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  • Most facial plastic surgeons will tell you that it’s normal for swelling to persist for up to a year following rhinoplasty. But while one year is the general benchmark, in some cases it can take up to a year and a half.

    Postoperative swelling usually lasts longer in the nasal tip than elsewhere. If this describes your situation, you’re probably still healing from the procedure. Pay close attention to when the swelling is occurring. If it’s happening more in the morning and then subsiding throughout the day, you are most likely still in the healing period.

    Patients with thicker nasal skin are more likely than other patients to experience extended periods of postoperative nasal swelling. In thick skin patient tip swelling can persist up to two years or longer. This is related to fluid retention and scarring. We all retain more fluid some days than others. Larger quantities of fluid are retained in scar tissue than in other tissues, because it has less resistance. And since thicker skin tends to scar more, those with thicker skin are more likely to retain fluid and experience swelling. This is slightly more common in women because they retain fluid several days a month.

    Patients with Rosacea can have persistent swelling longer than two years which fluctuates throughout the day and is not just related to rhinoplasty but the Rosacea condition.

    If your nose is swollen all the time, steroid injections may help; 5FU injections can also help. Your surgeon should be able to administer the injections, if they are appropriate in your case. If you’re only swollen sometimes, you’re probably just healing still, in which case steroid injections may not be the best option.

    Speak with your rhinoplasty specialist to learn more about postoperative nasal swelling.

    Rhinoplasty Before & After

    December 24th, 2012

    Before Photos - Rhinoplasty: 25 year old female, right side view After Photos - Rhinoplasty: 25 year old female, right side view
    Before After
    25 yo patient who was mainly interested in a profile reduction who underwent rhinoplasty to reduce bump and deproject the nasal tip. Patient is shown one year after rhinoplasty.

    There are a number of supplies you will need to have on-hand after your rhinoplasty procedure. You probably won’t feel like doing a lot of shopping in the days following your surgery, so it’s a good idea to get this out of the way beforehand.

    Here are some of the most important supplies to pick up before your rhinoplasty procedure:

    • Prescriptions
    • Thermometer
    • Frozen peas (to ice the swollen areas surrounding your nose)
    • Beverages
    • Q-tips and peroxide (to clean the inside of your nose)
    • Gauze pads (to soak up blood if it leaks from the nose)
    • Bacitracin (or other antibiotic ointment)

    You might consider picking up these items as well:

    • Disposable face wipes (since you won’t be able to wash your face)
    • Lip balm
    • Laxative (you’ll need help with digestion)
    • Stool softener
    • Arnica Montana (to reduce swelling)
    • Bendable straws
    • Flashlight

    Also, if your surgeon inserts a breathing tube in your throat during your rhinoplasty procedure, you may experience soreness afterward. So it may be a good idea to pick up some ice cream, frozen yogurt and or jello for the days immediately following your surgery.

    Finally, you’re going to spend a lot of time lying around after your rhinoplasty, so make sure to have some entertainment lined up. If you’ve been thinking about buying an iPad or other tablet, now might be the right time. If that’s not your style, there’s nothing wrong with a good book or stack of magazines.

    Talk to your facial plastic surgeon for additional tips on how to prepare for your recovery from rhinoplasty.

    More often than not, patients requiring secondary rhinoplasty or revision rhinoplasty have had too much cartilage removed during their primary procedure. An area of the nasal structure may collapse if too much of the area is resected. For example, the saddle of the nose may collapse, resulting in a “scoop” look and possibly leading to breathing difficulty. The internal or external nasal valve is another area that can collapse if cartilage is removed improperly, or if too much cartilage is removed.

    Unfortunately, many secondary rhinoplasty or revision rhinoplasty patients have already undergone a few rhinoplasty procedures before reaching out to New York City Facial Plastic Surgeon, Sam Rizk, MD, FACS. Many of these patients have cartilage depletion or a lack of cartilage in their nose.

    Dr. Rizk is known for a revision method that both rebuilds cartilage or bone and restores proper breathing. He may use auricular (ear) cartilage, nasal septum cartilage, irradiated rib cartilage, or alloplastic biocompatible implants, depending on the nature of the problem as well as the patient’s unique needs.

    For internal and external nasal valve collapse, Dr. Rizk may use spreader and nasal batton grafts. Saddle nose deformities may be repaired using dorsal grafts and/or spreaders. The grafts are harvested and then shaped to create the proper size, thickness, shape and dimension, and occasionally depending on the size and number of cartilages needed to be grafted, an open rhinoplasty approach may be needed. Dr. Rizk uses the endonasal approach to create a precise pocket to accommodate the graft. This approach is minimally invasive and results in less scar tissue formation, as well as better healing.

    For more information, contact Dr. Rizk.

    If you are unsatisfied with the results of your primary rhinoplasty surgery (the original procedure), what you need to look for this time is a nose specialist. This is very important because revision rhinoplasty is a complex procedure – perhaps the most complex of all cosmetic procedures. But how do you determine who is and isn’t a rhinoplasty specialist?

    A good way to narrow your search is to focus on board-certified facial plastic surgeons. Though general plastic surgeons are also qualified to perform rhinoplasty, they rarely specialize in procedures of the face. As a general rule, facial plastic surgeons perform more rhinoplasty procedures on a monthly and yearly basis than general plastic surgeons do. The American Board of Facial Plastic and Reconstructive Surgery (AAFPRS) has strict requirements that surgeons must meet to acquire and maintain certification.

    Note that not all facial plastic surgeons specialize in rhinoplasty. So, to further winnow down your list, focus on surgeons who perform a large number of rhinoplasty procedures. Your surgeon should have experience using advanced grafting techniques with different types of cartilage (ear cartilage, irradiated rib cartilage, etc.). In addition to having experience with revision rhinoplasty, he or she should also have extensive experience performing rhinoplasty on different types of noses, including different ethnicities and shapes.

    Ask your surgeon to see pictures of rhinoplasty patients. This is important because you and your surgeon may not share the same sense of aesthetics. Ask to see examples that are similar to your situation. Also ask to see some that are different, as different nasal characteristics look good on different faces. Some surgeons have a signature look; this isn’t a good thing, because everyone’s face is different.

    A good tool for determining if you and your surgeon are on the same page is 3D imaging. This technology can help you understand if your prospective surgeon understands what you’re looking to achieve in your secondary surgery.

    Also make sure to read testimonials from other patients, and ask to speak with patients who have undergone revision rhinoplasty with your surgeon.

    In the end, trust your gut. If you have a bad feeling about a particular surgeon, don’t be afraid to walk away.

    34 year old French-Middle Eastern Female Patient was very unhappy with her nose and wanted to undergo a nose job with double board certified facial plastic surgeon Dr. Sam Rizk. New York rhinoplasty expert corrected her crooked nose, refined her nasal tip and gave her a straighter nose. During open rhinoplasty, grafts were placed in her mid-nasal vault and in the tip for support. Dr. Rizk’s specialized techniques for ethnic rhinoplasty helped to achieve straighter and a more aesthetically pleasing profile.

    Watch Patient's Post - Operative Diary

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (Pre-Surgery Nose)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op)

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 1)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 2)

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 3)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 4)

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 5)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 6)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 8)

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (1 Month Post-Op 9)

     

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils (2 Months Post-Op)

    Watch Video: Middle Eastern Female Rhinoplasty Patient - Bridge, Tip, and Nostrils(Immediate Post-Surgery Result) 

    It is important to understand that the nose is still quite swollen and will become more defined over period of a year.
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