Rhinoplasty – Commonly Asked Questions
How long does the Rhinoplasty ( Nose Surgery) take and what kind of anesthesia is used?
Dr. Gross performs Rhinoplasty in approximately two to three hours depending on the complexity and the condition of the nose. Rhinoplasty is done under general anesthesia at Primera Surgery Center as an outpatient surgery with at home recovery for one week.
How accurate is the Computer Imaging session?
Dr. Gross has over 15 years of experience with Computer Imaging and approximates his surgical outcomes very closely with those provided on the Imager. Barring any unforeseen problems, most patients will be very satisfied with the final results Dr. Gross simulates on the Computer Imager. Dr. Gross will examine each patient individually and advise each patient if their expectations are realistic, based on this comprehensive analysis. These images are emailed to the patient containing a standard Disclaimer.
Is there a lot of bruising afterwards and how long will the swelling last?
This depends again on how complex the procedure is, but in general most of our patients experience limited discoloration and swelling around the eyes and this is resolved within one week. This due to the experience and skill of our surgeon. “Delicate care in surgery and handling the tissues gently is critical for rapid healing”, says Dr. Gross. We also prescribe homeopathic Arnica and Bromelain (Sinecch) to reduce swelling and bruising.
I have trouble breathing through my nose; will cosmetic Rhinoplasty help my breathing?
Yes. The condition described is usually associated with a deviated septum or a bent internal framework of the nose. “Most of the time this results from trauma such as a broken nose, but many of my patients cannot recall an episode where this might have occurred,” says Dr. Gross. Careful examination by a qualified Facial Plastic Surgeon is needed to determine the best course of treatment for each patient. Dr. Gross is double board certified which allows for his unique skills combining cosmetic as well as functional improvement during surgery. Although correction of a cosmetic deformity of the nose is not covered by insurance; Dr. Gross will correct breathing problems, as needed, at the time cosmetic Rhinoplasty(Nose Surgery) is performed. Keep in mind that Dr. Gross is one of only a very few doctors with dual board certification and training to handle both the cosmetic and breathing portions of your surgery. Although we do not accept insurance; Dr. Gross may advise you on the benefits of correcting your breathing problems during surgery .
Where are the incisions placed during nose surgery?
Dr. Gross places most of the incisions for Rhinoplasty( Nose Job) hidden in the inside of the nostril. External incisions may be hidden in the creases where the nose meets the cheek to narrow the nose. An incision will also be hidden under the nasal tip for Open Rhinoplasty.
When will I see my final results from surgery?
It takes one year for all of the swelling to subside , especially at the tip and following tip plasty. This may be longer for revision Rhinoplasty patients or previous trauma cases, which we frequently care for. However, most patients see immediate pleasing results when the cast is removed at the end of the first week. The typical patient returns to work or school at the end of one week with very little signs of nose surgery.
Will the bump re-grow on my nose after my nose surgery?
No. The bump will not re-grow on your nose; however, we recommend our patients follow strict guidelines to avoid contact sports for one month following surgery. This will avoid any unnecessary trauma or injuries.
Will I have packing inside my nose?
No. Dr. Gross performs cosmetic Rhinoplasty with minimal invasiveness. His advanced techniques allow for minimal trauma and bleeding in surgery resulting in less pain and swelling; therefore, no packing is required. “Our patients experience minimal discomfort and bruising during their recovery” says Dr. Gross. Arnica and Bromelain (SinEcch™)are prescribed to our patients to minimize bruising and swelling- a homeopathic remedy of great benefit in the healing process.
What is tip plasty?
Any modification of the tip of the nose is considered tip plasty. Dr. Gross re-shapes, sutures, and trims the cartilage at the tip of the nose for a more refined tip, which is less round or bulbous. Tip plasty is an advanced form of technique in Rhinoplasty and requires a great deal of experience and training to even perform these maneuvers. Many plastic suregons don’t address the tip because of it’s complexity and challenges. However, Dr. Gross performs tip plasty routinely for more harmonious results.
