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  • The use of herbal remedies following rhinoplasty can be helpful or hurtful. It all depends on the specific herbal remedy and your unique circumstances. It is therefore imperative that you follow your surgeon’s instructions.

    Arnica Montana and Bromelain are two of the most popular herbal remedies used following rhinoplasty and other facial plastic procedures.

    Arnica Montana is a plant that may reduce swelling following a trauma or a surgery such as rhinoplasty. Many rhinoplasty surgeons, including Dr. Rizk, recommend that their patients use Arnica Montana before and after their nose surgery procedures.

    Some surgeons also advise their patients to use Bromelain, a pineapple extract used for the same purpose. However, Bromelain can cause complications in some patients, namely those with digestive conditions, so it is very important that you speak to your surgeon before using this remedy.

    Though products containing Arnica Montana and Bromelain may be appropriate for your situation, do not take this to mean that other supplements or herbal remedies are necessarily appropriate for rhinoplasty recovery. For example, Vitamin E, Ginkgo Biloba, fish oil and other supplements can cause issues with bleeding. That being said, there are some others that your facial plastic surgeon might recommend. Talk to your rhinoplasty specialist for more information on taking herbal remedies following nose surgery.

    Rhinoplasty Before & After

    March 25th, 2013

    Before and After Photos - Rhinoplasty: 25 year old female, front view
    Before and After Photos - Rhinoplasty: 25 year old female, right side view



    25 yo female wishes to improve drooping nasal tip, bump and bulbous nasal tip. Patient underwent open rhinoplasty with tip support with her own septum cartilage to achieve a better long term result of tip support. Tip was also refined with cartilage reduction and suture techniques, and bump was removed naturally. patient is shown 1 year after rhinoplasty.

    Ethnic rhinoplasty generally refers to rhinoplasty performed on a patient who is not Caucasian. But because each ethnicity has its own set of nasal characteristics, performing nose surgery on a non-Caucasian patient isn’t a matter of taking the “normal” procedure and “balancing” it with ethnic features. Instead, in many cases the procedure is entirely different.

    “Ethnic” patients often have thicker skin, a flatter dorsum, a broader nasal base, a lower radix and shorter alar (lower lateral) cartilages. These cartilages are often “weak” as compared to the cartilage in Caucasian noses, and therefore must be treated differently.

    The goal of any rhinoplasty procedure is to create harmony, symmetry, and ultimately, beauty. In ethnic patients, this typically means altering the nose and other features in such a way that the results sharpen and define the patient’s features in accordance with his or her facial proportions while preserving the patient’s ethnic characteristics. This frequently entails altering the following characteristics:

    • Nasal pyramid
    • Dorsum
    • Tip
    • Pyriform area
    • Nasolabial angle
    • Alveolar ridges
    • Tip projection
    • Alar base

    Creating harmony between the nose and other features of the face must be undertaken on a case by case basis. Tools such as imaging software can be used to determine the right balance and harmony of an ethnic patient’s facial features.

    Talk to your facial plastic surgeon to learn more about how he or she balances ethnic features when performing rhinoplasty.

    Your rhinoplasty consultation is your chance to get answers from your facial plastic surgeon about your most pressing questions regarding nose surgery. During your consultation, you will have the opportunity to ask your surgeon questions about his or her experience, training, board certifications, techniques and other background information that will help you decide if he or she is the right surgeon for you.

    Most rhinoplasty specialists also ask their patients to bring photographs of noses they like. Depending on your ethnicity and unique nasal characteristics, your surgeon may or may not be able to mimic the look you’re interested in. During the consultation you will go through the photographs and other images, and discuss the possibilities with the surgeon.

    Your prospective surgeon will also want to discuss your medical history and any medications or supplements you are taking.

    In addition, the facial plastic surgeon will explain the surgical options and provide detail about the procedure. He or she will also touch on factors such as potential side effects and recovery, and may suggest additional procedures that might complement the procedure, such as a chin implant, or combining rhinoplasty with septoplasty. 3D imaging may be used to give you an idea of how the procedure is performed and what the results might look like. The surgeon will also provide you with pre- and post-operative instructions.

    In the end, your rhinoplasty surgeon will need to assess whether or not you’re a good candidate. If you are in good overall health and have realistic expectations, chances are you’re a good candidate for nose surgery.

    TATLER magazine 2013


    Dr. Sam Rizk featured in Tatler Magazine’s Beauty & Cosmetic Surgery Guide 2013

    Huffington Post WORLD: Dr. Sam Rizk, Comments on Ethnic Rhinoplasty and Middle East Rhinoplasty


    Dr. Sam Rizk discusses the popularity of ethnic rhinoplasty, the dangers behind unlicensed practitioners and botched operations in the black market.

    Smoking and drinking will not make a straight nose go crooked or have any other direct effect on the results of a rhinoplasty procedure. However, smoking and drinking can both interfere with healing, and therefore may indirectly affect the results.

    The primary reason smoking affects healing is that cigarettes contain nicotine, which causes vasoconstriction, in turn “choking off” the flow of blood to vessels in the nasal skin. In the postoperative period, the nose relies on these vessels for healing. Vasoconstriction can also lead to infection. Moreover, smoking can lead to prolonged postoperative swelling — not to mention cancer. If you’re currently a smoker, it’s a good idea to quit anyway; but if you want to have rhinoplasty, it’s an absolute must.

    Alcohol consumption can interfere with healing due to vasodilation. It can also lead to fluid retention and therefore excess swelling. Many facial plastic surgeons advise their patients to avoid alcohol for a week and reduce alcohol intake for about a month. Also, it is very important to avoid bumping your nose for six to eight weeks — so be careful with the cocktails.

    Depending on your unique medical history and circumstances, there may be additional reasons for you to avoid smoking and drinking alcohol after your rhinoplasty. Speak with your surgeon to learn more.

    Some patients who visit Dr. Rizk have relatively minor aesthetic issues with the tips of their noses, and therefore do not need to undergo complex rhinoplasty procedures. For this reason, tip refinement is sometimes referred to as “rhinoplasty light.” In many cases, a minor refinement procedure can go a long way.

    The appearance of the nasal tip depends largely on the lower lateral cartilages. Tip refinement techniques often concentrate on refining this cartilage in order to reshape the nasal tip. The surgeon will decide what approach to take with the cartilage depending on the specific needs of the patient. In some cases a small sliver needs to be removed; in others, the cartilage needs to be “scored” or “morselized” (crushed) before removal.

    Usually, the facial plastic surgeon uses a combination of techniques, such as removing some cartilage and utilizing internal suture methods; this allows the surgeon to rotate, enlarge, narrow or otherwise modify the nasal tip. In some cases, cartilage grafts may be used to achieve elevation.

    The techniques used in tip refinement depend on the ultimate aesthetic goal of the procedure. For example, some patients require upturning or elevation of the tip. It depends on whether the patient’s nose is too boxy, too bulbous or too wide prior to surgery.

    Your facial plastic surgeon will use tools such as computer imaging to demonstrate what the various tip refinement techniques can accomplish. For more information on tip refinement techniques, speak to your rhinoplasty specialist.

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