The Nitty Gritty of Recovery

I just wanted to create a quick post to let you guys know about some of the "smaller," yet annoying issues/problems/consequences as a result of surgery.  I'm now a little over 3 weeks post-op, and so I may update this particular post as more time goes by and I notice some more issues pop up throughout my recovery, but for now I figured I should type these out before I forget them as they slowly go away.  :)

Holy Pimples, Batman!

So, about a week post-op, when the majority of my swelling went down, I began to notice TONS of whiteheads begin to pop up along my upper lip, the edges of my nostrils, my chin, and even my cheeks.  Before surgery, I'd get the occasional pimple or two (about once or twice a month).  However, when I went vegan in January (2 months before surgery) I noticed that I wasn't even getting the occasional pimple anymore.  So, imagine my surprise when I woke up one day (about 8/9 days post-op) and I saw them all over my face.  I knew this was normal, so instead of fretting, I simply bought some really good acne toner and ointment, and began to apply it at night before bed.  It's worked quite well.  I still have zits popping up every couple of days (almost 3 days in), BUT the ointment and toner help keep them small and under control.  I have this horrible habit of picking at my blemishes (yes, that's an embarrassing thing to admit), but I knew this time that simply wasn't an option.  First because there were too many.  Secondly because I'm not keen on itty bitty scars all over my face, and third because it hurts too damn much to put that kind of pressure on my healing flesh and bones.  

Ear Popping

I noticed this around days 4-10 the most.  It was off and on, and usually when I'd get out of the shower in the morning.  I kept thinking I was getting water in my ears somehow, even though I wasn't allowing my head to get wet in the shower those first 7 days.  This was particularly annoying, as it was already difficult to communicate through clenched teeth and a swollen face, and not being able to hear clearly (and instead hear my own echoed mumbles) made me particularly uncomfortable.  It never lasted all day.  Like I said, it was on and off again.  Now that I'm 3 weeks post-op I've noticed it hasn't happened in the last  5 or 6 days.  I'm hoping that's the end of it.

 

Bloody Nose

So, this only happened once and it was only for about a minute, but it was my own fault.  You know how the Doc says don't blow your nose for 3-4 weeks?  Well, the reason they say that is because your sinuses usually still have a lot of blood in them post-surgery for those few weeks, thus the breathing issues that many patients have after surgery.  I have been fortunate enough not to have had ANY breathing problems during my recovery.  I know that this is a common issue for most people, but I swear I never felt the need to blow my nose.  My doctor warned that if I did blow my nose it would cause an excessive (and maybe even projectile) nose bleed.  However, sometime a little after my two week mark, I had had enough of the ear popping. All I wanted to do was pinch my nostrils together and blow in order to pop my ears open.  So I did; VERY gently, and yes, my ears "popped open."  At first, nothing happened, but then about 2 minutes later I felt the drip drip on my upper lip.  CRAP!  I was afraid I'd opened the flood gates.  Luckily, this wasn't the case.  I had a very minor nose bleed for about 5 minutes (I didn't even need more than a tissue to stop the drips).  BUT, my lesson was learned.  I didn't want to risk having a worse nose bleed if I kept trying to pop open my ears, so I haven't tried that again.  As a side note, I really think that the reason I haven't had sinus/breathing issues is because of the Bromelain/Quercetin that I took before and after surgery.  Ask your doctors about taking these supplements if you're interested in taking them.  Some docs are very strict about what you can and can't take before and after surgery.  Mine was completely fine with it. At my 3 week post-op visit, I was officially given the okay to blow my nose if I need to, but happily, I haven't needed to.

 

Sneezing/Yawning

I started yawning about a week into recovery.  At first it was REALLY weird. My mouth was trying to pull itself open, and of course, couldn't because of the bands that were tightly holding my jaws together.  I got a great tip from a fellow blogger about leaning my chin into my chest to help with this, but unfortunately I couldn't really do this much because I had a chin implant put in, and it still hurt to have my chin make contact with anything.  So, I had to learn to yawn slowly and carefully.  My mouth still fights the bands when I try to open, but I can "control" the yawns much better now.

Sneezing was another weird and uncomfortable feeling.  I had my first sneeze on day 7.  I completely freaked out.  I normally sneeze between 5-6 times in a row (sometimes more).  Believe me, if I could get them all out in one big sneeze I would, but I can't.  I've been this way since I was a baby, and so I've just gotten used to the weird stares (and gazillion "bless you's") I get from people when it happens.  That first sneeze on Day 7 came when my tight bands had already been removed and replaced with 2 loose bands on either side of my mouth, so I was able to open my mouth a bit when the sneeze came.  It came out sounding like a dog bark because I instinctively sneezed from my throat more than my nose.  I freaked out because I thought for sure 5 more sneezes were to follow, but only the one sneeze came. Before week 3, while I was still in tight bands, I learned to pinch my nose to kinda make the sneeze "go away."  Now, that I'm in loose bands, I can let the sneezes come, and while they're still a bit uncomfortable, they're easy and come out more naturally.

