I am planning on having a rhinoplasty and a breast augmentation this year, but with two different surgeons. Is it ok to book them a couple days apart in order to consolidate recovery time/the time I take off work??
March 27, 2013
Answer: Timing between two procedures.
Hello Jenny , I'm totally agree with Dr. Tholen. Rhinoplasty first, antibiotics for aprox. 5 days, followed by Breast Augmentation Surgery and continue with antibiotics for 5 days more. It is much safer this way, in terms of breast capsular contraction prevention. Best wishes .Dr. Vega
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March 27, 2013
Answer: Timing between two procedures.
Hello Jenny , I'm totally agree with Dr. Tholen. Rhinoplasty first, antibiotics for aprox. 5 days, followed by Breast Augmentation Surgery and continue with antibiotics for 5 days more. It is much safer this way, in terms of breast capsular contraction prevention. Best wishes .Dr. Vega
Helpful 1 person found this helpful
March 27, 2013
Answer: Timing between breast and rhinoplasty surgery.
These two surgeries can be done relatively close together, but because bacterial contamination causing biofilm formation can lead to increased risk of breast capsular contracture, and since rhinoplasty involves surgical manipulation of tissues where there are lots of bacteria, I would recommend doing rhinoplasty first. Several days later, breast augmentation would be safe (since any bacteremia would be cleared rapidly, and you will be on antibiotics).
You will likely be intubated (OET--oral endotracheal tube) with rhinoplasty, since the airway must be protected from bleeding. However, LMA (laryngeal mask airway) is commonly used with breast augmentation, and even if an endotracheal tube is deemed more appropriate for your breast surgery, the nasal splint will ensure the anesthesia provider takes care to avoid your new nose. Intubation via the mouth (if needed) would STILL be unlikely to damage or get close to the nose, so with due respect to Dr. Ellis, I would recommend nose first, breasts second. This also gives the longest recovery time for the facial (visible area) bruising to reabsorb, whereas the breasts are clothed. Best wishes! Dr. Tholen
Helpful 1 person found this helpful
March 27, 2013
Answer: Timing between breast and rhinoplasty surgery.
These two surgeries can be done relatively close together, but because bacterial contamination causing biofilm formation can lead to increased risk of breast capsular contracture, and since rhinoplasty involves surgical manipulation of tissues where there are lots of bacteria, I would recommend doing rhinoplasty first. Several days later, breast augmentation would be safe (since any bacteremia would be cleared rapidly, and you will be on antibiotics).
You will likely be intubated (OET--oral endotracheal tube) with rhinoplasty, since the airway must be protected from bleeding. However, LMA (laryngeal mask airway) is commonly used with breast augmentation, and even if an endotracheal tube is deemed more appropriate for your breast surgery, the nasal splint will ensure the anesthesia provider takes care to avoid your new nose. Intubation via the mouth (if needed) would STILL be unlikely to damage or get close to the nose, so with due respect to Dr. Ellis, I would recommend nose first, breasts second. This also gives the longest recovery time for the facial (visible area) bruising to reabsorb, whereas the breasts are clothed. Best wishes! Dr. Tholen
Helpful 1 person found this helpful