Nose Reconstruction Surgery (Total Nasal Surgery)
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| Definition: | Used to feminize a masculine nose. Noses with a slight concave “scooped” bridged are thought by many to look particularly feminine. |
| Procedure: | An incision is made inside the nostrils, through which the work will be done. The incision provides the surgeon with access to cartilage and bone which can be cut, trimmed and manipulated to reshape the nose and alter its external appearance. A hump is removed by using a sawing instrument or a chisel and then bringing the nasal bones together to form a narrower bridge. To improve the angle between the bottom portion of the nose and upper lip, the nasal tip is elevated. This is accomplished by trimming the septum through the incisions in the nostrils. If a large hump is removed, the base of the nose is disproportionately wide. To narrow it, small skin wedges are removed and the nostrils are brought closer to the center. |
| Duration of Surgery: | 1 Hour |
| Type of Anesthesia: | General Anesthesia |
| Pre-Operative Care: | Assessed medical history Checked health insurance policy Checked laboratory result No Aspirin 2 weeks prior to surgery Avoid smoking and drinking alcoholic beverage 1 month prior to procedure Checked patient’s readiness and knowledge about the procedure Cosmetics should not be worn Advised patient to do fasting midnight before the skin procedure |
| Post-Operative Care: | Pain is easily controlled by medication usually subside in 2-3 days. Dressing applied will be replaced in a few days Suture will be removed within a week Some degree of firmness of the nose may occur for weeks or even months. Can do shower a day after surgery Suture will be removed after 5 days No heavy exercise 2 weeks after surgery |
Nose Augmentation (Rhinoplasty)
| Definition: | Creates an attractive, bridge curve & natural looking face. It is common in Asian & non-Caucasians to correct a flat nose with soft medical- grade silicone implant (A+) from USA. |
| Procedure: | The incisions are placed on the rim of the alar of nose. Soft tissues of the nose are then separated from the underlying structures, the bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem at the time of surgery. |
| Duration of Surgery: | 2 Hours |
| Type of Anesthesia: | Local Anesthesia |
| Pre-Operative Care: | Assessed medical history Checked health insurance policy Checked laboratory result No Aspirin 2 weeks prior to surgery Avoid smoking and drinking alcoholic beverage 1 month prior to procedure Checked patient’s readiness and knowledge about the procedure Cosmetics should not be worn |
| Post-Operative Care: | Recovery process will take around 5-7 days. Keep iced pack on the eyes to reduce bruising & swelling for 3 days Keep head elevated when sleeping Third day of surgery is the most swollen & bruise & will fade as days go by Avoid wearing contact lenses for 5 day. For cleaning, use a Q-tip dipped with sterile water to first gently clean the sutures for a week. Use dry Q-tip to dry the area No heavy exercise 2 wks after surgery Avoid any pressure on the nose (eg. Blowing & sneezing) Scars are well hidden inside nose & there is no suture to be removed. Swelling inside the nose will prevent you from breathing through your nose normally for several weeks. Avoid excessive moisture & avoid steamy shower in the area of splint Splint usually removed within 7th or 8th day post op. Sutures usually removed within 4-5 days. |
Alarplasty
| Definition: | To build an aesthetically pleasing trim the wide flaring and large open nasal. It is very common among Asians, European, American, African and Caucasians to correct a wide flaring nostril. This may be done alone or combination with Nose Augmentation (Rhinoplasty). The surgeon can be recommended if alarplasty shall be done along with Rhinoplasty. |
| Procedure: | The plastic surgeon plans the operation and determines incisions will be hidden inside the nose, (a “closed” rhinoplasty). The shape and position of the incisions are carefully planned so that the resulting scars are practically invisible after healing. |
| Duration of Surgery: | 30- 45 Minutes |
| Type of Anesthesia: | Local Anesthesia |
| Pre-Operative Care: | Assessed medical history Checked health insurance policy Checked laboratory result No Aspirin 2 weeks prior to surgery Avoid smoking and drinking alcoholic beverage 1 month prior to procedure Checked patient’s readiness and knowledge about the procedure Cosmetics should not be worn |
| Post-Operative Care: | Use a Q tip dipped with sterile water for cleansing for a week Dry clean with Q tip Avoid any pressure on the nose (sneezing, blowing) Sleep with head elevated. A slight amount of bleeding is normal within 2-3 days Take medication as prescribed |
Tip Plasty (Tip Rhinoplasty)
| Definition: | To change the tip of the nasal tip for the people who have wide, boxy, bulbous or narrow type especially Asian. Tip plasty can also be done to improve the breathing (septoplasty, turbinate reduction, spreader grafts) |
| Procedure: | Maybe performed to reduce a large, square, or bulbous nasal tip, to treat an upturned or sagging nasal tip, or just to change the appearance of the nasal tip. The nasal tip is positioned high and elegant, methods such as cartilage suture, cartilage grafting and blocking the nasal septum. |
| Duration of Surgery: | 30- 45 Minutes |
| Type of Anesthesia: | Local Anesthesia |
| Pre-Operative Care: | Assessed medical history Checked health insurance policy Checked laboratory result No Aspirin 2 weeks prior to surgery Avoid smoking and drinking alcoholic beverage 1 month prior to procedure Checked patient’s readiness and knowledge about the procedure Cosmetics should not be worn |
| Post-Operative Care: | Use a Q tip dipped with sterile water for cleansing for a week Dry clean with Q tip Avoid any pressure on the nose (sneezing, blowing) Sleep with head elevated. A slight amount of bleeding is normal within 2-3 days Take medication as prescribed |