Pre-Operative Instructions – Rhinoplasty (Surgery of The Nose)

DO NOT TAKE ASPIRIN or any medications containing aspirin for two weeks before your surgery. Aspirin interferes with normal blood clotting. Aspirin-containing drugs include: Alka Seltzer, Anacin, Bufferin, Motrin, Advil, Empirin, Midol and numerous others. If you are in doubt about a drug, please ask your pharmacist. Tylenol is a good substitute for aspirin. It is however important to continue any medication already prescribed unless specified as being contra-indicated for your surgery.

ANTI-INFLAMMATORY medication also needs to be avoided for two weeks prior to surgery.

DO NOT TAKE ANY VITAMINS, ANY HERBAL MEDICATION OR HEALTH FOOD SUPPLEMENTS for two weeks prior to your surgery as these can also interfere with blood clotting.

Avoid alcoholic beverages for two weeks before your surgery (including beer and wine).

If you smoke, YOU MUST STOP SMOKING at least two weeks before your surgery. In addition, smoking should only resume two weeks after surgery. This is very important for the healing process and to avoid complications during general anesthesia.

Notify us of any signs of infection such as a cold, boil, fever etc during the week prior to surgery.

As with any surgery under general anesthesia, you must be fasting from midnight the night before your surgery (no food, no drink (including water), no gum). However, if you take medication on a regular basis in the morning, you can do so (with a small sip of water). You will also need to take the anti-nausea medication (Zofran) pescribed to you by our office (again with a small sip of water).

Please arrive at least 1 ½ hours (90 minutes)* prior to your surgery time. Also note that you MUST BE AVAILABLE TO BE REACHED on the day of your surgery, as there may be a change to the surgical schedule.

* If your surgery is scheduled at 8:00, you may arrive 30 minutes prior (7:30am). Please note, however that the front door might be locked at that time. If that is the case, please ring the doorbell (located on the right hand side of our front door) and someone will come to let you in.

YOU MUST HAVE SOMEONE ACCOMPANY YOU HOME AFTER SURGERY. We will advise the person coming to pick you up, one hour prior, as to what time you will get your discharge.

Do not use moisturizer on your face and body the morning of the surgery. Please remove all nail polish (acrylic nails do not need to be removed) and makeup. Contact lenses should also not be worn on the day of surgery.

Wear loose, comfortable clothing. Clothes with buttons or zippers are recommended.

Please leave all valuables at home. We are not responsible for lost or misplaced items.

Note: You will be given a request for blood tests some time before your surgery. Please note it is very important that these tests be done. Your surgery could be canceled if these tests are not received on time for your surgery.


V.W. Papanastasiou, MD, CM, MSc, FRCSC

I had a successful breast surgery on May 24th 2016. Through the information sessions to the surgery and post surgery every single staff I dealt with was professional nice and patient. Dr. Papanastasiou is a great surgeon, professional, patient with a beautiful smile. I wish I had the surgery long time ago.....Big thank to Dr. Papanastasiou, God bless you Doctor!! Thank you so much Francoise, Stephanie, Michele and the young ladies at the reception and everyone who was in the surgery room. A big hug and thanks to NANCY the wonderful Nurse who took care of me in the recovery room, this great lady put her heart in what she does!!!! God bless you all.

"I recently had a breast lift and implants put in by Dr. P and his team. The results are wonderful, very natural and I love them. His team was fantastic, very professional and kind. I would definitely recommend Dr P and his clinic!"

"I recommend Dr. Papanastasiou, he is very kind and professional and best technology I've seen after going to loose my money to get evaluations with other doctors I came back. I had breast augmentation and asked for a natural look and that' s exactly what I got! From A to Z my experience was excellent! I also did lipo and I barely got bruises and no pain, he has magic hands :-)"

"About 4 weeks ago I had lower eye surgery for bags and wrinkles. I was initially a little nervous about the procedure but after speaking with him he made me feel at ease and I felt this was the right decision for me. The procedure took about 1 hour and I was back at work 1 week later with just some minor bruising on my cheeks. I was very impressed with Dr. Papanastasiou. He was very professional and I am extremely satisfied with the results. After the procedure he also called me that night to see how I was doing. I was extremely impressed. I would have no problem seeing him again for any procedure and would easily recommend him. Thank you again Dr. Papanastasiou"

"Two years ago I decided to have breast augmentation and a full rhinoplasty. I went to see Dr. Papanastasiou and felt immediately comfortable with him and his staff and confident that he was the best doctor to do the work. It turns out that I needed a revision (to correct minor issues) for both surgeries (breasts and nose) and I was met with understanding and openness. Dr. Papanastasiou and his staff were very accommodating and compassionate! There were no hassles or arguments regarding the need for the revisions and this was very reassuring! I'm extremely pleased with the results of both surgeries and I'm grateful to have been in Dr. Papanastasiou's care ☺️"