Specials

Beverly Hills Plastic and Cosmetic Surgery “Tip of the Day” from Dr. Francis R palmer, III, Beverly Hills Plastic and Cosmetic Surgeon, creator of the revolutionary beauty concept: “What’s Your Number”.

Beverly Hills Plastic and Cosmetic Surgery “Tip of the Day” from Dr. Francis R palmer, III, Beverly Hills Plastic and Cosmetic Surgeon, creator of the revolutionary beauty concept: “What’s Your Number”.

Post op healing after Rhinoplasty or Revision Rhinoplasty.

This topic continues to come up over and over again…so I thought that I’d spend a few minutes discussing post op healing after Rhinoplasty. Now you may be asking, “what’s the big deal about healing after a Rhinoplasty and why should so many people have questions about their healing after this plastic surgery procedure?

1. Rhinoplasty is performed by lifting up the skin and tissues off of the nasal bones and cartilage framework. This causes swelling after the Rhinoplasty.

2. Rhinoplasty is the act of altering the shape, size, position…etc of the nasal bones and cartilage. This in turn causes more swelling after the Rhinoplasty.

3. Unlike other areas of the body, each additional Rhinoplasty performed increases the amount of scarring and swelling after the Rhinoplasty.

4. All Rhinoplasty will have post op swelling and some of this swelling will go on to form scarring between the skin and the underlying nasal bones and cartilage. The area most prone to this scar accumulation, is the area just above (closer to your eyes) the nasal tip cartilages.

The majority of this post Rhinoplasty swelling leaves within 6-12 months after the Rhinoplasty depending on the patient, the activity level, the number of prevuious Rhinoplasties that were performed on the nose, the length of time the Rhinoplasty took the plastic surgeon to perform and the inherent thickness of the nasal skin. The longer the Rhinoplasty, the more the post op swelling. The thicker the nasal skin, the more swelling and subsequent scarring that’s likely to occur after the Rhinoplasty.

The manipulations, that I have all my Rhinoplasty patients do to their nose starting at 1 month after the Rhinoplasty are aimed at decreasing and removing the swelling in the tissues above the nasal bone and cartilage. These manipulations take about 5 minutes to perform and are done each and every night for a minimum of 6 months and most patients do them for 9 months following their Rhinoplasty.

The manipulations, unlike tape applied to the nose, apply adequate pressure to remove the swelling…even though this is temporary..as the swelling returns…when done on a daily basis this constant and consistent removal of tissue swelling after the Rhinoplasty makes it less likely that the swelling will turn into scar tissue.

That’s the key point! The body does not allow swelling (which is fluid in tissue) to remain indefinitely. The body will instead turn the swelling into scar tissue. Once the scar tissue forms, it’s much more difficult to remove than swelling. This is what the kenalog injections are used for…to dissolve scar tissue that has formed. Most experienced Rhinoplasty Plasttic and Cosmetic Surgeons believe that this occurs by 6 months afte=r the Rhinoplasty and we try to proactively reduce the swelling and hence the amount of scarring within this time frame.

I think, I may have to post a video of a patient performing these nasal manipulations. I just need to find the time.

Dr. Francis R Palmer, III