Beverly Hills rhinoplasty goal is to improve the nose aesthetically (without creating a “surgical” look)
in order to create harmony with other facial features. Additionally,
many patients have a chin augmentation in conjunction with rhinoplasty
to create a better balance of features. Rhinoplasty is usually
performed with local injections of anesthesia with intravenous
sedation, or in some cases, under general anesthesia.In rhinoplasty,
the majority of incisions are made inside the nose, where they are
invisible. In some cases, an incision is made in the area of skin
separating the nostrils. Certain amounts of bone and cartilage are then
removed or rearranged to provide a newly shaped nose. If the patient
has a deviated septum (cartilage and/or bone causing obstruction inside
the nose), septal surgery, called septoplasty, is simultaneously
performed. The incision is placed entirely inside the nose. The
septoplasty removes portions of cartilage and/or bone that are causing
the obstruction. The incisions are then closed with fine suture,
followed by placement of a splint to the outside of the nose. The
splint helps retain the new shape while the nose heals.

If packing is placed inside the nose during surgery, it is removed the
next morning following surgery. The nasal splint is usually removed
seven days after surgery. At that time, tape is applied to the nose for
another seven days and then removed. The majority of the bruising and
swelling usually resolve two weeks after surgery. Cold compresses are
used to help reduce the bruising and discomfort. A short course of
post-operative antibiotics and steroids are given to help prevent
infection and excess swelling. Although discomfort is minimal, pain
medication is available if required. Vigorous activity is avoided for
four weeks following surgery. Sun exposure and risk of injury must be
avoided. If you wear glasses, tape is used to avoid putting stress on
the nose.

During your evaluation, Dr. Nassif will discuss factors that may
influence the outcome of the surgery, such as skin type, ethnic
background, age and degree of nasal deformity.

 

Patient Indications

• A nose which does not “fit the face” whether due to birth, trauma or disease.
• Breathing problems associated with cartilage and/or bone obstruction inside the nose (deviated septum).
• A chin implant may be needed to bring the nose and chin into proportion to facial features.

Procedure

• Rhinoplasty
  is performed under general anesthesia or local anesthesia with sedation
  in our outpatient state licenced surgery center. No overnight stay is
  required.
• Most incisions are made inside the
  nose. In some cases, a small external excision is required. Cartilage
  and bone are removed or rearranged to alter the appearance of the nose.

Recovery

• The head needs to be elevated for several days following surgery to minimize swelling.
• Recuperation time is approximately 7-14 days during which time some bruising and swelling may be present.
• A nasal splint, applied to hold bone and cartilage in the new shape while the nose heals, is removed in seven days.
• Following surgery, discomfort is minimal and easily controlled by oral medication.
• A natural and aesthetically improved nose (without a “surgical” look) in proper

  proportion to your other facial features.

• Improved breathing with septoplasty.
• Ideal candidates for any facial plastic surgery are those seeking improvement rather than perfection.

technorati tags: Beverly Hills, Nose, Surgery

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