The surgery is horrifically botched, and an appointment is made to fix the damage. George is so nauseated by her disfigured nose that he cannot look at her, and tries to lead her into taking a vacation by herself in the interim between surgeries.
The procedure went terribly wrong, and an adjustment is planned. George's disgust at her disfigurement prevents him from looking at her, and he proposes a solo vacation during the downtime between surgeries.