Its been 7 months since i done my rhinoplasty and im considering performing a osteotomy later to narrow my nose bridge. How much swelling would i have with only a osteotomy to narrow the bridge performed? How soon should i do it and does the skin need to be lifted from the nose for this ?
July 14, 2016
Answer: Rhinoplasty: Osteotomy for narrowing and swelling In rhinoplasty, osteotomy (a controlled bone cut) may be performed to improve the contour or narrow the nose. This is one of the more traumatic maneuvers in rhinoplasty. The bone and all the tissue directly in contact with it ( bone covering (perichondrium), muscle, and blood vessels) may be cut in a pocket. There is no way to use cautery or put direct pressure on it to stop bleeding. The bleeding will stop on its own, but the nose will swell and any bruising will collect below the eyes. Multiple osteotomies will generally produce more swelling and bleeding. I would discuss this with your surgeon to determine a safe plan for you.
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July 14, 2016
Answer: Rhinoplasty: Osteotomy for narrowing and swelling In rhinoplasty, osteotomy (a controlled bone cut) may be performed to improve the contour or narrow the nose. This is one of the more traumatic maneuvers in rhinoplasty. The bone and all the tissue directly in contact with it ( bone covering (perichondrium), muscle, and blood vessels) may be cut in a pocket. There is no way to use cautery or put direct pressure on it to stop bleeding. The bleeding will stop on its own, but the nose will swell and any bruising will collect below the eyes. Multiple osteotomies will generally produce more swelling and bleeding. I would discuss this with your surgeon to determine a safe plan for you.
Helpful
July 14, 2016
Answer: Narrowing the nose Without seeing your photos it is difficult to determine how much needs to be done and how involved the surgery will be. If you simply desire a small amount of narrowing at the base of the nasal bones, this can be done by infracturing the bones. A small cut is made on the inside of the nose and then a chisel is used to make a cut in the bone. This often causes bruising for 7-14 days and swelling of the nose. After 2 weeks, you will still be moderately swollen and this should steadily improve over the next 4-6 weeks until your nasal bones have started to reknit in place. Even though 90% of the swelling is gone by this point a small amount can persist for months afterwards and depends on the individual patient.
Helpful
July 14, 2016
Answer: Narrowing the nose Without seeing your photos it is difficult to determine how much needs to be done and how involved the surgery will be. If you simply desire a small amount of narrowing at the base of the nasal bones, this can be done by infracturing the bones. A small cut is made on the inside of the nose and then a chisel is used to make a cut in the bone. This often causes bruising for 7-14 days and swelling of the nose. After 2 weeks, you will still be moderately swollen and this should steadily improve over the next 4-6 weeks until your nasal bones have started to reknit in place. Even though 90% of the swelling is gone by this point a small amount can persist for months afterwards and depends on the individual patient.
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