What You Should Expect After Rhinoplasty

Posted on January 7, 2019 by
  • Moderate swelling, bruising, bloodshot eyes which lasts for one or two weeks
  • Stuffiness. Breathing improves over several months
  • Bleeding from the nose for about 24 hours. You will have a gauze drip pad under your nose which may become saturated. Don’t be concerned. Change it as frequently as necessary, and leave it on usually for two days

Call (214) 363 – 4444 if you have any of the following issues:

  • Severe pain which does not respond to medication
  • Prolonged or profuse bleeding. In the meantime, sit up: Do not lie flat because it will cause more bleeding
  • Redness, warmth, or rash-like formation on the skin
  • Excessive bleeding or drainage in the drain (more than 25cc/hour)
  • Deep pain in the legs/calves; which may indicate a blood clot
  • Shortness of breath or labored breathing can be a sign of blood clots in your lungs
  • Any other problems or questions not addressed on this paper

Activity: You should take it easy the day of your operation and the following days. By keeping your head elevated above your heart, swelling can be minimized. Because of your medications, you may need assistance getting to and from the bathroom for the first day.

Pain: Most patients feel that the discomfort from this surgery is minimal. The greatest period of discomfort lasts about 24-48 hours. Thereafter, you should have less discomfort and less need for medication. Occasionally, it lasts a little longer, as different people have different pain tolerances.

Alcohol: Do not drink alcohol for five days after surgery, or when you are taking pain medication.

Driving: You may drive a few days after surgery, but never under the influence of pain medication.

Diet: Start with liquids the first few hours and then progress to your regular diet as you desire.

Hair: You may have your hair washed 24 hours after surgery. However, someone should wash it for you so you can lean back with your face up. Do not bend your head forward. You will have to bathe or shower very carefully to prevent getting the external splint wet.

Makeup: You may wear makeup any time after surgery, providing it doesn’t interfere with the splints or tape.

Sneezing: Remember to open your mouth, so that air can be expelled from your mouth, not your nose.

Sun: Do not sit in the sun at all for one week after surgery. After that time, apply sunscreen to the nose.

Sports: Strenuous sports such as tennis, swimming, jogging, aerobics, or bicycling may be resumed after three weeks. This includes hot tubbing, sexual relations, and brisk walking. It is imperative that you prevent any injury to the nose during the postoperative period for four weeks.

Cleaning the inside of your nose: Do not blow your nose for two weeks after nose surgery. You can start gently cleansing the inside of your nostrils with a Q-tip moistened with hydrogen peroxide the day after surgery. You may place the Q- tip up to 1/4” inside the nostril without causing any damage. Follow with a thin layer of Polysporin ointment to keep the nostril and suture lines from becoming infected and maintaining lubrication.

Work: Depending on the kind of work you do, you may return to your job as soon as you feel comfortable. The splint and tape will remain in place for approximately one week. Do not remove it. If it accidentally falls off, don’t panic; your nose may just swell a little more than usual.

Ice packs: Our staff will explain how to make simple, effective ice packs which should be placed on your eyes and nose for two days following surgery. This will decrease discomfort, swelling, and bruising.

Postoperative visits: The day after surgery: you will be called at home by our staff.

Subsequent visits: They will be determined by your progress. Splints, casts and sutures are usually removed five to seven days after surgery.

You will feel more comfortable using the private postoperative waiting room for your initial postoperative visits. Park in the handicap spot in front of the Sherry Lane door. Press the doorbell and we will let you in from the inside.

Please feel free to call us at any time during your healing period. THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW THE INSTRUCTIONS GIVEN TO YOU.

Posted in Uncategorized

Post Rhinoplasty Instructions

Posted on January 7, 2019 by

You will be transferred to a recovery room adjacent to the surgical suite, where you will be continuously monitored as you recuperate from the effects of the surgery and anesthetic. You will be allowed to go home after a recovery period of one to two hours, or transferred by our nurses to the adjacent facility for a planned overnight stay. You should feel fine, although it is not unusual to expect some minor discomfort.

You will have a metal cast on your nose which you will wear for approximately five to seven days. You may also have splints inside of your nose.

You must arrange for a responsible person to spend the first night and the next day with you. We will give them instructions for care before you leave. Have them read this paper prior to your surgery. This is absolutely necessary as you will not be able to care for yourself immediately following surgery. They will be required to wake you periodically throughout the first night.

