Rhinoplasty Surgery: Preparation and Recovery
After you have scheduled your Rhinoplasty surgery, please follow these guidelines. Please note: these are only general guidelines. Your surgeon knows your medical history and will tailor your surgical plan to meet your individual health needs. Always follow your surgeon’s instructions carefully and call him or her if you have any questions or run into any problems before or after your surgery.
2-3 Weeks Before Your Surgery
- Do NOT take aspirin or any anti-inflammatory drugs/NSAIDS, such as ibuprofen, Advil, Motrin or Alleve. These medications are blood thinners and can cause complications during and after surgery. Please make sure you have informed your surgeon of every medication and supplement you have ingested within the last few months. For a complete list of medications and supplements to avoid before and after surgery, read the pre/post operative instructions given to you by your surgeon.
- If you are taking anti-depressants, please tell your surgeon because he or she will need to adjust your anesthesia level accordingly. To avoid complications during surgery, it is very important that you tell your doctor about any anti-depressants that you are currently taking or have recently taken. For a complete list of medications and supplements to avoid before and after surgery, read the pre/post operative instructions given to you by your surgeon.
- Make sure you have informed your surgeon about any prior Rhinoplasty surgery you may have had, any injury to your nose, allergies or breathing problems you may have.
- Please disclose ALL vitamins, supplements and herbs that you have ingested within the last few months to your surgeon. This includes diet pills and fat loss supplements. Vitamins, supplements and herbs can be very dangerous during and after surgery and should be avoided at least 3 weeks before and after surgery. In particular, DO NOT take Vitamin E, St. John’s Wort, Ginseng, Ma Huang (aka Ephedra), or Echinacea at least 3 weeks before surgery. For a complete list of medications and supplements to avoid before and after surgery, read the pre/post operative instructions given to you by your surgeon.
- If you smoke, stop smoking at least 2 weeks before your surgery. It is preferable that you stop smoking at least 2 months before your scheduled surgery. Do not smoke during your recovery as that could delay the healing process.
- Any prescription drugs that you will need after your surgery should be filled during this 2-3 week period before your surgery.
- Prepare your home for your recovery. A few tips: Have your house already cleaned; laundry done, trash taken out; ice packs available; foods pre-prepared and frozen; bills paid; books, movies, and pillows available; internet access available, cell phone charged, and important phone numbers and medications easily available. Consider making arrangements for your parents or in-laws to watch your children or pets during your recovery if possible. The most important thing is for you to relax.
The Day Before Your Surgery
- Make arrangements for a relative or friend to drive you home from the surgical center after your surgery. Make sure your escort (friend or relative) has the address of the doctor’s office, correct directions and information about parking if needed. Tell your escort that BeverlyHillsPhysicians.com will have an extra copy of your Post-Operative Instructions for him/her to pick up and read.
- Make arrangements for your escort to stay with you for 24-72 hours after your surgery.
- The day before your surgery, DO NOT eat or drink anything after midnight. If your surgery is in the afternoon, ask your surgeon what or when you may eat before your surgery.
- Do NOT take medications without specific instructions from your doctor.
- If you wish to wash your hair, do it the night before your surgery.
The Day of Your Surgery:
DO NOT take medications without specific instructions from your doctor.
DO NOT wear tight fitting undergarments, pantyhose or girdles, to surgery.
DO NOT bring jewelry or valuables to surgery.
DO NOT wear make-up or perfume the day of surgery.
DO NOT plan to drive yourself home, or travel home without an escort after you leave the hospital.
DO NOT plan to spend the night alone when returning home.
DO re-read the Patient Information Package provided.
DO shower and wash the body, face and neck area with anti-bacterial soap or with the instruction soap the morning of your surgery. Do not apply any moisturizers, deodorant, talcum powder or other products afterwards. Do not use hairspray or perfume.
DO wear clean, loose fitting clothes that open in the front and can be easily slipped back on when it’s time to leave the doctor’s office. Sweat pants and oversized shirts are ideal. Wear slip on shoes as well.
DO call us if you develop a cold, sore throat, fever or other illness before surgery.
DO bring a case for contact lenses. Remember, glasses will be difficult to wear after Rhinoplasty.
DO bring all medications prescribed.
DO have an adult take you home and spend the night with you after you return home.
DO fill out the Personal Information Sheet provided.
Make sure you have your post-operative instructions.
Immediately After Surgery—Your recovery
Please note: These are general recovery guidelines and will vary depending upon the type of Rhinoplasty surgery performed and your medical history. Always follow your surgeon’s instructions carefully and call him or her if you have any questions or run into any problems before or after your surgery.
Rhinoplasty is performed on an outpatient basis. For planning purposes, give yourself about 7-10 days for recovery. You should be able to return to work after this time period.
Do not take aspirin or any anti-inflammatory drugs/NSAIDS, such as ibuprofen, Advil, Motrin or Alleve during your recovery. These medications are blood thinners and can cause complications after surgery. In addition, do not take any vitamins, supplements or herbal supplements during your recovery, unless your surgeon instructs you to do so. Do not smoke during your recovery.
MEDICATIONS: Take the antibiotics and pain medication your surgeon prescribed according to the pharmacy instructions. Don’t take pain medication on an empty stomach, as it may cause nausea and vomiting. You do not have to take the pain medicine if you are not in pain, but you must take all of your antibiotics.
Your surgeon will let you know how soon after surgery it is safe to start eating and drinking liquids.
After surgery, your nose will ache and will be swollen and puffy. You may have a dull headache. You will be given pain medication to control the pain. Depending upon the type of procedure performed, you may develop black eyes and your head will feel stuffy. Bruising and swelling should disappear after two weeks. Final results may take between 6-12 months. However, after two weeks, you will not look like you had surgery.
Do not blow your nose for 4 weeks after surgery to reduce bleeding.
CALL YOUR DOCTOR IF YOU HAVE: A) severe pain not responding to pain medication; B) an infection or fever 3) excessive amounts of bloody discharge from your nose . However, Don’t Take Any Chances! Call immediately if you have any questions or concerns about your recovery. During office hours, or after hours, call 1(800)788-1416.
You will receive specific instructions about bathing.
Keep you head elevated when sleeping and resting.
Activity restrictions: Getting up and walking several times a day is encouraged to improve circulation and reduce the chance of blood clots. Most patients are up and about after 3 days. However, do not bend over and avoid strenuous activity for at least 3 weeks and DO NOT carry anything heavy (over 5 pounds) such as weights, bags or packages for 4 weeks. Avoid hitting, bumping or rubbing your nose for 8 weeks. Your surgeon will monitor your recovery and will let you know when you can resume your usual physical activities.
Driving: You should not drive for at least a week or more after surgery and should NEVER drive while taking pain medications. Please note: speak to your surgeon about when it is safe for you to start driving again because he or she knows your medical history.
POST-OPERATIVE APPOINTMENTS: Make sure you keep all post-operative appointments. It is very important that your surgeon is able to see you and monitor your recovery.