Rhinoplasty Pensacola, FL

In 2013, rhinoplasty was the 5th most commonly performed cosmetic surgical procedure in the United States.*

Typical Timing/Age After the completion of facial growth which is around 15 years old.
Problem There are many different nasal deformities. The most important step in treating nasal deformities is a thorough facial analysis and correct diagnosis of the problem.
Procedure Depending on the deformity, rhinoplasty can be performed open or closed (endonasal).  The main difference between an open and closed rhinoplasty is a ~6mm incision across the columella of the nose which allows the nasal skin to lifted up like the hood of a car.  Both approaches require internal (endonasal) incisions to access the nasal cartilages and bones.  An open approach allows unparalleled visualization of the nasal architecture and more precise control of planned changes.  Whether open or closed, most rhinoplasties are done by altering the internal bone and cartilage structure of the nose to achieve the desired nasal-facial balance.  This requires both an “artistic” and “structural engineering” mindset because each adjustment of the nasal architecture affects something else.  Moreover, the “new” structure must be made strong enough to withstand the forces generated by the healing process and the normal forces exerted on our noses in life. The total operating room time for a rhinoplasty depends on the deformity and planned maneuvers to fix it; however, the average time is approximately 2-3 hours.
Goal To improve the appearance and function (airway) of the nose.
Facility Surgery Center or Hospital
Preparation Patients should have allergic rhinitis and/or hypertension under optimal control with medications.
Anesthesia General anesthesia
Recovery
Hospital stay Most patients go home after surgery and do not require a night in the hospital.
Positioning After a rhinoplasty you will want to sleep with your head elevated above your heart for a few days to help reduce the swelling of your nose.
Assistance You will be able to walk around, feed and bathe yourself.  Depending on your pain medication requirements, you may not be able to drive or care for others.
Walking You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering You may shower immediately following surgery, being careful to keep your nasal dressing dry.
Exercise 1 week for light exercise.  3 weeks for regular exercise.  You must avoid any nasal trauma for 8 weeks.
Sex Wait 1 week because you don’t want to increase your blood pressure during the early healing period.
Work You may be bruised for 1-2 weeks and you will have an external dressing (splint) on your nose for the first week.  If you have a desk job you can return to work as soon as you are comfortable doing so.  Most people take 1-2 weeks off of work.
Swelling Usually greatest around 3 days after surgery from which time it starts to subside.  Some patients remain a little swollen for 3-6 months.
Bruising Usually subsides by 2 weeks
Follow-up Appointments 1-3 days after surgery, 7-10 days, 3 weeks, 6 months, 1 year.
Risks & Complications Bleeding, infection, prolonged swelling, need for revision, nasal airway obstruction, contour irregularities, asymmetry, numbness, complications related to anesthesia.
Performed by: Dr. Butler

Rhinoplasty

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*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

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