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Board Certified Facial Plastic Surgeon
Broken noses are the most common facial fracture. A nosebleed at the time of injury is a sign that your septum internally has suffered some damage but this does not necessarily require any treatment unless your nasal breathing is affected.
External bruising, a new bump on the nose, crookedness are the most common signs for nasal bone fracture. However, possibly even more commonly is a separation of the upper lateral cartilage from the nasal bones which is still a "broken" nose but will be visible on any x-ray yet will still lead to crookedness and different appearance.
Board Certified Facial Plastic Surgeon
This answer may differ from surgeon to surgeon but here is my take:
1. I recommend no strenuous activity or heavy lifting over 10 pounds for two weeks after surgery and no contact activities (activities that can damage your nose such as contact sports, etc) for 3 weeks after surgery.
2. No nose blowing for 1 week\\
3. Patient are typically happy and not very self-conscious with the appearance of there nose at 3 weeks after surgery, but swelling will persist for months afterwards and slowly go away over the course of the year.
Board Certified Facial Plastic Surgeon
Your question is a good one. If you desired significant reduction in your dorsal hump (which would have been a mistake in my opinion since your hump was not too large to begin with), then typically at three weeks it can be quite noticeable. If only slight/subtle changes were made to your dorsal hump, this can takes weeks/months to show the true result. Being patient is one of the hardest parts of having rhinoplasty performed, but your surgeon and his/her staff is there to help you through this process so stay in contact with them.
Board Certified Facial Plastic Surgeon
The rotation of your nasal tip can be changed during rhinoplasty with a variety of maneuvers. Age and gravity, however, are difficult variables to overcome that unfortunately we have no answer for...yet. Therefore, your tip of your nose will likely droop some over time but it can be lifted and strengthened in the desired position during rhinoplasty thus making the process of tip droop slower over time. Hope this helps.
Board Certified Facial Plastic Surgeon
Based on your photos, it does appear your skin is on the thicker side thus there are some limitations to the degree of tip definition that can be achieved. However, thick skin is not all bad! Your skin will more easily hide minor imperfections after rhinoplasty thus in some ways making cartilage grafting more possible without drastically affecting the look of your nose.
Ear cartilage is commonly used in rhinoplasty especially when there is not enough septal cartilage available. For my practice, just because I mention the possibility of ear cartilage to patients, doesn't necessarily mean I will use it for sure. Hope this helps.
Board Certified Facial Plastic Surgeon
Thank you for this question. Nostril shape is difficult to change even when a surgeon would like to make changes to it. Most people have slightly asymmetric nostrils at baseline but fortunately this is only noticeable mostly when looking upwards at a person from below which is an uncommon view. It is also quite common for patients to notice much more about their nose or other facial features after surgery compared with before. I typically provide pre and 1 year postop photos to patients at their 1 year postop visit. Perhaps ask your surgeon for pre and postop photos at that time so you can compare with your surgeon and discuss from there.
Board Certified Facial Plastic Surgeon
You are spot on with your self-analysis which is great! Reducing your chin projection would be great for your profile. In addition, softening your nose would certainly enhance your profile further. The good note is that adding the rhinoplasty does not add to your recovery time with a chin reduction. We use 3D simulation in our office which is perfect for simulating changes from all different views and angles which I would highly recommend for you so you know what to expect.
Board Certified Facial Plastic Surgeon
Based on your photos it is very possible to refine your nasal tip and obtain a very nice result for you. Several tip refining maneuvers exist that will work very well for you.
Board Certified Facial Plastic Surgeon
Hump reductions are often done with closed approaches alone but sometimes to keep the test of the nose in harmony open approach is recommended for additional refinement. Hope this helps.
Board Certified Facial Plastic Surgeon
From my first contact at the front desk to the warmth and courtesy of the doctor . Adequate communication during the long wait for the Covid pandemic. The entire process was a blissful experience. I am so glad my procedure was handled by this team. You cannot even tell anything was done to my face. Excellent job.
Great experience. Very professional. Astonished at the outcome and how much better my quality of life is from this change. I would highly recommend Dr. Shipchandler and his staff. I felt well prepared with the expectations of the procedure and outcome. No complications. My only regret is waiting so long to do this.
Dr. Shipchandler and his nurse Katy are an amazing team! Dr. Shipchandler really listened to me, took into consideration what I was asking for and what I wanted my results to be. He is awesome, he is very sincere and works with you to create a result you are both happy with. Also, I think it's worth mentioning that he is very involved in academic medicine, he speaks at conferences around the country and the world, and he collaborates with other services and surgeons on state-of-the-art procedures. I've read some really impressive articles about him online. I think the fact that he is so involved in academics is a really valuable quality in a surgeon!!
I was in terrible shape when I found dr shipchandler,he helped me breathe normally again,I feel so great,he changed my life for the positive,I’m so happy to feel like me again. If you need help,he is the dr to see,
I experienced a complete (most severe) Bell’s palsy. My journey was pretty tough in the beginning. I lost my smile. That was very emotional for me. My hometown ENT referred me to Dr Shipchandler. He was so kind and willing to try to get my face back in shape. My left side was paralyzed permanently. Initially, he repaired my nose to give it more uniformity. The only surgery originally was a two part surgery that would be scheduled six months apart to repair my smile. That was not something I wanted to do. But, eventually I decided to give it a try. Now, there is a surgery that can be completed with an overnight stay in the hospital. Also, just one surgery instead of two. Within six to eight months there was a significant improvement! Now, two years later, I’m amazed at the uniformity of my face and I can smile again! Dr Shipchandler has been so encouraging and positive during all I have gone through. You cannot see any scarring at all! He is an amazing surgeon!! I’m so happy I’ve had this procedure. I feel like it really gave me so much back that had been lost.
Amazing-Dr. Shipchandler and staff are exceptional. I had a lot of anxiety about surgery-Dr. Shipchandler and staff eased all of my nerves and he was able to resolve my problems perfectly. Not only can I breath better than ever-my insecurities about my nose are gone. I would be confident to have Dr Shipchandler perform surgery for me again.
Dr. Shipchandler did an outstanding job on fixing the issues with my nose. I wasn't able to breathe before and he was able to fix all the problems with one surgery. I breathe better than ever. My husband can attest to it! I sleep soundly at night and don't snore at all. I had a deviated septum, an enlarged turbinate and both nasal valves collapsed. He diagnosed all of these issues with one quick look inside my nose. He has outstanding bedside manner and it was if talking with my best friend. Very, very friendly!
I highly recommend Dr. Shipchandler! I had a face lift and blepharoplasty 4 weeks ago and the results are amazing. The bruising post op was so minimal, nearly nonexistent. I credit his surgical skills to the fact that I never took a painkiller. Really not painful. I had friends who had facelifts by a plastic surgeon whose techniques required 24 hour icing very 15 minutes all day and all night post op. Dr. Shipchandler requires no ice because of his surgical skills. Amazing recovery and amazing results. No more turkey gobbler neck, nor jowls. I have a smooth jaw line. I look considerably younger but not fake. VERY PLEASED!!
I could not be happier with Shippy's care. He has an amazingly calm, gentle, and down-to-earth bedside manner. He is also extremely attentive and clearly wants what is best for his patients. He's great!
Dr. Shipchandler is a highly qualified plastic surgeon. He has a kind demeanor and is very professional. My revision rhinoplasty was quite complicated because there was a significant bent in my nose. He corrected it successfully and in the end I was very happy with his work. I highly recommend Dr. Shipchandler for rhinoplasty.
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