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  • Although some patients experience breathing problems following rhinoplasty, this is not common and is usually temporary. When performed correctly on a good candidate, rhinoplasty can actually improve breathing. Advances in technique over the past 15 years have minimized problems that might cause breathing difficulty, such as a collapse in the nose’s structural support. Modern suture and graft techniques can leave the nose stronger than it was prior to the surgery.

    Following rhinoplasty, all patients experience swelling of the nose and surrounding tissues. This can cause congestion that can affect breathing, but this is temporary (up to a few weeks). Normal crusting also can have a minor effect on breathing. In rare cases, complications that can affect breathing may arise as a result of the surgery itself. These include a perforated or deviated septum, nasal collapse, scarring, narrowing of the nasal airways, and large-scale alterations in nose structure. Dr. Rizk is renowned for his ability to restore breathing while improving the appearance of the nose by reconstructing cartilage bone that was removed in prior surgeries.

    The best way to avoid breathing problems and achieve optimal cosmetic results is to choose a facial plastic surgeon who specializes in rhinoplasty procedures. An experienced, well-trained rhinoplasty specialist is usually able to provide positive results in terms of both form and function. Your nose surgery specialist will evaluate you prior to surgery to determine if you have any pre-existing conditions that preclude rhinoplasty, or that require other treatments or surgeries. For example, patients experiencing breathing problems prior to surgery may require procedures such as septoplasty or turbinate surgery. Contact Dr. Rizk to learn more.

    The simple answer to this question is no. The vast majority of rhinoplasty specialists are hard-working professionals with technical expertise who approach each and every surgery with the same amount of professionalism and dedication. It is unlikely that your rhinoplasty surgeon will treat you any differently than he or she would treat a celebrity or anyone else.

    In fact, it could be argued that you have a better chance of attaining a positive outcome than many celebrities – if you have realistic expectations. Over the years, plenty of celebrities have had terrible results from rhinoplasty because they do not have realistic expectations and do not know when to stop. Look no further than the “King of Pop” for evidence.

    So long as you are a good candidate, have realistic expectations, and do the necessary research to locate a qualified, experienced facial plastic surgeon to perform your rhinoplasty, you have a great chance of achieving outstanding results.

    One way to increase your odds of a good outcome is to choose a board-certified facial plastic surgeon. These surgeons typically do a residency in otolaryngology/head-neck surgery, during which they receive extensive education about the internal structures of the nose. In addition, most facial plastic surgeons pursue fellowships to perfect their skills and expertise in facial plastic surgery. To further encourage good results, try to locate a facial plastic surgeon who specializes in rhinoplasty. You may have to pay a little more for one of these skilled surgeons, but it’s likely to be worth your money.

    Before deciding on a surgeon, be sure to read through patient testimonials and view before-and-after photos on the websites of several surgeons. This will give you a good idea of what you can expect.

    The formation of scabs inside the nose, sometimes called “crusting,” is common following rhinoplasty. Minor bleeding is likely involved, and dissolvable sutures can also be a contributing factor when they don’t dissolve fast enough. Both are normal and to be expected.

    There are several things you can do to lessen the amount of scabbing in your nose after rhinoplasty. Many facial plastic surgeons advise their patients to cleanse the inside of the nose using Q-tips doused in hydrogen peroxide. There are also several things patients can try to keep the nasal passageways moist. These include simple methods such as placing a humidifier next to the bed or taking a shower in order to expose the nose to steam. Nasal saline rinses and products like AYR and Ocean Mist can also help. Some rhinoplasty surgeons recommend rubbing Vaseline on the inside of the nose.

    Some patients may experience excessive scabbing as a result of the procedure itself. If the nasal airways end up being too open, for example, a patient may experience dry nose syndrome. If air passes through too easily it can dry the blood and other fluids; this can lead to infection, so if you’re experiencing this, contact your surgeon to make sure this doesn’t happen. In more rare cases, scabbing may be the result of a deep ulcer or perforation beneath the scabs.

    To learn more about which method(s) you can use to address postoperative nasal scabbing in your situation, contact your rhinoplasty surgeon.

    PSP BEST of 2012 plastic and cosmetic surgeons

    Sam Rizk M.D listed in PSP’s top plastic and cosmetic surgeons of 2012.

    Rhinoplasty Before & After

    January 4th, 2013

    Before Photos - Rhinoplasty: 75 year old male, left side view After Photos - Rhinoplasty: 75 year old male, left side view
    Before After
    75 yo male with aging nose interested in improving his drooping nose and loose neck. Patient wants a very natural procedure. Patient underwent endonasal rhinoplasty to lift nose tip and bump reduction conservatively as well as a lower facelift and necklift. Patient is shown 6 months postoperatively.

    As with any surgery, rhinoplasty comes with some risks. While serious complications are relatively rare, there may be more risk associated with rhinoplasty than with other procedures, because it one of the most complex of all plastic surgery procedures.

    For starters, every rhinoplasty patient experiences some swelling around the eyes and nose.

    There are some complications of rhinoplasty that may occur during the actual procedure. These are known as intraoperative complications. One such risk is a negative reaction to rhinoplasty medications or anesthesia. As with most rhinoplasty risks, these are rare. However, to account for this possibility, a tube is often placed in the airway to prevent any potential breathing problems associated with a reaction.

    In the immediate postoperative period, there is a small risk of excessive bleeding, reactions to medication, and other complications. Since the patient is still in the clinic or surgical facility during this period, the surgeon and support staff should be able to handle such complications.

    “Late operative” complications refer to those that occur after the patient has been discharged from the clinic. The risk of these complications is relatively rare. They include bleeding and reaction to medications, as well as unexpected swelling and trauma due to a bump on the nose.

    Other rhinoplasty risks include injury to or perforation of the septum (the wall between the nostrils), infection, skin irritation or necrosis, and nasal blockage.

    If any of these complications occur, contact your rhinoplasty surgeon immediately so that he or she can address them right away. The risks of rhinoplasty are greater if you fail to follow your surgeon’s instructions, so be sure to do exactly what your surgeon asks you to do.

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