Nose Surgery in Tampa

Nose Surgery in TampaNose surgery or rhinoplasty is a common cosmetic procedure performed at Marcadis Plastic Surgery and Medical Spa. This cosmetic surgical procedure is performed to enhance or change your nasal appearance. Typically nasal shapes cannot be helped by non-surgical treatments.

Nose surgery (rhinoplasty) can reshape nasal tissues that are causing undesired contours and can allow people to feel more confident about their appearance. To get the intended appearance, the nasal bone and cartilage framework must be shaped to retain the looks overtime, and the skin envelope must adapt to the underlying framework.

The ability to shape bone and cartilage varies and depends on the character of your tissues. There must still be enough structural cartilage and bone support to maintain an open and functioning airway. This is why it is important to choose an American Board Certified Plastic Surgeon with experience to perform your nose surgery (rhinoplasty). At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and great patient care. Dr. Marcadis is one of the most experienced and sought after board certified plastic surgeon in tampa bay the area.

Cosmetic Nose Surgery (rhinoplasty) Consultation:

During your consultation, Dr. Marcadis will listen to your concerns and the outcome you want to achieve. Dr. Marcadis will also discuss the advantages and disadvantages of the procedure and will go over the incision site and scars. We know that having a nose surgery (rhinoplasty) is a very personal decision therefore, it is important that Dr. Marcadis understand your goals, desires, and expectations during your consultation. He will discuss the procedure and risks of undergoing nose surgery (rhinoplasty). Depending on your goals, Dr. Marcadis will discuss combining your nose surgery with other facial non-surgical or surgical procedures, such as a chin augmentation, to improve upon your facial features.

Pre-operative appointment:

At Marcadis Plastic Surgery and Medical Spa, we take our patient’s health very seriously. During your pre-operative appointment, we will review the procedure, your goals, and expectations, and discuss your care after surgery. At this appointment, we will again review your medical history and perform routine preoperative laboratory testing.

Nose surgery procedure:

A nose surgery (rhinoplasty) is an elective plastic surgery procedure that is done under a light general anesthesia. Most incisions are completely within the nose and out of sight. This procedure is performed in our Joint Commission (JCAHO) accredited surgical facility. The actual procedure takes about an hour to perform. Anesthesia is provided by board certified anesthesiologists with many years of experience and on staff at major local hospitals.

Recovery after a nose surgery/ rhinoplasty:

Depending on the circumstances of the case, a nasal splint will be placed on nose. The splint is removed within 7 days. You can expect to keep your head elevated above your heart for the first 72 hours immediately following the procedure to keep swelling to a minimum. You may resume all your normal non-strenuous activities as soon as discomfort allows. Most of our patients resume to their work about 2-3 days post surgery. Noticeable bruising will resolve within 1-2 weeks while swelling will gradually dissipate over 6 weeks. We will continue to see you during your follow up until healing is assured. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.

Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if a nose surgery (rhinoplasty) is right for you. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and personalized patient care. Dr. Marcadis is one of the most experienced board certified plastic surgeons in the area; Marcadis Plastic Surgery is a familiar name in the Tampa Bay area including Clearwater, St. Petersburg, Sarasota, and Orlando.

Nose Surgery – Rhinoplasty

Procedure, Risks and Limitations

Purpose:

To change your nasal appearance.

Goals:

To improve your well-being by changing your undesired nasal shape to one that you find more appealing and in harmony with your facial features. Your goals should reflect realistic expectations as to what is possible to achieve with surgery that changes nasal contours.

Condition:

Sometimes concern with an undesired facial feature can diminish one’s quality of life and well-being.  This can lead some to feel less confident or self-conscious in social, recreational, occupational or intimate activities. Some limit their profile view when talking to others or in photos. Others have tried makeup, different hairstyles or wear glasses to minimize their area of concern. Usually nasal shapes cannot be helped by any means other than surgery. Rhinoplasty can reshape nasal tissues that are causing undesired contours an can allow people to feel more normal, less concerned and more confident about their appearance. It can restore quality of life and well being in ways that are not possible by any other means.

Limitations of procedure: Results of a rhinoplasty may be limited by factors we cannot change.

Rhinoplasty is designed to change nasal tissues that are causing undesired contours. Sometimes rhinoplasty will be ineffective or only partially effective in achieving your goals. To get the intended appearance, the nasal bone and cartilage framework must be shaped, retain the shape over time, and the skin envelope must adapt to the underlying framework. A restriction of any of these characteristics may limit the outcome. Rhinoplasty does not change skin quality, so for the best results the nasal skin envelope must not be too large, thick or bulky and must be able to contract and conform to the underlying framework. Nasal skin that cannot conform well will have limited results. Facial bone asymmetry and nasal deviation are present in everyone before and will be present to some degree after the operation; therefore you will still have a good side and a bad side in photographs. The ability to shape bone and cartilage is variable and depends on the character of your tissues. Enough structural cartilage and bone support must remain in order to maintain an open and functioning airway. Although the desired shape may be present immediately after surgery, the nasal shape may change over time due to cartilage memory, bone or cartilage shifting, swelling, or deep scar tissue. Irregularities under the skin may be felt or become visible as swelling subsides especially in those with thin skin.

