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Wearing Eyeglasses after Rhinoplasty?

We recommend that patients don’t wear eyeglasses for at least four weeks following rhinoplasty. During this period the nasal bones aren’t totally healed and slight pressure can cause distortion, indentation and secondary nasal deformities.

In patients who are dependent upon their eyeglasses alternative strategies are occasionally necessary. When nasal splints are present, eye glasses can be placed directly on top of these stable structures without concern. The splints are usually removed after the first week and other approaches become 

We often recommend taping the eyeglasses to the forehead. In some cases additional padding can be attached to the nasal eyeglass pads as well. 

When patients require eyeglasses to function these maneuvers represent a significant disruption of daily activities. With this in mind, it’s important to remember that the benefits of rhinoplasty will last an entire life time.

Plastic Surgery Financing

For many patients, cosmetic surgery wouldn’t be possible without some type of financing. For this reason, the vast majority of plastic surgeons offer some type of financing program. With the availability of this type of program, plastic surgeons don’t typically take installment payments. They usually require full payment before surgery is performed.

In our practice, we almost exclusively utilize Care Credit. This is currently the most commonly used source of plastic surgery financing in the United States. The company is run by GE Capital. It’s reputable and you can apply for a loan online. It takes approximately thirty minutes to get a response. In some cases, you may be able to get a twelve-month interest-free loan.

Financing isn’t for everyone; make sure you understand the fine print in your contract. Don’t take on more than you can handle. At some point, you will have to repay the loan. It’s important to have all your financing questions answered before proceeding with cosmetic surgery. In our office, we have financial consultants who can help you with this very important issue.

C-Sections & Tummy Tucks

Abdominoplasty isn’t recommended immediately following a C-section for a variety of reasons. These include the inability to make aesthetic judgments immediately following pregnancy, the mother’s overall health status, and the demands of a newborn child on the mother.

The timing of surgery following pregnancy is important and several issues should be considered before proceeding with surgery. It takes time for a new post-pregnancy body to reach its new baseline following pregnancy, and during this transition, it’s impossible to make aesthetic judgments. During this period, stretched skin may contract, a swollen uterus may shrink, and the weight gained during pregnancy may gradually disappear. This process takes 3 to 6 months and needs to occur before abdominoplasty is performed. 

Ideally, patients should be within 10% of their ideal body weight and in good health otherwise. The majority of women who have undergone C-sections aren’t in good physical shape and are therefore not optimal candidates for surgery for a variety of reasons. These may include severe fatigue, a depressed immune system, possible blood loss, an increased potential for infection and elevated estrogen levels which can increase the risk of blood clots.

Finally, the demands of a newborn would make the recovery from these combined procedures very difficult. For instance, the use of postoperative pain medications would prevent you from breast feeding. In other words, the abdominoplasty might impact your developing relationships with your newborn child. 

For all these reasons, it’s obvious that C-section and abdominoplasty shouldn’t be performed together. If you’re considering abdominoplasty it’s important to give yourself time to fully recover from your C-section. Once this has occurred it’s appropriate to consult a board-certified plastic surgeon.  

Plastic Surgery While Menstruating

It’s not unusual for cosmetic surgery patients to express concern about menstruation before undergoing surgery. This anxiety is not warranted. Menstruation has no effect on surgery and doesn't increase bleeding or increase pain levels following surgery. In some cases, patients may have taken non steroidal anti inflammatory agents for treatment of menstrual cramps. Under these circumstances, it might be appropriate to re-schedule surgery to avoid bleeding complications that can be associated with these drugs. 

Mommy Makeover Preparation

The mommy makeover is one of the most extensive procedures performed in cosmetic surgery. For this reason, preparing for surgery in every possible way will not only improve your result, but the quality of the experience as well. It’s important to prepare physically, medically, and mentally for this procedure. 

It’s important to be in good physical condition before proceeding with this procedure. Ideally, results are best when patients are within ten percent of their ideal body weight. Although some patients are unable to reach this goal, they still benefit from the procedure. In addition, it’s also important to maintain good nutrition, exercise regularly, and maintain a healthy life style.

It’s also important to be medically ready for the mommy makeover. Patients should be extensively evaluated to rule out other medical conditions. Areas of particular concern include cigarette smoking, blood pressure management, and the patient’s baseline hemoglobin.

Mental preparation for the mommy makeover is also extremely important and helps lower anxiety levels before surgery. It’s important that you have a comfort level with your anesthesiologist, surgeon, and the surgical facility. It’s essential that all your questions be answered so there are no surprises. 

Arrangements for post-operative care also need to be in order. It’s important to have a care giver not only for yourself, but your children as well. Addressing as many of these issues as possible before surgery will significantly improve results and the quality of experience. 

Compression Garments for Liposuction

Patients who undergo liposuction can expect swelling and discomfort following this procedure. In an effort to decrease swelling, most surgeons utilize compression garments in the postoperative period. Although each patient should be considered individually, we generally recommend three to four weeks of compression following liposuction.

Compression minimizes swelling, minimizes bruising, and decreases postoperative pain. It helps to remodel the soft tissue by collapsing the tunnels created by the liposuction cannula and controls skin shrinkage following the procedure. Compression contributes significantly to the contour improvement seen with this procedure.

Breast Fullness Following Breast Reduction

Some of the most satisfied patients seen in our practice have had breast reduction surgery. These patients note significant improvement in their symptoms as well as improved breast aesthetics. The procedure simultaneously reduces the breast volume, reduces areola size, lifts the breast into proper position, and creates upper breast fullness.  

This is accomplished by leaving attached underlying breast tissue, which supports the blood supply to the nipple areola complex and wrapping it in a tightened skin envelope. Results are usually excellent in the immediate postoperative period. Unfortunately with time, gravity causes the breast tissue to drift downward stretching the skin, creating recurrent sag.

This phenomenon is known as bottoming out of the breast and not only results in sag, but loss of the upper breast fullness as well. This phenomenon is more likely to occur if the patient has thin skin. The amount of sag that the patient has preoperatively and how much breast tissue is left behind are also factors. 

In an effort to minimize the development of recurrent sag and loss of upper breast fullness, surgeons have utilized various maneuvers. Positioning of the breast pedicle to a more superior location has been found to be helpful. Internal suture techniques have been utilized as well. Despite modifications in surgical technique, loss of upper breast fullness may still occur. Despite your surgeon’s best efforts, it’s important to realize that gravity is an unrelenting force.