NOTE: If you live out of town, you must make arrangements to stay within a thirty- minute drive of the center for the first twenty-four hours after surgery.

Because everyone is different, it is impossible to write postoperative instructions that apply equally to everyone. For example, some patients can have sedation vs. general anesthesia or outpatient vs. inpatient surgery. Some patients have only a single procedure and others may have multiple surgeries in a single setting. Use these instructions as a general guideline, but don’t panic if we vary on some issues.

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

Medications: Take the medications we’ve prescribed according to the instructions printed on the bottle. You may feel a little drowsy, so have someone help you. If you need a refill, call the office and give us the phone number of your drugstore or pharmacy. Do not take aspirin or ibuprofen for four weeks before or two weeks after surgery.

TED Hose: The Hose we instructed you to buy and wear is for the prevention of deep venous thrombosis (blood clots). Deep venous thrombosis affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other areas, causing severe damage to that organ or even death. Any surgical procedure that will inhibit your activity post operatively there is a risk of blood clots. You will be required to wear your TED Hose during rhinoplasty surgery and keep them on for 2 weeks after

Smoking: Smoking or nicotine use (chewing tobacco, nicotine gum, snuff) can have a severe detrimental effect on wound healing. The nicotine decreases the vital blood supply to the skin and can cause poor healing or even skin death. STOP ALL NICOTINE PRODUCTS 2 MONTHS BEFORE AND AFTER SURGERY.

Caffeine– Excessive use of products with caffeine such as coffee, tea, or soft drinks, especially Diet Coke, can have similar effects as nicotine. STOP ALL CAFFEINE PRODUCTS 2 WEEKS BEFORE AND AFTER SURGERY.

Hormone replacement therapy and birth control pills increase the incidence of blood clots. STOP 2 WEEKS BEFORE AND AFTER SURGERY.

Posted in rhinoplasty Tagged Post Rhinoplasty Instructions

Rhinoplasty Reviews

Posted on January 7, 2019 by

Trust Dr. George Toledo

Rhinoplasty Reviews

“The procedure I went to Dr. Toledo for was a rhinoplasty. His results were breathtaking and life-changing.” – Patient Review

“I felt very comfortable letting him perform my rhinoplasty procedure. I am still surprised I had no pain whatsoever afterwards and had very minor bruising.” – RealSelf Review

“I’m very happy with the results from my rhinoplasty and septoplasty. I not only feel more confident in my appearance, but I can breathe better.” – Google Review

Trust Dr. George Toledo

Posted in rhinoplasty Tagged rhinoplasty

What are the Best Summer Skin Care Treatments?

Posted on July 11, 2018 by

We are often asked by patients “how should I be taking care of my skin?” or “what treatments are best for me?” During the summer, the best skin care treatment is wearing sunscreen. Not only when you are out by the pool or on the tennis court, but during the day too. Patients don’t realize how strong the sun can be even during your normal daily activities. Our Elta MD line is our best product for sunscreen care. We offer a daily facial sunscreen and moisturizer (both tinted and non-tinted). There is an option for more acne prone skin as well. We have a full body UV Elements as well as a UV sport sunscreen. The Elta MD foaming cleanser is also a great way to keep your skin clear, using it twice daily in the morning and before bed.

 

Chemical peels are also a good skin care treatment for the summertime. Within 48 hours the treated area will begin to flake off and will continue to do so for another 48 hours. The chemical peel will diminish the acne/ blemishes and leave skin brighter and smoother. Patients should be careful in the sun and wear sunscreen after the procedure! The hydration facial is another great summer option. Like the name implies, the procedure is like a facial that exfoliates, cleanses and infuses antioxidants directly into your skin. There is no downtime and you will leave the office feeling refreshed. Contact us today for any of these skin care treatments 214-363-4444.

Posted in Skin Care Treatments

I am contemplating surgery but when should I schedule?

Posted on July 6, 2018 by

Once the consultation is complete and all questions are answered, the next step is booking your surgery. When deciding to schedule it’s important to make sure you have a friend or family member who can help care for you after the surgery as well as plenty of time to be off of your feet and at home.

