Once the decision to proceed has been made, the focus turns to the operation itself. Here’s how the process works for Jarrod Homer’s patients.
Before the Operation
Jarrod recommends that patients take arnica tablets for a week before their operation to help minimise swelling and bruising post-surgery. Jarrod requests that, if possible, smokers refrain from smoking for two or three days before the operation.
All patients will receive an appointment at the hospital for a pre-operative check by a nurse.
Coming in for Surgery
Patients having a morning operation need to ensure they have had nothing to eat or drink since midnight. Those having surgery in the afternoon can have breakfast at the normal time and then remain ‘nil by mouth’.
The hospital will send all patients admission papers with detailed directions and the required time of arrival.
Jarrod’s patients are discharged either same day or after an overnight stay.
Patients are discharged with a nasal splint on the exterior of the nose fastened to the cheeks with ‘elastoplast-type’ tape. This splint is designed to protect the nose, maintain its position if unstable and for compression. Any internal packing is removed before discharge.
In most cases, there is no requirement for any discharge medication, however, some patients who have undergone grafts may be prescribed antibiotics for a few days. Post-operative pain is usually mild and can be controlled with paracetamol and / or ibuprofen and Jarrod advises patients to continue taking arnica for a week or two after surgery.
Typically, Jarrod arranges for patients to return for splint removal and initial evaluation six or seven days after surgery. Patients who have undergone an open approach rhinoplasty will also have their stitches removed at this stage. Any blackening around the eyes should have largely disappeared by now but the nose will still be swollen.
A much more accurate assessment of the success of the surgery can be made at the second evaluation at around 6 or 7 weeks when most of the swelling has subsided. However, as it can take up to a year for the swelling to fully resolve, the final evaluation will take place at some point between 6 or 12 months post-surgery.
This timeframe for post-op progress covers most rhinoplasties although the swelling after tip surgery usually takes a little longer to resolve.
Patients can expect to be reasonably nasally congested in the weeks immediately after surgery but this is perfectly normal. This congestion is likely to have a greater impact on patients with rhinitis conditions such as hayfever.
Post-operative Do’s and Don’ts
- Take gentle steam inhalations once the splint is off to help loosen any crust or dried blood in the nose
- Gently massage (outwards) /icing of?? the tip of the nose for one week after the splint is removed
- Take arnica for 1-2 weeks
- Apply Vaseline to the rim / hair bearing areas of the nostrils if sore
- Undertake any strenuous exercise in the first week and only very gentle activity in the second week as this can cause more congestion, more swelling and could bring on nose bleeds
- Pick your nose as this can cause infection
- Worry about the initial appearance of the nose post-surgery – significant initial swelling is part and parcel of any rhinoplasty