Is It Safe to Take Citalopram Antidepressant (A.k.a Celexa, Cipramil) Before Having a Rhinoplasty?

     The skin hypopigmentation may improve with time, but this is always a risk with steroid injections.  I personally do not inject steroids after rhinoplasty.  Kenneth Hughes, MD Los Angeles, CA

     You need an exam to determine if this is exposed cartilage.  Exposed cartilage is not normal.  Kenneth Hughes, MD Los Angeles, CA

   Do the rhinoplasty first and then the genioplasty.  You will want to establish the nose as your base and then have the chin try to meet it.  Kenneth Hughes, MD Los Angeles, CA

Traveling by train should not negatively impact your result. But keep in mind that it is generally a good idea to rest and refrain from lots of activity the first week. Not doing so can increase swelling and delay your healing time. Each surgeon has their own specific guidelines, and I would...

    The only potential way this could have an effect would be if alar base reduction was performed and downward motion at the suture line caused separation.  Kenneth Hughes, MD Los Angeles, CA