Tag Archives: nose job

Cultural Attitudes and the Ideal Face

Korean womanMany Korean women are unhappy with their appearance because it does not fit in with their society’s view of beauty. For this reason, more and more people with this cultural background are undergoing plastic surgery. The most common procedures being performed on faces are nose jobs and eyelid surgeries. These are two areas of the face that cannot be altered with mere cosmetics. Here is a look at other ways that Korean women are searching to find ideal beauty. Continue reading

Aging – New Treatments for Looking Younger

agingCosmetic Dermatologists are very successful at treating the effects of aging. Every year, more efficient tools and products are made available to help them treat sagging skin, sunspots, wrinkles, and much more. Here are eight of the best anti-aging treatments. Continue reading

Having a Rhinoplasty

A rhinoplasty is the surgical changing of the nose using special plastic surgery techniques. It can improve an individual’s self esteem by bringing a large nose or one with bumps back into the right proportion to the face. You can increase or decrease the size of the nose and you can change its features with a rhinoplasty. Continue reading

Rhinoplasty – Functional and Beautiful Noses

If you’ve ever had a problem with the shape of your nose, or had trouble breathing, rhinoplasty might be the solution to your problem. A rhinoplasty is simply a surgical alteration of your nose. Just about anything can be changed: the width of your nostrils, the shape of your nasal tip, and any irregularities in your nose shape. The bump in the middle of the bridge of your nose can be eliminated with a minor rhinoplasty.

Rhinoplasty can also rid a patient of breathing problems, like ones that derive from a deviated septum. The septum is the wall in the nose that divides the nostrils. When it deviates, it can cause issues with breathing through the nose. Birth defects like cleft palates may require a rhinoplasty. Injuries such as a broken nose may also create breathing issues that require a surgical solution.

Getting Ready for Rhinoplasty

You may not eat or drink anything after midnight the night before your surgery. Try to quit smoking before you go in as well. One of the main reasons for this is because smoking can affect blood flow in the body. This, in turn, can affect the way your body heals. Drinking alcohol the week before surgery can have the same effect.

Go over your medication with your doctor; he may ask you to stop taking certain prescriptions before surgery. NSAIDs, or Non Steroidal Anti Inflammatory Drugs, are an example. Other substances that may be contraindicated are Vitamin E, Omega 3 fatty acids and green tea. All of these can raise the possibility of increased bleeding. Remember, you must tell your doctor about all of the drugs and supplements you are taking, and never stop taking any medication without discussing it with your doctor first.

Risks of Rhinoplasty

  • Nasal obstruction
  • Touch ups
  • Anesthesia problems
  • Perforation of the septum (a small hole, which causes a whistling sound when talking or singing)
  • Infection
  • Bleeding
  • Death

Different Versions of Rhinoplasty

Open Rhinoplasty is when the incisions are made in the thin strip of skin that separates the nostrils, called the columella. The columella and the soft tissue are lifted off the rest of the nose to allow the surgeon to see more clearly. This is done for major surgery.

Closed Rhinoplasty surgery is has incisions made in the nose. The skin is separated from the bone and cartilage. The latter then can be reshaped or changed in whatever way is needed. Closed rhinoplasty is done for minor reshaping.

Secondary Rhinoplasty, aka revision rhinoplasty, fixes problems from a previous nose surgery. Some may be minor, but many of them are major issues. This makes a secondary rhinoplasty harder to do. This type of surgery can also be done as open or closed.

Filler Rhinoplasty uses injectable fillers to even out irregularities. Fillers can fill in depressions or make a bump less noticeable. This is the only solution that is not permanent.

How Do I Get a Rhinoplasty?

The first step is to see a doctor who specializes in this type of surgery. Your surgeon will take pictures of your nose at various angles. Your surgeon will also make sure that your expectations are realistic.

Feel free to bring in photos of noses that you find attractive. This will help your surgeon establish what you are looking for, and give them an opportunity to show you pictures of people who have similar noses to yours, as well as noses that are similar to what you want. For the sake of balance, you may also want to consider chin augmentation as well.

The Procedure Itself

Rhinoplasty is considered an outpatient procedure. It will take place in a hospital or surgical room. The length of time needed will depend on the type of rhinoplasty chosen. A primary version could take up to three hours, while a filler procedure can take 15 minutes or so.

Your surgeon will use local anesthesia with sedation or general anesthesia for a primary rhinoplasty. Since a secondary rhinoplasty is more complicated, general anesthesia is often best. For a filler rhinoplasty, a local anesthetic is all that is needed. The surgeon will then perform an open or closed rhinoplasty, and reshape the nose accordingly. The incisions are then closed and the healing begins.

