I had to wrap her up in a shirt to be able to clean her nose and the top of her head where hole is. I did use a Qtip dipped in warm water and it worked great. I was able to do all morning drops and meds while I had her wrapped up. She did not like it at all and still will not look at me. She actually waddles in a circle so she doesnt have to face me. If I pick her up to hold her she crawls up my shirt and puts her head under my chin.