Monthly Archives: June 2012

Planning a Nose Job?

Often the thought of a pretty new nose dominates the thoughts about a nose job. What will it look like? How long will it take to be the nose you’re dreaming of? Having a new nose is, of course, the goal of rhinoplasty, or a nose job. But knowing what to expect from the surgery is critical to being an informed and prepared patient. The more time you spend actually preparing for surgery, the smoother the process will likely be – especially the first unveiling after the bandages come off.

The nose job is designed to make alterations to the nose that you already have. They surgeon can’t switch out one nose for another, of course. This means that the surgeon will have to make small changes to your nose in order to create a new shape or design. While a surgeon can make a nose more narrow or remove humps and hooks, there is a limit to how much can be done at once.

Trying to make too many or an overly dramatic change can be hugely harmful to your face. Removing too much material can create the sort of results that appear unnatural or even those that collapse. This is why surgeons will advise only small, reasonable changes – nothing huge.

The small changes, however, can make a dramatic difference, however to your face. Trust the surgeon’s judgment and experience when you’re consulting about your surgery. Explain what you’d like, of course, but understand that the surgeon creates new noses almost every day – he knows what is reasonable and what is not. Of course, this is provided you pick a surgeon who has ample experience, which you should.

Planning for your surgery involves a great deal of discussion and plenty of anticipation. Being adequately prepared will make the process much simpler and satisfying.


Rhinoplasty and Pain Medication

Rhinoplasty is a full blown surgery, and as such you can expect there to be serious medication involved for pain both during and following the surgery. Prior to the surgery, the doctor will discuss the options available for pain control and anesthesia. Knowing what your options are and what to expect from the medication makes the surgery itself easier to bear both physically and mentally.

Pain Medication during Rhinoplasty

The biggest need for pain medication is during the surgery itself. As rhinoplasty can be a hard surgery in terms of bone manipulation, most surgeons opt to have the patients sleep through the procedure. This means a general anesthesia will be administered prior to the beginning of the surgery itself.

In some cases, however, usually those that don’t involve large amounts of bone work, the surgeon may allow a local anesthetic where the nose and the surrounding tissue is numb so that the patient can’t feel any pain during the procedure. The patient will still be able to hear the sounds of the surgery and the surgeon’s discussion which can be challenging.

Pain Medication Following Rhinoplasty

After a nose job, the surgeon will prescribe a pain medication to be taken during the recovery period. This medication will likely be a strong pain killer for the first days after surgery. There are side effects of these sorts of pain medications, however, and they should be discussed with the surgeon prior to the surgery. You will not be in a good position to make decisions about medication immediately following the surgery, of course.

While on serious pain medications, you will not be able to do certain things like drive a car or possibly nurse very young children. The time spent on these medications is usually short, however, as rhinoplasty pain is short-lived. Patients are able to move past pain medication usually in less than two weeks; usually just one week.


Rhinoplasty: Preparing for Surgery Day

The day of surgery is both exciting and nerve-wracking. The more prepared you are ahead of time, the better the day of surgery will be – at least this is true for the elements within your control. Rhinoplasty is a major surgery and there will be preparations to arrange before the hospital visit. Being ready both physically and mentally can help tremendously.

Mentally Prepare for Rhinoplasty

Read about the surgery well before the consultation with the surgeon. Ask the doctor to go through the procedure with you step by step to be sure that you understand everything that will be happening to your body prior to surgery. Think about the procedure and visualize yourself going through the steps of the surgery so that your mind is at peace about the procedure itself.

Continue your musing and visualization to include the recovery period. How long will you be recovering? Where will you be during that time? Knowing what you’d like to happen will help you arrange those elements ahead of time.

Physically Prepare for Rhinoplasty

While being in good health is important for the surgery, it’s also important to have all of the physical arrangements in place prior to the surgery. You don’t want to come home after surgery to a house that is messy without a your chair being in the right place for a full rest and recovery.

Arrange your pillows on the bed so that it’s a comfortable nest to recline and rest in. Drag the recliner that you’ll be resting in during the day closer to the internet connection and the television. Find your music player and check that your phone charger is already in position. This will save you the trouble of seeking out and arranging things on the first days of recovery – when you actually can’t do much more than sitting there.

3 Reasons Rhinoplasty Should Wait

Often when you decide that rhinoplasty is right for you, you’re interested in having the surgery as quickly as possible. After all, why wait any longer than you need to? There may actually be a few reasons to put off rhinoplasty for some patients in order to have the best possible results.


The Patient Is Too Young

While it may become obvious from an early age that the nose is out of proportion with a face or is off center or unflattering, it’s not advisable for surgeons to operate on patients younger than sixteen or so. The nose continues to grow until between age fifteen and seventeen and surgeons must be sure that the patient is old enough to have the surgery without unfortunate side effects from working on a patient who is too young.


