Depending on what was addressed during the initial surgery, swelling may diminish at different rates in different areas of the nose. For example, swelling in the tip of the nose may take longer to resolve than swelling in the nasal bridge. As a result, noticeable fullness in the tip when all other parts of the nose have returned to normal may lead you to believe that a subpar result was achieved.
In reality, it may just be that some residual fullness is present in that part of the nose, and the nasal tip may appear exactly as you had hoped once this swelling has fully subsided. The peri-ocular area is the first part of the face to start to show signs of ageing.
And sunken eyes are just another part of this process. What are eye bags under the eyes? Mild swelling or puffiness under the eyes are known as eye bags. These are a common complaint and, unfortunately, are just another side effect of the aging process. I have read and understand Cadogan Clinic's Privacy Notice. From time to time we may wish to keep you up-to-date with information, offers and promotions we feel will be of interest to you.
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In my opinion, the few extra hours spent in the hospital are well worth the investment. See also: Memorial Hospital Miramar. A good rhinoplasty surgeon will maintain adequate nasal breathing following cosmetic rhinoplasty, and adequate nasal function should never be intentionally sacrificed for cosmetic improvement. Although nasal obstruction is a potential risk of any rhinoplasty, in competent hands, nasal breathing is seldom compromised. Moreover, certain breathing problems such as a crooked or pinched nose are also responsible for cosmetic abnormalities and appropriate treatment can improve both appearance and function.
Surgeons who are trained in both cosmetic and functional nasal surgery are far less likely to impair nasal breathing and are often able to achieve a smaller and more attractive nose while simultaneously improving nasal function. See also: Functional Rhinoplasty. When administered in high doses, potential complications such as thinning of the skin, spider veins, fat atrophy, infection or cartilage resorption may occur and taint the cosmetic outcome.
Hence the dose, timing and frequency of Kenalog administration are critical in avoiding potential complications of steroid treatment. However, the same properties that may produce complications in high doses may also be used safely to reduce stubborn swelling, prevent subcutaneous scar formation, or prevent scar contracture.
When used sparingly in an appropriate manner, low-dose Kenalog can significantly improve the cosmetic outcome in select patients. While any drug can cause complications when used inappropriately, in my experience, the conservative use of low-dose Kenalog is seldom associated with unwanted complications and can substantially improve the cosmetic result in scar-prone individuals.
Technically speaking, cosmetic rhinoplasty can be performed any time after nasal growth is complete. Nasal growth is usually complete in girls by age 15 and complete in boys by age However, an emotionally mature and cooperative patient is also an essential requirement for a successful rhinoplasty. In rare cases, surgery may be performed at younger ages when severe functional impairment or other medical indications dictate.
Cosmetic rhinoplasty becomes increasingly more challenging with age. All other factors being equal, the best time to perform cosmetic rhinoplasty is in mid-to-late adolescence or early adulthood. By the fourth decade of life, the cosmetic outcome is sometimes less favorable, and purely cosmetic rhinoplasty is often best avoided beyond age 60 due to poor healing responses and a much higher incidence of disappointing cosmetic results.
However, functional rhinoplasty is often necessary in later life to prevent adverse health manifestations of chronic nasal obstruction. Adequate anesthetic tolerance is also necessary for elective nasal surgery, regardless of age. The decision to perform rhinoplasty at any age is best made after a thorough rhinoplasty assessment and a frank discussion with your surgeon regarding the risks and benefits of cosmetic nasal surgery.
Rest and relaxation are strongly advised during the first week after surgery to hasten recovery and minimize bruising and swelling. Although some bruising may be evident upon bandage removal one week after surgery, patients with sedentary jobs desk work may safely return to the workplace at this time.
Those whose jobs require physical exertion athletes, firefighters, etc. In every case, avoiding exercise or unnecessary exertion is recommended for at least one month after surgery to avoid prolonged swelling.
I would be hard-pressed to argue that all plant-derived substances have no medical value, but few herbal remedies such as Arnica or Bromelain have scientifically-proven medical benefits.
Moreover, since herbal supplements fall outside of FDA scrutiny, their safety and purity are also unregulated. The studies I have read regarding Arnica have shown no clear-cut reductions in swelling, bruising or recovery time, and studies with Bromelain are lacking altogether.
Since I am ultimately responsible for the welfare and safety of my patients and since unforeseen drug interactions may complicate patient care, I prefer to avoid most herbal supplements before and after surgery. However, since Arnica and Bromelain are unlikely to interfere with healing in the post-operative period, patients are permitted to use these herbals supplements as desired once anesthesia is complete.
The cost of rhinoplasty varies considerably according to surgeon skill, geographic area, surgical setting, and the complexity or extent of surgical treatment. Nasal surgery intended for the correction of breathing dysfunction is often eligible for insurance coverage, but purely cosmetic changes are never covered by any health insurance plan. A straightforward tip refinement is far less expensive than a complete rhinoplasty, and revision surgery is almost always more costly, especially when ear or rib cartilage grafts are required.
The addition of septal, turbinate or sinus procedures further increases the cost of surgery, even when covered by health insurance. In my practice, cosmetic surgery fees are based upon the predicted length of anesthesia and the anticipated complexity of surgical treatment. For purely cosmetic patients, the facility fee, MD-administered general anesthesia fee, overnight hospitalization fee, and surgeon fee are all bundled into a single package price. However, health insurance is accepted and may defray some of the out-of-pocket expense for approved procedures.
Our staff will assist eligible patients in estimating the out-of-pocket costs derived from insurance coverage such as copayments, deductibles, and other coinsurance fees. Surveys have shown that many people choose their surgeon based solely upon convenience. Few if any cosmetic rhinoplasty surgeons excel at rhinoplasty unless they devote a majority of their practice to this demanding specialty, and accomplished rhinoplasty surgeons are uncommon.
Although surgeons from a variety of medical specialties perform rhinoplasty, the overwhelming majority of cosmetic nasal surgery is performed by plastic surgeons, facial plastic surgeons, or ear, nose, and throat ENT surgeons; and board certification in any of these respective specialties also indicates certification in cosmetic nasal surgery. Moreover, surgeons board certified in ENT otolaryngology can also claim board certification in sinus and functional nasal airway surgery.
Regardless of the surgeon's specialty credentials, board certification alone is an unreliable indicator of rhinoplasty skill and experience.
While board certification indicates that a practitioner has surpassed the knowledge-based examination requirements for a particular specialty, including problem solving and medical decision making, it by no means guarantees satisfactory technical competence, artistic skill, clinical experience, ongoing training, or personal integrity.
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