Rhinoplasty results are not seen immediately because of swelling and the time it takes for skin to adapt to the underlying contour. Most of the results are visible at 2 weeks but the shape will continue to change for up to one year after surgery. A nasal splint is used for the first week to help the skin contract and to decrease swelling and bruising. Nasal exercises for 6-8 weeks may be suggested until the desired results become apparent.

As with all surgery but especially with rhinoplasty, predicting exact postoperative appearance with fine detail or precision is not possible. Setting a broad target for your goals will allow you to get the most benefit from your surgery.

Alternatives to rhinoplasty:

Cosmetic rhinoplasty is a purely elective procedure and is not required for functional reasons. Please consider the risks / benefits of rhinoplasty carefully. You may decide that rhinoplasty is not for you. Occasionally a change of makeup or hairstyle may achieve your goals without surgery. Also sometimes fillers such as Restylane or Juvederm can modify your nose and achieve your goals with surgery. Chin augmentation alone or with rhinoplasty may improve facial proportions.

Tradeoffs and Side Effects:

Normally expected to occur to varying degrees after every rhinoplasty procedure. This includes discomfort, stuffiness, and bruising around the eyes that may be present for 5- 7 days.  Small amounts of swelling and stiffness will continue to improve for up to 12 months. Loss of skin sensation, especially in the tip is usually temporary. Some small imperfections will remain after surgery in order to preserve a natural “unoperated” appearance. As with any surgical procedure there are costs, restricted activities, and the risk of complications.

Operation:

Each rhinoplasty procedure is different and personalized to reflect your desires and anatomy. Rhinoplasty is an outpatient procedure and takes approximately 1-2 hours. A light general anesthesia is used. Usually the incisions are completely within the nose and out of sight; however occasionally a scar across the columella (skin bridge under nose) or, if the nostrils are to be narrowed, along the nostril crease. The nasal bridge bone and cartilage is trimmed if a bump is to be removed. Tip cartilage may be reduced, reshaped, or grafts placed. If the nasal bones required narrowing, the bones along the side of the nose are moved inward (possible tiny external incision near corner of the eyes). Incisions in the nose are sutured and an external nasal splint may be used.

Recovery:

There are minimal restrictions on your activity after surgery. Get back to usual non-exertional activities including bathing as soon as possible. Soreness is expected to improve rapidly. Avoid running or strenuous exercise for 2 weeks at which time you can resume all activities. Bruising and swelling will be present and most will resolve within 1-2 weeks. Nasal splint is removed within 7 days. Remember, the full effects of rhinoplasty may not visible for 12 months.

Risks and possible complications:

Although the complications associated with rhinoplasty are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable.

Some complications may require additional surgery and cost to you.

The complications most specific to rhinoplasty include but are not limited to:

Anesthesia risk – Administering of any type anesthesia required for surgery involves risk.

Delayed Bleeding – New bleeding can occur for up to 10 days after surgery. This can usually be controlled with additional nasal packing but rarely may require additional surgery. Late bleeding is associated with high blood pressure, anti-inflammatory medication (including aspirin), alcohol intake, exertion or straining after surgery.

Revision or touch up surgery – Occasionally may be desired or recommended to further enhance results or to smooth uneven contours. Bone/cartilage may shift or scar tissue may build up during the healing process causing asymmetry or unevenness to become visible as the swelling subsides.

Asymmetry – The human face is asymmetrical and one side of the nose and face will always be different than the other side before and after the operation. Occasionally additional surgery may be desired for improved results.

Breathing – Your breathing or sense of smell may not be better after surgery or may be worse.

Displacement of grafts – grafts (if required) may shift or change shape after surgery.

Infection/skin necrosis – Unusual – Treatment with antibiotics, frequent dressing changes or additional surgery may be necessary.

Nasal septal perforation – Rarely an opening in the cartilage between the two sides of the nose may develop. This usually causes no medical problem but can require repair.

Other complications – Damage to eyes, tear ducts, nerves or deeper structures have been reported – extremely rare.

Unhappy with shape – Occasionally, even after successful surgery, you may be disappointed because all of your goals were not reached or the shape may not be exactly what you pictured before the operation. This may be due to inherent tissue or healing characteristics, limitations of your anatomy, the formation of scar tissue, shifting of nasal bones or cartilage, poor redraping of the skin to the bone-cartilage framework or unrealistic expectations about what can be accomplished with rhinoplasty. If these problems occur sometimes additional surgery after 6-12 months is considered. Broad, flexible appearance goals rather than rigid, inflexible goals allow you to get the most benefit from your surgery.

* Any complications that develop can result in additional surgery, hospitalization, time off work, and expense to you. Additional surgery including touchups, revisions or complications requiring an operating facility would incur additional facility fees.

* Insurance does not cover cosmetic rhinoplasty. Treatment of complications may or may not be covered by insurance.

* It is very important that you be as specific as possible when discussing the desired change in the shape of your nose, including likes and dislikes of your appearance, during the pre-op consultation and while going over photographs. Please ask for additional information if you are uncertain.

* Even though the risks and complications noted above occur infrequently they are the ones that are specific to rhinoplasty or are of the greatest concern.  Other unforeseen risks and complications can occur.

* No guarantee – the practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied by anyone as to the results that may be obtained.

Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.

NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.

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