Introduction:
Rhinoplasty is the most commonly performed in facial plastic surgery. The name is a blend of the word rhino (nose) and plasty (to shape). Rhinoplasty also commonly called a “nose job”. The goal of Rhinoplasty should be a nose that looks and feels natural. Rhinoplasty can be performed to meet anesthetic goals or for reconstructive purposes to correct defects or breathing problems.
History:
Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputated as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joseph used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.
What can Rhinoplasty achieve?
Many features which are not desirable in a nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome in Rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.
Risks involved:
Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. To reduce the risks follow the doctor’s advice both before and after the surgery.
Surgical procedure:
Surgery can be performed under general anesthesia with local anesthesia depending on patient or doctor’s preference. Incisions are made inside the nostrils sometimes; tiny incisions are also made on the columella, the bit of skin that separates the nostrils. The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone which causes the deformity.
In some cases the surgeon may shape a small piece of the patients own cartilage or bone to strengthen or increase the structure of the nose. This is done for cosmetic reasons or to improve breathing and function of the nose. In rarer cases a synthetic implant may be used to reconstruct the nose if the normal structure of the bone and cartilage is badly damaged or weakened. Alloplastic synthetic are often associated with long term complications alternatively, cartilage from the septum, ear on rib may be used.
Recovery:
A tape dressing will cover the nose for one week, there may be some discoloration and swelling around the eyes which will improve over 5-7 days. One week is usually enough time for returning to work and social activities.
Lexington Kentucky Plastic Surgeon Dr. Martin J Luftman offers patients top notch Aesthetic care including procedures such as Breast Augmentation, Rhinoplasty(Nose Surgery), Eyelid Surgery, Liposuction, Face lift surgery, BOTOX® Treatments and much more. Contact Dr Luftman today for more information.
Breast lift or Mastopexy is surgical procedure to raise and reshape sagging breasts. Mastopexy can also reduce the size of areola. If the breasts are small and have lost volume breast implants inserted along with Mastopexy can increase both firmness and their size. A breast can be performed at any age, but one has to wait until breast development has stopped. Since milk duets and nipples are left intact, surgery will not affect your ability to breast feed. Breasts that are large and heavy can be lifted, but the results may not be so long lasting as when it is done on smaller breasts.
Reasons for undergoing a breast lift:
Breasts that lack substance or firmness.
Some of the candidates have breasts that are pendulous, but of satisfactory size.
Nipples and areolas that point downwards, especially if they are positioned below the breast crease.
Loss of elasticity, weight loss, pregnancy and breast-feeding affect the shape and firmness of the breasts.
Personal consultation:
During your visit, you will be asked about your desired breast shape and size. Your plastic surgeon will tell you how nipples and areolas will be repositioned. Mention your expectations about your breasts.
Evaluation by plastic surgeon:
Plastic surgeon will examine your breasts, takes measurements. The size and shape of your breasts and the placements of nipples and areolas will be carefully evaluated. Medical history will be discussed like medicine conditions, drug allergies, medical treatments received, previous surgeries include breast biopsies and medications that you take. If there was a weight loss, your weight should be stabilized before surgery.
Risks involved:
A breast lift surgery is normally safe when significant by a qualified surgeon. Significant complications from breast lifts are not frequent. Thousands of women go through surgery, without experiencing major problems and are pleased with the results. Following a breast lift surgery, sometimes the breasts may not be perfectly symmetrical or the nipple may vary slightly, permanent loss of sensation in the nipples or areas of breast skin may occur rarely. Revisional surgery may be helpful where incisions have healed poorly. Bleeding and infection following a breast lift are not common, but they can cause scars to widen. You can reduce the risks by clearly following your physician’s advice before and after surgery.
Types of anesthesia:
Breasts lifts are usually performed under general anesthesia. In patients where a smaller incision is being made the surgeon may use local anesthesia.
Surgical procedure:
Full breast lift:
Mastopexy usually takes one and half to three and half hours. The most common procedure involves an anchor shaped incision across the base of the breast as well as incisions around the areolas and an incision between the areola and the base of the breast. The incision outlines the area from which the breast skin will be removed and defines the new location for the nipple. The nipple and areola are moved to the higher possible with the removal of excess skin. The skin surrounding the areola is then brought down to reshape the breast. Maximal correction of the breast shape is possible with this but at the cost of more scarring.
