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WHAT TO EXPECT WHEN RECOVERING FROM A RHINOPLASTY:

Wednesday, August 15th, 2018

How will I look and feel after surgery?

Let’s get right too it shall we!

Pain: I’m being absolutely genuine when I say our patient’s don’t really experience pain with this procedure, just some mild discomfort (it is surgery after all so you must expect that). I find this quite remarkable really since the nasal bones are re-set and the nose gets a bit of a work over. The majority of our patient’s just use Extra-Strength Tylenol for the first couple day to control their discomfort.

Appearance: Well…for the first 4-5 days you might look like you just stepped out of a boxing ring. You are likely to have two black eyes and some swelling. If you are following directions and sleep elevated, the swelling will dissipate pretty quickly. You will have a cast on your nose for 6-7 days so I recommend taking a week off from social activities – just until we remove your cast. I think most people feel a bit conspicuous in public with a nasal cast and it’s best to protect your nose from crowds during this time of healing. I think in the end you will agree that is a small price to pay for the euphoric confidence boost that is coming your way!

Recovery – Days 1-7:

I hope you are a patient person because you will have to wait 6-7 days to find out what magic has occurred underneath that cast!! I have seen hundreds of Dr. Castillo’s Rhinoplasties. I can tell you, it will be worth the wait!

  • Expect to feel stuffy. Swollen tissue will make it difficult to breath out of your nose for 5-7 days. Focus on breathing out of your mouth. The majority of our patients worry about this pre-operatively, but adjust more quickly than they imagined.
  • You will need to reduce your activity level. No running, jogging, strenuous exercise, heavy lifting, bending over…until Dr. Castillo releases you to do so.
  • Please avoid pets and small children. They are notorious for bumping into newly operated noses! You should also stay away from sporting events, bars, crowds of people in general during your initial healing period to avoid any nasal injury incidences.
  • Do not get your cast wet. It will fall off (your cast, not your noseJ).
  • Gently apply Bacitracin ointment inside your nose, using a Q-tip applicator as demonstrated during your discharge by our recovery nurse. This is important for 2 reasons:
    • It allows you to gently clean and hydrate in the inside of your nose to avoid dry, crusty build up.
    • It allows secretions to drain.
  • DO NOT blow your nose for the first week after surgery. If you have to sneeze, open your mouth and sneeze out of your mouth, not your nose.

Recovery Days 7-20

Welcome to the Reveal!

Seven days after surgery, we will remove your cast. The cast removal can sometimes be a little uncomfortable so I recommend taking a shower to get your cast wet just before you come to our office. Let the water run over your cast for 5-7 minutes to loosen up the adhesive so it will come off with ease.

  • Expect your nose to look a little pinched when we take off your cast. This is because the cast has been “pinching” it for the last week. This appearance will resolve in about 24 hours.
  • You will be given Saline nasal gel spray. This is used to keep the inside of your nose hydrated and free of crusting. You will squirt and sniff simultaneously three times daily.
  • Remove any secretions or crusty build up with a Bacitracin covered Q-tip.

Recovery 3 Weeks Post Surgery:

You will return for a post-operative visit 3 weeks after surgery.

  • Swelling inside nose should be much reduced at this point, though some minimal swelling can last for several weeks.
  • It is likely that Dr. Castillo will ask you to begin massaging your nose at this point. This is an important step. Its purpose is to help the nasal skin re-drape itself in a natural looking way. It will stop the skin from abnormally adhering to the underlying tissue, which will allow it to move freely and naturally.
  • You may notice some temporary numbness or tingling. This will continue to improve over the next several weeks.
  • All exercise restrictions are typically lifted at 3 weeks.

Recovery Weeks 4 And Beyond:

Rhinoplasty is a surgery that keeps on giving! Your nose is going to change for the next 12-18 months! You will see more tip definition, more detailed structural changes and even smaller pore size!

  • You can still have some very minimal swelling that can last for a few months; others will not notice it, but it will be there and your nose will continue to change as the swelling subsides.
  • We will see you back 3 months after your surgery to access your improvements and take your after photos.

 

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/

 

 

 

 

 

 

 

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/

What To Expect During Your Rhinoplasty Consult:

Wednesday, July 11th, 2018

Think of your Rhinoplasty consultation as a fact-finding mission. This is the time to ask as many questions as you need to be able to decide whether Rhinoplasty is right for you. It is also important to determine whether or not the cosmetic plastic surgeon is a good match for you as well.

Questions to ask during your consultation:

  1. Is your Dr. board-certified? Which board-certifications does he/she hold? Is he or she certified by The American Board of Facial Plastic And Reconstructive Surgery?
  2. What is his surgical training background? Did he train in head and neck surgery?
  3. How many Rhinoplasties has the surgeon performed?
  4. What is his/her revision rate?
  5. Does the surgeon believe you are a good candidate for nasal surgery?
  6. Will Rhinoplasty accomplish the changes you desire?
  7. What changes can you expect from this surgery?
  8. Will the surgeon be performing an open or closed technique?
  9. What will your recovery process be like?
  10. Are there risks you should be aware?
  11. Is there anything you should do to prepare for your surgery?

If you are having a Rhinoplasty consultation with Dr. Castillo, you will be asked to fill out a brief registration form. Then one of clinical/surgical staff members will ask a few questions and review your list of your current prescribed medications, allergies, past surgeries and dates. You will then meet with Dr. Castillo. This is your chance to convey the changes you would like to see.

During your consultation, Dr. Castillo will consider all of your facial features; the shape of your face, the width of your cheek and position of your eyes. He will evaluate the internal and external structures of your nose; the bones, cartilage, and your breathing function. All of these factors come together along with your ethnic background to help Dr. Castillo determine which shape and size will bring the most balance to your face. He will show you some before and after photos of similar noses and outcomes and will discuss your surgical options in detail. You will leave your consultation with a full understanding of what you should expect from your surgery and recovery process.

There is no pressure to make decision during your consultation. We encourage you to take some time to think about all the information you collected. Think about your experience with Dr. Castillo, our facility, and our staff. Is our team a good match for you? Was it easy to communicate with Dr. Castillo? Did he help you establish realistic expectations?

Before                 After

Once you have thought it over, if you decide we are the right choice for you, we will be here to help in any way we can. Now of course we often have patients who choose to schedule their surgery before they leave their consultation so if you know that we are right facility and rhinoplasty is the right procedure for you, then we happy to set up appointments for your pre-op, surgery and post-operative appointments for you before our leave our office.

Once you have scheduled surgery, you will receive a packet in the mail with instructions on how to prepare for your surgery so be sure to be on the look out for it.   If you have any questions, we are only a phone call away.

 

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/