The Patient Is Looking for the Wrong Thing

Rhinoplasty is a big procedure with big consequences. Making slight changes to the nose can change the proportions and the dynamics of the face, altering your entire appearance. Patients seeking a nose job who have given the procedure a great deal of thought and consideration understand that the surgery isn’t going to change who they are or any areas of their life. They won’t become rich and famous because they have a prettier nose. Would-be patients who fail to understand this should not have the procedure.


The Patient Isn’t Well

Rhinoplasty is a major surgery that can take months to fully recover from. If a patient has long-term medical conditions or unhealthy habits like smoking or drinking heavily as well as frequent use of prescribed medications, the rhinoplasty procedure is not safe or appropriate. Patients should be healthy and free of any substance dependence for up to six months prior to surgery.

Signs of a Deviated Septum

A deviated septum is a condition where the cartilage of the nose between the two nostrils grows to be off center. Many patient grow up with a deviated septum and in a full eighty percent of humans, the septum, or wall between the nostrils, is at least a little off center. For those whose septum is more severely off center, symptoms of a deviated septum may be more dramatic and troublesome.


  • Blockage of the nostrils is the most prominent sign of a deviated septum. One or both of the nostrils may be blocked if you suffer from a deviated septum. The blocked nostril will be obvious to the patient as he won’t be able to breathe properly through that part of the nose and he may also have difficulty blowing his nose properly from that side as well.
  • Nasal congestion is common as well for patients with a deviated septum. The congestion may be isolated on one side of the nose if that is the area where the most blockage is present.


  •  Frequent nosebleeds occur with more severe cases of a deviated septum. Those who grew up with the condition may have more bleeding throughout all years of life.


  •  Frequent headaches and facial pain can be symptoms of a deviated septum as well. The pressure that can build up behind the blockage is the frequent cause of this discomfort.


  •  Sinus pressure is also caused by the pressure that can build up behind the nose. Many times those with a deviated septum will also experience post nasal drip and other signs of what appears to be a cold or sinus infection.


  •  Sinus infections, severe hay fever and frequent cold like symptoms are all signs of a deviated septum as well.


  • Finally, noisy breathing and even snoring for children and some adults may stem from the deviated septum as well.


Deviated Septum: How Young is Too Young for Surgery

A deviated septum is a bit term for a rather common place condition. A true deviated septum is when the membrane that separates the nostrils becomes bent or out of line, partially or completely blocking one or both nostrils. The deviated septum can have varying levels of severity, and it is the severity of the condition that determines who should have surgery to correct the problem and who should wait.

The youngest potential patients for a septoplasty are those who have difficulty breathing through their noses. Parents may notice that the deviated septum becomes a problem when the child always breathes through his mouth or if a baby has trouble nursing. Not being able to breathe properly can make many things difficult for a child, and if it is interfering with feedings and normal daily procedures, surgeons are often willing to operate while the child is still relatively young.

In the vast majority of cases for a deviated septum, doctors are hesitant to operate before the child is fifteen years of age. The cartilage that makes up the septum in the nose is still growing, and as a deviated septum is not life threatening, even if it is inconvenient for patients, doctors prefer to handle the symptoms of the condition rather than try to correct it while the nose is still growing.

Often, the severity of a deviated septum changes some over time with the growth of the nose. Other things such as injuries and sporting accidents can affect the nose and possibly cause additional damage or make a deviated septum even more severe.

Once the nose is done growing, usually around fifteen or perhaps sixteen or seventeen for boys, the surgeon is able to perform the surgery to correct the condition and perhaps correct the exterior appearance of the nose at the same time through a rhinoplasty procedure.

Three Things to Know About Rhinoplasty

Rhinoplasty is an exciting surgery. Having your nose reshaped to be more visually pleasing as well as functional is a cause for joy and enthusiasm, and a grand procedure also has a lot of factors that contribute to its success and the amount of time required to heal. Patients considering rhinoplasty should be very familiar with not only the basic procedure, but with some of the more unusual aspects of the surgery as well.

Healing Takes a Full Year

While you’ll be ninety percent healed from the rhinoplasty surgery in a matter of weeks, the last bits of swelling can take almost an entire year to fully work their way out of your system. The changes after the first few months will be so slight that they will not be highly visible in the mirror or to friends and family members, but there will be gradual changes as your body fully embraces the new contours of your nose and all swelling disappears.

You’ll Be Congested for Up to a Month

Following rhinoplasty, you’ll have a stuffy nose. And that stuffy nose is going to stay with you for a very long time unfortunately. There is a great deal of swelling that occurs with a nose job, and the swelling you see on the outside of the nose is by no means the only swelling that occurs. The inside of your nose is swollen as well, and that bit of swelling can make it hard to breathe easily through your nose for a long time – up to a month. As the swelling gradually subsides, of course, your breathing will be easier again.

