RHINOPLASTY

RHINOPLASTY IN SANTA BARBARA – NOSE JOB – RHINOPLASTY UNDER LOCAL ANESTHESIA

Rhinoplasty, or nose surgery, is one of the most common and transformative plastic surgery procedures. Dr. Sheffield of SB Aesthetics is a specialist employing all of the latest techniques with the idea of creating a natural looking result. The popularity of this procedure for most patients is relatively simple to explain. The nose is what defines a person’s symmetrical facial appearance thus creating balance. By refining this profile, the harmony of a person’s facial features is altered for the better.

The size of the nose is a common complaint and this surgery will address that issue. The shape of the bridge or tip can be changed as well. The nostril span is narrowed and the angle between the upper lip and nose is corrected.

Patients also seek out a nose job because of breathing problems that they are experiencing. Other patients who suffer from birth defects or injuries to the nose may be viable candidates for the procedure. Even cosmetic flaws can be taken care of so that the patient achieves the desired facial balance.

SB Aesthetics facial plastic surgeons take an artful and considerate approach to nose reshaping surgery. This allows them to produce the sort of results that will avoids the operated look and aims for more of a natural result. Dr. Sheffield’s level of commitment to each step of the procedure is commendable. Everything from your first consultation to your post-surgical appointments is handled with the utmost professionalism and compassion.

Rhinoplasty Before and After

rhinoplasty-before-after

Those who are considering a nose job in the Santa Barbara area would do well to learn more about discovering how the SB Aesthetics surgeons can assist them. Achieving more balanced facial aesthetics and receiving a more aesthetically pleasing profile and balanced facial aesthetics are both goals that are well within your grasp.

AM I CANDIDATE FOR THIS PROCEDURE?

The top candidates are patients who are in search of an improvement when it comes to the way that their nose looks. Perfection is not promised nor should it be expected. A physically healthy patient who is realistic in their expectations and psychologically stable is the most ideal candidate.

A good candidate for nose reshaping surgery could be someone who was born with a nose that makes them feel self-conscious or unhappy with their outward physical appearance. Other candidates may have dissatisfaction by how the shape of the nose has transformed with the aging process. Even the slightest augmentation of the nasal structure can have a huge impact on the personal appearance and related social interaction. Plastic surgery can reshape the bridge of the nose, the tip or other structural issues to restore balance to the face.

A patient’s expectations are also a strong factor in determining candidacy. The best candidates generally want to enhance their nasal appearance and profile, but they are not obsessing with perfection. An ideal candidate is someone who is happy in their daily life and does not seek a nose job to make them happy as a person.

SELECTING A SURGEON IN SANTA BARBARA

A little definitely goes a long way as far as a procedure this delicate is concerned. Selecting the proper specialist who has the skill and credentials to carry out this procedure with precision is crucial.

Wouldn’t it be nice to receive assistance from a surgeon who is certified by the American Board of Plastic Surgery? Dr. Sheffield is here to help. He has been certified by the only board that has received American Board of Medical Specialties recognition.

With our years of training, experience and extensive education, the surgeons who will perform your position have all of the tools that they need to help you achieve your objectives. Each procedure is approached artfully with an eye towards lasting results.

THE CONSULTATION

The initial appointment offers patients the perfect chance to ask any questions that they may have. Our board-certified surgeons are always more than happy to address any concerns that take place. Quality communication allows you and the surgeon of your choice to establish a strong relationship. All of the needs that you have will be met throughout the process.

The consultation is when the patient speaks to their surgeon and answers their questions about the finished product should look like. The facial and nasal structure is evaluated and further cosmetic possibilities are discussed.

Some patients may decide that they are simply seeking a more youthful appearance. In these instances, Botox and fillers (which are non-invasive procedures by nature) can be added to the equation so that the patient receives the exact look they are hoping for.

The factors that are responsible for influencing the results and the procedure are also explained. The structure of your cartilage and nasal bones, your expectations, your age, the facial shape and the elasticity and thickness of skin are examined in depth.

The techniques that will be used are discussed and so are the anesthesia options. The costs that are involved and the location where the surgery will be performed are covered during this step as well.

While the average health insurance policy is not going to cover the costs of treatment is deemed to be elective, a procedure of this nature could be covered if has been performed for reasons that are directly related to a deformity or a breathing problem. If at all possible, take the time to check with the insurance provider to see if pre-authorization can be obtained.

