Rhinoplasty Preparation Arcadia

Reshaping the nose has been described many ways, from nose job to nose surgery to rhinoplasty. In primary rhinoplasty, the nose is surgically reshaped to a more aesthetically pleasing shape. Because of the specific concerns of those patients who desire Asian rhinoplasty or revision rhinoplasty, these topics have been addressed separately. Simply click on the name of the procedure in order to follow the link to the appropriate web page.

Before the Procedure

During your initial consultation, Dr. Jen Chow will perform a complete history and physical examination of your face and nose to determine if rhinoplasty, or nasal reshaping, is the appopriate solution for your cosmetic concerns. The two of you will then discuss the procedure in full. In many cases, the use of digital imaging to see what the nose might look like after surgery is a powerful tool that can significantly assist in communication between you and your facial plastic surgeon.

Once you have decided to have surgery, Dr. Chow will fully explain the risks and benefits of the procedure, taking the time to answer any and all questions you may have.

A thorough work up based on your age, health history, and any risk factors you might have (previous surgery, certain habits such as tobacco use, over the counter nose sprays, specific vitamins and supplements) will be reviewed. In order to be certain that you will be safe for the procedure, specific tests or a consultation with your primary care physician may be needed.

You will be provided with written instructions regarding what to do in the weeks leading up to surgery. Foods, supplements, and even vitamins that may thin the blood should be avoided. Aspirin, ibuprofen, Alleve, and other over the counter non-steroidal inflammatory medications (NSAIDs) should be avoided as well.

Should you have any questions prior to the procedure, you should always feel free to contact Dr. Chow. He will be more than happy to answer your questions.

The Procedure

Most of Dr. Chow’s rhinoplasty procedures are done in a fully accredited outpatient surgical facility for maximum safety. Dr. Chow also works with board certified anesthesiologists to be certain that you are comfortable and safely monitored throughout your procedure.

You will be given specific instructions leading up to your procedure. Some helpful tips for the day of surgery include: avoiding clothing that must be pulled over the head (zippered or buttoned shirts are recommended), leaving jewelry and valuables at home, and keeping the face and hair free of makeup and hair sprays or gels, respectively.

There are two major approaches to the typical primary rhinoplasty, although there are innumerable variations of each approach. They are the closed and the open approach. Dr. Jen Chow performs nasal reshaping through the use of both techniques, when appropriate, though he does favor the open approach in many cases. Excellent results can be achieved with either technique when used appropriately.

The first and older technique is the closed rhinoplasty. As its name suggests, the closed rhinoplasty is performed via incisions that are made inside the nasal passages. The major advantages of this technique include the fact that no visible scar exists on the outer skin of the nose. However, visualization of the various components inside the nose is decreased accordingly.

Therefore, Dr. Chow often prefers the open, or external approach, in which almost all incisions are made inside the nose except for a small, upside down “V” as shown in the diagram below. This incision most often heals very well, becoming all but imperceptible to others. In addition, because it is on the portion of the nose that faces downward, it is difficult to see even while healing.

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