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Rhinoplasty/Septoplasty. Should I stop taking Paxil?

Bea2013Jun 14, 2013
Hi, I'm scheduled to have a rhinoplasty and septoplasty this summer and after reading over my surgeon's medication informational forms, I found out that I'm supposed to stop taking my antidepressant (I take Paxil 20 mg once a day.) two weeks prior to surgery and two weeks after surgery, and this concerns me greatly. Is it always necessary to stop taking an antidepressant prior to nasal surgery and are there any exceptions to this rule? Thank you.

Answers (6)

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Dr. Vincent N. Zubowicz, MD
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Dr. Vincent N. Zubowicz, MD
Board Certified Plastic Surgeon
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Answered on Jun 17, 2013
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Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Jun 18, 2013
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Dr. Steven Wallach, MD
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Jun 18, 2013
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Dr. Parham Ganchi, PhD, MD
Dr. Parham Ganchi, PhD, MD
Board Certified Plastic Surgeon
Answered on Jun 18, 2013
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Dr. Stephen Weber MD, FACS
Dr. Stephen Weber MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 15, 2013
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Dr. Stuart H. Bentkover, MD (retired)
Dr. Stuart H. Bentkover, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Jun 17, 2013
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Scott Trimas, MD

At this time, I would think it would be safe to have that procedure done. That being said I would check with your surgeon to make sure it is ok with him/her.

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Vincent N. Zubowicz, MD

The philtral cannot actually elongate after rhinoplasty but might be more exposed if the tip is elevated is part of the procedure. Nevertheless it's too early because of swelling to draw any conclusions.

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Vincent N. Zubowicz, MD

I'm not sure where you can expect your nasal tip to drop 30° or so. This question should be properly addressed to your plastic surgeon who knows what was done in the operating room.

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Vincent N. Zubowicz, MD

Because of inflammation this is a normal accompaniment of rhinoplasty, nosebleeds may become more common. Report these to your surgeon.

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Vincent N. Zubowicz, MD

It's unlikely that the trauma to your nose undid anything accomplished by the operation. The nose for weeks after a rhinoplasty is extremely stable. If you have any questions you need to check in with your surgeon.

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Michael A. Persky, MD

Hi Numbers, I prefer to not use any packing in the nose after performing rhinoplasty on my patients.  Many rhinoplasty surgeons have been trained to empirically place packing inside the nose after rhinoplasty.  Instead of using nasal packing, we use a quilting suture in the nasal...

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