Modified breast lift:
Patients with relatively small breast and minimal sagging are candidates for modified breast lift. This requires fewer incisions. One such procedure is the “doughnut mastopexy”, in which circular incisions are made around the areola, and a doughnut shaped of skin is removed.
After your surgery:
After surgery you will wear an elastic bandage or a surgical bra over gauze dressings. Your breasts will be bruised, swollen for a day or two. Pain will not be severe, which will be relived with medications. The stitches will be removed after a week or two. If the breast skin is dry, use moisturizer several times a day. The numbness you feel in that area usually fades as the swelling subsides over the next six weeks or so.
Healing is a gradual process. Take it easy for a week or two. Lifting weight for three or four weeks should be avoided. Avoid strenuous sports for about a month. This operation will not affect your ability to breast feed, since your milk duets and nipples will e left intact. You should remember that a breast lift won’t keep you firm forever. The effects of gravity, pregnancy, aging, and weight fluctuations will eventfully take their toll again.
Lexington Kentucky Plastic Surgeon Dr. Martin J Luftman offers patients top notch Aesthetic care including procedures such as Breast Augmentation, Rhinoplasty(Nose Surgery), Eyelid Surgery, Liposuction, Face lift surgery, BOTOX® Treatments and much more. Contact Dr Luftman today for more information.
Eyelid surgery is also called blepharoplasty. This involves removing of fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes. Features that make you look older and mo9re tired than you feel, and may even interfere with your vision. This procedure doesn’t involve crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. The evidence of your ethnic or racial heritage cannot be erased.
Candidate suitable for the eyelid surgery:
Blepharoplasty can enhance your looks and give your self confidence but won’t make you look entirely different. So be realistic in your expectations.
1. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable.
2. Most are 35 or older.
3. If droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at younger age.
4. The medical conditions which make blepharoplasty more risky are thyroid problems such as hypothyroidism and graves’ diseases, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease.
5. If you have a detached retina or glaucoma. Check with your ophthalmologist before you have surgery.
Risks following the surgery:
When an eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your surgeons about the pros and cons involved.
The minor complications after the surgery include double or blurred vision for a few days.
Temporary swelling at the corner of the eyelids.
A slight asymmetry in healing or scarring.
Tiny whiteheads may appear after your stitches are taken out, which can be removed easily with a very fine needle.
Following surgery, some patients may have difficulty closing their eyes when they sleep.
In rare cases this condition may be permanent.
Another complication is ectropion, a pulling down of the lower which require further surgery.
Pre-surgery planning:
The initial planning with your surgeon is very important. The surgeon will need your complete medical history. Be sure to inform your surgeons of any previous diseases and allergies. Most important thing is that inform the doctor is you’re a smoker or not.
Eye test is done to test vision and also tear produce provide all resent eye test records.
Most insurance policies don’t cover eyelid surgery, unless you can prove that, drooping upper lids interfere with our vision.
Clear all doubts before the surgery.
The surgery:
The surgery is usually done on an out patient basis and so does not require an in patient stay.
Eyelid surgery is usually performed under local anesthesia, which numbs the area around their eyes.
You’ll be awake during the surgery, but relaxed and insensitive to pain.
In very few cases they prefer to give general anesthesia.
Surgery timing:
Blepharoplasty may take one to three hours. For this procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in your lower lids. The incisions can extent into the crow’s feet or laughs line at the outer corners of your eyes.
If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelids, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.
Care after the surgery:
Cold compresses are used to reduce swelling and bruising.
This lasts between like several weeks to a month.
Doctors recommend eye drops since your eyelids may feel dry at first and your eyes may burn or itch.
For the first few weeks you may also experience excessive tearing , sensitivity to light.
Temporary changes in your eyesight, such as blurring or double vision.
Once the stitches are removed the swelling and discoloration around your eyes will gradually subside.
Getting Back to Normal:
Television is one thing which you will be permitted to watch.
As you may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sun block made for eyelids when you go out.
Take it easy for five days at least and avoid activities that tire you easily for three weeks.
Scars will take time to disappear.
Lexington Kentucky Plastic Surgeon Dr. Martin J Luftman offers patients top notch Aesthetic care including procedures such as Breast Augmentation, Rhinoplasty(Nose Surgery), Eyelid Surgery, Liposuction, Face lift surgery, BOTOX® Treatments and much more. Contact Dr Luftman today for more information.