Your Rhinoplasty Guide
APPLYING THE CAST TO THE NOSE
After the anesthesia medication is turned off, board certified facial plastic surgeon Dr. Portuese will apply the cast to the new nose if needed to hold the position of the nasal bones. This also helps to reduce the swelling in the nose. A small plastic Aquaplastic splint is fashioned and placed across the bridge of the nose to stabilize the reshaped nasal bones and tissues. Patients do not receive packing on the internal portion of the nose but they do wear a little mustache dressing of gauze to catch drainage out of the nostrils.
WEAK CHIN PROFILE – CHIN AUGMENTATION
A chin augmentation is sometimes necessary when a weak chin profile is present. In many instances patients who have a prominent nose also have a retrusive or weak chin. Chin augmentation is done at the same time as the nose surgery to give better facial harmony when a retrusive chin gives the illusion of the nose projecting too far. The chin augmentation is done at the same time with a synthetic Silastic chin implant matched in size to the patient’s requirements. The implants come in small, medium, large, and extra large sizes and they also come in square and rounded chin profiles. This gives a more balanced profile to the face. The procedure is also done under a general anesthesia and takes approximately 30 minutes to perform. An incision is made underneath the chin and very small stitches are used to close that incision. The chin implant is a very natural feeling Silastic synthetic material and cannot be felt by the patient or anyone else once healed.
ANESTHESIA SIDE EFFECTS
Some patients who are susceptible to motion sickness are also susceptible to nausea and vomiting after nasal surgery. This can also be the result of the anesthesia, swallowed blood or narcotics. These are the three reasons that most commonly cause nausea and vomiting in the postoperative phase. For this, Dr. Portuese recommends the anti-nausea pills and makes sure that patients do not swallow blood down the back of their throat after their surgery.