Louisville Rhinoplasty doctors
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Donn R. Chatham, MD
Louisville Facial Plastic Surgeon
4001 Kresge Way Suite 310, Louisville |
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Joseph Banis, MD
Louisville Plastic Surgeon
901 Dupont Road Suite 202, Louisville |
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Lee E. Corbett, MD
Louisville Plastic Surgeon
4121 Dutchmans Ln Suite 305, Louisville |
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John W. Derr, Jr., MD
Louisville Plastic Surgeon
100 East Liberty Suite 201, Louisville |
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Alexander G. Digenis, M.D.
Louisville Plastic Surgeon
315 E Broadway Ste 110, Louisville |
Recent Answers
I was wondering what a septoplasty and a bilteral tubinectomy were?
When a nasal septum is deviated it may partially block air flow in the nose. When a turbinate is enlarged it can also impair breathing. Sometimes surgery can improve the position of the septum (septoplasty) and also the size and position of the turbinates (turbinate resection or repositioning). Noses need the septum for anatomic support so it is important to leave a strong and adequate portion. Likewise, turbinates are important in warming, humidification and filtering air so they should not be aggressively removed. Additional maneuvers may also improve airflow (spreader or batten grafts) by making key portions of the airway larger. An experienced nasal surgeon will explain the best options for each individual patient.
An ENT recommended that I undergo a septoplasty and reduction in both middle turbinates. He told me I could recieve a rhinoplasty at the same time (which I do want) but then mentioned that there may been too much swelling if everything was done all at once. Is it best to do two separate surgeries to avoid excessive swelling? Are there qualified surgeons that could even perform a functional sinus surgery at the same time as the cosmetic portion?
A rhinoplasty may actually include functional surgery and aesthetic surgery in the same surgery. It is not unusual for a patient to have a functional problem (such as a deviated septum and enlarged turbinates) along with a desire to improve the appearance of the nose. So combining a functional procedure (septoplasty and/or turbinate surgery) along with an aesthetic procedure (rhinoplasty) makes good sense. The advantage of having one procedure rather than two surgeries is clear. An experienced nasal surgeon can discuss the particulars with each individual patient.
Hey...I recently had open rhinoplasty done about 2 months ago and pretty much most of the swelling had gone away...until about a week ago I was on spring break and I was drinking alcohol and smoking (both cigarretes and marijuana) and i noticed that the next couple days my nose looked bigger(swollen) in the tip and is this normal? What can i do to get the swelling down??
Post operative swelling is an expected occurrence after rhinoplasty and it takes months to completely subside. Extra caution is needed especially in the first 3 or 4 months to avoid situations where inadvertent trauma or stresses do not irritate or injure the healing skin and underlying cartilages and bone. This would include avoidance of sunburns, physical bumps, activities that decrease circulation, and taking safety measures to protect it from people and objects such as the steering wheel! You might see some increases and decreases from day to day the first few months. For most patients, the passage of time helps the most: usually 12 months at least but sometimes as long as 2 years may pass before all of the soft tissue swelling has subsided.