Nose Surgery in Scottsdale & Avondale
Rhinoplasty is a surgical procedure designed to improve function and esthetics of the nose. Appearance can be improved for those people who are dissatisfied with the shape and size of their nose by removing, rearranging, or reshaping bone and cartilage. Nasal Surgery was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Reasons for performing Rhinoplasty include reducing the size of the nose and improving proportions of the nose. Disharmony of the nose may be a result of genetic traits or due to trauma to the face. Rhinoplasty can also help patients who have difficulty breathing through their nose and can be performed on nearly all age groups, including teens and the elderly.
Dr. Guyette performs Rhinoplasty at either of our two licensed state of the art surgical facilities. Surgery is usually performed under IV sedation, which is comfortable, safe, and results in less swelling and bruising than general anesthesia.The Rhinoplasty procedure involves reshaping of underlying bone and cartilage. Patients who have a deviated septum may benefit by correction at the same time as the Rhinoplasty. Incisions are placed inside the nose unless Dr. Guyette uses an open approach, in which case the incision is extended across the columella (the tissue between the nostrils). In cases where the nostrils flare, Dr. Guyette may make an incision at the junction between the nose and the skin of the cheek to narrow the flared appearance. It is common to combine Rhinoplasty with chin augmentation to improve the facial profile.
A medical history, along with a careful examination is first conducted. Dr. Guyette will discuss with you the way your nose can be improved, to be more in balance with other facial features. Digital photographs and computer imaging allow Dr.Guyette to evaluate the appropriate procedure to achieve the best results. Pre-operative instructions may include the elimination of certain drugs which contain aspirin and non-steroidal anti-inflammatories (Advil, Aleve, etc) in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection.
Preoperative Instructions for patient's undergoing Intravenous (IV) Anesthesia
Recovery takes 1 to 2 weeks with most people resuming their normal activities within a week. Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is usually removed after the first week. Internal nasal splints may be placed at the time of surgery to maintain the position of the septum. These are also removed within a week. There is always some stuffiness of the nose from swelling, especially when Septoplasty or Turbinosplasty has been performed.
Pain is usually mild and is controlled with medications. Bruising usually occurs around the eyes, but begins to fade within a few days and is usually gone in 10-14 days.
Positioning: For the first several weeks, it is best to keep your head elevated. When you return home from surgery, sit in a recliner, with your head elevated, place ice packs over your eyes on both sides of your nose (20 minutes on, 20 minutes off). Crushed ice in a baggie or frozen peas work well. Ice is helpful up to 36 hours after surgery. After this time, use ice only if it feels good to do so. When sleeping, keep your head elevated above the level of your heart (you do not need to sleep sitting upright). Extra pillows under your head, or a blanket or two under the mattress works well.
Bleeding/Cleaning: Oozing from the nose is normal for the first few days after surgery. You will leave the office with a "mustache" dressing in place. Change the dressing as needed. When bleeding stops, you no longer will need this dressing. You may notice that oozing reoccurs when you become active or bend over. If so, sit quietly with your head up, ice packs over your eyes, and with a new mustache dressing in place until the bleeding stops. Clean nostrils with a Q-Tip soaked in 3% Hydrogen Peroxide. Place the Q-Tip in nostril only so far as the cotton tip to remove dried blood. Then clean nostril with liquid soap and a Q-Tip, followed by water on a Q-Tip, and finally, roll a small amount of antibiotic or A&D ointment into the nostril. This keeps the nose moist and minimizes crusting and clogging of the nose.
Swelling/Bruising: Swelling and bruising are normal body responses to surgery. Swelling usually peaks the second or third day after surgery then begins to decrease. Most swelling is gone in 10 days.. "Black eyes" are expected with nasal surgery. This bruising can last 7-14 days. By taking the medications as prescribed and carefully following these instructions, you will be doing everything possible to minimize swelling and bruising.
Nutrition: Good nutrition is very important in optimizing healing after surgery. Make sure to eat a balanced diet.
Exercise: Light exercise, such as evening walks, can begin 2-3 days following surgery. Do not lift heavy objects, bend over, or return to strenuous activity until cleared by Dr. Guyette or his staff. On average, moderate exercise begins in 10-14 days and rigorous exercise 5-6 weeks after surgery.
Medications: If you are able to take Ibuprofen, take over the counter Ibuprofen (advil, Aleve) 200 mg tablets, 3 tablets 4 times per day, for the first three days after surgery. Take narcotic pain medication prescription as needed. Do not drive for 4 hours after taking narcotic pain medication.
Your insurance company may pay for part of the costs associated with your nasal surgery if it is performed as a result of nasal obstruction or trauma. We will help you check with your carrier to determine if there is coverage.
“On the night of my procedure, Dr. Guyette called me to see how I was feeling. I thought that was magnificent and it was greatly appreciated! I felt very cared for!” Gordon Stein