9 Things to Avoid After Rhinoplasty in Phoenix AZ
What Not to do After Rhinoplasty in Phoenix AZ
Rhinoplasty is a plastic surgery procedure that alters the size, shape, or proportions of the nose to achieve cosmetic or functional goals. During the surgery, our Phoenix and Scottsdale rhinoplasty surgeons may change the structure of the bone, cartilage, or skin in the nasal region. It’s important to make your expectations clear so that the surgeon can plan the procedure with your goals in mind that you could expect from rhinoplasty Phoenix can provide. Our surgeons at the Elite Plastic Surgery – and all other surgeons for that matter – will sit down with the patient and discuss the procedure before they give a go ahead. If you’re looking forward to having a Rhinoplasty in our Arizona backyard or elsewhere across the country, this article makes clear what to expect after surgery, and things you should not do following the procedure.
What to expect after surgery
Rhinoplasty is usually performed under general anesthesia and takes about 2 and a half hours to complete. Except in cases where there are health-related complications that need to be observed, most patients are able to go home on the day of the procedure. Your plastic surgeon will provide a list of medication you should take to alleviate the discomfort, prevent infection, and generally ensure a smooth healing process. You’ll also be issued with a list of instructions that you should adhere to during the recovery process.
Following a nose job, you’ll be required to rest in bed with your head raised higher than the chest in order to minimize swelling and reduce any bleeding. Most patients experience nasal congestion due to the swelling or as a result of the splints that are put inside your nose during surgery. The internal dressings and splint will need to stay in place for about 7 days before the surgeon removes them.
Things Not to do After Rhinoplasty
To lower your chances of bleeding or swelling, and to ensure an incident-free recovery process, your surgeon may require you to avoid the following things.
1. Strenuous activities
Your surgeon will explicitly tell you to ditch the gym and avoid exercising over a few weeks after surgery. All strenuous activities, including lifting heavy weights, jogging, aerobic exercises, running, and high impact walking should be avoided. Intense physical movements such as pulling, bending, pushing, and anything that exerts pressure should also be avoided over the first 2 weeks following nose reshaping surgery. Beginning the third week, most patients are feeling well enough to start resuming physical activities. However, this should strictly be subject to inspection by your plastic surgeon. Swimming should be avoided for around 6 weeks following nose reshaping surgery. The cast that’s placed on your nose needs to stay dry until it is removed. If you’re into contact sports such as basketball, you need to stay away for 4-6 months.
2. Sexual activity
Although it may sound off, many rhinoplasty surgeons request that you keep sexual activity to a minimum within the first 3 weeks following surgery. However, you’re encouraged to take light walks within the house in order to prevent dangerous blood clots from forming.
3. Blowing your nose
Blowing your nose becomes necessary when you catch an allergy, cold, or the flu virus. Because this can be downright dangerous for patients who’ve just received a rhinoplasty, you’ll need to wash your hands regularly and stay away from anyone who might be ill. Some patients feel more comfortable carrying a hand sanitizer around so they can kill germs in their immediate environment. Take utmost care of yourself so you do not catch an illness during the early weeks of recovery.
4. Taking a shower
The cast on your nose will need to be kept dry at all times until it is removed (about a week after surgery). For this reason, you should stay away from the shower. Still, you can wash the rest of your body and use a damp cloth to clean parts of your face. Whatever you do as far as cleaning is concerned, just make sure that you keep the nose area dry.
5. Wearing glasses
If you wear glasses, you’ll need to get them off for a while during rhinoplasty recovery. Glasses rest on the bridge of your nose and can have a negative impact on the softened tissue and cartilage there. If it’s necessary, consider trying out contact lenses for a while.
6. Staying out in the sun
Feeling like you need to catch a little sun? Well, not after you’ve had a nose reshaping surgery. Even after your bandages have been removed, your nose is still sensitive and exposing it to the sun may lead to discoloration or increase the risk of certain complications. Make sure to use a broad spectrum sunscreen and cover up with a hat to protect your surgery site from the sun during recovery.
7. Smoking or drinking alcohol
Most surgeons consider smoking and drinking to be high-risk activities for patients who are recovering from any form of surgery. Nicotine in cigarettes has been known to restrict blood flow and impede proper healing. On the other hand, alcohol interferes with medications and thins out blood, which can lead to excessive bleeding. So make sure that you stay away from these substances for the first 3 weeks after rhinoplasty.
