Rhinoplasty – The Day of Surgery
On the day of your rhinoplasty, you will spend an estimated four to six hours at Dr. Chan’s rooms. This includes pre-operative preparation and post-operative recovery at the surgery. Approximately an hour of this time will be spent in theatre.
Before arriving for your surgery, you should make a note of the following points:
- You must fast from midnight.
- Wear comfortable clothing something warm that is easy to get in and out of. A warm jumper that zips up the front and loose fitting trousers is best.
- Please don’t wear any makeup or jewellery.
Before surgery, preoperative photos will be taken.
What Anaesthetic Choices Do You Offer?
Dr Chan offers both general anaesthesia (performed at an accredited Day Surgery) and deep (twilight) sedation (performed at Dr Zion Chan’s Operating Suites). You can choose either anaesthetics.
Dr Chan prefers twilight sedation as it offers a faster recovery for our patients and less anaesthetic complications.
Our Clinic has been performing this type of anaesthetics for more than 10 000 patients over a 30 years span, since Dr Eng Peng Tan (Dr Zion Chan’s Mentor) whose practice Dr Chan took over in 2008.
There has not been any major adverse effects for this type sedation compared to a prolonged recovery period, more morbidity and a mortality rate of 1 in 200 000 for general anaesthetics.
GENERAL ANAESTHETICS (GA)
Dr Chan prefer general anaesthetics as the anaesthetic of chioce for your procedure.
After surgery care
After the surgery, you will spend an estimated two hours in a recovery area. Here you will be given pain relief if required. You are kept here until the nurses are satisfied you are fit to be discharged.
When you leave the room, your support person will be given:
- Prescription for antibiotics and pain killers, and instructionson dosage
- Dr. Chan’s mobile number to call if you have any concerns
- Disposable bolsters (gauze)
- Details of the date and time of your first post-operative appointment
You’ll spend your first night after surgery at home in familiar surroundings. Here are some tips on what you can expect and how to adjust your environment to ensure you achieve the results you anticipated.
- You will have a splint on your nose. This mustnt be removed and should be kept dry until you return for your post-operative visit. A course of antibiotics and pain medication will be prescribed to you.
- You will have a small, disposable gauze pack under your nose. Iit isn’t unusual for your nose to ooze a little for at least 24-48 hours after surgery, the gauze should be kept in place until the bleeding ceases.
- On your first night, you should sleep on your back with your head elevated (2-3 pillows). For the first two days you can place ice packs over your eyes to help reduce swelling.Always keep your splint dry.
- Continue to sleep on your back with your head elevated for the first week after surgery. This will help to reduce any swelling.
- You may have stitches under your nose and this area should be kept clean and dry.
- Don’t drive for three days after your surgery. It is also recommended that you avoid signing any legal documents in this time.
- A visit will be scheduled 7-10 days after surgery. After your first post-operative visit you can/should start to ease back into a normal working, social and exercise regime.
- Avoid exercise for up to three weeks after surgery. When you are able to exercise again, you should aim to work slowly back into your regular exercise routine.
- You can wear prescription glasses and sunglasses once your splint has been removed. Contact lenses may be worn one week after your operation.