Posts Tagged ‘rhinoplasty atlanta’

3 Tips to Consider When Scheduling Your Rhinoplasty

Rhinoplasty, or nose surgery, requires planning. Emory Aesthetic Center explains the recovery process and when to schedule your procedure.Whether your reason for rhinoplasty is functional, cosmetic (to improve appearance) or both — understanding the process and what to expect for your recovery, will help you best plan your surgery. Here are 3 recommendations from the experts at Emory Aesthetic Center to help you decide the best time to have your procedure.

1. Allow time to get comfortable with a surgeon first

It’s important to give yourself enough time to schedule one or more consultations with facial plastic surgeons experienced in performing this procedure. Rhinoplasty is one of the most difficult surgeries of the face. Meticulous attention to detail and extensive knowledge of the nose’s anatomy is essential to good results. Take the time to find the right one.

Summer is a popular time of year for cosmetic surgery. If you choose to have your procedure in the summer, you may want to schedule these consultations as early as January or February.

2. Do your due diligence

Once you’ve chosen your surgeon, make sure you’re on the same page about your overall expectations for improvement in function and appearance. Most offices will book surgery a minimum of six to eight weeks out from your consultation giving you the chance to:

  • Obtain photos of noses you like to review with your surgeon
  • Review your surgeon’s recommendations for your procedure
  • Look at your surgeon’s work on past patients
  • Seek another opinion
  • Get any needed medical clearances
  • Stop taking medications before surgery

3. Consider your recovery needs for rhinoplasty

Recovery from rhinoplasty can be uncomfortable. Severe pain is not the norm, but you may experience the following after your surgery:

  • Significant congestion
  • Mild headaches
  • Sore throat
  • Bloody discharge
  • General discomfort

If a moderate amount of work was done, or if surgery was performed on the nasal bones, you’ll likely have a fair amount of bruising and swelling around the eyes. This won’t decrease significantly until two to three weeks after surgery.

You should plan to take a minimum of two weeks off from school or work. During that time, all physical activity will be restricted. Contact sports of any kind aren’t permitted for six weeks.

If you’re a student, you’ll most likely want to have surgery in the summer when you can take the time you need to heal without disrupting your studies or activities.

If you’re working and have no predetermined downtime, you’ll want to consider the fall or winter. Plastic surgeons will have more availability and you’ll find it easier to recover when you’re generally less active and spending more time indoors.

Emory Aesthetic Center

Your nose’s function and appearance will improve greatly during the six weeks following surgery, but it takes about one year to see final results. Let the highly-skilled facial plastic surgeons at Emory Aesthetic Center walk alongside you on this journey.

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Or call us at 404-778-6880 to schedule your personal consultation

Rhinoplasty 101: (Almost) Everything You Need to Know

rhinoplasty250x250Whether you struggle to breathe through your nose or you’re uncomfortable with your appearance, rhinoplasty (or a “nose job”) may be the answer. Rhinoplasty is a very intricate procedure that requires great skill and precision. So choosing the right facial plastic surgeon is one of the most important steps toward a successful surgery.

How Do I Choose a Plastic Surgeon?

The first step is to schedule a consultation with a facial plastic surgeon who focuses on rhinoplasty. Getting at least two opinions is a great way to become aware of different concerns, considerations and differing styles of particular surgeons.

There are many different reasons to get rhinoplasty, and everyone has their own unique idea of what they would like their results to be. So it’s very important to discuss these issues in detail during your consultation.

It’s also important to know that your surgeon will stand by you if there are any complications or if you need further surgery. Ask about how they handle those situations. If you get the feeling that you wouldn’t be supported if you have concerns after your surgery, that doctor may not be right for you.

What Happens at an Initial Consultation?

You and your surgeon will discuss your desires and expectations. Sometimes computer imaging is used to help you both clarify what results you’re looking for and understand what you can realistically expect.

The surgeon will likely examine the outside and inside of your nose. They may also perform minor maneuvers to determine if there are functional issues, and possibly make recommendations based on their experience.

What Happens During Surgery?

Rhinoplasty typically takes anywhere from 90 minutes to 3 hours. Most often, it’s performed in an outpatient surgery center using general anesthesia. You’re able to go home once your surgery is complete, and will likely follow up with your surgeon within a week.

What Can I Expect Right After Surgery?

It’s common to have bloody drainage from your nose for the first 24 – 48 hours after surgery. Congestion is also very common during the recovery period. Pain medicine is usually prescribed for several days. You can expect discomfort, but significant pain is not the norm.

If your nose had to be broken as part of the narrowing or refining process, you may have tape and a cast for the first week. These will be removed at your 1-week appointment, which will be your first opportunity to see your new nose.

What Can I Expect During the Recovery Process?

Sometimes, patients are surprised with what they see when their bandages are removed. It’s important to remember that you will not see the “final” results from a rhinoplasty until one year after the surgery. Make sure to mention your concerns as they arise, but know that time and patience will alter and resolve most of them. Your surgeon may encourage you to wait while your body handles the healing process.

For the first 3 – 6 weeks, there will be significant fluctuation in tip and bridge swelling, as well as breathing changes. After the first 6 weeks, things start to stabilize more. You’ll most likely see your surgeon every few weeks to start with and then gradually increase time between visits.

What Can Emory Aesthetic Center Do for Me?

The Emory Aesthetic Center has experienced, board certified cosmetic surgeons that help guide you through every step of the process — from initial decisions to successful recovery. In addition to improving your appearance, we provide meticulous attention to detail and a comprehensive understanding of the functional aspects of nasal breathing.

