Monthly Archives: May 2012

Rhinoplasty: Three Things Patients Must Consider

Rhinoplasty, or a nose job, is a popular procedure with patients thanks in no small part to the huge amount of difference a small change can make in appearances. While a nose job is tempting for anyone who struggles with aspects of their facial appearances, all prospective rhinoplasty patients should understand the procedure and what to expect from it.

Rhinoplasty Changes Your Nose

While your nose is a prominent part of your face, reducing it is size or reshaping your nose won’t change anything about how close together your eyes are or if the size and shape of your lips. Reducing your nose may make your other features more prominent changing the proportions of your face, but rhinoplasty makes changes onto your nose; it is not a means to make changes to your face overall.

Rhinoplasty May Not be Perfect

Rhinoplasty is a combination of surgery and art. The surgeon performing the procedure has tools to make small adjustments to your face in order to present you in your best light, but he may not have the skills to match your nose to a picture you saw in a magazine once. Instead of considering a dream nose, think of what you’d like to change on your own nose to make it more satisfactory – change the tip? Narrow the base? Remove the hump? That way you’re approaching the surgery realistically.

Recovery Takes a Long Time

Surgery to your nose can have a long recovery process. While you won’t be in pain or experience discomfort for more than a few days, swelling and bruising may persist for months at a time. Some swelling, particularly in the tip of the nose, may last up to a full year. The long-term benefits, however, far outweigh the irritation with the longer recovery period.

How Young is Too Young for Rhinoplasty?

There is a growing trend to “gift” young people with a new nose on a critical birthday – perhaps fifteen or sixteen. There is some debate about cosmetic surgery during the young and mid teenage years, and parents often wonder if there is an age that makes cosmetic surgery appropriate. There is, in fact, a recommended age for the various plastic surgery procedures, including rhinoplasty.

Teenagers and Nose Jobs

The teenage body is still growing throughout adolescence. Interestingly, the nose continues to grow throughout a person’s entire life as the cartilage expands over time. The same is true of the ears, actually. But the bones in the nose are the most important elements when it comes to determining cosmetic surgery time frames.

When the bones in the face are done growing, the nose can be operated on in an adult like manner. Usually for girls this is around the age of sixteen and for boys around eighteen. This is by no means the precise age teens should have surgery as there are many other factors. In more severe cases, surgeons may be willing to operate on teens as young as thirteen (girls) or fifteen (boys), but those would be incidents of disfigurement more than pure vanity.

Recovering from a Nose Job

Perhaps the most critical element of the surgery is not the actual procedure, but the recovery period. Recovering from rhinoplasty can take up to a year for all swelling to recede. In the life of a teenager, a year is a very long time. During the first few months, teens are not allowed to play sports or work out in any great intensity, although restrictions lift in spurts over the course of the weeks.

Teenagers may not be ready to sign on for weeks of bruising and months of swelling, although the benefit is certainly one they will enjoy for a lifetime. Ultimately only parents can truly say if a child is ready for this level of surgery.

Should My Child Have Surgery for a Deviated Septum?

A deviated septum can occur in different degrees of severity. While it may seem severe to hear that your child has a deviated septum, there may not be a rush to fix the condition surgically for several more years. Discuss the following symptoms with your pediatrician to see if intervention is necessary in your child’s unique condition.

Breathing

There are several impacts on natural breathing caused by a deviated septum. In some cases, babies and young children are simply unable to breathe at all through the nose. In milder cases, they may have a harder time getting a deep breath through the blocked nostrils. In both cases, it’s likely that your baby will be a “mouth breather.” If this is the case, it will make it very difficult for your little one to eat properly, to remain latched for nursing or to sleep well.

Disfigurement

While a deviated septum is simply a membrane in the nose being out of alignment, there are some cases where the shape and size of the nose makes the baby’s face somewhat disfigured. If the nose is unattractive or disfigured in a dramatic way due to the deviated septum, it may be worthwhile to correct the deformity early on in your child’s life when he will have little or no memory of the surgery and recovery.

Injury

If your child is born with a deviated septum, the severity of the injury will determine what is best in regards to surgery. If your child was injured in the nasal area and now has a deviated septum, surgery to correct the problem may be done very quickly to correct the nose while it is still broken to avoid additional surgery down the road.

 

Make Up Tips After Rhinoplasty

 Rhinoplasty has amazing results by making subtle changes to the nose, but there are lingering consequences to the surgery that present some headaches to the rhinoplasty patient. After a rhinoplasty procedure, the nose can be swollen and bruised for months. In fact, it can take up to an entire year for the nose to be totally free of all swelling.

