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FREQUENT ASKED QUESTIONS
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What are the indications for rhinoplasty / nose reshaping?
Surgery to reshape the nose (Rhinoplasty) is one of the more common plastic surgery procedures and is performed to improve the external appearance and/or internal breathing, which may have been a result of birth deformity, trauma, genetic influences, infection, aging, tumours or other diseases.
Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.
Dr Pham specialises in Rhinoplasty using well proven up to date techniques. Dr Pham is recognised as one of the most experienced nasal aesthetic and reconstructive surgeons in Western Australia. This procedure can:
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Change the size or shape of your nose
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Remove an unwanted hump
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Alter the shape of the tip or bridge of your nose
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Alter the shape of the tip or bridge of your nose
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Narrow or expand the width of your nostrils.
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Improve symmetry
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Change the angle between your nose and upper lip
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Improve breathing
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Improve the profile or augmentation of the dorsum of the nose - augmentation rhinoplasty / nasal implant / nasal augmentation.
Before deciding on rhinoplasty, Dr Pham may advise if any additional surgery is recommended to enhance the appearance of your face. Many patients have Chin Surgery - Chin implant, Genioplasty / Mentoplasty in conjunction with rhinoplasty to create better balanced features. Rhinoplasty can be combined with other types of rejuvenation surgery such as blepharoplasty, brow lift or facelift.
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What is earliest age that Rhinoplasty / Nose surgery can be performed?
Before your nose is altered, you must have reached full growth, which is usually around 15 -16 years for females and 16-17 years for males. Exceptions are made in cases where breathing is severely impaired. The age that rhinoplasty can be performed range from 15 to 70 years old.
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What can be offer for a flat nose or East Asian nose or a ski slope nose?
In certain ethnic background (such as East Asian) or due to genetic, developmental or acquired conditions such as trauma or previous excessive rhinoplasty, the nasal dorsum or profile is under developed or low. This may associate with a small round nasal tip and wide nasal base or ala. The nose can be augmented or enhanced to improve the nose aesthetically, by harmonizing it with other facial features. This is performed by using
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Autologous material (from your own body) - cartilage (septal or nasal, conchal or ear, costal or rib), bone (rib, calvarial) or fascia (temporalis), or combination
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Alloplastic or synthetic - Gortex, Silicone, Silastic or Medpor
Each material has its advantages and disadvantages. Dr Pham usually prefers to use autologous material first and synthetic material as an addition if required.
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Can I have cosmetic rhinoplasty with surgery to improve my nasal obstruction?
Yes. Functional nasal airway surgery to straighten a crooked septum (called septoplasty) or trim the turbinates can be performed with cosmetic rhinoplasty. A combined procedure of internal septoplasty and external rhinoplasty is called Septorhinoplasty.
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What are the scars and incisions of rhinoplasty?
Incisions are usually made on the inside of the nose, although external excisions may be required to make the nostrils smaller or for added exposure (external rhinoplasty). These incisions are usually imperceptible.
You can view the range of cosmetic surgery and non surgical cosmetic procedures available, see the Gallery / Before&After Photos / and find answers to your most Frequently Asked Questions (FAQs). If you wish to learn more about cosmetic surgery and facial plastic surgery please contact us to schedule a consultation with our Facial Plastic and Cosmetic Plastic Surgeon or Nurse Coordinator.
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How does rhinoplasty / nose reshaping is performed and how long does it takes?
Rhinoplasty or nose reshaping is usually done under general anaesthesia. The majority of rhinoplasty procedures last for one to two hours. Some complex cases take longer. A soft nasal pack in placed inside the nose to stop any bleeding and is removed the next morning. A small external nasal cast (thermosplint) will be applied for 1 week.
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How long is the swelling post rhinoplasty / nose job last?
A small cast will be applied to the nose for the first week and most of the swelling will be gone by the time the cast is removed. 80% of the swelling should be improved at 6 weeks, 90% at 3 months and 95% at 6 months. The final cosmetic result is not achieved until 12 months to two years after the operation when the skin has reformed to its new framework.
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What can I expect after rhinoplasty / nose reshaping?
- Immediately after surgery, a small splint will be placed on your nose to protect it and to keep the structures stable for at least five to eight days. If packing is placed inside your nose during surgery, it is removed the morning following surgery. Your face will feel puffy, especially the first day after surgery. Pain medication may be required. Dr Pham will advise you to cleanse your nose with nasal irrigation or douches and avoid vigorous blowing your nose for seven days after surgery. In the immediate days following surgery, you may experience bruising and minor swelling in the eye area. Cold compresses often reduce the bruising and any discomfort. Absorbable sutures are usually used so they do not have to be removed. Nasal dressings and splints are usually removed six to seven days after surgery.
It is crucial that you follow Dr Pham directions, especially those regarding head elevation for a certain period after surgery. Some activities will be prohibited in the weeks after your procedure. Sun exposure, exertion, and risk of injury must be avoided. If you wear glasses, special precautions must be made to ensure that the glasses do not rest on the bridge of the nose. Tape and other devices are sometimes used to permit wearing glasses without stressing the area where surgery was performed.
Please Inform Dr Pham office or the hospital where the procedure was performed if you have the following:
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High fever, chills or a temperature of more than 38 degrees
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Heavy bleeding from the wound
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Severe pain or tenderness
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Significant redness, or discharge around the incision
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Significant swelling
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Which Medications to take post op?
Take what is prescribed by Dr Pham. You can take pain killers such as Panadol / Paracetamol, Panadiene forte, Tramadol or Oxycodone and antibiotic. Avoid Aspirin, Aspirin-containing products, Plavix and non-steroidal anti-inflammatories (such as Ibuprofen) for two weeks following your surgery. If you are on any medications that affect bleeding (such as Warfarin) please notify Dr Pham.
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Nasal irrigation and douches for postop
It is essential that you keep the internal mucosa of the nose clean and moist by regularly irrigating the nose with buffered salt water 4- 6 times / day. You can buy the solution FESS or similar at the chemist or use Dr Tuan Pham's formula
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500 ml of boiled water, let it cool
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1 teaspoon of table salt
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1 teaspoon of baking soda
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mixed them together and use a 5ml syringe.
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If you have a FESS bottle than keep it and fill the bottle with the solution above for reuse.
Bend over the sink and irrigate each nostril and allow the solution to drain through the nostril. Do not inhale or attempt to swallow the solution. DO THIS 4 times each nostril, 4 times/day for 4 weeks.
Nasal Blowing / Sneezing After 1 week you can gently blow your nose. If you sneeze than sneeze with your mouth open to reduce the risk of bleeding. You can be more vigorous after 2 weeks and by 3 weeks you can resume your normal activity.
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