Nasal surgery introduction, pain, procedure, expectations, with Dr. Lindsey
Nasal surgery looks like it ought to really hurt. Surprisingly MOST patients, particularly female patients, have little to no pain after surgery. Dr. Lindsey did Wendy’s nose a few years ago. Listen to her description and she returned to work the next day.
y dr. Lindsay and windy here let me
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talk to you a little bit about our
00:19
philosophy on rhinoplasty or nose jobs
00:22
typically we do cosmetic rhinoplasty at
00:26
a surgery center with you under general
00:29
anesthesia performed by a real
00:31
anesthesiologist and a typical first
00:35
time around nose for me it takes
00:36
somewhere between 55 minutes and an hour
00:39
and a half redo noses are certainly more
00:41
complex in general there are two ways to
00:43
do rhinoplasties one is called a closed
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rhinoplasty where there’s no cuts on the
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skin and the other approach is called an
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open rhinoplasty where a little cut it’s
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made on this piece of skin and I do them
00:54
all that way and I do them all that way
00:56
because it’s much easier to see what
00:58
you’re doing and because in 760 or 700
01:02
of those that we’ve opened we haven’t
01:05
had any real significant scar issues in
01:08
this area when you show your nose I did
01:13
win these nose so we’re doing us we
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would meet you in the office
01:27
and we discuss what your goals are and
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determine whether you have a functional
01:31
issue or it’s just a cosmetic issue and
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a lot of people come in and think that
01:35
they can get insurance to pay for a
01:36
rhinoplasty that’s very difficult to do
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next is if you have a large nose and you
01:42
can’t breathe well through it and you’re
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gonna try to make it smaller you may
01:45
well make your nose breathing much worse
01:47
so you need to be conservative and talk
01:50
to your doctor before you start down
01:52
that route by and large with run buses
01:55
done by me we do a computer simulation
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as a guide not guarantee of probable
02:02
results and then we have a picture book
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that shows a number of rhinoplasties
02:04
that we’ve done and we talk about all
02:08
the major risks limitations by and large
02:10
the biggest one is the industries
02:12
industry standard for rhinoplasty is
02:13
that 9 to 15% of patients are unhappy
02:16
with the results no matter who doesn’t
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and we’re significantly below that
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standard but it’s still it’s really
02:23
important for you as rhinoplasty Shopper
02:26
to make sure you know what your goals
02:28
are and if they’re in match with the
02:30
surgeon that you’re going
02:31
– and make sure you’ve looked at knows
02:32
that doctor has done so that you know
02:34
you’re on the right track when we do a
02:37
rhinoplasty if the surgery center ieave
02:39
all the way asleep
02:40
everything gets numbed up we lift up the
02:42
skin through this little incision and do
02:44
the tip work and the dorsum work
02:47
sometimes that involves breaking the
02:49
nose which is not really breaking in
02:51
those like with a fist but rather making
02:52
small bony cuts with a sharp osteotome
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and then putting things back where they
02:57
need to be with suture fixation and then
03:00
put on an external splint that stays on
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for a few days
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I do not pack noses we put a little
03:05
dissolvable pack that stays in a day or
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so if it’s still there the next day we
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pull it out it’s roughly the size of a
03:10
peanut M&M; but I don’t pack noses and by
03:15
and large for females they’re all
03:18
patients typically taking one two three
03:20
pain pills total no matter what you do
03:22
to their nose and the male patients take
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a lot more and the theme is true with
03:28
all of our surgeries if you must take
03:30
less painful than males not to have
03:36
plans exertional activities or contact
03:40
sports for a few months I can’t tell you
03:41
how many people we see roughly a month
03:44
before they go off to college on an
03:45
athletic scholarship and they want to
03:46
get their notice done and I typically
03:49
refuse to do that it’s gonna be a
03:51
disaster down the road so on the topic
03:57
of Ronna classes let’s let’s go through
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the example season here’s a couple
04:01
befores and afters before is on the left
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side of the base and afters on the right
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side and you’ll see unremarkable looking
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noses afterwards I think that the best
04:12
notice is a notice that does not call
04:14
attention to itself meaning if it
04:15
notices the two-point-eight isn’t too
04:16
pokey isn’t too yeah it’s not what you
04:19
had it done yeah so these are a few of
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our cases so when you brought up that we
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should talk about expectation management
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and completely into that and I think
04:31
that’s the most important part of your
04:33
initial and your secondary consultation
04:35
is that you know what I can offer you
04:38
and what I can and can’t do you can
04:41
simulate virtually anything on that so a
04:42
computer
04:44
but you may not be able to pull it off
04:45
in your life for example the thickness
04:47
of the nose skin is key convoy
04:49
you have very thick nose can you simply
04:52
could work on that nose for years and
04:54
you would never get it refined nasal tip
04:56
like some of these French models yes
04:58
it’s um you know people can’t tell I had
05:01
my nose Sunday it doesn’t look like a
05:03
done rhinoplasty it I think it matches
05:06
my face and when people see me they mean
05:11
people that know me before they see a
05:14
difference but it’s not they don’t say
05:16
only you had your nose done and then you
05:19
know it’s like oh and they look at it
05:21
and then some might think she could have
05:24
it more pointy Oh more you know but I do
05:27
not have that skin right we talked about
05:30
that and then you gotta watch out if you
05:32
get a pinched nose my nose things are
05:34
very difficult to fix
05:35
and so by a large I’m a conservative
05:37
surgeon all-aspect all the cases we do
05:40
we’ve done plenty of these things and if
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you’re interested and like to talk to
05:45
when you meet please give us a call
05:46
thanks
05:48[Music]
