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  • This depends on the patient and on how the drug use affected him or her, particularly his or her nose. Intranasal use of certain drugs – namely cocaine – can cause major damage to the nose. However, many former drug users who have not suffered this type of damage are suitable candidates for rhinoplasty.

    Intranasal drug use decreases the supply of blood to nasal tissues, which can lead to the destruction of septal cartilage, and sometimes, septal perforation (holes in the septum). This in turn can compromise the nasal bridge support. When this occurs, a septal perforation repair may be necessary, which is not always successful due to diminished blood supply. Additionally, the lack of support creates a cartilaginous saddle nose deformity which requires repair with a rhinoplasty with grafts. The repair of saddle nose has a high success rate.

    Intranasal drug use can also thin or scar the mucosa that covers the septum; in some cases this makes septoplasty inadvisable, due to increased risk of tearing the septum and creating a septal perforation.

    If you are a former drug user, it is very important that you tell the surgeon evaluating you so that he or she can make the right determination regarding your potential surgery.

    Also, it goes without saying that continued intranasal drug use is a bad idea, especially during the healing period, which can last up to a year. Taking drugs intra-nasally during the recovery period could have a catastrophic effect on your results.

    Rhinoplasty surgeons use a variety of methods to determine the correct shape of a patient’s nose. They often start by analyzing a patient’s facial proportions and facial symmetry, and by looking at the airway to determine if it is properly positioned. Rhinoplasty specialists also rely on mathematical formulas and on medical studies; there are a number of published rhinoplasty studies that have assessed thousands of patients from various ethnic backgrounds.

    In fact, ethnicity is one of the most important factors in determining the correct shape of a patient’s nose. Noses vary greatly by ethnic group. For example, a Caucasian nose usually does not look good on a non-Caucasian face. So if you look more like J.Lo, you shouldn’t be asking for Angelina’s nose. If you are considering rhinoplasty, your surgeon will consider your preferences, but make sure to listen closely to your surgeon’s advice.

    Rhinoplasty is a complex, invasive surgery that requires tremendous skill and knowledge. It is extremely important that you choose a rhinoplasty specialist with extensive experience and proven success performing rhinoplasty on people of your ethnic group, and on people who look like you. Ask your prospective rhinoplasty surgeon for before and after photos, and look for patients that look like you. Do you like the results? Does it look like the surgeon chose the correct nasal shape? If not, you may need to consider another surgeon.

    The reason it may take a full year to see final rhinoplasty results is swelling. All rhinoplasty patients experience swelling, and this can take up to a year to subside. The tip of the nose is usually the area where swelling lasts the longest.

    The degree of swelling depends on the techniques used during your rhinoplasty procedure, and on the resulting trauma to your nasal tissues and structure. If bones need to be broken or if large amounts of tissue are excised and/or lifted, you are likely to experience more swelling, bruising and other postoperative symptoms. The “open” rhinoplasty technique, whereby an incision is made in the skin at the base of the nose between the nostrils (the columella), is associated with more swelling and other postoperative symptoms than the “closed” procedure.

    You can encourage faster healing by following your rhinoplasty surgeon’s postoperative instructions carefully, especially those pertaining to swelling. This may include the use of cold compresses, prescription and/or over-the-counter medications and natural remedies such as Bromelain or Arnica Montana. You should also take care to avoid bumping your nose, which can damage the results and prolong the healing process. Also avoid the sun for six weeks, as sun exposure can interfere with healing.

    Note that certain anatomical factors, such as thicker nasal skin, may make some patients more susceptible to prolonged swelling, and therefore a longer healing period.

    Talk to your rhinoplasty specialist for more information on the recovery process.

    So long as your rhinoplasty procedure goes well, the results should last for a lifetime. Aging should not affect the actual results in any way.

    However, your nose will continue to age, just like every other part of your face. This can manifest in a number of ways, including skin blemishes from sun damage, larger pores, and larger blood vessels at the corner of the nose. In addition, thanks to gravity, the tip of the nose can lose some degree of projection. This can make the nose look longer in elderly people, some of whom decide to have rhinoplasty surgery in order to correct it.

    In the past, older rhinoplasty procedures sometimes compromised the nasal structure, a factor that is very important for lasting results. With modern rhinoplasty techniques, this is no longer the case.

    Prior to surgery, some rhinoplasty patients are so focused on their noses that they fail to notice signs of aging elsewhere on the face. Following rhinoplasty, some of these patients begin to notice these signs of aging. However, this has nothing to do the results of their rhinoplasty procedures.

    To learn more about the aging process and cosmetic surgery, speak to your surgeon.

    Video: Dr. Sam Rizk repairs deviated septum

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    Dr. Sam Rizk, the best New York Board-Certified Facial Plastic Surgeon, talks about Teen Rhinoplasty and Plastic Surgery on the Today Show with Mat Laeur. Dr. Rizk discusses reasons behind teens seeking for plastic surgery and how it can improve their physical appearance.
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    Lead Story: Dr. Sam Rizk, a double board certified facial plastic surgeon, is featured on ABC News (NIGHTLINE) and speaks about reasons behind teen facial plastic surgery. Teens feel that people judge and bully them based on the way they look. They feel that plastic surgery will be a way to cope with these insecurities. &nbsp
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