It is important to provide all of the necessary information to your surgeon during consultation. Any previous nose injuries or surgeries need to be disclosed, even if they took place a long time ago. Any breathing difficulties or allergies must be disclosed. Patients must also share information that is related to their vitamins, medications, smoking or recreational drug usage.

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Rhinoplasty Before and After

rhinoplasty-before-after

PREPARING FOR SURGERY

It is understandable for a patient to be worried before the procedure takes place. This is why SB Aesthetics surgeons are here to offer all of the specific instructions that are designed to assist patients in this process.

Before your surgery, a patient is given very specific dietary guidelines. If a patient needs assistance when it comes to taking or avoiding medications and vitamins, this information is also provided. Washing your face is another area of concern. You are also going to need someone who is willing to provide you with a ride to and from your surgery. Someone will also need to assist you back at home for the first few days so that your focus is on healing. Following the instructions that are provided positions you for a better outcome.

THE SURGERY

This treatment takes place over the course of an hour. Some of the more extensive procedures may take longer. The skin is going to be separated from the bone during nose surgery. The cartilage that is responsible for making up the nasal framework is also separated.

Once the cartilage and bone within the nose have been separated, the surgeon sets about the task of sculpting and shaping it to the patient’s liking. The step of the process is also affected by the surgeon’s personal technique.

A rasp or chisel is used to remove any bumps. From there, the surgeon is able to bring the nasal bones closer together. This creates a narrower bridge of the nose. Cartilage is then trimmed away so that the tip of the nose can be refined and reshaped.

Once the procedure has been completed, a nose splint is applied. This is what allows the nose to maintain the newly sculpted shape it has acquired. The septum is then supported by soft splints and nasal packs. In some instances, the splints and nasal packs are kept inside the nostrils.

WHERE WILL SURGERY BE PERFORMED?

SB Aesthetics uses has an accredited surgical center and outpatient surgery center.  For cost and convenience’s sake, these surgeries are performed on an outpatient basis in most instances.  If the procedure is more complex, a short inpatient stay is required.

THE ANESTHESIA

General or local anesthesia is typically provided. The preferences of you and your surgeon and the extent of the procedure will help to make this decision.

Local anesthesia offers the patient a light sedation. The nose and its surrounding area are going to be numbed. General anesthesia allows the patient to sleep comfortably while the procedure is taking place. General anesthesia is used for safety’s sake for the majority of these procedures.

THE INCISIONS

The incision is made inside of the patient’s nostrils if the procedure is being done from the inside. When open procedures take place (which tend to be a bit more complicated), an incision will be made in the area that separates the nostrils on the soft tissue. This area is also known as the columella. This is the preferred and necessary method for tip work. The closed approach is appropriate for patients simply looking to correct a nose bump.

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THE RECOVERY

The patient’s face is going to be puffy and they will have an achy nose for at least 24 hours after the procedure. Pain medication is going to be prescribed by the surgeon to alleviate this discomfort. The patient should plan to remain in bed and keep their head elevated on the first day.

A small amount of bleeding may occur during your first few days back at home. Any blowing of the nose should be avoided for at least a week so that the healing process is not disrupted in any way.

The nasal packing is taken out after the first 24 hours and patients experience far more comfortable once this step has been taken care of. Within one to two weeks, all of the remaining splints, stitches, and dressings are removed.

The bruising and swelling around the eyes will subside in time. The peak levels of bruising and swelling should take place about two or three days after the procedure takes place. A cold compress can be applied to reduce swelling and increase comfort. Much of the bruising and swelling should disappear within two weeks. Some subtle swelling could take a few months to subside.

The average patient should be able to resume their normal routine within a week’s time. Feeling completely normal, on the other hand, may take several weeks. The surgeon’s detailed guidelines on strenuous physical activity must be followed to the letter. As general rule of thumb, any exercise that will cause a sudden increase to your blood pressure should be avoided for two to three weeks. Do not hit your nose or allow it to become sunburned. Exercise caution when using cosmetics.

Rhinoplasty Before and After

rhinoplasty-before-after

Contact lenses can be worn after surgery and wearing glasses could be more a tad more difficult. Once the splint has been removed, the nose will still need to heal. Patients who need to wear glasses right away must tape them to their forehead or obtain device that allows for their glasses to rest comfortably on their cheeks.

