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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!