients ask when the swelling will go away. This curve will help you understand that gradual process.