Teenagers Can Have Rhinoplasty

There are very few surgeries that are acceptable for young teens, but rhinoplasty is one of them. Girls as young as fourteen and boys as young as sixteen are candidates for rhinoplasty, especially if they have a medical situation like a deviated septum. The teen years are often an ideal time for the procedure, and it is an option that is available.



Nose Jobs and Congestion

Those who have a nose job for a deviated septum look forward to being able to breathe easily for perhaps the first time in their life. Others who are having cosmetic work done are simply looking forward to breathing nicely through a beautiful new nose. One side effect of a nose job that many simply aren’t aware of before the surgery is the amount of time that you won’t be able to breathe easily.

Surgical Packing

Immediately following the nose job, the surgeon will use packing or specialized gauze to fill in the nasal cavities. This is to preserve the newly created shape of the nose and support it in the first days of healing. An unfortunate side effect of the nasal packing is that you simply can’t breathe through your nose so long as there are rolls of gauze in the way. Some surgeons remove the gauze in the day after surgery, while others wait a few days to ensure the nose is healing well.

Nose Job Swelling and Congestion

After the surgeon has removed the packing, it may feel natural to try and take a deep breath – after all, your nose isn’t blocked artificially any longer. Unfortunately, rather than a clear breath, you’ll likely discover how congested your nose. The swelling that you see on the outside of your nose following surgery is actually mirrored on the inside of your nose, filling most of the space normally available for breathing.

For up to two or three weeks following surgery, you’ll continue to be congested. The swelling must go down gradually, but as it does your breathing should improve steadily as well. Breathing concerns and congestion should be discussed with your surgeon at all follow-up appointments as only he will be able to determine if the healing process is progressing correctly in your individual case.


Rhinoplasty and Exercise

Rhinoplasty, or a nose job, is the ideal way to restructure the most prominent element of your face if it has been making you uncomfortable or causing medical issues. A deviated septum that often goes along with a broken or bumpy nose can cause medical issues as well as aesthetic ones. One area to consider before a rhinoplasty, however is the amount of time that you’ll need to fully recover.

While a small area of your face, a rhinoplasty procedure is a full surgery. The procedure will leave you uncomfortable, and you’ll have plenty of requirements and recommendations from the plastic surgery following the operation. One of these requirements will be the amount of exercise you can, or rather can’t, do following surgery. You’ll be almost completely out of commission for two weeks following surgery and you’ll have additional requirements and limitations for up to six weeks.

For those who enjoy a healthy work-out routine, taking six weeks of can be troublesome, but it will simply represent a balance in priorities during this time. In the first weeks after surgery, you’ll feel the effects of the surgery strongly. If you’re taking the pain medication the surgeon prescribes, it would not be safe to do more than shuffle around your home. After two weeks, the surgeon will likely lift some of his ban on exercise and you’ll be able to get moving again, although without any great intensitiy.

It’s possible walk briskly or even do some yoga or pilates a few weeks out from surgery. Your body will likely feel fine at this point, but your healing nose is still fragile and it may be susceptible to nose bleeds if you push yourself too hard. Save any hard workouts and heavy breathing for at least six weeks following surgery. Any contact sports or dangerous activities that may put the new shape of your nose at risk should be put off for at least six weeks if not indefinitely.

Understanding Nose Job Concerns

Those considering rhinoplasty may have concerns about the surgery and what the process entails. Having concerns about rhinoplasty is only natural, of course, as making even a small change to your nose can change the way your face appears for the rest of your life. Patients should discuss any concerns they may have with the procedure with their  surgeon, of course, and do what they can to understand the procedure prior to their initial consultation so that they are aware of the best questions to ask during the meeting.

Scarring from Nose Jobs

Facial scarring is never appealing, but fortunately, there is little chance of significant scarring from a nose job procedure. The incisions for rhinoplasty procedures are very small and often made inside the nose itself. Incisions made outside of the nose are tiny and located in natural creases of the nose so that they are all but invisible when they heal and form tiny scars. As the scars fade over time, they will be almost completely invisible.

Healing from Nose Jobs

The healing process from a nose job isn’t as painful or as long as many may think. The most discomfort from a nose job occurs when the packing gauze is in place. Once the packing is removed, the nose moves infrequently and with mild pain medication, there is almost no discomfort so long as the head is moved carefully. There will be bruising and swelling following the rhinoplasty procedure, but this can be disguised at least with clever make up tricks.

Revision Rhinoplasty

Since rhinoplasty is much an art as a science, there is always the chance that the nose created during the nose job may not be what the patient hoped for. In this case, the surgeon may return to the nose later in a revision rhinoplasty. Ultimately 15 percent of rhinoplasty patients opt for revision rhinoplasty. To reduce the chances of changes down the road, it is best to work with an experienced and careful surgeon initially.