 

Sore Cheek Muscles

Part of the reason for my chin implant was to help balance out my asymmetric lower jaw.  While I was in tight bands the first week, and as my swelling decreased, I got more feeling back in my cheek muscles, and my goodness were they sore.  The muscles were fighting the position that the bands were forcing them into.  This is why when I got put in looser bands for week 2 my midlines started to shift-- my stubborn cheek muscles wanted to go back into pre-surgery position.  The Doc's solution was to put me back in tight bands for another 2 weeks in order to give my cheek muscles more time to adjust to their new position.  THIS has been the most painful, annoying, and uncomfortable thing for me to deal with.  Imagine having to make a muscle with your bicep and holding it 24/7. I took pain meds a couple times just to get some relief for a few hours. Then I switched to Children's Tylenol because I really didn't want to keep reaching for the pain meds prescribed to me.  It helped a little.  Then, I decided to start rubbing arnica cream on my cheeks 2-3x a day, and I noticed better than usual relief in the soreness.  It got even better when my mom came home from some grocery shopping with something called Traumeel.  It wasn't cheap (about $20 for a tube of cream), but hot damn, that stuff is like miracle cream.  Traumeel is arnica based, but it has other stuff in it too that I swear made the difference.  It literally provided relief from the soreness within 10 minutes of rubbing it on.  I haven't had to take pain meds or Children's Tylenol since.  I rubbed it on 3x a day all during week 2.  It does leave my face even more oily than it already is, but I don't care.  I'll gladly deal with the resulting acne in order to keep my muscles from screaming at me.  As of a couple days before week 3 I felt my muscles "easing" into calming down.  In fact, since being put in my loose bands this past Friday (my 3 week post-op), my cheek muscles haven't hurt at all--- not in the constantly-sore-angry-cheek-muscle kind of way.  I was only applying the Traumeel as needed for pain, but I haven't used it since being put in looser bands. 

 

Can You Feel the Hardware?

This seems to be a common question, and the truth is that yes, sometimes I can feel it.  Not all of it, but I can definitely sometimes feel the hardware on both sides of my nose.  I started to really feel it around week 2 and it intensified everyday until just about the 3 week mark.  This tends to happen at night, and it's not painful.  I can feel the long pieces when I'm rubbing cream (and acne medication) on face with my fingers.  But I can also feel them from the inside of my face.  I get these light pulses of feeling that kinda "flash" up and down the sides of my nose.  Again, not uncomfortable, just a feeling that makes me aware of something foreign in my face.  I haven't had this feeling in the last 2 days, but I bet it's not the last of it. 

Tooth Sensitivity

As the feeling on the "inside of my face" has started to return, so too has it to my teeth.  My bottom teeth are particularly sensitive to either very hot or very cold liquids.  This was really intense during week 2, and it did get painful sometimes.  I stopped drinking/eating very hot or cold liquids, and I tried really hard to  keep my teeth from accidentally "bumping" against my top teeth.  Now, before you wonder how this can happen if my mouth was still banded shut, let me explain that as the days go by and my jaw got stronger and more accustomed to opening thanks to the yawning and some "talking" (even through clenched teeth my jaw SLIGHTLY pried open if I got too excited while talking), sometimes my bottom teeth would bump or rub against my top teeth.  This is a short, intense sensation of pain.  It's always enough to immediately shut me up, and hold my hand over my mouth for a minute or two.  At my 3 week post-op I told my doctor about the tooth sensitivity and she explained that most of it had to do with the fact that my teeth had been banded shut for so long. Now that I've been in loose bands for a couple days into week 3, I've noticed the tooth sensitivity decrease dramatically.  They're still sensitive, but not nearly as much as during week 2.

Sleeping and Waking up

Surprisingly enough sleeping hasn't been too bad since surgery.  I've definitely had a few nights that weren't easy.  The first week it was because of nausea.  The second week was because on a couple nights I had trouble getting and staying comfortable.  Now, in my 3rd week, I'm noticing that I have trouble sleeping because of pain.  I've always talked in my sleep, and that hasn't changed since surgery.  On a couple of occasions I've woken up to pain in my jaw from my mouth actively trying to open to talk (even in tight bands).  Usually it would only wake me up for a second and then I was able to get right back to sleep, but now that I'm in looser bands, my mouth is able to open for talking much more while I'm asleep, and it doesn't seem to know when wide enough is enough because this time I wake up with a sharp, shooting pain through my jaws all the way up to my TMJs.  This is agony when it happens.  I've woken my mom up for the last 2 nights at least 3 or 4 times yelping in the middle of the night because I've just woken myself up from trying to talk in my sleep, or even from my lower jaw "dropping" open while my head lolls back onto my pillows.  Each time I wake up in pain, my mom immediately asks if I want to take some Tylenol. I didn't take any the first 2 nights after the 3 week mark, but I did finally take some on the 3rd night, and it really helped.  I only woke up once, and it was more because I was getting that "swelling" feeling again, not so much because of pain.  

Mornings have been hard the whole way through, and are only now getting better (in the last 3 or 4 days).  I generally woke up in some level of pain everyday, extra swollen, and with my braces/brackets/hooks PLASTERED to my upper and lower inner lips (ouch).  3 days into week 3 and I'm still waking up with some extra swelling (but definitely not as much as earlier), and mostly soreness now from the pain I've been having in the middle of the night from trying to talk in my sleep.  BUT, I'm able to get out of bed much more quickly, "hop" in the shower, and get dressed for the day.

Alright folks, this post is long enough, but I made it because I thought it would be nice to have ONE entry that discusses some of the more noticeable issues I've been facing while in recovery.  That way future jaw surgery patients checking this blog out don't necessarily have to read every single post if they don't want to.  After all, I'm realistic, I know most people just want the facts, the nitty gritty of it all.  I can't speak for others, but the above info has been my nitty gritty so far.

-A