Nose Surgery (Rhinoplasty)

Leading Up To Surgery

MEDICATION & SUPPLEMENTS

Stop taking Aspirin, products that contain Aspirin, and all other supplements two weeks before surgery. This includes:

  • Alka-Seltzer
  • Anacin
  • Bufferin
  • BC or Goodies powders
  • Excedrin
  • Fish oil
  • CoQ10
  • Weight loss medication
  • Vitamin E
  • Herbal supplements
  • Meal replacements or protein shakes

PRESCRIPTIONS

Please make sure to get your prescriptions filled prior to your surgery date. You will be expected to bring your prescriptions with you the day of surgery. 

The pain medication that is prescribed can cause constipation. You can start prevention as early as two days before your surgery by taking Colace, or Activia yogurt. After your surgery, you can have things like MiraLAX or Milk of Magnesia, but these should not be taken before.

If you become ill or have to postpone your surgery for any reason, please notify us as soon as possible. 


Day Before Surgery

You will receive a call and email the day before your surgery with instructions regarding where and when to arrive.

This will include instructions regarding medications. 


Day Of Surgery Instructions

FOOD AND DRINK

Do not eat anything after midnight the night before your surgery. 

  • You can brush your teeth, but do not swallow any toothpaste or liquid.
  • Do not consume candy or gum .
  • You may drink water or Gatorade (any flavor except red) up to four hours before your surgery.
  • Do not drink coffee or tea day of surgery.

CLOTHING

Do not wear jewelry or make-up to your surgery appointment. Wear loose, comfortable, and warm clothing. A top that zips or buttons up is preferred. Please wear glasses instead of contacts if applicable.

A responsible adult must take you home. You will need someone to stay with you for the first night after surgery.

Note: If you are a minor, a parent or legal guardian must accompany you. 

Fingernails must be short. If polished, it must be clear  

No Taxi Cabs, Lyfts, or Ubers as your transportation home.

If you need transportation/help after surgery, the team at Metro’s other women, https://www.metrosotherwoman.com/raleigh-nc, have helped our patients with care, housekeeping, dog walking, taking children to soccer practice, and everything in between.

WHAT TO EXPECT

Once you arrive in our surgery suite, the clinical staff will discuss the details of your procedure and ask you to sign an informed consent. If applicable, you will take a pregnancy test prior to surgery.

You will speak with your anesthesia provider prior to your surgery. They will go over your history with you one last time before we get started and tell you what to expect when you are in the operating room. 

You will only need to undress from the waist up. 

From there, your surgeon will come in, discuss the procedure, and create his markings before we get started.


After Your Surgery

What to Expect Physically

You should have mild pain and discomfort. Some patients do complain of headaches, especially the first 2-3 days after surgery.

Your nose may feel stuffed up, like you are congested. You will be provided Afrin to help with extra congestion that you can use for the first 3 days after surgery.

Note: If your nose needed to be broken during surgery there will be silicone stents inside your nose. This can also cause the stuffed nose feeling, that may not be relieved by Afrin.

You may feel a burning a sensation in your nose after surgery that feels as if you are going to sneeze. If this occurs, try not to sneeze by placing your tongue to the roof of your mouth.

What to Expect Visually

You will have swelling and bruising to your nose and surround areas, especially the eyes.

  • The bruising may last 1-2 weeks after surgery.
  • Significant swelling will be present for the first 1-3 weeks after surgery but know that the nose may stay swollen up to 6 months after surgery.

Your nose will have a cast or splint to the bridge of your nose when you wake from surgery. This should not get wet and will stay on until your first post-operative visit.

You will have bloody drainage from your nose. This usually subsides after the first 3 days after surgery. You will have a gauze secured by tape under your nose to help with this. The dressing can be changed as needed.

Care Instructions

Please keep your head elevated as much as possible, especially for the first 2-3 days after surgery to help with swelling. (If possible, sleep in a recliner)

To help with oozing, you can brew a bag of tea (black tea), allow the bag to return to room temperature then place directly to site of concern. Hold in place for 20 minutes.

  • This can be done 2-3 times a day.

Do NOT blow your nose after surgery. Your surgeon will explain when this will be safe again at your post-operative visits.

Avoid bending over, especially for the first week after surgery. This can increase swelling to site.

Resume your normal activities as you feel comfortable.

Pain Management

Use ice packs to site (crushed ice in a ziplock bag or frozen peas) for the first 2-3 days after surgery. Apply only for 30 minutes at a time then take at least a 30 minutes break in between. This will help to prevent frostbite to site.

You may take up to 1000mg of Tylenol (2 tablets of Extra-Strength Acetaminophen or Tylenol over-the-counter) and 600mg (3 tablets of 200mg over-the-counter) Ibuprofen in between your pain medication doses to help make it easier to move around.

Medications

Stop taking aspirin, products that contain aspirin, and all other supplements two weeks before surgery.

Do not use alcoholic beverages while taking pain medication.

You will be prescribed 3 different medications.

  • Pain medication: Norco or Hydrocodone and Tylenol
    • Take one to two tablets every six hours, as needed for pain.
    • This medication contains Tylenol. Do not take additional Tylenol.
    • Do not take more than 11 in one day.
  • Anti-nausea medication to be taken prior to surgery: Zofran or Ondansetron
    • Take four tablets one hour prior to your surgery.
    • After surgery take one tablet every six hours, as needed for nausea.
  • Anti-nausea medication for extreme nausea: Phenergan or Promethazine
    • Take one tablet every four to six hours, as needed for extreme nausea.
    • Note: This may cause drowsiness

When To Call The Office

Call the office if you have a fever over 101 degrees, experience any sudden increase in swelling or notice redness around your incision sites (especially if it’s warm to the touch).


Frequently Asked Questions

How long do I have to take off work?
7-10 days due to bruising and splint to your nose.  

How long does the procedure last?
About 1.5 hours

How long will I have to be in recovery?
At least 45 minutes

Will my nose need to be broken?
You doctor would discuss this with you during your consultation and pre-operative appointment.

How long will the bruising last?
Usually it will start to fade after the first week but can last up to 3 weeks.

When can I drive again?
When you are no longer taking pain medication and feel comfortable driving again. Always consider that you would need to be able to react in case of an emergency.

Will I have large scars to my nose?
No. the only incision that can be seen is under the nose, which tends to heal very well.  

When can I start exercising again?
1-2 weeks after surgery. Be sure to ease yourself back into everything.   

When can I get in a pool/Beach/Lake?
6 weeks post-operatively