So When Do I See Results?

Results will not be visible right away. It could take up to a year to see the full effects. Right after surgery, your nose will be packed with gauze to reduce bleeding and swelling. Pain medicine will help with the discomfort, and you should be able to control it without medicine within two days. Nausea is also a common side effect of this surgery.

The first few days may involve some bleeding. Cold compresses and elevation of the head can help. After the first three days, you may be asked back so the surgeon can remove your stitches. For the first week, avoid any trauma to the nose, which includes blowing it. Decongestants will help. After this, the cast will be removed, along with the gauze and any other dressings. Splints may be placed around and inside your nose to help it keep its shape. The swelling will be mostly gone within a month. Within a year, all of it will be gone. After a year, you may then consider a secondary rhinoplasty.

THE PURPOSE OF THIS ARTICLE IS TO ENHANCE, NOT REPLACE THE DISCUSSION AND CONSULTATION WITH YOUR PHYSICIAN SO THAT YOU CAN MAKE AN INFORMED DECISION BASED UPON THE RISKS, BENEFITS, AND ALTERNATIVES FOR YOUR SPECIFIC NEEDS AND DESIRES. AFTER REVIEWING THIS ARTICLE YOU WILL BE ABLE TO HAVE A MORE MEANINGFUL DISCUSSION WITH YOUR DOCTOR. PATIENTS NEED TO READ ALL CONSENT FORMS FULLY, AS THEY CONTAIN IMPORTANT INFORMATION REGARDING THEIR TREATMENT.

Best Non-Surgical Nose Job

Beverly Hills cosmetic Dermatologist, Doctor Simon Ourian M.D. discusses non-surgical alternatives to the traditional rhinoplasty or nose job.

April 6, 2009 — The number one cosmetic surgery for years now has been breast augmentation followed at number two by liposuction. But if you are old enough you might remember a time when a nose job was almost a rite of passage for some teens. For some it was a sweet sixteen present or a gift upon turning eighteen. Perhaps the number of surgical nose jobs is declining because previously unavailable non-surgical options have appeared on the scene.

Doctor Simon Ourian, Medical Director of Epione Beverly Hills, located in the exclusive shopping, restaurant and hotel enclave in Los Angeles, California. “I would never knock surgical nose jobs, ” says Doctor Ourian, “in fact, I credit the surgical nose job I had when I was eighteen with igniting my interest in medicine and my decision to eventually devote my practice to aesthetics.”

“I was always very self-conscious of my nose and, believe it or not, this caused me to shy away from people. But I was determined to change that so I saved all the money from my after school job and as soon as I turned eighteen I had the procedure done. I have no doubt it changed my life for the better.”

“That was more than twenty years ago, ” continues Doctor Ourian, “and I’ve been able to pass on the gift that was given to me. I’m not a plastic surgeon, I’m a cosmetic Dermatologist and in just the past few years we’ve developed non-surgical options to the traditional rhinoplasty using dermal fillers such as Radiesse. Using Radiesse injections I can hide a bump on the bridge of the nose or balance a nose that appears thicker on one side than the other and overall create the appearance of a straighter more aesthetically plaeasing nose.”

Radiesse is typically the filler of choice for non-surgical nose jobs because of its relative longevity. Radiesse is a composed of tiny, smooth calcium hydroxylapatite (CaHA) microspheres suspended in a water-based gel carrier. The consistency of Radiesse makes it an ideal dermal filler for the spongy areas that make up the nose.

“The two main advantages of a non-surgical none job”, explains Doctor Ourian, “are safety and recovery time. There is a risk any time you go under general anesthesia. The non-surgical nose job I perform is done with a local anesthesia. Patients walk in and out under their own power; typically in fifteen minutes or less. And anyone who has had a rhinoplasty knows that the swelling doesn’t completely go down for a year or more. With the non-surgical option you can be back to work the next day and the swelling is gone in a matter of days or week.”

“What is the best non-surgical nose job and where can you get it done?” asks Dr. Ourian. “In my opinion the Radiesse is your best option for a non-surgical nose job. It isn’t for me to say who can best perform this procedure. I suggest that any prospective patient do the research, speak with the doctor and work with someone with whom they believe can best achieve their aesthetic goals. My medical practice has been devoted exclusively to aesthetics for more than ten years. I will let my record speak for itself.”