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1. What You Need:

  • Q-Tips
  • Hydrogen Peroxide H202 3%
  • Polysporin Ointment or Bacitracin Ointment
  • Saline Nasal Spray (Salinex or Hydrasense)
  • Arnica (Sinecch) or Glisodin pre/post preparation (for purchase in our clinic)
  • Vitamin C
  • Patients may take up to 2000 mg. Vitamin C daily 2 weeks prior to surgery
  • Ice packs or small bags of Frozen Peas

2. What to Avoid 2 Weeks Before your Surgery:

  • Smoking (Nicotine / Marijuana)
  • Alcohol (Discontinue for at least 2 weeks Prior to Surgery as it may Increase Bruising and Prolong Swelling.
  • Naturopathic or Herbal Medications/Supplements (Unless Approved by Dr. Philip Solomon)
  • Remove Gel / Acrylic Nails, Nail Polish for surgery
  • MUST DISCONTINUE: Aspirin, Advil or Ibuprofen, as these products may increase bleeding.
  • MUST AVOID: Garlic Extract, Fish Oils and Vitamin E

3. Preparing for Day of Rhinoplasty Surgery:

  • If you take Medications for Diabetes or Hypertension: Please ensure that you take your medication the morning before surgery
  • Remove all Make-up, Piercings and Nail Polish
  • Please Note: If you have any concerns or questions prior to your surgery, we welcome you to schedule a consultation with Dr. Philip Solomon to ensure that you are fully prepared for your surgical date.
  • No Food or Drinks past Midnight the day before your Rhinoplasty Surgery
  • Arrive at the Hospital 2 hours prior to Surgery
  • You will remain in Recovery for 2 hours following your Rhinoplasty Surgery
  • Ensure you have a Family Member or Friend to drive you home from the Hospital
  • For the remainder of the day, rest with your head elevated on a few pillows
  • You may eat what you wish, depending on how you feel
  • Replace moustache gauze beneath the nose as required. You may remove this only once bleeding ceases.
  • Take Medication as prescribed and required

4. Cleaning Your Nose Begins on Day 2:

  • Clean JUST the opening of the Nostrils twice a day (Morning / Bedtime) with Hydrogen Peroxide 3% (H202) using a Q-Tip.
  • DO NOT insert Q-Tip deep inside nostrils.
  • Gently dab or wipe the opening of the Nostrils with the soaked Q-Tip to remove dried blood.
  • Use Saline Nasal Spray daily. Administer 2 sprays of Salinex / Hydrasense to each nostril 3-4 times a day, or as needed throughout the day. This will help to reduce swelling and improve breathing.
  • Apply Polysporin Ointment or Bacitracin Ointment inside nostrils after cleaning with Hydrogen Peroxide for up to 2 weeks. If you have allergies to these products, you may use Vaseline.

5. What You Need to Know About Your Rhinoplasty Surgery:

  • The Splint will Remain in place for 7-10 Days.
  • Your FIRST Post-Operative Appointment will be with our Nurse at the Solomon Nasal and Facial Plastic Surgery Centre in Thornhill. The Nurse will remove your Nasal Dressing/Splint, Assess your Healing and Review Post-Operative Care.
  • AVOID getting your SPLINT wet, as it may fall off prematurely.
  • Change Surgical Dressing (gauze taped beneath nose / moustache gauze) as Needed for the first 24 – 48 hours.
  • Sleep with your head elevated (propped up with pillows) for 3 days.
  • DO NOT Sleep on your Face – Sleep on your back, preferred for 2 weeks
  • In the majority of cases, Sutures are Dissolvable, thus do not need to be removed.
  • Standard Post-Operative Swelling may last for up to 4-6 weeks.
  • Patience is required as swelling takes time to subside.
  • Pain from Rhinoplasty Surgery can be quite minimal. However, should you have pain during your recovery, you may take Tylenol.
  • Take prescribed Anti-Biotic as Directed and Tylenol #3 as required.
  • Should you develop a rash, DISCONTINUE medication and contact our office.
  • Bathing is allowed One Day Post-Operatively. Avoid direct stream of water for 1 week.
  • Often Patients Experience Heightened Anxiety around the Surgical Period. This is Normal.

