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| Dr.
Zandi has a great deal of experience with
cosmetic surgeries performed on Asians and
has been performing them since 1974. |
| Rhinoplasty
for Asians |
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| Rhinoplasty
or cosmetic surgery of the
nose in Asians can improve
the shape, size and over all
appearance of the nose. Correction
of any breathing problem may
be performed at the same time.
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| Who
is a Good Candidate? |
One or more of the following conditions
may indicate that one is a good candidate
for rhinoplasty. The nose is smaller that
desired; there is a depression on the
bridge of the nose; that the nostrils
are wide and glared; that the tip of the
nose is not refined; that the nose is
noticeable crooked.
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| Private
Consultation: |
During
your initial consultation you will discuss
with your plastic surgeon your past and
present medical conditions and current
medications used. He should be made aware
if you have hypertension, thyroid problems,
diabetes. You should reveal any past surgeries,
allergies to any medications and personal
habits, such as smoking and drinking.
It is of utmost importance to mention
if you had any injury to your nose or
problems breathing through your nostrils.
A physical examination will be performed
and preoperative photographs will be taken.
You may be shown before and after photographs.
Lab tests, X-rays or EKG may be ordered
depending on your general health. At the
conclusion of your consultation, the fees
will be discussed with you by the doctor.
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| Preparation: |
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Stop
all non-prescriptive medication, diet
pills, herbs, and garlic two weeks before
surgery.
It is advisable to stop smoking two weeks
prior to and two weeks following surgery.
Do not drink any alcoholic beverage two
days prior to and one week following surgery.
Avoid
taking aspirin
and aspirin
containing products such as Advil and
avoid garlic and garlic products two weeks
prior to surgery. These products can prolong
bleeding and increase bruising. Tylenol
may be taken during this period.
For
a period of two days before surgery you
should wash your face, neck and hair with
Betadine soap for 15 minutes, twice per
day. An additional wash should be done
right before the surgery. No skin product
should be used two days prior to the surgery.
You may use skin care products after these
washes, except the last wash before surgery.
Do not eat or drink anything after midnight
before surgery. You may, take prescriptive
medication with a small amount of water
and brush your teeth the morning of surgery.
Wear a loose fitting shirt that does not
pull over your head to the surgical suite.
Loose sweats are recommended as you will
be in a compression garment after surgery
and they may be difficult to get on. Do
not wear jewelry or bring valuables.
Please
plan to have someone bring you to the
clinic, take you back home and stay with
you the first 24 hours. Notify the office
staff of this person's name and their
telephone number prior to surgery.
Have
all prescriptions filled a few days before
surgery, so they will be available for
you when you arrive home from surgery.
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| The
Procedure: |
Cosmetic
surgery of the nose, in Asians usually
differs from non-Asians. In Caucasians
the nose surgery is mainly performed
for noticeable hump on the bridge, bulkiness
of the tip or to shorten a long nose.
However, in Asians, nasal surgery is
mostly performed for increasing the
projection of the bridge and narrowing
of the nostrils. Increasing projection
is achieved, usually, by patient’s
own tissue or by use of synthetic material.
If the patient chooses to use their
own tissue the first choice is to use
the septum (which is the blade which
separates the nostrils) and the second
choice is to use cartilage from one
or both ears. Should this tissue not
be available the other sources are the
ribs, skull and hip.
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Postoperative
Care: |
Rest
the first night after surgery on your
back with two or more pillows.
You
may experience moderate pain for the first
two to three days following surgery. Pain
medication is given to reduce the pain
during your recovery period. You may also
notice some bleeding from your nose for
the first day following surgery. A drip
pad will be placed under your nose to
catch this bleeding. Dressing will remain
in place until the bleeding or dripping
stops.
You
may have a splint on your nose or packing
inside your nose after surgery. They will
remain in place until your postoperative
visit in 3-5 days. The inside sutures
usually dissolve gradually within a week
or so. You will not be able to blow your
nose for a week. Don't sneeze through
your nose for at least one to two weeks
following surgery. Try to keep your mouth
open during sneezing for this period of
time.
You
may experience bruising around your eyes
and nose for about one week. The swelling
may last on your nose for several weeks.
The final result of surgery is achieved
in 1 - 2 years.
You
may experience a slight fever for a few
days following surgery, this is normal.
You
can resume your regular activity within
two weeks. Bending, straining or strenuous
activity should be avoided for two to
three weeks. Exercise can be resumed within
three to four weeks. Exposure to direct
sunlight should be avoided for at least
a couple weeks as your nose will be sensitive
at this time. If you had surgery on the
bridge of your nose, your surgeon will
let you know when it is appropriate to
wear eyeglasses without special support
protecting the operated area.
You
are encouraged to call the office if you
have any questions.
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| Fees: |
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It
is customary that the surgery fees to
be paid two weeks prior to surgery. This
assures that the patient is sincere in
his or her motivation. The fees include
the surgeon's fee, the facility charge,
which is private and fully accredited
with high tech equipment, and anesthesiologist
or certified nurse anesthetist, if general
anesthesia is used. Also included in the
fees are any laboratory tests performed
in the office, use of special equipment.
It is very rare that insurance plans cover
cosmetic surgery. Please feel free to
ask the office staff if you have any questions
in that regard.
We
understand this is a very important decision
in your life and you would like to do
this for yourself. In your private consultation
with Dr. Zandi, who is a Board Certified
plastic surgeon, you may discuss your
needs and also obtain additional information.
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