Using cartilage grafts for patients with thin skin
Posted October 22, 2008 10:49 PM in Nose plastic surgery
I recently had a question during a consult from a patient seeking a revision rhinoplasty after having surgery with another doctor. They were concerned that their cartilage graft was showing through their skin. This can be an issue if the graft can sometimes be removed and bruised during revision surgery. Temporalis fascia will be used to wrap around the graft as camouflage and the graft is replaced.
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Non-Surgical Rhinoplasty
Posted October 09, 2008 8:04 PM in Nose plastic surgery
Dr. Nassif's thoughts on non-surgical rhinoplasty:
"I have recently had some patients ask me about non surgical rhinoplasty done with fillers. While filler and injections are a good temporary fix for a post op irregularities like dents, but I don’t like them for a formal rhinoplasty. The injections can cause some irregularities. However, it maybe ok for an over-resected hump where you need to add more of the hump back."
"For more complicated cases like Open Roof Deformities or Inverted V deformities the patient will need to have a revision surgery."
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Medical tests needed before rhinoplasty surgery
Posted September 11, 2008 8:06 PM in Nose plastic surgery
Before undergoing a surgical procedure like rhinoplasty, certain medical tests are often needed. These tests are run to identify any issues that may prevent you from having surgery:
Physical: A general physical done by your primary care physician may be required.
Electrocardiogram: An electrocardiogram, also called an EKG or ECG, is done to measure the electrical signals that control the rhythm of your heart. An EKG tests for any irregularities in your heartbeat as well as evidence of past heart attacks. Additional testing may be required if irregularities are detected during this test.
Complete Blood Count: A CBC is a blood count test that measures thirteen blood levels in the body. This blood test can reveal blood deficiencies or disorders that could affect the safety of your procedure and your recovery. Fore example, inadequate platelet levels can lead to increased bruising and bleeding. Low hemoglobin levels can slow the healing process. While low levels of white blood cells can lead to increased infection after surgery.
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Rhinoplasty side effects
Posted September 06, 2008 8:07 PM in Nose plastic surgery
The following is a list of normal side effects after Rhinoplasty surgery.
Swelling – After surgery, swelling of the nose typically peeks 36 to 48 hours after your procedure. Swelling is usually the most pronounced in the mornings. And, while most swelling will reduce after about two weeks, it is common to have swelling for a year after surgery.
Bruising – Bruising is common around the eyes and on the cheeks, especially if the nasal bones have been fractured during surgery. Bruising peeks about two days after surgery and usually resolves in about two weeks.
Pain – Mild discomfort is common after surgery, but most likely will decrease two to three days after surgery.
Nasal Blockage – It is common to have nasal blockage after rhinoplasty and often feels like a head cold. Cold-like symptoms typically last for about six weeks after surgery.
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Rhinoplasty Recovery Tips
Posted August 25, 2008 8:08 PM in Nose plastic surgery
Here are a few tips to make your rhinoplasty recovery easier:
- Plan on taking about 10 day to two weeks off of work or school
- A recliner or pillows to prop yourself up on will help you sleep elevated
- Make sure the items that you’ll need as you recover are at waist height, that way you won’t have to bend over to pick up items
- Place a table with the recovery items you need next to your bed, this will help you from having to get up and down when you should be resting
- Make sure to go grocery shopping to stock up on soft foods like soups, pudding, gelatin and protein drinks
- Stock up on books, magazines, cds, DVDs and other items to help keep you entertained while you are recovering
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Scheduling your surgery
Posted August 24, 2008 8:10 PM
There are a few factors to consider when you are scheduling your rhinoplasty surgery.
Are you having your surgery done for a special event – a wedding, graduation or reunion? Be sure to plan on having your procedure several months in advance. It may take anywhere from six months to a year for swelling to go down. Everyone’s healing is different.
If you need to take time off of work or school, consider scheduling surgery at the end of the week, so you have an extra weekend to recover.
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A Third Revision Rhinoplasty
Posted August 21, 2008 12:41 AM
As a patient, you wonder why this is happening to me. You wonder why do I need a revision rhinoplasty 9 months following my initial nose surgery. You wonder why everything looked great and the next thing you notice is pinched nostrils and pro-
gressive nasal obstruction. Well, you are not alone. Whether it’s the result of aggressive surgery or scar contracture with the healing process, unfortunately this problem is not that rare. Nationally, approximately 5 –12% of patients that undergo
rhinoplasty need a revision of some kind, whether it is major or minor. Even in the hands of the best rhinoplasty surgeons across the country, the need for revision...
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Rhinoplasty Recovery
Posted August 21, 2008 12:39 AM
Every year, half a million people who are interested in improving the appearance of their nose seek a consultation with a Facial Plastic Surgeon. Some are unhappy with the nose they were born with, and some with the way aging has changed their nose. For others, breathing may be a problem, or an injury may have distorted the nose. A slight alteration of the nose can greatly improve one’s appearance. Rhinoplasty (reshaping the nose), could improve one’s looks, self-confidence or health. As with all facial plastic surgery, good health and realistic expectations are prerequisites.
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Rhinoplasty Recovery
Posted August 21, 2008 12:11 AM
Every year, half a million people who are interested in improving the appearance of their nose seek a consultation with a Facial Plastic Surgeon. Some are unhappy with the nose they were born with, and some with the way aging has changed their nose. For others, breathing may be a problem, or an injury may have distorted the nose. A slight alteration of the nose can greatly improve one’s appearance. Rhinoplasty (reshaping the nose), could improve one’s looks, self-confidence or health. As with all facial plastic surgery, good health and realistic expectations are prerequisites.
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Nasal obstructions and valve collapses
Posted August 17, 2008 8:11 PM in Nose plastic surgery
Nasal obstruction can be due to valve collapse, narrowing of the airway when the bones are fractured, residual deviated septum or big turbinates. A good examination by your surgeon should help with this.
If you have a nasal valve collapse, you need to have that exact region built up with cartilage (septum, ear or rib). A good way to diagnose this is to place the hard part of the Q-tip in the airway and elevate the nasal valve and see if your breathing improves. Please note, your doctor should do this. You may also need to have your turbinates reduced.
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