Rhinoplasty

Sinus Surgery

Revision Rhinoplasty

Lip Lift

Septoplasty

Yes you can certainly have a slimmer look to your nose with rhinoplasty. &nbsp;You look like you have thick skin which will limit the definition that can be achieved in the nose but it is certainly possible to get a more slim appearing nose. &nbsp;You should consult with rhinoplasty surgeon so that they can create computer generated images of what would be realistic for your nose. &nbsp;I think you will be surprised how much a difference can actually be achieved. &nbsp;&nbsp;

I have been looking into getting Rhinoplasty to fix my wide nose. I am wanting it to be a lot more slim. Since its really wide I have been nervous about whether or not this is a difficult procedure, or if its even possible to fix.

Can anything be done to greatly slim my ethnic nose with thick cartilage? (photos)

Yes it can. &nbsp;Osteotomies are not needed to upset the cartilagenous support of the lower 2/3 of the nose. &nbsp;

I was wondering if mid vault collapse or narrowing can occur if just the bump is reduced with no osteotomies in rhinoplasty?

Can middle vault collapse occur without osteotomies (just bump reduction) ?

Typically you should follow your surgeon's recommendations for aftercare of your rhinoplasty. &nbsp;In most cases, your surgeon will want to be the one to remove the splint as your nasal bones may still be somewhat unstable. &nbsp;In rare cases where the splint is used to help contain swelling without actual fracture of the bones that may be less important. &nbsp;You should call your surgeon's office and get their recommendations. &nbsp;You just went through surgery and you certainly don't want to alter your result negatively.

Just a quick question, is it required to visit your doctor when removing a cast for Rhinoplasty?

As you may already know, most surgical procedures are associated with some level of edema/swelling. &nbsp;This can be especially true for the lips. &nbsp;Typically, if it is edema you can help it along by keeping your head elevated, massaging the area with your fingers, applying ice on and off and following a low salt diet. &nbsp;If it is just edema it will likely improve over the next 1-2 weeks. &nbsp;If your lips are painful, more red than usual, or are draining any fluid you will want to consult with your surgeon immediately as you may have an infection. &nbsp;&nbsp;

It's had the move them from the tightness and swelling.It's also really hard and tight above my lip and one side is bigger (and harder/tighter). I took prednisone for the first week which helped but after stopping they got more swollen.Is this a rebound thing from Pred? Will they go down and soften above the lip soon? I haven't been able to leave the house for 3 weeks :-(.

I had a lip lift 2 weeks ago and my top lip is still extremely swollen and huge. Will it go down?

Waiting at least a few weeks between the two surgeries will likely be enough time to prevent any cross infection from the two procedures.  However, you may still have significant swelling/edema at that time of your second surgery which may make if difficult for your surgeon to give you the absolute best result.  To be safe and for the best results I would wait at least 3 months between the two procedures.  Also you want to make sure that you are at least 6-12 months since your original rhinoplasty.

Hello, I have had rhinoplasty surgery and am considering revision surgery with a surgeon who only carries out rhinoplasty. I also want to have cheek implants inserted by a facial plastic surgeon. I know that both procedures can be done at the same time but I want to have 2 operations. I am concerned about implant infection. As I have a chin implant, I want to know whether I should go through with the revision rhinoplasty first to minimise the risk of infecting the cheek implants.Does it matter?

Which procedure should I have done first - Revision Rhinoplasty or Cheek implants?

Waiting a month between the two surgeries will likely be enough time to prevent any cross infection from the two procedures. &nbsp;However, you may still have significant cheek swelling/edema at that time which may falsely alter the way in which your nose looks at time of surgery and may affect your rhinoplasty outcome. &nbsp;To be safe and for the best results I would wait at least 3 months between the two procedures. &nbsp;Also you want to make sure that you are at least 6-12 months since your original rhinoplasty. &nbsp;

I want my revision rhino and placement of chin/cheek implants done by 2 different doctors. If I do the implants first, does this increase my risk of infection for when I do the rhinoplasty? I definitely want to do the implants first, so if infection is going to be a problem how long should I wait after the implants to get my rhino? Thanks.

Can I have a Revision Rhinoplasty a month after placement of cheek/chin implants?

In general, a septoplasty will not fix a droopy nose. Whoever, sometimes a small additional procedure through the septoplasty approach can fix a droopy tip without the need for an extensive Rhinoplasty.&nbsp;

Would septoplasty fix a droopy nose?

In general, 90 plus sinus infections are virally mediated in the beginning. For this reason antibiotics are not indicated of effective. If you caught the sickness from someone else it is likely a virus. However, if after a few days things get worse or you develop fevers or chills you may have a superimposed bacterial superinfection which would require antibiotics. In short, the american academy of otolaryngology recommends only using antibiotics when a bacterial infection is likely. Some non antibiotic therapies that may help include, nasal saline rinses and a topical nasal decongestant for no more than 5 days. If you are not getting better with in a few days I would recommened seeing an ENT physician.&nbsp;

I had sinus surgery, septoplasty, rhinoplasty, turb reduction 5 mo ago. I have 3 very young kids, tough to rest. My daughter keeps bringing fun little viruses home from school. The last one got me. I definitely have a sinus infection but I'm apprehensive to take prescribed antibiotics because I've taken so many in the past &amp; have shown resistance. I'm 36, allergies otherwise healthy / fit, should I just let it run its course or take the antibiotics? It's been a little less than a week.

Is it necessary to take an antibiotic for a sinus infection?

Try not to worry to much about your facial asymmetry. Everybody has some level of facial asymmetry which is normal. Sometimes some of these asymmetries can be camouflaged by having simple Botox or filler treatments for the soft tissue asymmetry. Any underlying bony asymmetry can be quit extensive to fix.&nbsp;<br><br>Silent sinus syndrome would be characterized with sinusitis symptoms, such as facial pressure and pain on the smaller side. In your case on your right side. This can be easily diagnosed with a CT scan of your sinuses. If you do suffer from sinusitis this can typically easily be remedied with a sinus surgery. I recommend you visit a physician that's trained in facial plastic surgery and nasal & sinus surgery to begin your evaluation.&nbsp;

I just noticed recently how uneven my face is. Not only that but also one eye is smaller than the other. When I blink I left like one eye is slower. I did some research and i feel like it can be SSS but then again not but the problem is not just my eye. As you can see one of my eyebrows higher too, so theres multiple area that need attention. It's really bring my self esteem down, I'm wondering if there is anything I can do to fix this?

Could I have SSS silent sinus syndrome? (Photo)

In general, the crooked nose can be a difficult surgery. It's important to review the pre-op photos of your entire nose and not just the top of your nose. Typically you can have swelling in various locations making the nose appear crooked anywhere from six months up to a year, which is why most Rhinoplasty surgeons will wait six months to a year to perform revision Rhinoplasty. It is also important to consider the lightening that your seeing you nose in. If you have more light coming in from one direction than the other your nose can appear crooked but, in fact, it is just abnormal shadowing. My recommendation would be to visit a revision Rhinoplasty specialist as early as six months post-op with the expectation that you may not undergo surgery up to one year from your original surgery date. Make sure you bring your medical records from your current surgeon to the new revision surgeon, include pre-op photos and operative report.<br>

It's been 5 months post- rhinoplasty and my nose seems to be crooked and slightly bent. The right side walls of the nose curves inwards, where the left side doesn't. as well as the top seems crooked. What caused this to happen? and Should I consider A revision surgery?

5 Months post -op crooked nose - should I consider a revision surgery? (Photos)

Alexis Furze, MD

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