Grand Rapids Rhinoplasty doctors
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Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
2680 Leonard Street NE Suite Four, Grand Rapids |
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13 answers |
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Scott R. Brundage, M.D.
Grand Rapids Plastic Surgeon
426 Michigan St NE #300, Grand Rapids |
9 answers | |
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William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms |
4 answers | |
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Douglas Leppink, M.D.
Grand Rapids Plastic Surgeon
426 Michigan St NE Ste 300, Grand Rapids |
1 answer | |
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Marguerite Aitken, MD
Grand Rapids Plastic Surgeon
220 Lyon St NW Suite 700, Grand Rapids |
Recent Answers
I'm planning on undergoing a rhinoplasty, otoplasty and two mole removals (most likely via incision), is it safe to do all these under the same general anesthesia. I have a slight fear of going under general anesthesia, due to the hundreds of horror stories that I have come across. This includes patients waking up mid-way through surgery and being unable to speak but hear and feel everything that is going on. I am just wondering what kind of things need to be disclosed and affect general anesthesia i.e Anti-depressants, whether you smoke, herbal supplements?
Thank-you for your question as this is something that comes up often in consultations. Many patients consider having more than one procedure done at a time to limit the time they will need help at home or limit the amount of time they take off from work. The number of procedures that can be performed together is determined by the extent of the procedures, the patient's medical and physical condition and the time spent under anesthesia. Procedures with greater areas of dissection and thus possible fluid or blood loss will stress someone with a compromised physical condition and may be dangerous. General anesthesia lasting longer than 5-6 hours has been shown to greatly increase the risk of infection, blood clots in the lower legs, and patient temperature changes.
The rule in our accredited surgery center is that surgical procedures performed under general anesthesia must be completed in under 5-6 hours, and each patient's medical condition is assessed carefully, often with input by the patient's doctor and/or our anesthesiologists.
I had a septo-rhinoplasty and SMD on the 16th December 2011, about 2 and half weeks after the procedure I caught my nose whilst turning my head on a friends finger (who was pointing at something). I heard a small crack. I have broken the nose twice, both times the impact was from the left side, the same side I caught it 2 and half weeks ago. Now I'm para I might of caused some damage. There was no blood, a bit of pain which quickly subsided. Have a ruined the surgeons good work!?
Minor injuries following nasal surgery often cause discomfort and anxiety but rarely effect the final result. Injuries that do not result in bleeding are rarely of significance. Injuries that result in visible changes to the nasal shape or that cause bleeding would be of greater concern. It sounds like the injury is minor, but you will want to have your surgeon re-evaluate you in the near future to be sure. Good luck.
Ive smoked marijuana 4 times only, after my surgery (open rhinoplasy) out of white papers within the same and 1st month, I know not a wise descion. I was told, realistically, it wouldnt change the form of my nose thankfully but that marijuana seems to cause increased sub Q scar tissue. May any doctor please explain to me what exactly that means and what is a sub Q scar tissue? Iam not smoking anymore but id like to know if that would make a difference since ive already smoked in the crucial stag
Subcutaneous scarring (Sub Q) following rhinoplasty is a normal occurrence. There is a very small space between the skin and underlying bone and cartilage that heals by the formation of collagen (scar tissue). I do not think that smoking after surgery creates more scar tissue, however, it does interfere with the blood supply and healing. Contour changes following rhinoplasty will gradually occur over 6-12 months as the scar tissue matures and softens. You should see a continued improvement during this time, so try to be patient. Good luck.
