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.

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.

* Disclaimer

* Disclaimer

Your face is precious after all and you will have with you for life, so before deciding on having the rhinoplasty procedure, you should definitely weigh your options, do your due diligence and be sure to ask your plastic surgeon plenty of questions to determine if this surgery is right for you. Your nose is the center of symmetry in your face and even subtle alternations can dramatically change your appearance.

Expectations are a critical component when selecting candidacy. The best candidates have a desire to enhance the profile of the nose, but there is not a perfection obsession. The ideal candidate is a person who does not seek a rhinoplasty to make them a happy person, as they are already happy with their daily life and are simply seeking an enhancement to self-confidence and self-esteem.

It’s important to be realistic in terms of goals for your rhinoplasty results and it is critical to discuss all of your expectations and concerns with Dr. Sheffield to ensure that the outcome is in line with the surgical possibilities.

A NOSE JOB CAN CORRECT A VARIETY OF ISSUES

The Rhinoplasty procedure has move value that simply augmenting the shape and size of the nose.  It has the ability to also improve a range of other issues including:

• Breathing problems
• Nasal deformities
• Nasal trauma due to injury

To determine if the rhinoplasty procedure is right for you, please contact Dr. Sheffield to schedule a consultation.  He can discuss candidacy, answer questions and show you what your new nose will look at through the use of advanced cosmetic morphing software.

Rhinoplasty surgery has the ability to:

• Straighten any broken, crooked or asymmetrical nose
• Reduce and smooth a bump present on the dorsum, or bridge of the nose
• Decrease or increase the width of a nose relative to the size of the face
• Improve and restore nasal symmetry following trauma
• Augment the nose if it is too large or too small, including nostrils
• Improve the nasal profile
• Aesthetic correction of nasal slop angle
• Refine a bulbous nasal tip if too large or too protruding
• Open breathing passages to correct breathing issues

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.

* Disclaimer

STEPS FOR THE RHINOPLASTY PROCEDURE

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.

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.

* Disclaimer

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.

Rhinoplasty Surgery Recovery

The recovery process varies from individual to individual so it is highly recommended to follow Dr. Sheffield’s instructions very closely during pre-op and post-op to ensure the best results and reduce any potential risks.

Here are some tips to accelerate the nose job recovery:
– To minimize the risk of bleeding, keep your head upright as much as you can.
– Refrain from hot baths and alcohol for at least 2 weeks following surgery.
– Definitely do not use decongestants or nasal sprays regardless of the degree of stuffiness.
– When lying down or sleeping, keep your head elevated with a pillow he help improve congestion.
– For dry lips, be sure to use lip balm for chapping.
– Refrain from blowing your nose for at least 1 week post-op. If sneezing occurs, cough it out, don’t blow it out your nose.
– Keeps tabs on your body temperature as an elevated temp can indicate infection.

Since the rhinoplasty is performed on an outpatient basis, you will return to home on the same day your surgery happens. Make sure you have arranged a ride home before coming in for surgery. Also be sure to relax as much as possible once getting home in order to facilitate recovery. You will also need care during the first twenty four hours after surgery. Some blood may be swallowed in the recovery process so nausea is a common symptom, but it is manageable.

Side Effects of Nasal Surgery

– Difficulty breathing due to the internal dressing in the nasal cavity which will improve as swelling goes down.
– Possible numbness and stiffness generally in the tip of the nose.
– Some soreness, potential bruising and some swelling usually near and around the eyes.
– Bursting of small blood vessels as evident with red spots on the skin surface.
– Nose bleeding immediately following the procedure or after 1 week.
– The nasal shape can change due to scar tissue maturity.
– Infection in the nose or respiratory which is treatable with antibiotics.
– If the rhinoplasty is performed from the inside, there is scarring inside the nose but it is not visible and can be felt for a brief period following surgery.

If any of the following symptoms arise, contact Dr. Sheffield immediately:
– Continuous please which does not stop after ten or fifteen minutes.
– Subsequent increase in pain.
– A high body temperature which could indicate infection.
– The inability or difficulty to swallow as normal.

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

A rhinoplasty procedure is the accepted medical term which describes the process for nasal correction and reconstruction.  Also referred to as the nose job, nose surgery or nasal reshaping, this procedure is designed to correct and enhance facial symmetry through proportionality to improve the overall appearance.  The net result is improved patient self-esteem and an increase facial balance. There are a variety of aesthetic concerns that can be addressed through the rhinoplasty procedure which include:

• A nose profile that is too large
• Having a large bulbous tip
• A prominent bump on the bridge of the nose
• A nose which is either too wide or narrow
• A nasal tip that needs to be brought up or down

Rhinoplasty is a popular procedure that according to the American Society of Plastic Surgeons almost 220,000 rhinoplasties are performed annually, which makes it one of the most common aesthetic plastic surgery procedures done in the United States.  It is common knowledge that because of aesthetic skill required, the rhinoplasty is considered the most difficult cosmetic procedures to perform so it is important to choose the right physician.

Whether it is the size, a bump on the bride, a large profile, or the angle of the tip, consensus on self-image concerns by the majority of people and young adults is typically related to unhappiness about the nose.  Because it is such a delicate procedure with so many unknowns, it is important to perform extensive due diligence when selecting an experienced plastic surgeon.

Make sure to ask the following questions about the rhinoplasty surgery:

• Are you board-certified?
• How many rhinoplasty procedures have you performed and is it a significant part of your practice?
• How many of these surgeries to you do annually?
• What is the revision rate?
• What is currently your most utilized rhinoplasty technique?
• Do you handle revisions if I need one in 12 months?
• Do you use morphing software so I can see a simulation?
• May I see before and after photos of your patients?
• Which medical societies are you a member?
• How do you rate my goals in terms of being realistic?

Dr. Robert W. Sheffield, M.D., F.A.C.S. is a Plastic and Reconstructive surgeon practicing in Santa Barbara, California. Board-certified, he received his training at aesthetic plastic surgery training at the prestigious University of Texas Southwestern Medical School in Dallas, Texas.

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.