 

Most patients who are having a facelift, neck lift or blepharoplasty (upper and lower eyes) look to schedule in the summer. The summer tends to be quieter and there is plenty of time to recover before social calendars fill up in the fall and before the holidays. Most prospective patients don’t know this but we do all of our surgeries at our office on Sherry Lane. We are a licensed ambulatory surgical center with a full-time nursing staff. Patients undergoing a facelift and/or neck lift would stay the night at our facility with our overnight nurse and see Dr. Toledo the following morning for a check before going home. We would see that patient back for suture removals in 5- 6 days. For the blepharoplasty procedure alone, patients are discharged after surgery. Having the time in the summer for patients to undergo surgery and properly recover allows patients to go into the fall looking refreshed post surgery!

 

Breast augmentation, liposuction and abdominoplasty (tummy tuck) are often scheduled in the spring – also know as the “mommy makeover” procedures. Kids are back in school, allowing mothers have more flexibility for surgery before swimsuit season in the summer. These procedures are done at our Sherry Lane office as well, similar to the facelift, neck lift and blepharoplasty procedures. Patients are discharged the same day and sent home for recovery. Patients undergoing a breast augmentation are asked to come into the office the next day for a check with Dr. Toledo.

 

Surgery can be scary but planning accordingly will ensure a smooth procedure and comfortable recovery!

Posted in Plastic Surgery

Why Summer is the Best Time for Cosmetic Surgery?

Posted on June 27, 2018 by

From May through August summer is in full swing and the office is buzzing with activity. We are booked up with surgeries as well as the medical spa procedures because summer is the ideal time for treatments! It’s the best time to visit us because you can plan your downtime accordingly – using vacation days at work or planning for when kids are at summer camp. Come football season and school being back in session, patients are completely healed and feeling rejuvenated.

Patients should plan to be at home and off of their feet for one to two weeks after surgery. Of course, this will vary by procedure. For our breast augmentation and reduction surgeries, we see patients back in the office the following day for Dr. Toledo to check on them.  For all other surgeries patients come back to see us after 5-7 days, for a check and to remove any sutures. After the 5-7 day visit, we wouldn’t see a patient back for three to four weeks. It’s important for patients to be at home relaxing and following our postoperative guidelines. This will ensure the best results and the speediest healing for the patient.

The medical spa treatments need little to no downtime at all. With a chemical peel the patient will experience flaking of the skin within 48 hours of the treatment and it will continue for another 48 hours. Similarly, the Micro Laser Peel will need 48 hours for the treated skin to heal, as it will be red and exposed after the treatment. These two procedures don’t require patients to be at home or off their feet, but there may be some mild discomfort. A Hydration Facial is the mildest treatment of all but is the perfect summer medical spa procedure. The procedure is meant to exfoliate, cleanse and infuse antioxidants directly into your skin. There is no downtime; it’s non-invasive and non-irritating. It will keep your skin bright and clear throughout the heat of the summer! Reach out to us today to take advantage of any of our aesthetic offerings.

Posted in Beauty

The Wedding Regiment: The Final Count Down!!

Posted on May 2, 2018 by

The final count down is on!! As expected I am full of emotions – excitement, giddiness, and yes – perhaps a bit of stress. Maintaining my fitness and clean eating regiment has been key in the months leading up to the wedding. For me, exercise is a great outlet to release stress and keeps me feeling energized. This nice Dallas spring weather has made it easier for me to keep up my running. Even on afternoons when I get home from work and am tired, a walk with my dog can make a world of difference. I have been making an effort to maintain my diet of fruits, veggies and lots of protein. My fiancé and I have been working on it together which makes it much easier for me. We have found new, delicious recipes and have been making an effort to cook at least once a week together. I take the leftovers to work for lunch the rest of the week too. It’s a win-win!

A treatment I began doing once a week the month before the wedding has been the Hydration Facial. The procedure is meant to exfoliate, cleanse and infuse antioxidants directly into your skin. It feels like a light suction that leaves your pores clean and open. I leave the treatment with bright and shiny skin. There is no downtime; it’s non-invasive and non-irritating.

Another procedure I also went to see Dr. Toledo about was Botox. I had a nagging forehead frown line that was becoming more pronounced over the past several months after we got engaged. Dr. Toledo assured me that it was not a problem and an easy fix! I went in two months before the wedding for the treatment. It was my first time using Botox and I was nervous but Dr. Toledo made me feel at ease. He did the injection himself, unlike many med spas that have an Esthetician handle Botox. I was very happy with the results! The frown line completely disappeared and since it was such a small injection, I still had plenty of movement to the rest of my face/forehead. No one could even tell I had it done!

