Please Read First

This page provides a condensed overview of preparation and recovery guidelines for alar base reduction surgery. For complete instructions—including anesthesia options, detailed timelines, and medication guidance—please download the full Pre-Operative and Post-Operative instruction documents below. These serve as your primary reference for a safe and successful recovery.

General Anesthesia Pre-Op & Post-Op Instructions Video

General Anesthesia Pre-Op Instructions Video | Asia Pacific Plastic Surgery

What to Expect

Alar base reduction may be performed under local anesthesia (with or without sedation) or general anesthesia, depending on your case. Recovery usually involves swelling and mild discomfort for 1–2 weeks, with gradual improvements in breathing comfort and nasal appearance over several weeks.

Key Pre-Operative Guidelines (Summary)

Fasting: 

  • General anesthesia: No food or drink for 8 hours before surgery.
  • Local anesthesia with sedation: Nothing to eat or drink for 3 hours before.
  • Local anesthesia only: No fasting required.

Transportation & Care: 

  • General anesthesia or sedation: Arrange a responsible adult to drive you home and stay with you overnight.
  • Local only: You may drive yourself home.

Medications: Stop aspirin, NSAIDs, herbal supplements, and weight-loss medications as directed. Discuss prescription medications with your surgeon.

Lifestyle: Stop or reduce nicotine 4 weeks before and after; reduce alcohol 2 weeks before and after.

Day of Surgery: Shower, avoid lotions/makeup, remove jewelry, and wear loose, front-opening clothing.

Suggested Supplies:

  • Tylenol (acetaminophen)
  • Laxative/stool softener if using narcotic medication
  • No-slip socks
  • Sunscreen (SPF 45+) to protect incisions

Key Post-Operative Guidelines (Summary)

Pain Management: Use Tylenol; narcotic pain medication and anti-nausea medication may be prescribed.

Antibiotics: Complete the full course as directed.

Mobility: Gentle walking immediately after surgery helps prevent blood clots.

Positioning: Sleep on your back with your head elevated for 2 weeks.

Activity: Avoid strenuous exercise, yoga, or contact sports for 2 months. Protect incisions from sun exposure for up to 12 months.

Incision Care: Sutures are usually removed after 7 days. Avoid makeup at incision sites for 2–3 weeks.

Cold Therapy: Use ice packs starting 24–48 hours after surgery for swelling (15–20 min on, 40 min off).

Follow-Up and Support

Urgent Concerns: Contact our office if you experience redness, swelling, drainage, fever over 101°F, or pain unrelieved by medication.

Emergency Situations: For difficulty breathing or chest pain, call 911 or go to the nearest emergency room.

Ongoing Communication:

  • Non-urgent: email [email protected]
  • Urgent: call (808) 585-8855 during office hours
  • After hours: use the physician exchange at (808) 524-2575

Appointments: Attend all scheduled follow-ups to ensure proper healing.

Download Complete Instructions

For full details on medication guidelines, wound care, return to activity, and recovery milestones, please download both documents below:

Download Alar Base Reduction Pre & Post-Operative Instructions (PDF)

Download Pre- and Post-Operative Instructions: Surgery with General Anesthesia (PDF)

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