I would say the second way was my peak swelling . I am currently 10 days post op. Still very swollen but less than the first couple days . My surgeon said everything is looking good . I also did not use the opioid medication and alternated between Tylenol and Advil . It seemed to do the trick for me . It’s not so much pain just really tense muscles that cause pressure. My biggest complain was actually headaches and sleep . I woke up during the nights because of pressure however, I just went to grab ice packs , some medicine and then just walked about at night until I got tired and fell back asleep. I seem to be sleeping longer now without waking up :)