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Rhinoplasty Newport Beach Rhinoplasty, Orange County, California Nose Surgery

Rhinoplasty, colloquially known as a nose job, is one of the leading cosmetic procedures for both men and women. You may have considered corrective nasal surgery (a rhinoplasty) if your nose is misshapen, disproportionately large or small for your face, or if you have had an injury, which makes breathing difficult. The following information has been prepared to familiarize you with facts about the surgical procedure known as rhinoplasty in Newport Beach. You are requested to read this information thoroughly and to discuss any questions which might arise with your surgeon or Newport Beach Plastic Surgeon Dr. Juris Bunkis before you proceed with nasal surgery. You are also requested to keep this information as a reference during your post-operative period.

A rhinoplasty operation may be designed to:

1. Improve the general cosmetic appearance of the patient by reducing, recontouring or reshaping the external nose;

2. Straighten a previously injured nose, and/or;

3. Improve the patient's ability to breathe. 

You may visit your surgeon or Newport Beach Plastic Surgeon Dr. Juris Bunkis as many times as you wish, to have all of your questions answered. At your final preoperative visit, your final questions will be answered and you will confirm that you have understand the rhinoplasty procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for pain pills and nasal sprays, along with instructions for their use. Certain laboratory tests will also be required within two months of surgery. If you are over the age of 50, you will have to obtain a cardiogram at your doctor’s office or any licensed laboratory. You may have blood drawn by our office nurse during your final preoperative visit, or, if you prefer, at your family doctor's office or any laboratory (e.g. Kaiser Hospital, etc.). 

Most of the rhinoplasty incisions for reducing or recontouring the external nose are made inside the nose. Occasionally, an incision will be made across the base of the columella, the strut between the two nostrils. The nasal skin is lifted away from the cartilage and bone and the excess tissue is removed or repositioned. Instead of resecting tissue, occasionally it will be necessary to place grafts or implants into depressed areas to reshape the nose satisfactorily. Such grafts may be taken from the septum, the ear, or occasionally, from a rib. As mentioned, most nasal implants are made from silicone rubber.

The nasal tip cartilage will be refined and the nose shortened if necessary. The excessive skin left by the reduction of the underlying bone and cartilage is elastic and usually readapts itself to the new framework quite well.

After rhinoplasty surgery, a conforming splint is usually applied to the nose. The patient must place ice packs over the eyes for the first two days to reduce swelling and minor discomfort. Suitable pain medication and nasal sprays will be available.One of the sprays is plain salt water and can be used as often as desirable to wash mucous or crusts out of your nose, or simple to moisten the inside surfaces. You can use this spray as often as you would like, and conversely, if your nose feels fine, you do not have to use this spray. The other spray, Afrin®, is an over-the-counter nasal spray which can be used to decongest the nose. This is a powerful medication and should not be used more than twice a day. Afrin® may be used for the first two weeks, and its use should then be discontinued. 

Although most patients have very satisfactory results, complications may occur following nasal surgery. Dripping blood from the nostrils is expected after rhinoplasty surgery. If there are any questions regarding excessive or persistent post-operative bleeding or discomfort in excess of that controlled by pain pills, the surgeon should be contacted. Some bleeding may occur for up to four weeks after the rhinoplasty operation. 

The rhinoplasty patient must resist every urge to pick the nose with fingers or Q-tips to minimize the possibility of dislodging a crust and causing more bleeding. 

Coiffure procedures can be carried out while the splint is still in place, but it is essential that the splint be kept dry.

It is very important to stress that the bandages must be kept dry. The patient must avoid warm, steamy environments (hot baths, showers, hot tubs, saunas, etc.), which may cause the nasal dressings to fall off prematurely. The nasal splint will be removed one week after rhinoplasty surgery, following which normal bathing may be resumed.

The nose is an extremely delicate structure and adequate time must be allowed post-operatively to ensure proper healing. Social activity and exercise should be limited for the first week following surgery. Swimming (requiring submerging of the nose) should be avoided for two to four weeks. Contact sports should be avoided for six weeks. Exercise such as running may be resumed whenever the rhinoplasty patient is comfortable doing so.

All fees will be discussed freely in advance by the office staff. Financing may be arranged if desired. Your insurance company may cover a part of the fee if the operation is designed to correct a deformity caused by an accident or to improve your airway. Payment of all fees, however, is the patient's responsibility; all fees are due prior to surgery and the proceeds of the insurance check will go to you when the check arrives (minus a 6% billing fee if you chose to use our billing service). If requested, the office staff will assist you with forms, but recovery of any insurance benefits is between you and your insurance company. Insurance companies never pay for the entire fee and never pay for nasal operations which are solely designed to improve your appearance. 

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