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NOSE SURGERY

Medically called a rhinoplasty, and commonly called a nose job, nose surgery is concerned with improving the appearance of the nose by adding or removing bone tissue, cartilage, or both. Nose surgery improves:

• Location of the nose tip relative to the rest of the face

• The width of the nose at the bridge

• The profile of the nose by removing humps or depressions at the bridge

• The tip of the nose, whether it is large, bulbous, drooping, or too upturned

• Nostrils that are too large, wide, or upturned

• Nasal asymmetry and deviation

Rhinoplasty is also an alternative to help improve your ability to breathe, in which case the procedure may be covered by insurance.

BEFORE AND DURING THE SURGERY

Only a qualified cosmetic surgeon can determine if a neck lift is right for you. Face lift surgery is a highly individualized procedure and should only be done for personal reasons. Generally, neck lift surgery is a good option for you if:

• You are generally healthy

• You are a non-smoker

• You have a positive outlook on life

• You have realistic goals for the procedure

Your surgeon will want to meet with you prior to scheduling a procedure to determine whether or not you are a good candidate for a face lift. The following points cover some of the information your surgeon will want to know:

• Why do you want to the procedure?

• What is your desired outcome?

• Do you have any current medical conditions or drug allergies?

• Are you being treated for any other medical conditions?

• Have you undergone any previous surgeries?

• What medications, vitamins, herbal and other supplements, and drugs are you currently using?

• Do you use alcohol and tobacco?

This is not all. Your surgeon will want to complete a physical evaluation to determine your current level of physical health. The information he or she will gather could include:

• Any risk factors you are experiencing, along with any pre-existing conditions

• Photographs that will be included in your medical record, and to aid in determining the extent of improvement

• Treatment options and recommendations

• Discussing possible outcomes of the procedure

• The use of anesthesia during the procedure

BEFORE AND AFTER

noseSurgery

YOUR SURGEON MAY ALSO INSTITUTE:

• Dietary guidelines or restrictions

• Alcohol consumption guidelines or restrictions

• Avoiding certain vitamin supplements

INSTRUCTIONS YOU WILL RECEIVE MAY INCLUDE:

• What to do on the day of the surgery

• Using anesthesia during your procedure

• Any post-op care and treatments

BEFORE THE DAY OF THE SURGERY, YOU WILL BE ADVISED OR REQUIRED TO:

• Complete routine blood tests to determine overall physical health

• Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements that increase bleeding

To begin the operation, anesthesia is administered, according to the recommendation determined during your consultation, and allowed to settle in. The surgery is performed in one of two ways:

• Using a closed procedure in which the incisions are made inside the nose

• Using an open procedure where the incision is made across the columella, which is the narrow strip of tissue that separates the nostrils

Through these incisions, the soft tissues of the nose are raised to allow the surgeon access to the areas that require adjustment. The nose is reshaped by grafting cartilage into place from your own body by removing it from the nasal septum, ear cartilage, or (rarely) cartilage from your rib cage. If the septum is being corrected, it is straightened, and any projections are removed to allow you to breathe more freely. If the nostrils need to be altered, incisions are made in their creases and the alterations made. When all the work being performed is finished, the surgeon redrapes the skin covering the nose and closes all of the incisions.

In order to help the nose heal correctly, the surgeon puts packing in the nose for support, leaving them in place for one to two days. Swelling may take up to a year to fully diminish, thus hiding the full extent of your results until that time. Your nose will change gradually for the next year. Swelling may come and go, and will be at its worst in the morning.

AFTER THE PROCEDURE IS COMPLETE

After returning home, it is very important to follow your surgeon’s suggestions for resting and for the care of the surgical and incision sites. Be sure that you do not subject the surgical incisions to excessive force, swelling, abrasion, or motion during the time of healing. This can have detrimental effects to the quality of your results, as well as your general health.

If you experience shortness of breath, chest pains, or unusual or irregular heartbeats, seek immediate medical attention. You may be hospitalized if any of these serious medical conditions occur.

The practice of medicine is not an exact science. Good results are always expected, but not guaranteed. Some situations may require multiple surgeries in order to achieve the best results. A similar procedure (like a forehead lift, eyelid surgery, or liposuction) may also be required.

Your results will be long-lasting.

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