How to reduce the swelling after a Nose Job
Posted January 29, 2010 7:34 PM
My nose job was a little over a week ago. The swelling is horrible and my nose looks enormous. I know the swelling will eventually get better but I have to go back to work in a few days and I’m very embarrassed. Is there anything I can do before then to minimize the swelling so that it’s not so obvious that I’ve had surgery?
You should see your surgeon to make sure everything is OK and you don't have an infection or fluid collection. Sleeping with your head up on a few pillows helps. Decreasing salt intake helps. Avoiding exercise to prevent your blood pressure and heart rate increasing helps. Avoiding plane flights helps. Avoiding sun and heat helps. A short course of oral steroids may also be beneficial but there are always risks associated with oral steroids. Taping of the nose may also help. See your doctor and see what he says. Good luck.
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Can a closed Rhinoplasty be performed with a revision rhinoplasty?
Posted January 28, 2010 2:49 PM
Is it true that revision rhinoplasty is usually performed with an open technique and why? Is it ever possible to use a closed technique? I need a revision rhinoplasty procedure to fix some issues with the tip of my nose but I’d really like to keep the scarring to a minimum.
Open and closed rhinoplasty can be used for primary as well as revision rhinoplasty. It just depends on the issue being addressed and the surgeon's skill and preference. Both are good techniques when individualized for the unique patient's nasal deformity.
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Why not to use injectable fillers for a Nose Job
Posted January 27, 2010 11:33 AM
I’ve heard that injectable fillers can be used for rhinoplasty instead of surgery. However, it sounds like a lot of surgeons don’t support this. Is there some reason why this may be so and are there ever times when non-surgical rhinoplasty with fillers can be a good option?
The only time I suggest a non surgical nose job is when the bridge height needs to be built up conservatively or small depressions filled after a previous rhinoplasty. Large amount of fillers should not be injected into the nose in order to not risk scarring or infection. Permanent fillers should also be avoided during non surgical rhinoplasty for the same reason.
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Is a Rhinoplasty different if you are African American
Posted January 26, 2010 4:14 PM
I’ve been wanting to get a nose job for a very long time now and I think I’m finally ready to do it. I’m African American and was just wondering if there are any risks or complications specific to African Americans?
The African American Rhinoplasty is very different than the caucasian rhinoplasty in many ways. The skin is thicker and heavier and the cartilages are weaker so to create a smaller, more defines and cuter nose, cartilage grafts and support must be added to the nose to tent the skin and provide definition and shape. Risks are no different than any other rhinoplasty other than the potential of a keloid or hypopigmented scar in the incision under the nose. That being said, this problem is rare to almost unheard of on African American noses unlike the issue on African American ears, etc...
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Middle Eastern(ethnic) common complaints of their nose
Posted January 25, 2010 10:43 AM
What are some things that you commonly see in noses of Middle Eastern descent that can be fixed with rhinoplasty?
Middle eastern noses often have droopy tips, and/or dorsal humps, and or wide bulbous or "meaty" tips and/or wide thick nostrils, and/or long vertical length. They can also often be under projected but each nose is unique and you cannot generalize traits.
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Using Ear cartilage for a Rhinoplasty
Posted January 24, 2010 2:27 PM
I need a revision rhinoplasty and was told that I would need cartilage taken from ear to be used for a graft. Is this common and is the ear negatively impacted in any way from this? Also, where exactly on the ear does the cartilage come from, will it look like a chunk of my ear is missing?
Ear cartilage is a very nice source of cartilage for certain areas of the nose during rhinoplasty or revision rhinoplasty. Septum and ribs are other sources. Some surgeons make the ear incision in the front. I prefer usually making it in the back so its nearly invisible. The cartilage usually comes from the bowl of the ear and it should not result in major changes in the shape of the ear. Sometimes the cartilage comes from an area in the front of the ear when composite grafts are needed (grafts of cartilage with skin also attached.)
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Male rhinoplasty revisions
Posted January 23, 2010 8:57 AM
I’m 27, male and I have what I guess most people would describe as a pug nose. Would it be possible to make my nose look more masculine? How would you fix a pug nose with rhinoplasty?
Correction of a small or pug nose involves major tip grafting including caudal septal extension grafts, spreader grafts and tip grafts. Lots of cartilage is needed from the septum, ears and or ribs but it is very correctable. I often have to correct this deformity during revision rhinoplasty after another plastic surgeon aggressively reduces and elevates the nasal tip but it is also seen with primary virgin noses.
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My nose seems to be getting bigger or growing the older I get
Posted January 22, 2010 4:26 PM
As I’ve gotten older it seems that the tip of my nose has drooped more and more. Is this something that can be fixed with rhinoplasty surgery?
Yes. You have normal senile ptosis. Almost everyone experiences this to some degree. Its one of the reasons the nose looks larger with age because it drops and looks longer. There are techniques for improving the droopy nasal tip without making it look like a snout of a piggy nose.
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