Rhinoplasty in Spring Hill

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Some people are unhappy or unsatisfied with how their nose sits on their face. It is possible to enhance the appearance or reconstruct the nose through a facial cosmetic surgery procedure known as a rhinoplasty. The visual appearance of the nose is altered by Dr. Hashemian during a rhinoplasty as the nasal cartilages and bones are modified or maybe tissue is added. People who suffer from nasal fractures, whether it be from sports or walking into a wall, may seek a rhinoplasty to repair and restore their nose back to its former glory.

Breaking your nose or some other sort of external trauma may be one of the big reasons for having a rhinoplasty but there are natural reasons as well. A rhinoplasty can reduce the size of the nose, remove any bumps, and even improve the angle of it. This operation also has the added benefit of helping patients who have difficulty breathing, as well as those with a deviated septum or nostril flare. The operation can be performed on all age groups, including teens and the elderly.

Before Surgery

A careful and thorough examination is conducted and your medical history gone over in order to evaluate your general health. Your cosmetic concerns and expectations prior to the surgery should be discussed with Dr. Hashemian. This will include the way your nose can look in relation to your other facial features. Through the use of digital photographs and computer imaging, Dr. Hashemian is able to evaluate the appropriate steps needed to achieve your desired results. You will receive preoperative instructions which may include eliminating certain drugs that contain aspirin to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection.

Dr. Hashemian performs rhinoplasties in our in-office operation rooms located in Spring Hill and Lecanto. This facility allows quality care to be provided to the patients without having to be inconvenience by an overnight stay. Dr. Hashemian is licensed in the application of IV sedation and able to monitor vital functions throughout the procedure. Patients should have transportation after the procedure and someone should stay during the first night.

Aspirin, or any product containing aspirin, should NOT be taken within 10 days of the date of surgery. Non-steroidal anti-inflammatory medications, such as Advil, Motrin, and/or Naprosyn, should not be taken within 7 days of the date of surgery. Many over-the-counter products contain aspirin or Advil type drugs so it is important to check all medications carefully. If there is any question, please call the office or consult a pharmacist. Prescriptions for pain medications are usually written prior to the date of surgery and should be filled in advance.

 No food or liquids should be consumed 6 to 8 hours prior to the time of surgery. This includes even water, candy, or chewing gum. Anything in the stomach increases the chances of an anesthetic complication. Smokers should make every effort to stop smoking, or at least reduce the number of cigarettes. This will help to reduce postoperative coughing and bleeding. Difficulty with tissue healing has also been noted in smokers during the postoperative period.

Any illness prior to the day of surgery should be reported to the surgeon’s office as soon as possible. If illness occurs the day of surgery it is best to proceed to the surgical facility as planned and be evaluated to decide if surgery is safe.

Method of Surgery

Surgery is usually performed under IV sedation, which is both extremely comfortable and results in less swelling and bruising than general anesthesia.

In most cases involving a reduction in shape or size of the nose, angle, or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin redraped over the surface.

Patients who have a deviated septum may benefit by correction of this problem. The incisions are placed inside the nose, unless the surgeon uses an open approach, in which case the incisions are made across the columella (the tissue between the nostrils). In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile.

Postoperative Information

Patients are monitored after surgery in the recovery room by an assistant. A patient is able to go home the same day as the surgery once they’ve woken up from the anesthetic. Transportation home will need to be arranged. A responsible adult should be in the same residence overnight for help on short notice.

Most people resume their normal activities within a week or two. Following rhinoplasty surgery, a lightweight splint is applied to maintain the new shape of the nose for a week after which it is removed. Nasal splints may be inserted at the time of surgery to protect the septum and are also removed within a week. There is always some stuffiness of the nose, especially when work has been done on the nasal septum.

Pain is minimal and is controlled with medications. Bruising occurs around the eyes and begins to fade within a few days. Discoloration usually disappears in two weeks.

At home the patient should have bed rest with the head elevated on 2-3 pillows. Edema and swelling are minimized by keeping the head elevated above the heart. An assistant should be available for out of bed excursions to the bathroom. Straining should be avoided. If constipated, take a stool softener or a gentle laxative. Ice on the face, bridge of the nose, and eyes as much as tolerated will help to minimize these problems and also help with postoperative edema and pain. Some patients have found frozen vegetables in packages (for example, bags of frozen peas) to be a convenient ice pack which conforms to the face.

Moderate bleeding from the nose is normal, and will gradually decrease. The gauze will collect blood and should be changed only when saturated. It is not unusual to change these dressing every hour during the first 24 hours after surgery. This dressing will usually not be needed after a few days. Do not take aspirin, aspirin-containing medications, or non-steroidal anti-inflammatory medications (such as Advil) for 3 weeks following surgery.

It is best to eat a light, soft, and cool diet as tolerated after recovery from the anesthetic and avoid hot liquids for several days. It is best to go slowly with food immediately after the procedure to prevent postoperative nausea and vomiting. Antibiotics are prescribed after surgery to prevent any infection, be sure to finish the prescription for maximum effectiveness. Some form of pain medicine will also be prescribed which is to be taken as needed. If narcotics are taken, it is important not to drive or engage in activities where impaired judgment could cause injury. In some situations steroids may be prescribed to be taken either preoperatively and/or postoperatively. It is very important to take this medication as prescribed, and not discontinue it prematurely. An anti-emesis medication such as phenergan may be prescribed for nausea or vomiting postoperatively. Possible drug reactions to any of these medications, such as a rash, should be reported to the doctor as soon as noticed. No other medications, either prescribed or over-the- counter, should be taken without the knowledge of your doctor.

For more information about Rhinoplasty or to schedule a consult with Dr. Hashemian, please use our online Appointment form or call us:
Spring Hill Spring Hill Office Phone Number 352-688-4556 • Lecanto Lecanto Office Phone Number 352-527-8000 • Land O'Lakes Land O'Lakes Office Phone Number 813-922-1818