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POST-SURGICAL PAIN PUMPS

Friday, October 26th, 2018

A common reasons patients put off having the cosmetic surgery they have always dreams of is their concern about post-surgical pain. While pain is a valid concern, it doesn’t have to be. Today, we offer our patients a simple way to manage pain without pills (narcotics).

This technology is called a pain pump. While the majority of the surgeries we perform at Cosmetic Plastic Surgery do not results in much post-surgical pain, utilization of a pain pump can offer a more comfortable recovery period for those procedures that do or for those individuals who have a low pain threshold.

A pain pump is a simple, non-electrical device that delivers local anesthetic (numbing

medication) such as Marcaine, directly to the surgical site after your surgery, allowing you to recover from surgery without the typically discomfort.

The pain pump looks like a small ball or balloon and comes in it’s own strapped carrying case. Dr. Castillo connects the pain pump at the surgical site at the time of surgery. It will deliver medication to the surgical area slowly and continuously through tiny catheters for 3-4 days. As the patient, you do not have to do anything with the pain pump. It is automatically regulated; you just get to reap the rewards of steady relief!

The pain pump offers pain management without the side effects of traditional methods of pain control like oral pain medications. This means you can avoid the potential side effect that oral pain medications often cause such as:

      •mental fogginess             •drowsiness              •nausea             •vomiting             •dizziness            •constipation

For patients who are narcotic sensitive or allergic, this can be a first-rate alternative for pain management. Patients who elect to use pain pumps are typically moving, driving and functioning and return to normal life activities more quickly since the affects are limited to the surgical area, the rest of your body & mind remain unaffected and have normal function.

While it does add about $350.00 to the cost of your surgery, the feedback we receive from our patients is that use of the pain pump provided them with a much smoother and quicker recovery than they had originally anticipated.

 

Yours Truly,

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com 

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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)    /     309-662-0436 Bloomington

 

 

 

What To Expect On The Day Of Your Rhinoplasty Surgery:

Wednesday, August 1st, 2018

Emotions:

It’s common to be a little nervous when you arrive for surgery. We WILL take good care of you. Each member of our staff is devoted to providing you with the highest quality of care in a safe environment.

If you are like most of our patients, you are likely to be entirely excited too! You have good reason to be! Dr. Castillo is such a true artist when it comes to giving you the nose you should have been born with. I get so excited each time we have Rhinoplasty on the surgical schedule. It’s a little bit like Christmas, many, many times per year. 🙂   Watching Dr. Castillo perform such intricately detailed work in such a small space to such precision and perfection never gets old. Each Rhinoplasty is new and different and so natural looking. No cookie cutter business here! It’s equally as fun to watch a Rhinoplasty patient’s confidence change and soar over the first several months after surgery. It is amazing to see how such small changes can evoke such big changes!

What to wear:

On the day of surgery, you should arrive free of lotion, skincare products, make up, jewelry and perfume with your hair pulled away from your face.

It is best to wear a zip up or button up shirt. You will want to avoid wearing pull over shirts for a couple of weeks to prevent nasal injuries. Wear comfy, easy to slip on pants and shoes as you may still be a bit foggy when you get dressed to go home.

Arrival:

Dr. Castillo’s state-of-the-art outpatient surgical facility.

When you arrive at Cosmetic Plastic Surgery Center, you will be asked to read and sign a surgical authorization form. For applicable female patients, you will be asked to leave a urine specimen for a pregnancy test. Then you will be escorted back to pre-anesthesia room where you will be asked to change. Dr. Castillo will speak with you briefly then you will meet with our anesthetist. You will undergo general anesthesia (completely asleep) for this procedure. The anesthetist will take great care to avoid any post-surgical nausea if that is a concern for you.

For Driver / Family members:

Your driver / family members are welcome to wait in our waiting room or return when you are ready for pick up if they prefer.  It is best to have a responsible adult accompany you when we are reviewing your discharge instructions as in can be difficult to remember everything immediately post-surgery. We will notify your driver 30 minutes before they are needed to review post-op care instructions and take you home.

