Dr. Smiley Rhinoplasty (Nose Surgery)

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What Is A Rhinoplasty?

Rhinoplasty is a cosmetic procedure used to re-shape the nose either to meet aethetic goals for reconstructive purposes. This is very intriquate and specialized procedure is used to contour the the bridge and/or tip of your nose. It can make the size of your nose larger or small to better compliment your other facial features. It can also be used to narrow your nostril span, change the angle between your nose and your upper lip and also correct a deviated septum which is a common cause of breathing problems.

Often time your surgeon is able to perform a closed technique, meaning that your procedure will be performed from the inside of your nose so that you will have no visible scars from the outside. By using this technique and by performing the component dorsal reduction of the nasla bone and cartiliage patients are left with a smooth natural looking result.

Who Is A Candidate For Rhinoplasty Surgery?

Rhinoplasty surgery is ideal for patients over the age of 15 who are looking to enhance their appearance and gain self confidence. It is important that all patients have realistic expectations and are looking to improve their look, not achieve the look of somebody else. It is important to remember that you want your nose to compliment your other facial features.The best candidates are in good health, psychologically stable and non-smokers.

Rhinoplasty surgery is ideal for patients over the age of 15 who are looking to enhance their appearance and gain self confidence. It is important that all patients have realistic expectations and are looking to improve their look, not achieve the look of somebody else. It is important to remember that you want your nose to compliment your other facial features.The best candidates are in good health, psychologically stable and non-smokers.

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About Nose Surgery…

Your and your surgeon will dicuss your goals during your complimentary consultation. At that time your surgeon will let you know whether or not you are a candidate for a closed technique procedure, what type of anethesia will be used and how exactly he will perform your procedure. Be sure to dicuss any injuries or previous surgeries with your doctor at your consultation to ensure optimal results.

Rhinoplasty surgery typically takes an hour or two to perform depending on the scope of the procedure. In some cases it can be significantly longer than that. Your doctor will discuss your individual case with you at your consultation. During the procedure the skin on the nose is separated from the surrounding supporting bone and cartilage. Your surgeon will then sculpt the area to achieve the look desired. The skin is then pulled back into place over the newly shaped bone and cartilage framework. The incision will be made either inside the nose, a “closed” technique or across the columella (in between the nostrils) which is referred to as an “open” technique. Closed techniques are preferred, but in more complicated cases an open technique is the only option. To maintain the shape of the nose a splint is placed overtop. Small soft splints or nasal packs may also be used to stabalize the septum. These will be removed within one to two weeks.

Most patients are able to return to normal activies after about a week, but will be up and about after two or three days. Most rhinoplasty patients are take a few weeks to get fully back up to speed. Strenuous activity should be avoided for two to three weeks. Avoid rubbing or hitting your nose for eight weeks. During that time, it is advised to stay out of the sun as much as possible.

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Temporary Side Effects

Swelling of the face, aching of the nose and headaches are common for the first few days following your procedure. Pain medication will be prescribed to control any discomfort or mild pain. You will need to stay in bed for the first 24 hours, keeping your head elevated. Swelling and bruising around the eyes will develop around the second or third day. A cold compress should be used to control swelling. Within a week or two the swelling and bruising will begin to dissapate. Mild bleeding and a “stuffy” feeling are also common. Be sure to refrain from blowing your nose.

Risks

As with any surgery, there is always the risk of complication. Heavy smokers, patients who are overweight and patients with diabetes and/or other health problems are more susceptible to complications. Risks inherent to the use of general anesthesia include nausea, vomiting, sore throat, fatigue, headache, and muscle soreness. In very rare cases, the use of general anesthesia may cause blood pressure problems, allergic reaction, heart attack, or stroke.

Risks associated with rhinoplasty include airway obstruction, asymmetry, burst blood vessels, keloid scarring, nerve damage, numbness or septal hematoma. Infections occur in less than 1% of rhinoplasty patients. Common signs of infection include pain, extreme swelling, warmth and redness.

When a rhinoplasty procedure is performed by a qualified plastic surgeon, complications are very rare and typically minor. Most risks can be reduced by following the pre and post operative instructions of your surgeon.

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