DO NOT REMOVE THIS
Frequently Asked Questions
Regardless of the type of plastic surgery done, it is always the first surgeon who is the better surgeon to consult and handle the same case of the patient. He is in better position to be able to determine the reason for the outcome of the operation done. It is always better to re-assure the patient despite any “result dissatisfaction” and ethical to suggest to the patient to refer back to the first surgeon.
Part of the initial pre-operative consultation is the acquisition of a well-informed consent for the planned procedure. This includes the complete and comprehensive discussion of the procedure planned from the preparation, achievable goal setting, actual operation, possible sequelae or complications, and post-operative care. I cannot guarantee 100% complication-free surgery with fully satisfied set target results. If possible complications were properly discussed even prior to surgery, solutions and many other options are laid out already. This lessens the anxiety especially for the patient in case for any untoward incident and then such treatment options will just be carried out.
Surgical operative time will depend on specific surgical procedure/s planned, patient-related factors and the surgeon. Different target body parts of concern take different times to operate on. Each procedure has different desired end-points depending on both the desire of the patient and technical skills of the plastic surgeon. It is always better to know if your plastic surgeon is a board-certified diplomate and fellow of the recognized specialty society. Doing plastic surgery is always a work of art. No great work of art has been done too slow nor rushed.
Most rhinoplasty procedures, uses implant materials to augment the bridge and tip area. Nowadays we have more choices for augmentation using silicon, gore-tex and cartilage. All of these materials have proved their good use for rhinoplasty. However, choosing the perfect implant will depend on your lifestyle, budget, and skin or body sensitivity. Silicone implant is the oldest and cheapest material among the three. The only risk is that if you have sensitivity to this, your body might reject this foreign body. Implant extrusion is a common problem in silicone implants. Gore tex is another synthetic material like silicone. Gore tex is a pervious material, and the tissues can grow inside and around it. Thisimplant has high tissue compatibility and has a low complication rate. It is easier to mold and very flexible. Among the materials available for nasal augmentation, Cartilage is the most natural material since it is part of your body. This is safe, because the material that will be used will be coming from your ears, rib cartlage or septum, depending on the preference and expertise of your plastic surgeon. It is always better to use your own cartilage because it provides a lower rate of infection and complication and better adaptability. Some plastic surgeon combines the 3 materials. Other uses silicone with cartilage or gore-tex with cartilage. The cartilage is placed on the tip to prevent the pressure necrosis on the skin caused by the synthetic implants.
One of the most debated topics in rhinoplasty is the choice between doing an “Open versus Closed” Rhinoplasty. Unfortunately, there is not a simple answer to this question. However, gaining a better understanding of what is involved with each technique and becoming familiar with the advantages and potential disadvantages of each is the first step.
Closed Rhinoplasty refers to a nose job that is performed via internal incisions (no external scars). The surgeon makes one or more incisions along the inside of the nose and lifts the skin up from the nasal framework. The Advantages of this technique are potentially shorter operative time and no external scars.
Open Rhinoplasty, on the other hand, uses the same incisions as a closed rhinoplasty with the addition of an incision on the columella. This incision is usually well hidden and hardly noticeable if done exemptionally well. The advantages are better visualization for the surgeon, direct exposure of the anatomic structures, less distortion of the nasal framework from intraoperative retraction and are the best for achieving a detailed refinement of the nasal tip.
How do you know which is "best" for you? While you may have a preference for one or the other, your surgeon will recommend the approach that he or she feels is most appropriate, and the surgical technique employed depends primarily on the goals established by you and your surgeon. Some surgeons perform exclusively closed rhinoplasty while others prefer open rhinoplasty. There are surgeons who perform both types of rhinoplasty depending on the patient's needs. The skill of your surgeon is the most important factor in achieving a good result.
Recovery after Plastic Surgery would vary depending on the procedure performed and from patient to patient. Some may bruise more than others. Yet, some, not at all. It is not uncommon that some blood works be requested before your scheduled surgery to find out if additional medications may be needed to minimize the downtime.
First week after surgery, you will be instructed to sleep on your back with two pillows (high back rest), instead of your side to help reduce the swelling. This will help your breasts stay in the perfect position during the initial healing process. Avoid picking up anything greater than 1-2 lbs. for the first week and avoid strenuous physical activities. Do not swim or engage in contact sport, e.g. volleyball, for 1 month since injuries are common.
There will be oozing 1-2 days after liposuction from the incision sites. This will look like diluted blood. This is actually a mixture of the anesthetic solution and some blood. The amount of blood is minimal. This will last for 24 hours. If you are planning to go out, you may use sanitary napkins or towels to absorb the flow. Use plastic sheets to protect your furniture, carpets, or beddings from stains caused by post-op oozing
Very simply, it is a procedure which addresses the effects of aging about the soft tissues around our eyes particularly the eyelids. Depending on which tissues contribute to age-related changes, skin, fat or muscle may be excised to achieve younger-looking eyelids.
The amount of inflammation, swelling or bruising differs from patient to patient. Postop cold compression and medications will help control these, however, we expect these until the third to fifth day. After which, these effects start to subside. Sutures are usually removed on the third to fifth day postop. Make-up may be used around a week after the procedure
Initially, hematoma formation or infection may occur. After some time postop, asymmetry or ectropion may be noted. Any of these concerns may be managed albeit as soon as possible. Communication, therefore, is essential for patient and doctor and strict follow-up schedules should be followed where any doubtful issues assessed and treated.