Frequent visits are going to be made to our offices in the months after your surgery has taken place. This gives us the chance to closely monitor your healing process. If there are any unusual symptoms taking place or you have any questions about the do’s and don’ts, be sure to call a surgeon right away.

ADJUSTING TO THE NEW LOOK POST SURGERY

It is easy to feel a tad anxious when your face is bruised and swollen. This is a feeling that we understand completely. Please do not forget that these are side effects which will soon subside. As each day passes, the newly sculpted nose continues to look better and better.

Within a week or so, the bruising or swelling is going to disappear completely. This allows patients to get adjusted to their new appearance.

It could take months for the rest of the more subtle swelling to go down but these are the sorts of issues that are not going to be visible to the naked eye. Only you and your surgeon will know. While it may take up to a year before the results have fully settled in, the improvements will be visible within a week or two.

Family and friends may have some surprising reactions in the meantime. The difference might not be noticed by some while others could react negatively. If characteristics that define ethnicity are being altered, this could lead to a negative reaction. In any case, the patient needs to be comfortable with their decision. If the patient is satisfied with their results, this is all that matters.

FAQ – Rhinoplasty

WHERE WILL TREATMENT BE PERFORMED?

Plastic Surgery will be performed in an accredited surgical center. For cost and convenience’s sake, these surgeries are performed on an outpatient basis in most instances. If the procedure is more complex, a short inpatient stay is required.

WHAT ARE MY ANESTHESIA OPTIONS?

General or local anesthesia is typically provided. The preferences of you and your surgeon and the extent of the procedure will help to make this decision.

Local anesthesia offers the patient a light sedation. The nose and its surrounding area are going to be numbed. General anesthesia allows the patient to sleep comfortably while the procedure is taking place. General anesthesia is also used for safety’s sake for the majority of these procedures.

WHAT HAPPENS IMMEDIATELY AFTER SURGERY?

The patient’s face is going to be puffy and will experience soreness for at least 24 hours after the procedure. Pain medication is going to be prescribed by the surgeon to alleviate this discomfort. The patient should plan to remain in bed and keep their head elevated on the first day.

A small amount of bleeding may occur during your first few days back at home. Any blowing of the nose should be avoided for at least a week so that the healing process is not disrupted in any way.

The nasal packing is taken out after the first 24 hours and patients experience far more comfortable once this step has been taken care of. Within one to two weeks, all of the remaining splints, stitches, and dressings are removed.

The bruising and swelling around the eyes will subside in time. The peak levels of bruising and swelling should take place about two or three days after the procedure takes place. A cold compress can be applied to reduce swelling and increase comfort. Much of the bruising and swelling should disappear within two weeks. Some subtle swelling could take a few months to subside.

WHAT IS THE RECOVERY PROCESS LIKE?

Most patients should be able to resume their normal routine within a week’s time. Feeling completely normal, on the other hand, may take several weeks. The surgeon’s detailed guidelines on the strenuous physical activity must be followed to the letter. As a general rule of thumb, any exercise that will cause a sudden increase to your blood pressure should be avoided for two to three weeks. Do not hit your nose or allow it to become sunburned. Exercise caution when using cosmetics.

Contact lenses can be worn after surgery and wearing glasses could be more a tad more difficult. Once the splint has been removed, the nose will still need to heal. Patients who need to wear glasses right away must tape them to their forehead or obtain a device that allows for their glasses to rest comfortably on their cheeks.

Frequent visits are going to be made to our offices in the months after your surgery has taken place. This gives us the chance to closely monitor your healing process. If there are any unusual symptoms taking place or you have any questions about the do’s and dont’s, be sure to call a surgeon right away.

WILL TREATMENT GIVE ME NOTICEABLE SCARS?

If the surgery is performed inside of the patient’s nose, no visible scarring will take place. The “open” technique leads to a small amount of scarring but none of it will be visible to the naked eye.

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Interested to know about your rhinoplasty options?  Whether you are thinking about having cosmetic surgery, a non-surgical procedure or have had prior surgery and are seeking additional touch-ups, it is critical to work with a skilled plastic surgeon that specializes in facial procedures. Dr. Robert Sheffield is a board-certified facial plastic surgeon at SB Aesthetics offering services to those in Santa Barbara, Santa Maria, San Luis Obispo, Oxnard and Ventura, CA, and the surrounding communities.  Dr. Sheffield offers patients a customized treatment plan and is available to answer your questions. To schedule a consultation, call 805.318.3280 today.

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