Nose Surgery Recovery Los Angeles

What to Expect During Recovery Follows Nasal Surgery?

Nasal Surgery is performed either under deep sedation or light general anesthesia. Most people don’t remember their experience in the operating room because of the amnesia effects of the sedatives.

After your surgery, you will spend some time in the Recovery Room of the surgical facility.

When you wake up, you will have a cold compress gauze dressing over your nose and eyes and a nasal splint on our nose. Don’t be alarmed if your eyes are covered and you cannot see. There is always a nurse available to assist you. Just ask for anything you need!

Your vision might also be blurry for few ours afer surgery because of the lubricants that were placed on your eyes to keep them from drying during surgery.

Don’t panic even if you can not breathe through your nose. You might either have a nasal packing or have swelling blocked your nasal airway. You will be able to continue to breathe through your nose, just like when you have nasal congestion with the flu.

After you go home you will experience some bloody discharge from your nose for several days. This is normal, unless you are bleeding profusely. Don’t pack your nose, stuff tissue paper in your nose, or stick Q-tips or fingers into your nose. You can cause more injury and bleeding.

You will have much brusing around your eyes which will gradually disipate over the next two weeks.

It is normal to feel dizzy and to get nauseated during the first week of surgery, especially while you are taking narcotics. You can take your nausea medications, and make sure that you take your medications with food.

If you have nasal packing, please carefully follow the instruction for its care and removal provided in the following section.

  • After surgery, the best position for the first two days is to be lying semi-reclined. Elevation of the upper body and head reduces the swelling and aching of the nose.
  • The application of cold packs or frozen peas over your eyes and nose are of the most benefit, especially during the first two to three days.
  • Refrain from staying in hot places or in front of the oven or a heater because it can dry your nose and increase the chance of getting a nose bleed. In addition you can help prevent excessive nasal dryness by usign a humidifier, and applying Vasoline to your nostrils before going to bed and after getting out of the shower. Saline nasal sprays do help moisturize the nose, but because they dry quickly, they are not as effective as applying Vaseline.
  • Take your pain medications routinely because any increase in pain can increase your blood pressure and cause nasal bleeding, more swelling, bruising, and prolonged healing.
  • Take your nausea medications about one hour before taking your antibiotics and pain medication in order to lessen the extent of nausea.
  • There are not dietary restrictions. However, you should refrain from eating greasy or acidic foods to prevent nausea. Make sure to drink adequate fluids so you do not get dehydrated.
  • If you take high blood pressure medication, be sure to continue taking it to reduce the chance of a nosebleed.
  • Do NOT take any aspirin-like products, diet pills, or vitamins until after approved by your doctor.
  • It is good to stay well hydrated, but avoid drinking too much plain water because it can make you more nauseated.
  • Avoid eating greasy or spicy foods for the first three days, and have antacids available if you get an upset stomach.
  • Refrain from smoking for at least two weeks after surgery, because smoking can actually irritate the eyes and prolong your recovery.
  • Do NOT blow your nose forcefully, because this causes nosebleeds. If you are about to sneeze, keep your mouth open, to relieve nasal pressure.
  • Don’t pack your nose, stuff tissue paper in your nose, or stick Q-tips or fingers into your nose. You can cause more injury and bleeding.
  • You should keep your nasal splint dry and intact until removed by your doctor.
  • I encourage you to be mobile and not to be sedentary in order to reduce the chance of forming blood clots in your legs.
  • Recovery varies for each patient, as will the timing for resuming exercise and normal physical activities. Although you will probably be able to return to work within a 3-7 days, your cosmetic surgeon will instruct you to avoid heavy physical exertion, including heavy lifting, frequent bending, reaching high over shoulder, and jogging for the first 3-4 weeks.
  • While most of the swelling will go away during the first two months, there is going to be some residual swelling and inflammation for up to one year after surgery depending on the extent of surgery and the way your body heals.
  • You can have sex after one week, as long as you don’t overly exert yourself.
  • You cannot use a public pool, Jacuzzi, or go into the ocean for at least 4 weeks after surgery.
  • Small whitehead-like cysts called Milia can develop on your nose after surgery, which will go away by skin cleansing.
  • Internal nasal sutures are dissolvable and do not have to be removed. If you have external sutures, they will usually be removed in about one week after surgery.
  • You can wear camouflage makeup and concealer after your sutures are removed.
  • After returning to work, do no drive or operate machinery if you are taking narcotics.
  • If you get a nosebleed don’t panic and follow the instructions provided below.
  • During your first week after your surgery if you have any urgent questions or concerns, please feel free to contact my office, at any time of the day or night.

Instructions For Removing Nasal PACKING

Patients who undergo nasal reconstruction, septoplasty, turbinectomy, or sinus surgery usually have their nose packed at the end of surgery with a special soft sponge that has a string attached to its end. In some ways it is like a feminine tampon. This packing will sooth the raw areas inside the nose, keep it from over-drying, and prevent scarring and bleeding.

