When you have your nose done for the first time, the proportions need to be assessed correctly and the support of the nose left in place. That way you can have the nose you want that also looks natural on you. Secondary procedures result from over or under resection of the nose between the bridge of the nose and the tip. Additionally, removing too much of the tip can also cause problems leading to the need to reconstruct the tip. Problems can also result from postoperative accident or infection which can occur either early or long after the surgery.

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Surgery time: 1-2 hours (asleep)

Preparation: You need to collect pictures of noses for your consult and really think about what you want and what would look natural on you. For 10 days before your surgical date, you need to be on a high protein diet and avoid anti-coagulants such as vitamin E, alcohol, antihistamines, over the counter cold and sleeping meds, most herbal oils and some herbs. The list is long and will be given to you. For ten days before surgery you want to take vitamin K to help prevent bruising. The day before surgery you want to start your antibiotics. If you think you are catching a cold notify the office.

Procedure: Drawings are made and you bring in pictures of noses you like that might be good on you. This provides good communication so you can have input about the outcome of your surgery. You are sedated before you ever see the OR so you will not be frightened or hurt. The surgery is not painful to recover from. There are no external incisions. The nose is shaped according to the plan agreed upon. If your tissues are not adequate, which can be determined before surgery, donor cartilage (extra cost) can be arranged to better insure you get the result you want. Tissue glue is used to limit bruising and to assure greater accuracy in your result. There is a cast on your nose, which remains in place about 9 days.

Care: You should rest the first few days. You need to keep your head elevated and to rest on 3 or more pillows when resting or sleeping. You need to sleep on your back and never on your side. For the first few days a high protein, protein powder is advised. You will be sleepy the first few days. If your surgery is not a secret you can resume many activities and perhaps work. You must not exercise or bend down or do strenuous activities.

Results: Should last a life time

Untoward results: When you have your nose done for the first time, the proportions need to be assessed correctly and the support of the nose left in place. That way you can have the nose you want that also looks natural on you. Secondary procedures result from over or under resection of the nose between the bridge of the nose and the tip. Additionally, removing too much of the tip can also cause problems leading to the need to reconstruct the tip. Problems can also result from postoperative accident or infection which can occur either early or long after the surgery.



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