How long do I have to wait to go under anesthesia for my nose job after sleeve surgery?

Question

I’m getting sleeve surgery done this week, later on I want to get my nose job and buccal fat - how long would I have to wait ?

Tanveer Janjua, MD · Answer

Gastric sleeve surgery can have a long recovery. You need to wait till your Bariatric surgeon clears you. It is less to do with the anesthesia itself and more to do with how fast you recover from gastric sleeve. RegardsDr. J

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question its depend of the technique for rhinoplasty, can during around 3-4 hours.

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello Rebecca,Thank you for your question.  I would wait 6 weeks and then obtain medical clearance prior to surgery.  In terms of the buccal fat excision, you will definitely lose weight in your face as a result of your gastric sleeve, and fat excision before losing all your weight may cause a hollowing in your face that you didn't expect.  In terms of your rhinoplasty consultation, be
sure your surgeon addresses all your aesthetic goals and concerns specifically,
and discusses the surgery details including the position and size of the
incisions used (with actual photographs and not just digital animations), the
risks and benefits of the procedure, recovery time, and post-operative course. 
Also, be sure to see plenty of before-and-after pictures in women who have a
similar nose appearance to yours, and preferably at different time frames (3
weeks out, 3 months out, etc) to more accurately predict your own surgical
outcome.
After seeking out a
board-certified plastic surgeon who specializes in aesthetic plastic surgery, I
think the most important component of the consultation is to establish a good
connection with your plastic surgeon.  It’s the connection that allows you
to clearly define your desired nose outcome goals, the first step of this whole
process. If you don’t feel you have a good connection with your plastic surgeon
after your consultation, he/she may not be the best surgeon for you.
For more information on
rhinoplasty, please refer to the link below.
Good luck.
Mark K Markarian, MD, MSPH
Harvard-trained Board Certified Aesthetic
Plastic Surgeon

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  I recommend waiting at least two months in between your sleeve procedure and having rhinoplasty with buccal fat excision.  You should also obtain clearance from your bariatric surgeon.   I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Robert L. Kraft, MD, FACS · Answer

From an anesthesia perspective, at least 6-8 weeks. But, let me make another point. The contours of your face will change after gastric sleeve surgery and your perspective in terms of expectations may alter as well so there may be good reasons to delay even longer.

Brad M. Gandolfi, MD · Answer

Rebecca,
A sleeve will not change the rhinoplasty or buccal fat pad excision. Therefore, you just need to wait until you are comfortable. Most people tolerate sleeve gastrectomies very well, but I would give yourself 2 months to better acclimate to your body and to be sure you are through with the gastrectomy before embarking on a rhinoplasty.
good luck!

Rouzbeh Kordestani, MD, MPH · Answer

Hi there.  Thank you for taking the time to ask your question.

So you had your sleeve and presumably everything went well and now your are in the recovery period.  If that is the case, you will need to give it at least 6-8 weeks.  Although this is a relatively generic answer, it does give you the chance to recover from your sleeve procedure and build up your strength for the next operation.  No one would advocate doing operations back to back to back, unless it is urgent or emergent.  For this reason, I would discuss your plans with your surgeon carefully and then step-by-step follow through with your set plan.  Safe, careful and steady is a great way to go through multiple operations.  I know that you may be excited and want to get everything done as quickly as possible.  However, in many cases, that is too much and not as safe.  So be clear with your wishes and wants.  Then, with the help of your surgeon, make plans over the next coming months and then, in sequence, go through your procedures.

I hope that makes sense.

How long do I have to wait to go under anesthesia for my nose job after sleeve surgery?

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