After surgery the nasal packing will stay moist or even drip with watery blood, which is normal.

On the second day after your surgery, you are to remove your nasal packing with the help of your family and friends as described below. Don’t be scared, you can do it!

  1. Take two pain pills about one hour before removing your nasal packing.
  2. Wet your face and neck with water and stay somewhere cool and next to a sink.
  3. Wet your nasal packing, firmly hold on to the string of the nasal packing, and pull it out gradually and from side to side. This packing is usually the length of the finger. It is best to pull it out slowly but firmly and continuously. Keep you mouth open when doing this.
  4. After the nasal packing is removed, it is not unusual to get a little nosebleed. If so pinch the soft part of your nose for 5 minutes, while keeping your head elevated. The bleeding almost always stops.
  5. Later on, and usually four times a day for two weeks you need to irrigate your nose with tap water. This will help wash away the blood clots from inside of the nose and to keep nasal discharge and blood to get hard and stuck to the inside of your nose.
  6. The best tool for irrigation is to use a soft bulb irrigator which is usually used to clean the baby’s nose. Fill it up with tap water, place the tip of it at your nostril, aim it towards the back of your neck and flush forcefully while your mouth is open and your head is over the sink. The water would usually come out from the other nostril as well as your mouth. Repeat this several times a day.
  7. After irrigation, in order to keep your nose from drying, apply some Vaseline at your nostril and sniff. This will coat the inside lining of the nose and will keep it from drying. Repeat this after your leave the shower.
  8. After you remove your nasal packing, and irrigate your nose, DO NOT blow your nose forcefully, because this will cause a nosebleed.

WHAT TO DO IF YOU GET A NOSEBLEED?

  1. DON’T panic! Excessive excitement will raise your blood pressure and worsen the bleeding.
  2. Pinch the soft part of your nose between your thumb and index fingers for about 5 minutes.
  3. Take two pain pills (No aspirin or anti-inflammatory pills).
  4. Wash your face and neck with cool water. Stay in a cooler place and don’t drink anything warm.
  5. Don’t lie down or put your head down. In fact, keep your head elevated so that blood doesn’t rush to your head.
  6. Refrain from coughing, sneezing, retching, or blowing your nose.
  7. If nasal bleeding continues, or keep re-occurring, call your doctor immediately.


Some Tips for Your Significant Others!

The support of your family and loved ones can be as important to your healing as following your physician’s medical directives. Their understanding of the pain, discomfort, and at times, the roller coaster of emotions, that you might experience can make all the difference in having an optimal outcome.

Here are some tips for your significant others that will be helpful to them in helping you:

  1. You should be available as a full time caregiver for at least 24 hours to help the patients with the tasks that are normally taken for granted, like being able to walk to the bathroom.
  2. You, or someone, should care for the patient’s children for a minimum of two days, and be sure that she has assistance in lifting young children for several days after your surgery.
  3. Help with pet care. Someone should walk them, feed them and clean up after them for at least several days.
  4. Read the Postoperative instructions above. It will be helpful to the patient for you to assist him or her in the removal of the nasal packing about one and one half days following surgery, and to assist the patient with the nose irrigation described. They may also need your assistance should a nosebleed occur, and with reminders to sleep with their head elevated for the first 2-4 days.
  5. Know that the patient may experience mood swings, and feel like crying off and on – especially in the first couple of weeks. This is a normal aftermath of major surgery.
  6. Encourage the patient to stay hydrated by drinking lots of water.
  7. Remind him/ her to not fight the pain – he/ she should go with the flow, and take his/ her medications as directed. It is not good to try and be a hero!
  8. Give the patient lots of compliments. A patient is sometimes fearful because it will take some time before the nose appears as it will with time. There is a lot of healing to do!
  9. Prepare simple and easily digestible foods, such as scrambled eggs or Jello.

Dr. Younai is a Board Certified Plastic & Reconstructive Surgeon with experience in all aspects of Facial Cosmetic Surgery including that of the Nose, Sinuses, Eyes, Ears, Chin, Cheek, etc. He is skilled and experienced in all techniques of Rhinoplasty and Sinus Surgery, and strives to create the nose that is natural looking and harmonious with the rest of your face. During your consultation he will discuss all details including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, recovery course, as well as what to expect after surgery. At that time Dr. Younai will also show you before-and-after pictures of other patients with Rhinoplasty and Facial Cosmetic Surgery, who might be similar to you.

Dr. Younai performs Cosmetic and Restorative Nasal Surgery at the California Center for Plastic Surgery. He receives patients from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard.

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Our center also includes the Regency Surgery Center which is a state-of-the-art outpatient surgery facility certified by Medicare and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., (AAAASF).

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