From Stephanie, Fort Collins,
Colorado, USA
(Medical concierge support provided
by Cosmetic Surgery Travel)
Stephanie keeps a blog and wrote
this entry while in Bangkok. She gave her permission
to publish it here.
Day 1, day of surgery - 7:00
a.m., at the hospital
I silently practice my yogic breathing,
IN ... two ... three ... four… OUT... two ...
three ... four… IN... two ... three ... four…
OUT... two ... three ... four…
As I lie on the surgical table,
I know this is the ONLY way I am going to survive
these next few hours.
IN ... two ... three ... four…
OUT... two ... three ... four…
I can't believe I am actually doing
this, that I am actually carrying through with
this. C'mon, it's only eyelid surgery.
The thoughts race through my head
as I lie in the O.R., looking around at the room.
All the unfamiliar equipment, the sterile equipment,
the nurses dressing one another into their sterile
garb.
They drape me in green sterile sheets,
wrap my head, all except my face, and leave a
small opening above my tummy for the little bit
of lipo the doctor's going to do so he can take
some of my fat and inject it into my frown lines.
Out of the corner of my eye, I see
him - Dr. Chartchai - plastic surgeon extraordinaire
- arms raised as the O.R. nurse helps him with
his gown and his gloves.
This is all so foreign to me. I
have been fortunate enough to never have had a
hospital stay, let alone time in a surgical environment.
I look up at the monitors to see
what my blood pressure reads. Yeah, it is up slightly
from 20 minutes earlier, before I got on the table.
Not surprising, huh?
Oh, a chilly feeling all over my
face and my tummy as I'm "swabbed" down with an
antiseptic wash.
Dr. Chartchai had told me when I
first met him that he likes to talk to his patients
while he is working. We had already agreed on
the music he would be playing. Coltrane, yes,
I like Coltrane. Or maybe Dizzy. He said he liked
Santana. Very cool.
(The guy probably thinks I am a
bit loony as I also asked him what he would be
doing the night before he worked on me. I wanted
to make sure he wasn't planning on being out late,
partying till dawn…I remember reading somewhere
that I, as a patient, have every right to ask
my doctor such questions. After all, I am placing
all my trust in him. I am at his mercy when I
am on that table!)
Dr. Chartchai is very good about
telling me exactly what he is about to do, and
if it will hurt. I had forewarned him that one
of my big fears was needles, and getting shots!
But today, just as in our consultation, he reassures
me that the pain of the shots is nothing that
I cannot survive just fine.
IN ... two ... three ... four…
OUT... two ... three ... four… IN... two ... three
... four… OUT... two ... three ... four…
I keep returning to this breathing
pattern, concentrating hard, focusing not on the
pain of the needle but the rhythm of the breath…
Suddenly, I realize he's begun the
procedure. I can't FEEL what he is doing but I
can HEAR him working! It's an odd sensation. I
have the feeling he is threading my eyelid.
Some time later, I hear the "clip,
clip" sound… I can only guess that he is cutting
the skin at that point. But thank God, no pain,
just the sound.
Little did Dr. Chartchai suspect,
I am sure, that we would be talking so much throughout
the procedure. I am by nature quite the conversationalist.
This, coupled with nervousness, is making me talk,
talk, talk.
He's a good sport…our topics range
from, What made you pick this area of medicine,
to religion, to hobbies. Turns out he has a love
of cars, just like my husband. So I talk on and
on, about my husband's car projects, car shows,
classic cars, etc.
Not only am I having my eyes done,
but he is also cutting out two deep moles on my
face and putting in fat in a facial crease.
10.30 a.m.
We're done. I can't believe that I have been
in here for over 3 hours! I can almost say that
time flew by.
The nurse immediately places a cold
pack over my eyes and I ask if it's in the right
place…I can't feel the cold below my eyebrows.
Then someone reminds me that I am numb!
Dr. Chartchai hands me the mirror
to look at myself, and quips, "You look like a
raccoon!" And yep, I sure do! Purple, swollen,
not a pretty sight.
As the nurses help me off the table,
I realize I am a bit wobbly in the knees. Not
from the surgery, but from the residual valium
they had given me before surgery.
I sit in a wheel chair and am wheeled
out to the waiting area. Independent me thinks,
I shouldn't have them moving me about in a wheel
chair…I can walk. But I try to stand up - guess
it was a good thing I didn't jump off the operating
table.
Oh yes, I ask Dr. Chartchai, before
he leaves, how many shots did he give me this
morning? I want to tell my husband. I know he
won't believe me! Dr. Chartchai says, Well, I
don't know, I didn't count but maybe 8 or 10 all
together. I know they won't believe this back
home!!! What, me so brave?
As Julie meets me, she so sweetly
looks at me and says something like, You look
great! She introduces me to the nurse, a lovely
and gentle Thai woman, who will be visiting me
the next couple of days.
