i have a very slight dorsal hump and I would like to get it shaved down. Is the bruising /swelling associated with this type of procedure dependant on how much is shaved down? Also if that is the only procedure performed does it still result in tip swelling as well or would the tip not be impacted by it? Finally, if the hump is shaved down I under the 2 two sides of the nose are then pushed together to close the gap from shaving. Will that make my tip narrow as well or will it remain as is?
December 11, 2015
Answer: Rhinoplasty candidate for dorsal hump shave A full set of pictures are required to determine the extent of the dorsal hump which is composed of both bone and cartilage. Most patients require osteotomies placed in the nasal bones to close the open roof created from the hump removal. Also important to make sure the tip balances with the new bridge line, so sometimes some minor tip work is also required. The bruising and swelling from the rhinoplasty is usually related to the osteotomies placed in the nasal bones. Osteotomies of the nasal bones will only narrow the nasal bones and upper lateral cartilages, and will not narrow the nasal tip at all.
Helpful
December 11, 2015
Answer: Rhinoplasty candidate for dorsal hump shave A full set of pictures are required to determine the extent of the dorsal hump which is composed of both bone and cartilage. Most patients require osteotomies placed in the nasal bones to close the open roof created from the hump removal. Also important to make sure the tip balances with the new bridge line, so sometimes some minor tip work is also required. The bruising and swelling from the rhinoplasty is usually related to the osteotomies placed in the nasal bones. Osteotomies of the nasal bones will only narrow the nasal bones and upper lateral cartilages, and will not narrow the nasal tip at all.
Helpful
Answer: Bruising and swelling after rhinoplasty Dear mango9244, Thank you for your clinical post. Invariably rhinoplasty involves manipulation and treatment of the nasal dorsum particularly a bump reduction results in mild, moderate or significant bruising depending on patient and nasal factors. Patient factors include predisposition to bruising or a patient being on anti-coagulates or anti-platelet medication. Rhinoplasty surgical factors include degree of bump reduction that is required. There is rarely a bump that is amenable to just a simple rasping. Rasping results in flattening of the nasal bridge and the creation of a flat book end appearance and osteotomies or fractures in the nasal bones need to be performed to bring the nasal pyramid or bony bridge back into a nice parametable or triangular shape. The osteotomies or breaking of the bone creates a tremendous amount of bruising usually in the under eye region called raccoon eyes. Generally, much of the bruising is dissipated by one week when the cast comes off and another week until it turns greenish/yellowish and then dissipates and disappears. Some patients experience much less bruising when they’re on Arnica Montana or Bromelain and certainly avoiding any anti-inflammatory or anti-platelet medications. I was fortunate to train in both plastic surgery and ear, nose, throat, head and neck oncology and perform a lot of cosmetic reduction rhinoplasties. I hope this information is of some assistance and best of luck. To find out more, please visit the link below. To schedule a consultation simply fill out the online request form and a client service representative will serve you promptly. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful
Answer: Bruising and swelling after rhinoplasty Dear mango9244, Thank you for your clinical post. Invariably rhinoplasty involves manipulation and treatment of the nasal dorsum particularly a bump reduction results in mild, moderate or significant bruising depending on patient and nasal factors. Patient factors include predisposition to bruising or a patient being on anti-coagulates or anti-platelet medication. Rhinoplasty surgical factors include degree of bump reduction that is required. There is rarely a bump that is amenable to just a simple rasping. Rasping results in flattening of the nasal bridge and the creation of a flat book end appearance and osteotomies or fractures in the nasal bones need to be performed to bring the nasal pyramid or bony bridge back into a nice parametable or triangular shape. The osteotomies or breaking of the bone creates a tremendous amount of bruising usually in the under eye region called raccoon eyes. Generally, much of the bruising is dissipated by one week when the cast comes off and another week until it turns greenish/yellowish and then dissipates and disappears. Some patients experience much less bruising when they’re on Arnica Montana or Bromelain and certainly avoiding any anti-inflammatory or anti-platelet medications. I was fortunate to train in both plastic surgery and ear, nose, throat, head and neck oncology and perform a lot of cosmetic reduction rhinoplasties. I hope this information is of some assistance and best of luck. To find out more, please visit the link below. To schedule a consultation simply fill out the online request form and a client service representative will serve you promptly. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful