I have a low bridge that I want to be higher and a bulbous nose that I want to me nicer shaped. I also want to be know if it will be ok to have a sinus surgery and rhinoplasty at the same time. Attached are the pictures. Any advice with materials and types of surgery would be very helpful. Thanks in advanced.
Augmented Rhinoplasty and Sinus Surgery at the Same Time?
Doctor Answers 14
Combining a CLEAN operation with a CONTAMINATED operation may not be the best idea
Regarding: " Augmented Rhinoplasty and Sinus Surgery at the Same Time?
I have a low bridge that I want to be higher and a bulbous nose that I want to me nicer shaped. I also want to be know if it will be ok to have a sinus surgery and rhinoplasty at the same time. Attached are the pictures. Any advice with materials and types of surgery would be very helpful. "
To correct your nose tip and your low dorsum you would probably require the use of grafts (either your own cartilage or a combination of your own cartilage and outside grafts, either radiated cartilage from another human or man-made materials). Grafts are notoriously susceptible to becoming infected because they do not come with their own blood supply.
Although the sinus operation CAN be done at the same time as your nose operation, I would be leery of recommending that you do them together. By definition, your sinuses are not sterile and the operation is classified as a CONTAMINATED procedure. To prevent any direct or blood spread bacteria to your grafts I would advise you to have your sinus procedure first and when you are fully recovered to consider having your rhinoplasty.
Dr. Peter Aldea
Sinus surgery and rhinoplasty
Combining the two surgeries is common, effective , and efficient if performed by a surgeon skilled in both fields. I always perform the septoplasty and then sinus surgery first. If the sinuses are very time consuming and especially if they are very acutely infected with free flowing pus everywhere probably not a good idea to add a foreign body implant to the nose at the same time. However performing a rhinoplasty without a foreign body augmentation (your cartilage is ok) and surgery for chronic sinusitis is very effective and common. I have been doing this for over 25 years and wrote one of the first book chapters on how to do this. You should have someone who is board certified in both facial plastic surgery and otolaryngology to do this. Most general plastic surgeons don't have formal training and or hospital privileges in performing endoscopic sinus surgery.
Cosmetic and sinus surgery should not be combined
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Rhinoplasty and Sinus Surgery at Same Time
Rhinoplasty and sius surgery are frequently done during the same operation. For augmentation I prefer to use the patient's own cartilage harvested from the septum, ears, or ribs rather than synthetic material such as Gortex, Medpor, or silicone.
Nasal augmentation and sinus surgery
It is possible to augment the dorsum of the nose using either cartilage grafts or synthetic material, the former is usually preferable since it is your own tissue. Combining cosmetic rhinoplasty with sinus surgery may be feasible although depending on the exact procedures there may be an increased risk of infection.
Combining Rhinoplasty with Sinus Surgery
Yes, it's very common to combine a rhinoplasty with sinus surgery.
However, each case is unique and your plastic surgeon may recommend not to combine procedures. Sinus surgery may involve many potential operations, such as septoplasty or turbinate surgery, among other things. Sinus surgery may be for chronic infection. As other plastic surgeons have mentioned, the main reason not to combine procedures is infection. If an artificial implant is used to build the bridge, then there may be a slightly higher risk of infection.
Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you.
Simultaneous rhinoplasty and functional surgery
It is very common to have sinus surgery or septal surgery for breathing problems done at the same time as cosmetic rhinoplasty. It allows for one recovery and often reduces the fees to the patient. The greatest concern is that if you are having an augmentation rhinoplasty at same time is to make sure that the implant is kept in a separate area from the intranasal or internal aspects of the nose to reduce the possibility of infecting the implant. I hope this information helps.
Rhinoplasty and sinus surgery
It is common to have sinus surgery and rhinoplasty surgery performed at the same time. This should not be a problem.
Sinus surgery and rhinoplasty can and is freqeuntly performed at the same time. Your own grafts are the preferable tissue sources and this can range from septal or ear or rib cartilage.
I combine these frequently.
I do not believe you are at any increased risk having sinus surgery at the same time as augmentation rhinoplasty. Actually, it is quite common to have these two surgeries performed at the same time. I would recommend you not have any synthetic materials placed in your dorsum, even without sinus surgery, because I believe these have a higher extursion rate. I would recommend using septal, rib or ear cartilage.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.