It’s not only the nose that suffers from the swelling after surgery, however. The areas around the nose, including the delicate skin around the eyes also appears to be bruised for many weeks, perhaps months. All told, the final result of rhinoplasty surgery is impressive, but handling the side effects in the meantime requires clever tricks with make up.

The right make up after rhinoplasty is the sort that flatters your face, offers a great deal of concealment and helps to make the bruising disappear. Most often bruising appears in tones of yellow, so combat that with a pink based base and concealer. You may discover that using two different tones of concealer and base help to hide the bruising more adequately than a single shade. Blend the two colors carefully to cover the red and yellow tones.

Dust the face carefully with powder to set the foundation layers and proceed with eye make up as usual. Be sure to avoid using any eye liner or mascara on the bottom lashes, however, as they may emphasize the swelling of the tissue there. Light, natural colors with a bit of sparkle will help to distract the eye.

A dot of highlighter on the inside of the eye and on the outer corners will minimize the darkness under the eyes as well. A final recommendation for any make up purchased to use after rhinoplasty: Be sure that the make up you’re using is for sensitive skin and avoid using any makeup over open sores or healing incision sites.

How Long Does Rhinoplasty Recovery Take?

Rhinoplasty is a bit of a tricky recovery process – not painful, fortunately, but drawn-out thanks to the nature of the area you’re treating.

Immediately after surgery, the surgeon will use nasal packing, usually gauze, to shape the nose from the inside. The packing will hold the new shape of the nose in place and stabilize the septum. The surgeon may also put a splint over the nose to hold it in place as well. The packing will stay in place for a few days while there is discharge from the surgery.

During the first week, dull aching is common in the nose and behind the eyes. The packing may be uncomfortable as well. The doctor will instruct you not to blow your nose once the packing is out for a few weeks at least.

During these first few days, the swelling and bruising of the nose and the surrounding eye tissue will become more pronounced. This is often unexpected and can affect how the new nose appears, making patients concerned about final appearances. Cold gel packs and compresses will help to soothe this swelling and bruising, but patients should expect to see some swelling for many months after surgery.

As the swelling gradually disappears, the recovery process will seem to slow down. The bones will be healed in a few weeks and the bruising will disappear along the same time frame. But swelling may remain for up to a year, primarily in the tip of the nose.

Most patients return to work after a week of recovery using makeup to hide the bruising and swelling that may still be present. Continued applications of the make-up around the eyes and nose will ease the transition back to the workplace and make it easier to let the rest of the swelling fade over time.

Nose Job Recovery: Tips and Tricks

Recovering from a nose job isn’t an entirely difficult task. The nose job involves small incisions in the folds or the interior of the nose. Bones may be broken or shaved and the cartilage reshaped. Once the surgery is over, however, recovering quickly can be a simply matter of taking good care of yourself and your new nose.

Reclining

In the day after surgery, climb into bed and stay there. Use plenty of pillows to prop yourself up so that you’re able to recline comfortable. You should not lay down during this time. Watch television, doze, work on the computer or just rest. You should take it very, very easy on the first day. Gradually increase your mobility to speed healing, but always stop to rest as your body needs rest to heal fully. The more active you become over the first week, the faster your body will heal provided you rest just as much as you move.

Stop Smoking

You should have stopped smoking prior to surgery, but just in case you only stopped for a few days, be sure to stay smoke-free for as long as possible after the recovery. It can take up to six weeks for the bones to heal and incisions to set, and smoking slows down the healing process. Smoking can leave open wounds where your incisions should be healing and bleeding under the skin is more common for smokers as well.

Treat Your Eyes

While you’ve had surgery on your nose, your eyes are going to take a beating as well. You’ll have a dull ache behind your eyes following the surgery and your eyes will appear puffy and bruised for some time. Use a cool gel eye pad to cover your eye area to help reduce swelling, add comfort to this area and improve the healing in this area at least.

Rhinoplasty: 3 Things Patients Should Know

Rhinoplasty is one of the nation’s most popular plastic surgery procedures with good reason. The procedure can help to redefine a face nicely and sculpt a face almost instantly by giving the nose a new shape. When considering rhinoplasty, there are certain elements that the patients should absolutely be aware of.

Healing Takes a Long Time

Unlike other procedures where skin is cut and then heals, a rhinoplasty procedure involves the cutting of skin, the trimming of cartilage and even the breaking of bones. This means that the recovery process is considerably longer than you might expect. While you’re able to return to work a week or so after the rhinoplasty procedure, there may be significant bruising and swelling for weeks or months following the surgery. In some cases, the bruising and some swelling may last up to six months before the face is healed completely.

Revision Rhinoplasty May be Necessary

85 percent of patients who have recently had a nose job are satisfied and happy with the results. There are fifteen people in one hundred, however, who opt to have a revision rhinoplasty procedure down the road. This number should indicate that the creation of a new nose is just as much art as skill, and finding the right surgeon initially is critically important to the overall success of your surgery.

