Hi Denise - and Julie (you postie, you!)
First of all, so glad Julie is doing well and that the surgeon's did such a good job! Best advice on pain is to let the nurses know, and be as specific as possible - they will be able to treat accordingly. I remember being in all sorts of pain the first few days, but then everythiing got better quickly. If she has a big gauze "bonnet" on, it is possible that it is causing some additional pain because it is a pressure dressing and is, therefore, really tight. Mine hurt both of my ears like the devil!
In addition to pain meds, she might also try slow deep breathing (think yoga). It may sound silly, but it really does help on pain management. It also has the added advantage of helping get some of the anesthesia out of her lungs, too. The key is to breath slowly and very, very deeply.
Hopefully by today, Julie's pain will be subsiding. Give her three cheers and lots of hugs!
Debbi in NJ