After my many months of treatments and beauty regiments, I feel youthful and glowing for my big day! Dr. Toledo and his staff have been nothing but helpful and reassuring. For more information or to schedule directly, call 214-363-4444 or visit www.toledoplasticsurgery.com.

Posted in Beauty

The Wedding Regiment: 3 Months Out

Posted on April 18, 2018 by

During my last consultation with Dr. Toledo, we discussed different treatment options to specifically target the sun damage spots on my chest and dark freckles on my face. BroadBand Light (BBL) was the treatment Dr. Toledo recommended. BBL is a light therapy designed to directly target sun damage, age spots, freckles, redness, small vessels and some acne spots – think of it as an intense pulse light treatment or a supercharged photofacial. I began the BBL treatment on my face and chest with fours months to the wedding because the doctor recommended up to three sessions, a month between each, to ensure maximum results. My BBL treatments take about 30-45 minutes and I have no down time. I do need to wait 48 hours for exercise but I can apply makeup immediately after. I have been wearing Elta daily tinted sunscreen on my face and chest to protect my skin from the sun, especially since Spring is here! I am half way through my treatments and some spots have already begun to slough off. I am excited to see the final product!

Another treatment that is ideal three months before the big day is a Micro Laser Peel. Unlike the chemical peel, the Micro Laser Peel instantly removes the outermost layer of your skin. We use our Sicton Joule laser for these peels. This peel occurs by the laser during the treatment, instead of waiting for the he chemical to take effect 48 hours later. After the treatment, you will need 48 hours after to allow your skin to heal. There may be minimal peeling, although in most cases there isn’t any. The skin will be red and exposed so it is best to keep it moisturized and out of the sun. This type of treatment is deeper than a chemical peel so it should only be done quarterly. This could easily be done two months before the wedding! If you would like to learn more about these quick beauty treatments we offer or any of our cosmetic surgery procedures we provide, contact us today at (214) 363-4444 or email.

Posted in Beauty

The Wedding Regiment: 5 Months Out

Posted on April 5, 2018 by

As a bride myself, I want to look and feel my very best on my big day. Preparing for a wedding can be stressful and time consuming but your skin and wellness routines should not be. I wanted to take a moment to think through the best skin, body and wellness regiments for brides to be as we get closer to the big day.

Clean eating and exercise are of course what come to mind first. I have made it a priority to schedule myself a set time for exercise each day – even if it’s only 20 minutes. I find cardio (running and spin) mixed in with strength training and toning (Pilates and Yoga) are the best combination for me. As for my meals, making my breakfast and lunches before I leave for work helps me to portion control my meals and stay away from unwanted carbs and high calorie snacks. My favorites are granola, yogurt and fruit for breakfast, followed by a healthy green salad with hard-boiled eggs or salmon as the protein source.

For me having a solid skin care regiment was the most important thing. I have acne spots and blemishes on my face that have bothered me for years. When I consulted with Dr. Toledo, he advised me that a chemical peel was the best way to start. Chemical peels are commonly used to reduce wrinkles, acne/ blemishes and pigmentation problems. I did ask if there was any issue doing this procedure with sensitive skin, which I myself have, but the treatment is easily tailored to different skin types. The chemical peel treatment took half an hour and I had no down time. Within 48 hours my skin began to flake and did so for about 48 hours. I can say from experience that my skin has gotten significantly brighter, smoother and the acne/ blemishes have diminished over time. A suitable time to come in for this treatment is once a month or every two months.

A final thing to consider at the five-month mark is any major surgery. This would be an optimal time as there is still a healthy recovery period. I personally have not had surgery but if there are any nagging bulges that you can’t seem to rid from diet and exercise, liposuction could be solution. Similarly, a Rhinoplasty surgery for those who are unhappy with the size or shape of their nose is another option. Being happy and confidence with your appearance is crucial during this time. Contact our Dallas plastic surgery practice by calling (214) 363-4444 or emailing us today.

 

Posted in Beauty

Dr. Toledo is a SuperDoc 2015 and again 2016

Posted on December 30, 2015 by

Congratulations Dr. Toledo for being named a SuperDoctor 2015 and 2016 in Texas Monthly magazine. Dr. Toledo rates as one of the best, most trusted plastic surgeons in Texas. His patient satisfaction and results rank him as one of the top plastic surgeons not only of Dallas/Fort Worth but also in Texas. 

Posted in Plastic Surgery, Uncategorized Tagged Best Plastic Surgeons in Texas, Dr. Toledo, SuperDoctors, Texas Monthly