ASK THE DOCTOR WITH DR. CHAFFOO

TODAY ON ASK THE DOCTOR: RHINOPLASTY

Can I ask the doctor to cover all the cost of a correction even though I am not going back to him?

 Hi and thanks for your question. I’m sorry to hear that you have had problems following rhinoplasty. I would suggest that you seek a second opinion with another very experienced rhinoplasty surgeon. This would be someone who is also certified by the American Board of Plastic Surgery and preferably a member of the American Society for Aesthetic Plastic Surgery. That’s my advice after 30 years in practice performing rhinoplasty.

My nose lost its definition 5 months after rhinoplasty, is it possible that the tip will shrink in time?

Hi and thanks for your question. The final aesthetic result following rhinoplasty takes at least a year for you to see, especially in terms of tip definition. This is due to the thicker skin in the nasal tip with subsequent swelling after surgery which is often more in external rhinoplasty. It’s encouraging to see the improvement in tip definition in your postop photos so I’m confident you will be pleased with the final outcome. Remember that you also have relatively strong facial features which are attractive and a nose which is too narrow would look out of proportion to your face and somewhat artificial. I’ve been performing this operation for decades so I hope this is of some comfort to you! Feel free to check out the web reference below for more information.

 

 

If I’m planning to get a rhinoplasty and the eyelid surgery by 5/17, when should I make the first appointment with the surgeon?

Now is a good time to start the process. Depending on your surgeon’s schedule, the earliest available consultation appointment may be several weeks away. After that, you may need to get medical clearance from your primary care doctor or have lab work completed. These things all take time, so by getting the ball rolling now you can do your best to hit your goal of May 17.

 

 

How do they measure rhinoplasty?

Rhinoplasty really is a marriage of art and science, so my answer may not be as straightforward as you’d like. Patients don’t often have their surgeries planned down to the millimeter. However, surgeons generally use calipers to help them measure during surgery. During the consultation process, I communicate with each patient to help ensure we’re both working toward the same goal. I find that this matters much more than specific measurements. It is also possible to reduce the size of your tip without altering its shape a great deal. It’s important to see a board-certified plastic surgeon who is extensively experienced in rhinoplasty, since it’s a challenging procedure.

 

 

Life after rhinoplasty. Will I be able to do breath of fire and alternate nostril breathing?

Hi and thanks for your question. Generally speaking a well performed rhinoplasty will maintain your nasal function and allow you to breathe normally from one nostril or the other. Many patients notice an improvement in their nasal airway after elective rhinoplasty even in those who did not notice nasal obstruction prior to surgery as many patients were unaware of minor nasal airway obstruction as a chronic problem.  Make sure you see an experienced rhinoplasty surgeon preferably someone who is certified by the American Board of Plastic Surgery. That’s my best advice after 30 years performing this procedure.

 

 

Should I see an ENT or plastic surgeon?

Hi and thanks for your question. Rhinoplasty is one of the most challenging cosmetic plastic surgery procedures. Make sure that you see a surgeon who is very experienced in both the cosmetic and functional aspects of nasal surgery.  Plastic surgeons who are initially trained in otolaryngology bring a unique perspective of the understanding about the anatomy and physiology of the nose . I would seek out a surgeon who is certified by the American Board of Plastic Surgery and the American Board of Otolaryngology if your concerns are both breathing and cosmetic in nature. please feel free to review the web link below.That’s  my advice after 30 years performing aesthetic plastic surgery especially rhinoplasty.

 

 

 I’ve always hated my nose, I feel it’s too wide especially when I smile. Is it possible to correct this?

 

Thank you for posting photos along with your question. I agree with other surgeons that rhinoplasty can provide the results you want, if you’re concerned about the appearance of your nose. Rhinoplasty can create a narrower, more feminine nose. It’s often a very positive experience for patients who have long wanted to change the appearance of their noses. Because nose surgery is more complex than most other aesthetic procedures, I recommend consulting with a few board-certified plastic surgeons who specialize in rhinoplasty until you find a surgeon you feel comfortable with.

 

 

 How do you know if you are psychologically ready for rhinoplasty?

I believe the fact that you’re asking this question is a good first step. Your emotional awareness will go a long way; it’s also important that you have a positive attitude and realistic expectations. Finally, I ask my patients who are considering rhinoplasty to get more introspective about what’s motivating their decision. Be sure that it’s something you really want, and that it will be worth the recovery period.

 

 

How do I find the right doctor for me?

It’s true, as others have said, that you can find experienced, skilled plastic surgeons in all parts of the country. You don’t need to travel to one of the bigger cities to get the results you desire. So, how to find that surgeon? First, make sure you only schedule consultations with surgeons who are certified by the American Board of Plastic Surgery (ABPS). Once you’re there, describe as specifically as possible the concerns you have with the appearance of your nose and what your aesthetic goals are. Look at before-and-after photos of patients who shared similar concerns and goals. It’s important that you feel comfortable with the surgeon you choose, as well, because that rapport will help you through every aspect of the process, from preoperative visits to the day of surgery and your recovery period.

 

 

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