Recovery Room:

  • You will awaken from surgery in the most comfortable recliner ever! We use a Bair Hugger system that releases warm air under your blanket to keep you toasty warm and peaceful! You will be much more comfortable than you thought you would be.
  • Rhinoplasty is not typically a painful surgery. The average patient reports a pain scale of 0-2 out of a 0-10 pain scale after surgery. Most of our patients just use Extra-Strength Tylenol to control any mild discomfort.
  • You will have a cast on your nose and you will hear Dr. Castillo asking you to breath out of your mouth. Once the tissue inside your nose begins to swell,  it will become difficult to breath out of your nose for about 5-7 days.
  • Secretions and bloody discharge are a normal part of recovery for the first 24-48 hours. We will place a mustache bandage just below your nostrils if you have any post-surgical nasal drainage. You will likely change this bandage 10-12 times before it resolves.
  • When it is time for you to go home, you will receive a full set of detailed at home care instructions. Our recovery nurse will review with you and your caregiver at the time of discharge.

The Evening Of Surgery:

When you arrive home you will begin with some ice chips followed by your drink of choice (water, coffee, tea, juice…).  Wait a half hour then move on to some food.  Do push the fluid over the next few days. Expect to feel a bit drowsy for a few hours after you get home. It is best to rest but you can certainly get up and walk around as soon as you feel you can. It is best to sit or sleep in a reclined position to reduce swelling.  Dr. will call you the night of surgery and of course we are only a phone call away if you have questions or concerns. You can reach Dr. Castillo after office hours through our answering service. We will see you back at one week to remove your cast and reveal your new look!

 

PREPARING FOR YOUR RHINOPLASTY

Wednesday, July 18th, 2018

Congratulations! You have just made a decision that is going to change the way you see yourself! Now that you have decided to move forward with nasal surgery, there are a few things to consider.

To Tell or Not To Tell…

  • One of the biggest concerns patients typically have is what to tell their family and friends. You are not obligated to tell anyone anything, unless you want to. It is a very personal choice and one only you can make. I will stress however, the idea that it is a VERY rare occasion when a patient tells us that someone was even suspicious that they had a Rhinoplasty. I know it’s hard to imagine that you could have a surgery that creates such a wonderful facial balance and your closest friends won’t notice, but it’s true! I have heard it over and over again from patients that while they receive so many “wow, you look great!” comments, no one suspects a rhinoplasty, just a new hair cut or color, weight loss, a refreshing vacation or better sleep. Since Dr. Castillo performs a closed Rhinoplasty for nearly all his patients, there are no outside incisions which makes it very difficult for anyone to determine that you have had a Rhinoplasty.

Personal Arrangements To Consider:

  • You will need to make arrangements for a family member or friend to drive you home after your surgery.
  • Make arrangements for a responsible adult to stay with you for the first 24 hours after surgery.
  • If you have children or pets, you will need someone to help care for them for the first few days. It is best to avoid any situation where pets or small children could bump into your nose unexpectedly and cause displacement.
  • Because many of our patients travel a distance to see us, Dr. Castillo has made special arrangements with a local hotel favorite; The I-Hotel in Champaign, IL to offer our patients a discounted “CASTILLO STAYCATION” package. This special package includes transportation from our office to the hotel the day of surgery, dinner and breakfast for two, and your hotel accommodations. Our staff will be happy to assist in those arrangements.

 10 Days Before Surgery:

Discontinue all NSAIDS (Non-Steroidal Anti-Inflammatory Drugs) along with the supplements listed below as they are all blood thinners:

  • Aspirin      •Ibuprophen      •Motrin       •Advil       •Aleve     •Fish Oil       •Vitamin E

If you are unsure if a medication or vitamin supplements contains any of these ingredients, please call our office or your pharmacist for clarification.

  • SMOKERS: We suggest that you stop smoking 10-14 days prior to surgery as it can reduce your chances of complications.

Your Pre-Op Visit:

You will be scheduled for a pre-operative visit about 7-10 days prior to your surgery. During this appointment, Dr. Castillo will review your surgical plan and expectations for recovery. You will have an opportunity to ask any final questions of Dr. Castillo. He will listen you’re your heart and lungs, draw lab work, and take your before photos. You may also be given a prescription for pain at this time though most of your patients just use OTC Tylenol as there is typically very little discomfort associated with a Rhinoplasty.

 

 

 

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT MY BLOG: http://www.cosmeticplasticsurgery.com/blog/