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Do not take any aspirin, anti-inflammatories or blood thinners for two weeks before surgery. However, it's always best to ask your surgeon for their advice, as it may be different.
You should avoid aspirin related compounds for two weeks before and after surgery. Also avoid red wine. Some people swear by arnica, and although a few studies I've seen do not show any improvement, it appears to work in my experience. Also vit C can help.
Blood thinners such as aspirin, Advil, Motrin, Excedrin should be avoided before and after surgery. Herbal supplements and related products are discouraged by many physicians both before and after surgery. Your surgeon may also have his/her own preferences for postoperative do's and don'ts as well.
You can prevent longer healing times and bruising when blood thinning medications and herbal remedies are avoided pre and postoperatively. Please consult with your board certified specialist for a list of common medications to avoid.
Any medication that can decrease plaelet aggregation or cause bleeding is best avoided in the perioperative procedure. Excess bleeding into the tissues causes more bruising and swelling. I ask my patients to avoid aspirin, Advil, Motrin, Excedrin (or any pain reliever except Tylenol), Alka Seltzer, herbal teas, herbal supplements, herbal medications, green tea, ginseng, gingko, Vitamin E, grapeseed oil for at least 2 weeks before surgery. Patients on anti-coagulant therapy require a specified protocol to avoid perioperative bleeding.
You should get a complete list from your Rhinoplasty surgeon but I have my Rhinoplasty patients avoid anything that thins the blood for 4 weeks before and 3-4 weeks after.
It's not unusual for silicone implants to be palpable after Asian rhinoplasty because they are quite stiff compared to your native cartilage. Watch your nasal skin for changes that could signal an infection or pending extrusion such as: redness, pain, tenderness, or implant visibility.
Thousands of rhinoplasties are performed in the East on Asian patients by inserting a piece of silicone molding to augment the nasal bridge and define, project and elevate the nasal tip. Those typically do very well, but the implant can cause some problems with...
Injectables for augmenting the bridge does not yield attractive results. The materials that are safe to use in the nose do not "stack" very well and have a propensity to slide down the sides, like trying to build a mountain using sand. This results in a wide and blobby appearance,...
Personally I feel the safest and most-natural appearing results come from using your own tissue as grafts. Silicone and Gore-tex implants are rarely a permanent solution because they carry risks with them regardless of how long they are in place.
Absolutely, yes it can be done. It is a direct excision that removes the central portion of the alar wall. This results in a thinner ala. The scar heals quite well as long as the incision has been made cleanly and not at an angle.
There is really no question that your own cartilage (septal, auricular, or rib) is by far the safest and most preferable material for use in augmenting the nasal structure in Rhinoplasty. Non-native materials are generally utilized only when there is a lack of autogenous cartilage...
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