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 Before |
 After |
Reasons For Having Rhinoplasty: - Nose appears too large for your face. - A bump or depression on the dorsum of your nose. - A droopy nasal tip. - A broad nasal tip. - Your nose is crooked. - Difficulty breathing through your nose. |
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 THE
CONSULTATION The first step toward having a rhinoplasty is the initial consultation. During this meeting I will listen to your concerns and assess your nose and its proportion to your face. Your overall physical and emotional health will be discussed. After this assessment a surgical plan will be discussed with you including the procedure in detail, expected results and the recovery period. THE
PROCEDURE The technique used for you surgery depends upon the corrections desired for your nose. The procedure can be performed with intravenous sedation and a local injection or with a general anesthesia. I usually use an open technique, which entails an incision across the central base of your nose. Smaller corrections frequently can require only incisions inside your nose, which is called the closed technique. Once the incisions are made and the framework of your nose exposed the cartilage in the tip is sculpted to the desired shape, the bony framework is modified to the desired size and grafts added if enlargement is desired in certain areas. Small wedges of tissue can also be removed at the base of the nostrils if these are deemed to be too wide. The incisions are then closed. A splint is applied to the dorsum of the nose, and nasal packing is frequently necessary for a couple of days. THE
RECOVERY After the surgery you will be taken to the recovery room for a couple of hours and then discharged home with prescriptions for pain pills and antibiotics. You need to keep your head elevated to help reduce the swelling. A small amount of bleeding may be noticed the first couple of days. Any sutures that need to be removed are usually taken out about 3 days after surgery. The dorsal splint is usually removed on the third to seventh day. After the first week the swelling has gone down considerably and the bruising if any is resolving. Any residual bruising at this time can usually easily be covered up with makeup. Many people return to work after this first week, with no strenuous activity. After three weeks most normal activities may be resumed and most swelling resolved. Swelling in the nasal tip can be persistent and can take several months to resolve. |
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