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or call us at 404-778-6880 to schedule a consultation

About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

How Can Surgery Improve My Nasal Breathing?

Nasal SurgeryEach year, thousands of people undergo nasal surgery (over 200,000 people according to the American Society of Plastic Surgeons). Some patients have cosmetic concerns, others have functional concerns, while many have a combination of both they would like to address. In all these cases, the best outcome will occur when your cosmetic surgeon takes into consideration the functional aspects of your nasal surgery.

The main cause of breathing obstruction in someone who has not had significant nasal trauma or prior nasal surgery is often a deviated septum or enlargement of the filtering structures on the inside of your nose called turbinates. Septal deviation is extremely common, but does not always require surgical intervention. Those who have significant deviation of the septum, however, may benefit from undergoing surgical repair and straightening.

Turbinate hypertrophy, or enlargement, is a relatively common condition that can be addressed in many safe and effective ways by reducing the amount of tissue that has caused the swelling in the first place. This can be done without actually removing the structures themselves. Insurance companies may often require, if you have this finding on physical examination, that you undergo a short-term trial of nasal steroid medications to see if medical treatment will improve symptoms without surgery.

In some patients, and commonly in those who have undergone some type of nasal surgery or trauma in the past, we often find that certain areas important for breathing have been narrowed in an attempt to make the appearance of the nose more appealing. Narrowing certain aspects of the cartilage or bone within the nose can often have a benefit in terms of appearance, but can sometimes have a long-term effect on breathing. In these cases, we must attempt to use remaining cartilage in the nose or possibly even cartilage from other sources, to rebuild support to these areas. Undergoing this type of reconstructive surgery can be intimidating for the patient, but for those of us who perform this surgery regularly, we see that it can be very rewarding in its outcomes.

The most challenging part of modern nasal surgery is not only understanding the intricate and complicated anatomy of the nose, but being able to achieve balance between the form and function to achieve the ultimate result. We have learned a great deal from nasal surgery that was performed over the last several decades. In the past, in order to achieve a smaller and more complimentary nose, copious amounts of cartilage were often removed. This ultimately risked nasal breathing and led to unwanted long-term changes to the nasal tissues. Modern nasal surgery emphasizes that each nose and each face is different, and that certain structures must remain in order to have a long-lasting, and functional result.

As with every surgery, it is important to understand that there may be risks. Discuss openly with your surgeon the risks that may be involved, how they can be minimized and what level of experience he/she has. The Emory Aesthetic Center offers experienced cosmetic surgeons that will help guide your nasal surgery decision process in order to achieve the best result for you. Most likely, you will love the look of the final result and be able to breath well from it for years to come.

About Dr. Sethna

Anita Sethna, MDAnita Sethna, MD, understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients. A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

Rhinoplasty: Nose Job Surgery & Recovery

RhinoplastyFor many patients, rhinoplasty (or a “nose job”) is something they have considered for years but have delayed for fear of recovery or fear of the changes that may result. This is completely understandable. Undergoing this type of surgical procedure can change the way not only others see you, but also how you see yourself. Even small, millimeter changes can make a huge impact.

Patients presenting for consultation for nasal surgery often run the gamut from wishing for a small “bump” to be removed from the bridge, to major reconstruction involving both breathing concerns and cosmetic improvements. There’s no cookbook method of improving one’s nasal appearance. As cosmetic surgeons we strive to match your desires and goals with what is structurally sound and aesthetically pleasing.

The consultation itself is at least an hour-long process. The goal initially is to assess the breathing, structure and balance of the nose with other aspects of the face and to discuss, in detail, what your concerns are. This is the opportunity to bring up any worries about your appearance, and ask any and all questions related to recovery. Once the assessment is complete, we then discuss the plan for addressing the issues. It’s important for both the patient and surgeon to agree on what issues are, and what can be corrected and to what degree. This almost always involves a set of several photos being taken and reviewed, and sometimes involves computer imaging.

At the Emory Aesthetic Center, we perform computer imaging as a tool. Because rhinoplasty involves such a critical aspect of ones self-image, computer imaging can be a useful adjunct to pictures and drawings. It gives the patient and surgeon a method of mutual communication and education.

Once a decision has been made regarding surgery, what is the recovery process like and how long is it before results can be seen? I counsel my patients that recovery generally takes about 10 days – that’s when patients can return to work or school with much less discomfort. The recovery process can be quite varied – some patients take prescription pain medication for a few days and then switch to Tylenol; others require the pain medicine for a week or so. Swelling and bruising around the eyes, and swelling on the nose itself is also quite common, and starts to dissipate around 5-7 days but in some cases can last 10-14 days. The most common complaint is congestion, rather than pain. Because of the surgery inside the nose, swelling can cause difficulty breathing through the nose for about a week.

Patients return to the office for an evaluation the day after surgery for a quick checkup and to ask any follow-up questions, and then at one week to have the outside dressings removed. Although results can start to be seen when the dressings are removed, the final results are not seen for up to 1 year following surgery. This can be surprising for some – but because of the intricate system of drainage of the nose, the tip and bridge can stay slightly swollen, and only with the passage of some time, will it settle into its final contours. I request patients return frequently to monitor the healing process and ensure their concerns are addressed.

At the end of the day, rhinoplasty is a very personal and emotional decision. But if certain aspects of your nose make you uncomfortable, or don’t allow your personality to shine through, there is no reason to delay the decision to pursue surgery. At the very least, obtaining a consultation allows the surgeon to discuss how reasonable your expectations are for improvement and give you a plan for correction.