We make our way to the cafeteria
for some lunch before I go back to my hotel. I
feel pretty good, just a little wobbly from the
valium. But no pain in the face.
I feel ok being out in public as
I had brought with me some very large prescription
sunglasses, bought especially for this surgery.
I knew I wouldn't be able to wear my contacts
for a couple of weeks.
Just about the time we are leaving
the hospital for my hotel, I start feeling a bit
of pain in my face, a heavy, dull pain that seems
to be below my eyes, more on my cheekbones.
Dr. Chartchai had given me some
Tylenol to take home. As soon as I reach my room,
I pop one and very soon the pain is gone. I remember
someone saying that the more I iced my eyes these
first 2 days, the quicker the recovery and less
swelling. So armed with two ice packs, I get comfy
in my bed, with icepack over the eyes, and listen
to CNN on the TV.
2.00 p.m., at the hotel
No sooner am I settled than my Thai nurse
arrives, armed with gauze for the icepacks and
some bottled sterile water for my face. She shows
me how to clean my eyes twice a day and apply
the anti-biotic cream that had been prescribed.
Being a news junkie, I am happy
just to lie in bed, ice over my eyes (oh, it feels
good) and listen to CNN.
I keep waiting to start feeling
some pain. But I end up never using any more of
the Tylenol. (I had heard from 2 other women who
have had eyelid surgery done before. One in particular
had warned that I should get some heavier painkiller
for afterwards. Both had said that I should expect
some "weeping" of the eyes those first days, and
some itching as well. These things never happened.)
I sleep off and on through the afternoon.
In the evening, I feel fine enough to go downstairs
and bring back a sandwich to my room.
Day 2
I can't wait to look at myself in the mirror
this morning! Hmmm, I wonder, What will I REALLY
look like after all the swelling has gone?
I very gingerly clean my eyes,
just as the nurse had instructed. Then it's back
to bed with the ice pack!
My longtime girlfriend, who has
been living in Kuwait and whom I haven't seen
in about 3 years, is flying in this afternoon
to spend a few days with me. She is a nurse so
I am anxious to hear her comments about my eyes!
Around 11 this morning, Julie's
nurse comes by, looks at my eyes, and gently helps
me clean them a little more. Her touch is soft,
delicate, and careful. What a joy to have her
here.
Julie arrives just a little while
later, with a beautiful package under her arm!
Ohhh, I love gifts, especially surprise gifts!
We don't really treat our friends and family often
enough with these unexpected treats.
Do you mind? I ask Julie. Can I
open it? I tear into the beautifully wrapped package
and find a wonderful, white, waffleweave cotton
robe with slippers to match! The Saturday Night
Live line popped into my head, It's not how you
feel, it's how you look!
My friend arrives and can't believe
how chipper I am! We rest (I, with more ice and
she, with jet lag) and later that evening go out
window shopping and to have dinner. I'm surprised
again that I really don't feel more pain. And
where's all that "weeping of the eyes" I had been
warned about?
Day 3
After I ice for a couple of hours in the morning,
we hit the trail to go sightseeing! We're out
most of the day; I'm not self-conscious at all,
as I am covered pretty well with my super-star
sunglasses! But I must admit that it does feel
good when I ice again in the evening. I keep those
ice packs working overtime as long as I'm in my
room. Maybe in a few days, I'll use the concealer
makeup Julie brought me.
Day 4
Hmmm, not bad…the purple eyes are turning
more into that greenish, yellow bruising. Swelling
is down a lot! But I'm still icing as long as
I am in the room. I remember that sometime during
the night I had awoken when I felt myself touch
one of my eyes. Maybe it had itched. I don't remember.
No harm done, though.
Day 5
Big day…stitches out! I am reassured by my
American nurse friend that it shouldn't hurt at
all. I am anxious to hear Dr. Chartchai's reaction
to how I look. Am I really healing well?
In his office, I'm on the examination
bed. I start breathing, start counting. IN
... two ... three ... four… OUT... two ... three
- done! It seems I'm on and off the table within
moments. Stitches are out. I DID IT!!!!
I have to say it's such a sense
of relief that I have actually had this done.
I have been researching for almost 2 years about
this procedure, about hospitals and doctors in
Bangkok. It had been very easy to read all about
cosmetic surgery. There's more than enough out
there to educate even the most resistant patient.
I knew I couldn't afford to have
this done in the US. And there had been such positive
articles and stories coming from Thailand. The
hard part had been choosing a doctor and hospital.
I came to Julie Munro and to Dr.
Chartchai through such a circuitous way, I feel
very pleased that all turned out so tremendously
well. If it hadn't been for Cosmetic Surgery Travel
with the handholding they gave me before I came
to Bangkok, and with Julie's care and attention
to detail once I got here, I may have chickened
out.
But I didn't, and now I am finally
ready to tell friends and family that I did it!