8. Touching or bumping your nose
It’s only natural that patients get curious about how their nose looks and feels like after rhinoplasty. Nonetheless, it’s not a good idea to poke, push, or touch your nose during the healing process. This may misalign the nasal tissues, hurt, or even undo the results accomplished from the nose job surgery. It’s very important that you keep the area of the surgery protected from anything that can add pressure to it or cause injury.
9. Wearing makeup
Some patients – especially women – may feel the need to wear makeup in order to cover up the bruising around the nose and eyes. To give time to heal over the first few weeks after your rhinoplasty, you should stay away from your makeup bag. Makeup applied to healing skin can trigger complications as well as increase your risk of suffering an infection.
Elite Plastic Surgeons publish article for PRS Global Open on Opioid Prescription Patterns.
Introduction: Despite the widespread use of opioids in pain management, there are currently no evidence-based guidelines for the treatment of postoperative pain with opioids. Although other surgical specialties have begun researching their pain prescribing patterns, there has yet to be an investigation to unravel opioid prescribing patterns among plastic surgeons.
Methods: Survey Monkey was used to sample the American Society of Plastic Surgeons (ASPS) members regarding their opioid prescribing practice patterns. The survey was sent randomly to 50% of ASPS members. Respondents were randomized to 1 of 3 different common elective procedures in plastic surgery: breast augmentation, breast reduction, and abdominoplasty.
Results: Of the 5,770 overall active ASPS members, 298 responses (12% response rate) were received with the following procedure randomization results: 106 for breast augmentation, 99 for breast reduction, and 95 for abdominoplasty. Overall, 80% (N = 240) of respondents used nonnarcotic adjuncts to manage postoperative pain, with 75.4% (N = 181) using nonnarcotics adjuncts >75% of the time.
The most commonly prescribed narcotics were Hydrocodone with Acetaminophen (Lortab, Norco) and Oxycodone with Acetaminophen (Percocet, Oxycocet) at 42.5% (N = 116) and 38.1% (N = 104), respectively. The most common dosage was 5mg (80.4%; N = 176), with 48.9% (N = 107) mostly dispensing 20–30 tablets, and the majority did not give refills (94.5%; N = 207).
Conclusions: Overall, plastic surgeons seem to be in compliance with proposed American College of Surgeon’s opioid prescription guidelines. However, there remains a lack of evidence regarding appropriate opioid prescribing patterns for plastic surgeons. (Plast Reconstr Surg Glob Open 2019;7:e2125; doi: 10.1097/GOX.0000000000002125; Published online 13 March 2019.)Read the full PDF Here
Elite Plastic Surgeons published for successful new state of the art breast reconstruction technique after previous failed breast reconstruction.
Summary: Perforator-free flaps, in autologous breast reconstruction, have expanded to exploit tissue available at smaller donor sites while retaining high success and low risk rates. Abdominal based flaps, such as the deep inferior epigastric perforator, remain the most common; however, when the abdomen is not an appropriate donor site, lower extremity flaps are options.
The profunda artery perforator has the benefit of hiding unsightly scar in the gluteal crease but has the drawback of poor donor site volume. Our mosaic fleur-de-profunda artery perforator flap technique for breast reconstruction has shown to increase volume with the addition of a vertical limb, include full angiosome of perforators, and exhibit donor site morbidity equivalent to a medial thigh lift. (Plast Reconstr Surg Glob Open 2019;7:e2166; doi: 10.1097/GOX.0000000000002166; Published online 11 March 2019.)Read the full PDF Here
Latest in the media. American Society of Plastic Surgeons issues national press release highlighting the breast reconstruction work and expertise of Elite Plastic Surgeons
Breast reconstruction using a “free flap” from the patient’s abdomen is a safe procedure with a high success rate in older women opting for reconstruction after mastectomy, reports a study in the December issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons(ASPS).
Although the risk of some complications is higher, free-flap reconstruction has “generally good outcomes” in women aged 65 or older, according to the report by ASPS Member Surgeon Oren Tessler, MD, MBA, and colleagues of Louisiana State University Health Sciences Center, New Orleans. “Older women desire breast reconstruction after mastectomy, and should be offered all reconstruction options available,” Dr. Tessler comments.