What may be achieved with Rhinoplasty?

You may have a detailed discussion with Dr. Nabil Fakih to best determine your goals and realistic outcome of the surgery. We will study your pictures and modify your nose on the computer screen to come to a better understanding of your needs and desires. More importantly, we may demonstrate the limitations of surgery to ensure realistic expectations. Only with careful considerate discussion and education about the procedure may one be adequately prepared to achieve a satisfactory outcome. Just as each nose is different, each rhinoplasty is different as well. There should be no “cookie cutter” rhinoplasty. Various techniques will be adapted to your special circumstances to achieve your best possible result.

What is Ultrasonic Rhinoplasty?

There are many surgical techniques in rhinoplasty, traditionally they where using rasps, chisel and hummers to brake the nose and modify the hump, but still many surgeons are doing with traditional method. Dr. Nabil Fakih has shifted to another more precise method that many surgeons are shifting by using the Piezotome. Piezoelectric inserts have the ability to selectively act on bones and/or hard cartilage, without injuring soft tissues: skin, mucosa and flimsy cartilages such as the upper lateral cartilages and lower lateral cartilages. Importantly, the fracture lines created by piezo are very accurate and eliminate the risk of radiating fracture lines encountered with traditional rhinoplasty instruments. The theory is that with less surrounding trauma, you decrease the amount of surgical bleeding, post-surgical bruising, swelling and pain from a rhinoplasty procedure while also creating a more accurate cosmetic outcome. This, in turn, should lead to less need for revision surgery. 

Who is a candidate for Rhinoplasty?

Adolescents and young adults compose the largest group seeking rhinoplasty. Minimum age is guided by the concern that nasal growth is complete prior to surgery. Surgery is usually permitted in normally developed females and males by age of sixteen. Most patients are primarily motivated by the prospect of better appearance but some are interested in improving breathing at the same time. A much smaller group of patients seek improved breathing without wanting to change their appearance. There is a second group of patients, usually older, who seek corrective rhinoplasty. These patients have had an unsuccessful procedure previously and typically have very specific aesthetic and functional issues to address. Most are good candidates for correcting the problem areas.

What should I expect from my consultation?

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr. Nabil Fakih understand your expectations and determine whether they realistically can be achieved. Dr. Nabil Fakih will carefully examine your nose to assess the shape of the airway function and asymmetries to determine what type of procedure would best maximize your result. After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information.

What to avoid before surgery?

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.

Rhinoplasty Surgery

The operation is performed in Fakih Hospital with a dedicated professional team. With a sophisticated planning to your surgery, Dr. Nabil Fakih will proceed with your surgery in a high-end surgical room accompanied with ultimate piezosurgery technology. 

Recovery

Recovering from rhinoplasty is not as difficult as one might expect. During surgery Dr. Nabil Fakih uses local anesthetic in addition to general anesthesia. Upon waking from surgery the local anesthetic is still on board and usually does not wear off for several hours after surgery. Mild throbbing and facial pain around the nose and eyes is common but is easily treated with pain medication. This is usually present for the first 24-48 hours and many patients do not take pain medication past this time. A splint will be placed on the outside of the nose. Sutures will used both internally and externally. The internal sutures will dissolve on their own. The external sutures are placed right inside the nostrils and right below the nose. The sutures and splint will be removed seven days after surgery. At this time most all bruising and swelling is gone. Swelling can linger for many months in the tip of the nose but this is not noticeable and changes are minimal.

Why Dr. Nabil Fakih?

Make sure a qualified doctor is performing your surgery. It is your face – be sure an experienced facial surgeon performs your surgery. In addition to Dr. Nabil Fakih 's expertise, we offer an integrated pre-surgical, intra-surgical and post-surgical care, so as to optimize healing, we offer several technologies to our patients for an enhanced optimum recovery. We have implemented a specific-low-bruise-anesthesia during surgery to guarantee less bruising post-surgery, detailed suturing under 2.5x Loop vision for optimal aesthetic effect, toxin injection for the incision for better scar healing, Aerolase Neo to reduce bruising & incision redness, Aerolase EraPeel to blur any visible scar in case is needed, and finally Vitamindrip Boosterheal for a faster  recovery.