Treatment Provider

Sam P. Most, MD
Board Certified Facial Plastic Surgeon
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I've never been a fan of my nose… I feel like I...

I've never been a fan of my nose… I feel like I've bounced back and forth between thinking it was OK to totally hating it throughout most of my adolescence and adult life. I have finally decided to bite the bullet and I am hoping for a nose that I will love in photos/the mirror and when I catch a glimpse of my profile!! As a nurse, I am very confident in my physician choice!

T-5 days... ????

Five days to go! I'm super excited but definitely nervous. It certainly is reassuring to see some of the beautiful outcomes of some fellow members… I've got all of my postop prescriptions ready and have my post-op "go bag" of supplies pretty well set… Will definitely be picking up some gauze and extra Q-tips. I have a travel neck pillow that I plan to use to help keep my head aligned and from rolling over onto my side and a couple of extra ice packs already in the freezer. Bought some popsicles and stuff to make smoothies… I need to figure out some sort of Netflix series to binge watch… In between napping of course. I even picked up a comfy button up flannel shirt to wear home postop… I'm fairly certain I could get a pullover shirt on with no problem but I figure I will do as the nurses recommended.

A couple of people at work that I am close with knew that I have been planning this and today I mentioned it to a few others… I work in a small unit and figured it might be obvious to my medically savvy coworkers. Hoping to be pretty well back to normal aside from some residual swelling by the time I return to work 12 days postop.

Will try to stay on top of postop updates! Would love to hear from any of you who have just gone through or will be going through this at the same time!

I did it!!!

Just got home. I was scheduled for a 1p checkin and guess I was probably under by 23p0 or so. Surgery took about 2 hours and Dr. Most said things went perfectly and that he was very happy with the result! Can't wait for my post op appt next Tues! Cast will come off then. Doc said I had minimal bleeding. I half expected to wake up looking like a puffy raccoon but so far minimal to no obvious swelling. I have one incision as it was an open rhino. I did not wind up needing the temporal fascia graft that Dr. Most thought might be necessary. I can already see an improvement in my side profile. Minimal drainage and pain is manageable... I'd say I woke up with 3-4 out of 10 pain. They gave me a little IV fentanyl before I left and after eating a few crackers I was able to take a Norco for (long-2 + hour) drive home. Pain still very much under control. Had some soup for dinner a little while ago and now watching a little Netflix with the hubs. He's been so great today! Perfect little nurse. Planning to try and take the pain meds round the clock for the first day so I stay ahead of the discomfort and hopefully get some solid rest. Will continue to update over the next couple of days!

Provider Review

Board Certified Facial Plastic Surgeon
801 Welch Rd., Stanford, California
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8/4/2016 - I had my preop appointment today! Probably a little sooner than most due to an upcoming family wedding on the East Coast and my work schedule for the month of August. Today's appointment was very reassuring. Dr. Most has such fantastic staff! From the receptionists to his aesthetician to his nurse… Everyone exudes a sense of warmth and very genuine compassion, as well as knowledge and confidence. Having been a nurse for 12 years myself in critical care and currently in a Cardiac Cath Lab, I am probably a more discerning critic than most. I have the utmost confidence in my physician and his staff. I did a great deal of research before deciding on surgery with Dr. Most. I am certain that I have chosen someone who will create an aesthetically pleasing nose that fits my face well, while not changing what I look like completely. I am fortunate to live within a couple hours drive such a world-class doc! Today's appointment consisted of signing my consent forms, reviewing my medical information/allergies/issues with previous anesthesia. The nurse went through all of my pre-op and pos-top teaching. This will also be reviewed again with myself and my husband on the day of surgery. Dr. Most called in all of my necessary post-op prescriptions so I will have them ready to go... ( antibiotics and pain meds) I will certainly post more photos once I have surgery on Wednesday, August 31! I have about 12 days off from work post-op. My husband will be off with me during this time. My follow up appointment is exactly one week after surgery and I am hoping that if I am feeling well enough maybe we can use the last few days of our vacation to drive up to Tahoe or out to the coast to make a little bit of a vacation out of this (maybe I'm being a little too ambitious)... I'd like to think I heal fairly quickly and have a very reasonable expectation of pain and discomfort. I know if we go anyplace that I have to be careful not to overdo it… But I think it would be nice, especially for my husband, to get away after a week of being cooped up! I welcome questions and any advice or suggestions! Very scary but super exciting!