http://www.realself.com/review/waterford-rhinoplasty-the-decision
Septoplasty in Ireland : FAQs
Q: What is Septoplasty?
A : Plastic repair of Nasal septum that is typically performed for a crooked septum causing a blocked nose.
Q: What is SMR?
A: Sub Mucous Resection of nasal cartilage which has been largely replaced by Septoplasty which is less likely to cause cartilage depletion and complications like a saddle nose.
Q: Who Does Septoplasty
A: Septoplasty is one of the common procedures learned during training by every trainee ENT surgeon and performed by all ENT surgeons throughout their careers.
Q: Can Septoplasty improve the shape of my nose?
A: Yes in some cases where the shape is primarily crooked due to a crooked septum ( see Septoplasty and Cosmesis in this blog) http://thenoseclinic.blogspot.ie/2011/03/septoplasty-and-cosmesis-case-study.html
Q: Is Septoplasty covered by Insurance?
A: Yes, in most cases where it is causing blockage, noisy breathing, interfering with sports, exacerbating snoring or Obstructive Sleep Apnoea.
Q: What are some of the Recent Advances in Septoplasty
A: Please refer to our website http://www.rhinoplasty.ie/AboutRhinoplasty.php
Q: Is Septoplasty as expensive a Rhinoplasty.
A: No, It is approximately half the cost of a typical Rhinoplasty.
Q: Is Septoplasty possible under local Anaesthesia and as a Day-case ?
A: In Ireland it is generally performed under General Anaesthesia as an overnight stay procedure but It is sometimes appropriate to offer Local Anaesthesia and / or as a Day-Case surgery.
Q: Will there be a nasal pack. I am told they are painful when removed.
A: With modern techniques and tools like Endoscopes… it is possible in most cases not to place packs or splints inside the nose.
Q: Will there be a cast or a splint placed over my nose?
A: No.
Q: Downtime?
A: Five working days … Done on a Friday, You can get back to work by Monday week.
Munish Shandilya
MS FRCS Ed FRCS(ORL-HNS)
Rhinoplasty Wound Care: Tips and Pearls from a Beautician
Rhinoplasty recovery and Aftercare:
Cleaning and Hydration
During your first week after surgery, if you have a columellar (external) incision … it should be kept covered in Vaseline.
A Bolster or moustache dressing is used under the nostrils for the first three days to collect ooze and preventing you from dabbing at it and introducing infections.
Cotton tips may be used very gently around the nares. No direct pressure should be applied to the suture line. These sutures, internal splints and plaster of Paris usually come off around a week from surgery.
you must not pull at any sutures.
The tapes holding your dressings should remain dry for the first week and if you wish to wash your hair … you will need help from a hair dresser or a friend. if the dressing gets wet … it loosens and compression effect is lost to some extent.
“Ensure your skin is in good condition before and after rhinoplasty.
A good diet and lifestyle will optimise overall skin condition even more so than expensive creams and treatment.
Include plenty of healthy oils, nuts and seeds.
Drink at least two litres of water every day to ensure that your skin is amply hydrated.
Avoid excess alcohol, caffeine, smoking and high sugar foods and drinks all of which have a very dehydrating effect on your skin.
A good moisturiser and nourishing oil every night (clarins santal oil) will keep skin well hydrated thus minimising trauma to your skin during surgery and after your dressing is removed.
While your dressing is on … use a gentle cleanser nightly on any exposed skin ( clarins water comfort cleanser is very gentle) followed by night oil and moisturise in morning taking care not to get the product onto the dressing and using very gentle touch.
When your dressing comes off in a week, it is normal to have some dead skin build up so do continue using your skin care as before. Provided you are gentle using a Very gentle face peel (clarins doux peel) about 5 days after your dressing comes off will accelarate the removal of dead and flakey skin cells.
If using concealer or foundation to camoflage any brusing ensure its hydrating rather than matt as this is more drying on the skin.”
JM
JM
Rhinoplasty in Ireland : 2012 Round-up
2012 was a very fulfilling year and by the time we reach the 1st of January 2013 … the second Anniversary of this blog … nearly 37000 international visitors would have visited the blog …
Our patients have shared with us that this unique effort has kept them informed and gives them an insight to our ethos and enthusiasm in the field of Rhinoplasty.
The blog has been a great medium to connect with both the future and past patients of Rhinoplasty…
Revision Rhinoplasty in Ireland
One of the eminent European Rhinoplasty surgeons confided during an informal conversation, in Chicago 2011, that he would revise nearly half his cases. This, not to rectify mistakes of technique or vagaries of healing, but to make little tweaks and changes to enhance the results further. Now, I quite like his results and his aesthetic sense and I have thought about our little conversation several times over the last eighteen months.
The issues to consider in Revision Rhinoplasty Surgery are:
1. Cost implications of Revision surgery. Who covers the cost ?
2. Is another “down time” acceptable ?
3. Is a second Anaesthetic required ?
4. Is the Revision rate an indication of surgical skills and expertise of the surgeon. How ?
I would be concerned if a high proportion of Revision Rhinoplasty cases were choosing a different surgeon for revision surgery. Does a high revision rate indicate a higher proportion of dissatisfaction amongst patients? The answer perhaps lies in the proportion of revision cases that are going back to the same surgeon. This to me is a very good indicator that suggests that a high proportion are going for an improvement in an otherwise improved nose operated by the surgeon they trust.
I would be concerned if a high proportion of Revision Rhinoplasty cases were choosing a different surgeon for revision surgery. Does a high revision rate indicate a higher proportion of dissatisfaction amongst patients? The answer perhaps lies in the proportion of revision cases that are going back to the same surgeon. This to me is a very good indicator that suggests that a high proportion are going for an improvement in an otherwise improved nose operated by the surgeon they trust.
I am quite sure that a vast majority of the patients of the eminent surgeon above are already happy after the primary rhinoplasty and the trust and the doctor-patient relationship is healthy.
In my experience, several patients who insisted on a very conservative surgery during consultations for a Primary Rhinoplasty … after achieving satisfactory results … realise that the successful nasal surgery has a low morbidity … and consider further changes, albeit carefully as is their nature.
The ultimate objective is to execute a safe and predictable procedure with minimal complications. Should this be planned in one stage or are further smaller tweaks acceptable to the patient and the surgeon?
I have started sharing these issues and observations with my patients during my Rhinoplasty consultation protocol.
10% Revision Rate is a generally accepted figure in global Rhinoplasty literature.
Our rate of revision at present is below 5%.
Looking at our own revision cases over the last five years it became apparent that most of these revisions are for further improvements and about a third of the revisions were necessitated by asymmetrical healing or irregularities.
