Dr. Craig Oser Plastic Surgery

Plastic Surgeon Pittsburgh

Procedures

Nasal Surgery (Rhinoplasty)

Surgery on the nose may be done for functional, reconstructive or aesthetic reasons. Functional rhinoplasty improves the physiology of the nose by modifying its malpositioned anatomical structures to relieve a nasal obstruction. Reconstructive rhinoplasty corrects congenital or traumatic malformation of the nose. Aesthetic rhinoplasty modifies the shape of the nose in order to make it look more pleasing.

Consultation 

During your consultation, Dr Oser will examine all elements of your face and will explain how corrections can be made. Any modification of the structure of the nose is done after taking into account the shape of your face, your age, your ethnic identity, the structure of your nasal bones and cartilage, as well as the thickness and condition of your skin. The bones and cartilage of the nose contribute to its characteristic shape. The upper half of the nose is supported by the nasal bones, while the lower part is supported by the cartilage.

The skin is a very important element of your nose. A thick skin will not drape itself well over the remodeled cartilage at the tip. The skin will take months to adapt itself to the new shape of the underlying structures.

It is essential to respect the harmony of the nose in relation to the other facial features. Dr Oser will take special care to note your profile, the occlusion of your teeth and shape of your chin. Occasionally, simultaneous corrections to the nose and chin will produce a better result than surgery on the nose alone.

Preparation Before your Procedure

Three weeks prior to and three weeks after your surgery, try to limit your alcohol and tobacco intake. Two weeks prior to and two weeks after your surgery, do not take medication that may thin your blood such as aspirin or Ibuprofen products.

The Day of Your Procedure 
Please refrain from wearing makeup, contact lenses, hairpins, jewelry, body lotion or perfume. Wear comfortable clothing. If you develop a cold, sore throat, fever or any symptoms of illness before your surgery, notify the office.

Please prepare to have a responsible adult available to provide transportation after your procedure and have arrangements made for any necessary assistance you may require for the following 24 hours. If you are a minor, a parent or guardian must accompany you.

Recovery 

We usually are able to avoid nasal packing after surgery. If you have bled slightly more than usual during your operation, or if there is some other reason, we may occasionally use packing. With packing in place, you will have to breathe through your mouth, and you will have somewhat more swelling than usual. We will usually remove such packing in 24 to 48 hours. The splint put on your nose at the end of surgery is intended to provide protection, serving as a sort of small external skeleton. We will change it in the office as needed. Do not sit in a hot tub and expose splint to steam.

After surgery, some oozing and bleeding usually occurs for a day or two, and crusting dried blood will collect in the nostrils. Use of NA-SAL or Ocean Spray Saline Nasal Spray for a few days will help clean the area; debris can be removed with an infant aspiration bulb. Do not use any other nose drops for two weeks.

If you happen to sneeze, it usually causes no harm. Do not blow your nose for two weeks after surgery. During the first week, you may gently cleanse your nostrils with a  Q-tip moistened with hydrogen peroxide.