This page is dedicated to give you idea of what the day of the procedure will be like. You will find information about the whole process from the inquiry to the procedure and post care under our navigation Titled "Consultation to a Beautiful New You". Here we will take about the procedure process. You can learn more about the Rhinoplasty procedure here: Learning the Rhinoplasty Procedure.
For the day before your procedure, we will usually ask that you stop eating and drinking 6 hours before your procedure time. Prior to this or at this 6 hour point, we want you to get really hydrated. The hydration will be with something with solutes like gatorade or coconut water, not just water. Drinking too much water can actually be dangerous. Also we usually will have you start antibiotics the day before your procedure as well. The CDC and the American Academy of Otolaryngology most recently has decided that you need just a preoperative dose at least 45 minutes before the incision or start of the procedure and then the optimal duration is 24 hours. So if you want to be really want to follow the most recent recommendations than you don't have to start taking the oral antibiotics and you can just do antibiotics for the first 24 hours. Trends change though, basically what they believe is that prophylaxis is most important during the procedure and during the time you initially enter the area of surgery and that once the incision closes there is not need for antibiotics. However, the incision is not really sealed until 24-48 hours after your procedure. You can read more about the CDC Infection and Prevention of Surgically related Infections here: Guideline for Prevention of Surgical Site Infection, 1999. You can read more about preparing for your Rhinoplasty here: Rhinoplasty Patient Care Packet.
When you come in you will be greeted by one of wonderful team members. We usually always require a caretaker for the first 24 hours after your procedure. We have a consent for your caretaker. We can also find someone to take care of your as well. It is a very good idea to have your caretaker go over the packet as well, so they can understand the post care process. To prepare for your procedure, we will go over your whole medical history and physical again as we did at your 2 week appointment prior to your procedure date. We will finalize your morphed pictures to get a better understanding of what you would like accomplished. Of course the morphed pictures are just a representation of what we can do and most of the time we come very close to those objectives. On Sat Jun 27th one of Rhinoplasty patients had this to say: "Dr. Young i just wanted to say thank you for you time and effort because man! You pulled it off. Nose looks nice. 👍". July 1st, 2015: "Nose looks like it's in perfect shape." Along with the morphing process, we will go over what we will do during the procedure to achieve your goals. This will give you a sense of how we will do this and hence some comfort on a plan to do this.
You will be cleared by the nurse and the doctor for double checking purposes. We will have your changed. If you are cold we have a comfy robe for you. We will ask you also for your favorite music or artist that we will play on Pandora for you. You are also welcome to have an IPAD for your convenience while waiting for us to get everything set up for you.
When we take you back to the procedure room. The nurse or doctor will then start your IV line. Your procedure will then start. Here you can then learn what is done during the procedure through the link above on "Learning the Rhinoplasty Procedure". After your procedure, you will have a splint placed with tape. A moustache dressing will be applied to help catch your oozing from your nose that will usually always happen to some degree. You can change this as needed when it becomes soiled. After your procedure, we will ask you to start cleaning as soon as possible. Afrin sprays are good to keep the bleeding down and to clear your nose to allow your nasal irrigations to better get into the nasal cavity. The Afrin also shrinks your blood vessels to achieve the decrease bleeding. Your incision should be cleaned as frequently as every hour. The goal is to keep your crusting down to a minimum. The less crusting, the less chance for bleeding and infection. We usually won't be in too much pain after your procedure. So usually it is a good idea to start taking a low dose of the pain medication as it takes a while for the pain medication to reach a level that will work. This will prevent you chasing your pain. If you get nauseous from the anesthesia or from the pain medication, you can start taking your ondansetron or specific nausea medication. Also if there are any questions you can call our office at 425-990-3223 or your doctors cell phone. We have a 24-hour answering service.