6. What to Expect After Your Rhinoplasty Surgery:

  • Your Eyes may become Quite Swollen and Bruised. You may get Red Spots on the White areas of your Eyes. These Side Effects generally last 2-3 weeks.
  • Your nose will feel congested and you may find it Difficult to Breathe for at Least 2-3 weeks.
  • You may have Mild Bleeding from the front of your Nose or Down the Back of your Throat for a Few Days.
  • Your Nose will be Painful and tender for 2-3 weeks
  • Your Throat may be Sore for Several Days

7. What to Avoid After Your Rhinoplasty Surgery:

  • Avoid Sneezing through the Nose. Try to Sneeze through the Mouth.
  • Avoid Blowing your Nose for up to 4 weeks. Recommended to Blow Gently.
  • Avoid Picking at Scabs. This can Cause Scarring.
  • Avoid Bending Over or Lifting Heavy things for one week. Besides Aggravating Swelling, this may Raise your Blood Pressure and start Hemorrhage.
  • Avoid Smoking (Nicotine / Marijuana), Especially Throughout the Recovery Period as Smoking may Prolong Healing
  • Avoid Alcohol for at least 2 weeks following your Rhinoplasty Surgery as it may Increase Bruising and Prolong Swelling.
  • Avoid Naturopathic, Herbal Medications / Supplements, Aspirin, Advil or Ibuprofen for 2 weeks Following your Rhinoplasty Surgery, as these products may prolong swelling.
  • Avoid Physical exercise for up to 4 weeks following your Rhinoplasty Surgery.
  • Avoid Direct Sun Exposure to Incisions for up to 12 months. Use a minimum of SPF 45 daily.
  • Avoid Wearing Glasses for 6 weeks. Do Not Wear Eye Glasses/ Sun glasses on the Nose for 6 weeks. Glasses MUST be Taped to Forehead.
  • Avoid Hot Saunas.
  • RECOMMENDED: Cool Mist Humidifiers and Commercial at your Bedside for 2-4 weeks following your Rhinoplasty Surgery.

Common Concerns Following Rhinoplasty Surgery

The Appearance of the Nose Following your Rhinoplasty Surgery

  • The Tip of the Nose often Appears Turned-Up or Pig-Like at First. This is partially because of swelling in the Upper Lip and from Taping. The Tip will Fall Especially in the First 2 Weeks and then more Slowly After that. It is important that the Tip be Slightly Over Rotated at First so that it is not Too Droopy when it Finally Heals.
  • There is Often More Bruising or Swelling One Side than the Other. This is Normal and Related to the amount of Bleeding that Occurred at the time of Surgery.
  • The Nostrils often Appear Larger and Sometimes Uneven. This is Usually Due to the Swelling and Will Improve over Time.
  • When the Splint is Removed there is often Swelling where the Bump Used to Be. Swelling does go down with Time Depending on the Body’s Healing Process.
  • The Upper Lip is Very Stiff after Surgery. It Moves Very Little and this can make your Smile seem Strange. This is Usually Related to Swelling at the Base of the Nose. This Always Returns to Normal with Time Especially After the First 2 Weeks.

IMPORTANT INFORMATION FOLLOWING YOUR RHINOPLASTY SURGERY

If You Experience any of the Following Listed Below, PLEASE Contact Dr. Philip Solomon Directly:

Email: [email protected]

Solomon Facial Plastic Clinic: 905-764-7799

If you are unable to reach us, PLEASE visit your nearest Emergency Department

  • If you Develop a Rash, Persistent Fever, Chills or Sweating.
  • If you Notice a Foul Odour or Yellow Drainage coming from the Incision Sites.
  • If you Experience Severe Nasal or Throat Pain, that is NOT controlled with Tylenol.
  • If you Experience Persistent Bleeding that DOES NOT resolve in 20 minutes or with Direct Pressure.
  • Persistent Vomiting and Inability to Drink Liquids for Greater than 4 hours
  • Shortness of Breath, Chest Pain, Weakness or Numbness in the Face or Limbs.

Please Notify Dr. Philip Solomon of any Unexpected Admission to the Hospital within 10 Days of your Procedure.

*  If you Require any Clarification Regarding these Instructions, or if you would like further Assistance or Support, following your Rhinoplasty Surgery, Please feel free to Arrange an Appointment with our Nurse.