Archive for the 'Rhinoplasty Philosophy' Category

Should you massage your nose after rhinoplasty?

In general, it is best not to massage your nose after rhinoplasty as it is possible, although unlikely, that vigorous rubbing or manipulation in the first few weeks could pop a delicate stitch and disturb the corrections made or affect the cosmetic result. Some people habitually rub the tips of their noses. Recognize that this will not likely ruin the result but may cause more irritation and swelling.

That being said, your nose is not glass after surgery. In fact, it can often feel quite stiff and wooden for a period of several months after surgery. Rolling over onto your nose during sleep or lightly bumping your nose will not make it end up on the side of your head. So, you don’t have to walk around in a bubble after surgery.

After about a month, the skin starts to wrap around the cartilage, and the bone is pretty much set, so contact to your nose is less likely to cause any shift or problems with healing. Likewise, a small rind of fibrous tissue or scar has started to form that will likely hold the cartilage in place even if a stitch were to loosen at this stage.

Some surgeons recommend ‘nasal exercises’ which essentially amount to light lymphatic drainage. These will not be harmful but may not do much either. Instead, we ask patients to tape the nose at night for the first month to help skin contract and push out swelling. If you have any questions about nasal massage, ask your surgeon for his or her preferred routine after surgery.

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The Profiles Perspective: Our Belief that Synthetic (Alloplastic) Materials Should Not Be Used in Rhinoplasty

At Profiles, we have always held the standard and belief that when doing rhinoplasty and revision rhinoplasty, there is a hierarchy we can follow when grafting material is needed. Ideally, whenever possible, we use septal cartilage. It allows us to replace any missing cartilage or to build support using tissue that is essentially identical to the normal cartilage we find in your nose. In some cases, the septal cartilage is too thin and flimsy and unsuitable for use; even in primary cases. And in revision rhinoplasty, the quantity and quality of remaining septal cartilage may be inadequate for reconstruction.

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Rib Cartilage in Rhinoplasty Surgery: The Beverly Hills Profiles Perspective

If you are reading this post, you likely had previous rhinoplasty and have now seen a revision surgeon who has recommended that you have rib cartilage removed during your revision surgery. The use of rib cartilage in revision rhinoplasty has become increasingly popular over the last many years as revision rhinoplasty surgeons continue to seek out alternative sources of cartilage for grafts that are often necessary during revision.

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Computer Imaged versus Real Results III

November 06th, 2010 | Category: Rhinoplasty Philosophy

And now for the final installation in our series of photos demonstrating the comparison of simulated surgical results done pre-operatively with actual rhinoplasty results obtained over one year after surgery. This already beautiful young woman wanted her nose to better balance with her face through hump reduction, tip narrowing and refinement, deprojection, and correction of a hanging columella.

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Computer Imaged versus Real Results II

November 05th, 2010 | Category: Rhinoplasty Philosophy

Continuing from our last post, we want to show you another example of how closely computer imaged results compare to the final surgical rhinoplasty outcome. This young woman had undergone previous rhinoplasty that left her with a wide, unrefined tip from the front view and a pollybeak-type fullness above the tip on profile view.

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Computer Imaged versus Real Results I

November 04th, 2010 | Category: Rhinoplasty Philosophy

Computer imaging is extremely important in our practice in helping our patients to articulate their goals for rhinoplasty surgery and for us to be able to communicate effectively what can or cannot be accomplished with surgery. It is not just about drawing a picture of a good-looking nose. For us, it is about being able to show accurately how each proposed change in surgery will truly affect every other aspect of the nose. It is critical for us that we are honest, precise, and real in our imaging. For that reason, we do not over-image but, instead, image a change that we know we can deliver. As a result, we are not only comfortable sending our patients their images before surgery; we use these images as a vital tool to facilitate conversation during the final pre-op visit to make sure that we completely understand the desired aesthetic. And then, we do not deviate from this aesthetic during surgery.

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Steroids and Rhinoplasty

Please note: We are happy to see that our blog is of some help to many of you who are considering or recovering from rhinoplasty. While we would like to address your concerns directly, we are not able to dispense medical advice over the internet. Your own surgeon is your best resource in the first weeks and months after surgery. If, after 5-6 months, you continue to feel unhappy with your result, feel free to contact us via our practice site and we can arrange time to discuss your concerns. All the best for a happy outcome.

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Swelling after Rhinoplasty

April 28th, 2010 | Category: Rhinoplasty Philosophy,Rhinoplasty Recovery

You often hear that it can take a year or longer after a nose job before you’ll see the final result. Many of you may be skeptical and a small number of you probably roll your eyes when you hear a statement like this. Does it really take that long to see results or are surgeons just telling you that so they can buy time in case you’re not seeing what you want to see after surgery?

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Don’t focus on a specific procedure in rhinoplasty

December 16th, 2009 | Category: Rhinoplasty Philosophy

It is only natural when you are reading and learning about rhinoplasty for you to be drawn to a particular idea of what needs to be done to your nose to achieve the rhinoplasty results you are hoping for. This is especially true of revision patients who have been ‘burned’ before and want to do everything possible to make sure that their outcome this time around is a decidedly different and positive experience. We have prospective patients coming to see us every week who have pretty well-developed pre-conceived ideas, like they don’t want an open incision or they must need a rib graft to fix their noses. A lot of this stems from having heard or read about a poor result with a particular procedure or from hearing mixed messages from surgeons about how they would approach their surgery. In fact, these are really not mixed messages at all, but actually just reflections of each surgeon’s individual style that developed from personal experience. Read more

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Ethmoid bone grafts in Rhinoplasty and Revision Rhinoplasty

Recently we’ve seen a number of people who have asked about the use of ethmoid bone in revision rhinoplasty. Each had previously undergone a nose job that had over time either resulted in loss of tip support- resulting in a droopy nasal tip- or had a twisted nose which had been partially corrected but over time had twisted again- resulting in a crooked nasal tip. Read more


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