Nasal Packing Presents the Biggest Problems

Surprisingly it is not the broken bones or the incisions in the nose that cause the most discomfort for patients. Instead it is the nasal packing that is so uncomfortable for those who have had a rhinoplasty procedure. The nasal packing is present to help stabilize the nose, and can be left in place for several long days. Fortunately, when it is removed, the nose is well on its way to healing.

 

FAQ About Rhinoplasty Recovery

Rhinoplasty may be performed on a relatively small area of the face, but it is still considered a major surgery and the recovery time from the procedure will be more extensive than many patients consider when first thinking about the surgery. Many questions about the recovery period from the surgery emerge during the consultation process including the following:

Q: How long does it take to recovery from rhinoplasty?

A: Rhinoplasty has a series of recovery steps that can take up to six months. In the first few days, packing will be left in place by the surgeon. Once the packing is removed, the nose will continue to be especially fragile and protected by a guard. Bruising and swelling around the nose and eyes will appear almost immediately and the conditions can last for months following the procedure.

Q: How will any complications or problems be handled?

A: Rest assured that a quality surgeon will be looking for any complications or problems with your procedure every time you visit for a follow-up appointment. The patient should be on the lookout for problems as well with the surgery and be careful to call the doctor for a follow-up if any complications or questions emerge. Write down and questions you may have to be sure that you’re able to talk to the doctor about the exact issue quickly.

Q: Where will I recover from the surgery?

A: The vast majority of rhinoplasty patients choose to recover from the surgery at home. The patients will need a friend or family member to help over the first night or two, but after the initial recovery process, the patient will be able to move normally with minimal pain medication. Some patients choose to recover in a medical treatment center, however, especially if they are traveling for the surgery.

Rhinoplasty Basics and Terms

Rhinoplasty may be a term you know already – it’s a nose job after all – but during discussions with your surgeon, it’s very likely that you’ll hear or read other words about the surgery and what you can expect that you’re not already familiar with. If this is the case, you’ll want to be sure to ask the surgeon for a less formal explanation or to, perhaps, tell you more about the terms he’s using. The following words are a good start to understanding the sorts of terms that are commonly used with rhinoplasty however.

Rhinoplasty – This is the most common term. Rhinoplasty is simply the formal name for a nose job or a surgery used to reshape or redefine the nose.

Anesthesia – This can be either a general or a local anesthesia. A general anesthesia is a pain killer that renders the patient unconscious during surgery. A local anesthesia is a less powerful pain killer that is given to a patient as shot during the surgery. The local anesthesia can be of varying strength.

Cartilage – Cartilage is the movable areas of the nose that give it structure. The tip of the nose and the top of the ears are made from the connective tissues called cartilage, for example.

Deviated Septum – Cartilage in the nose that is crooked or misaligned. The crooked cartilage can partially block or totally obstruct one or both nostrils from the inside of the nasal cavity.

Columella – The small bit of skin and tissue that is found between the two nostrils.

Hematoma – This is a possible side effect of most surgeries where the blood pools under the skin creating dark splotches.

Sedation – Intravenous sedation are shots that are administered into a vein to help you relax before anesthesia or during various parts of the procedure.

Risks of Rhinoplasty

Rhinoplasty is one of the most common forms of cosmetic surgery performed today, and the procedure is among the safest in terms of side effects and risks. This is especially true as rhinoplasty patients have very little in terms of an incision or tissue removal – the site of the surgery is small, but there are still some risks to be aware of.

Identifying Risks with Rhinoplasty

The first visit with the surgeon will give the patient time to go over the possibilities from the procedure. The surgeon and the patient will outline the medical history of the patient to determine if any specific risks are possibilities outside of those that are considerations for all patients. The surgeon will also encourage the patient to stop smoking and to cease certain medications that can increase the chances of a side effect during the surgery.

The Side-Effects of Rhinoplasty

Once the actual surgery is performed, the real risks of the surgery will become more evident. Among these risks, the patient must expect the possibility of infection, bleeding from the nostrils or under the skin, numbness, pain and the possibility of unattractive scarring. Additional concerns include the amount of swelling that can be present following a rhinoplasty procedure and the possibility of a revision rhinoplasty.

Rhinoplasty is as much an art as it is a medical surgery. From an artistic point of view, surgeons work hard to create a nose that is appealing, even and ideal for the face. Revision rhinoplasty can correct remaining concerns from both these aesthetics and the medical necessities as well including deviated septum and unusual or unattractive scarring. Caring for the body and nose specifically before and after the surgery can make a substantial difference in how dramatically the body scars.