Facial Aesthetic Care

Rhinoplasty (Nasal Reshaping)

Reconstruction for breathing and cosmetic purposes

Rhinoplasty is performed as an outpatient procedure. If you have other medical conditions such as sleep apnea, you may spend one night in the hospital after your procedure. You will have absorbable sutures placed to close the incisions inside the nose. If an external approach was used, you will have nonabsorbable sutures in the columella (skin between the two nostrils) that are removed at the first postoperative visit. The cast over the bridge of your nose should stay in place for one week. Often, internal nasal splints are temporarily placed to help with healing and minimize scar tissue formation. On occasion, nasal sponge packing is placed to minimize post-operative bleeding. The nose may be congested or obstructed in the first few to several days following rhinoplasty. This is relieved with saline spray (see Nasal Care following the Surgery below). Mild oozing of blood from the nose is expected in the first 48 hours. The bridge and tip of the nose may be swollen for a few weeks. After the external approach rhinoplasty, mild nasal tip swelling can persist for several weeks. Bruising over the nasal bridge and under the eyes may occur and usually resolves after two weeks.

Septorhinoplasty

This procedure is performed with the patient asleep (general anesthesia). Pre-operative photographs of the patient's face and nose, a careful internal nasal exam and the patient's goals for facial “balance” are used to direct the steps in the surgical procedure. Incisions are placed inside the nose or hidden on the columella (the bottom part of the nasal septum which joins the upper lip skin). Deformed cartilage and excessive bone can be removed or reshaped. The nasal breathing passages are also opened with techniques or graft placements to widen the internal nasal cavity.

Occasionally casts, splints or tiny sponges are temporarily placed to facilitate healing and stop bleeding. Patient's generally go home the day of the procedure. Pain medication and antibiotics are routinely prescribed post-operatively to make the patient comfortable and prevent infection. A follow-up appointment at one week allows inspection of the healing tissue and cleaning of the nose. Mild to moderate nasal and eye swelling and bruising is expected depending on the amount of reshaping performed. Nasal swelling gradually decreases over the first few weeks following surgery. The nose actually continues to heal and shrink over the first one to two years following surgery. Post-operative photos are taken to document the improved aesthetic appearance and monitor the healing process.

Skin Cancer Treatment

• Skin cancer removal & reconstruction
• Skin cancer prevention

Excision of facial and neck skin cancer with repair of the associated skin defect is usually performed an outpatient procedure. Local anesthesia (injection) with sedation or general anesthesia is utilized.

Scar Revision and Camouflage

More information coming soon ... check back.

 

 

Home

Our Services

Contact Us