Cosmetic
Procedures/Photos
- Nasal Surgery -
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| Description:
Rhinoplasty (nasal surgery)
Rhinoplasty is a surgical procedure performed
to improve the nose in one or both of the following ways:
· To improve the
external appearance of the nose.
· To improve nasal breathing
difficulties.
Dr. Friedman customizes rhinoplasty to each
patient, depending upon the specific internal and external
nasal problems and the patient's desires. There is
not a universal type of rhinoplasty that will meet the needs
of every patient. The best candidates for surgery
are looking for improvement, not perfection, in the appearance
of their nose.
In some patients, deviation of the nasal septum
may cause the nose to appear crooked and/or may interfere
with breathing through the nasal passages. Septoplasty
to straighten and/or remove a portion of the septum may
be performed to improve these problems. Surgery
performed to improve nasal breathing is generally covered
by insurance. However, reshaping of the
nose is considered cosmetic surgery and is not covered by
most insurers.
Dr. Friedman performs rhinoplasty on an outpatient
basis under general anesthesia. The surgery takes
2 to 3 hours in most patients. Incisions are located
inside the nose with the exception of a 1 /4 inch incision
between the nostrils on the underside of the nose.
The small external incision (open rhinoplasty) enables better
control over nasal reshaping.
Patients usually go home about 3 hours after
surgery. Pain is usually mild and well controlled
with prescription pain medication. Most patients return
to light activities within 3 to 5 days. Nasal splints
(if used) and stitches are removed 1 week after surgery.
Heavy straining should be avoided for about 4 weeks.
Improvement in nasal shape is apparent immediately after
surgery but final results may take 12 to 18 months.
When you visit our office, Dr. Friedman will
discuss your particular problems and concerns. He
will give you a realistic expectation of what you can expect
from surgery. We will also show you "before and
after" photos of rhinoplasties performed by Dr. Friedman.
If you wish to speak to other patients who have undergone
nasal surgery, we will provide you with phone numbers.
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| Pre-
& Post-Operative Instructions:
One week before surgery:
- Do not take aspirin-containing products, as these
may increase your risk of bleeding. Use extra-strength
Tylenol for any headaches or other minor pains.
- Please notify Dr. Friedman's staff if you become sick
with a fever, significant cough, etc. If necessary,
your surgery can be rescheduled to a time when you are
feeling better.
- Do not smoke at all or use a nicotine patch for at
least two weeks (and preferably 4 weeks) prior to surgery
and 4 weeks after surgery. Smoking interferes with wound
healing and increases your risk for anesthetic and surgical
complications.
- Arrange to have a relative or friend drive you home
after surgery and stay with you for the evening. You
cannot drive yourself home.
The evening before surgery:
- Do not eat or drink anything for at least 8 hours
prior to your scheduled surgery time.
- Make some jello and/or soup for after surgery. Have
some juice in your refrigerator.
- The anesthesiologist will contact you by phone to
discuss your medical history and to answer any questions.
Day of surgery:
before you leave home
- Remember not to eat, drink, or smoke. This includes
no chewing gum, mints, etc.
- Make sure someone is available to drive you home.
Put a pillow and blanket in the car.
- Wear loose, comfortable clothing. Avoid heavy make-up,
jewelry, or contact lenses. Please do not use any lotion,
baby oil, perfume or powder. LEAVE ALL VALUABLES AT
HOME!
Day of surgery: at the facility before surgery
- Dr. Friedman will talk to you before surgery to answer
any last-minute questions. He will place drawings on
your chest to help him accurately plan your surgery.
- You will meet the anesthesiologist and surgical nurses.
Day of surgery: at the facility after surgery
- You will be taken to the recovery area to wake up
after surgery. Dr. Friedman will go to the waiting room
to speak to your family/friends.
- Approximately 1 hour later, your family can visit
you. Once you are feeling well enough, you may go home.
At home after surgery:
- Have someone stay with you for the first night. You
may be weak and drowsy.
- Take the antibiotics (3 times daily), pain medication
(as needed), and anti-nausea medicine (as needed) that
Dr. Friedman has prescribed for you.
- Sleep with your head elevated. Sleep on your back
(not your stomach or side).
- Keep your dressings (gauze and tape) clean and dry.
Do not remove the dressings. You may shower only from
the waist down. You may wish to sponge bathe.
- If you experience a prolonged fever (oral temperature
greater than 101), contact Dr. Friedman.
- Call Dr. Friedman's office to arrange your first follow-up
visit.
Your first follow-up visit (about 1 week
after surgery):
- The dressings will be removed. Dr. Friedman will examine
the incisions. Please leave the tape strips alone (as
they will help reduce scarring) until they come off
on their own. You may begin light showering. Avoid immersing
the breasts under water.
- Your breasts may look too high and tight at this time.
Over the next several months, your breasts will become
softer and more natural in appearance. To facilitate
softening of the tissues, you should avoid tight bras.
Instead, wear a camisole or a loose cotton sports bra.
Do not wear an under wire bra for at least 3 months
following surgery unless instructed to do so by Dr.
Friedman.
- You may walk as much as you like following surgery.
You may begin jogging and light aerobic exercise about
2 to 3 weeks after surgery (while wearing a sports bra).
You should avoid chest, arm, and abdominal exercise
for 6 weeks after surgery. Do not lift, push, or pull
anything greater than 5 pounds (or a grocery bag) for
6 weeks after surgery. It is normal to feel "stretching"
or "pulling" sensations in the chest for a few months
after surgery.
- You may not drive while you are taking the prescription
pain medication. You may begin driving (preferably an
automatic transmission) about 7 to 10 days after surgery.
Please avoid freeways and tollways until you feel comfortable
with city driving.
- The incisions may become increasingly firm and red
for 4 to 6 weeks after surgery. After this, they will
gradually soften and fade. Final results are at about
1 year after surgery. Avoid direct exposure of the incisions
to the sun or tanning booths for 6 months.
Please feel free to ask Dr. Friedman or his
staff about any additional questions or concerns.
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