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Rhinoplasty (Nose Job): Alexander Cosmetic Surgery San Diego, California (CA)
OVERVIEW RHINOPLASTY CHIN RESHAPING CHEEK ENHANCEMENT FACIAL IMPLANTS LIP ENHANCEMENT EAR RESHAPING
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PREPARING FOR SURGERY

Who Is a Candidate?

Nose reshaping is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Surgery of the nose is a good option for you if:

  • Your facial growth is complete (you aren’t still growing taller)
  • You are physically healthy
  • You don't smoke
  • You have realistic goals for the improvement of your appearance

For more information about our nose surgery procedure, please contact us online or call us at We look forward to helping you look your best.

PREPARING FOR SURGERY

Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up, and what help you will need after the procedure

INFORMED CONSENT

Pain from the ear surgery is usually minimal. Pain pills are provided, but are usually not required after a couple of days. Significant pain is extremely rare and may be the sign of a serious complication, so your physician should be notified.

The decision to have ear surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery.

We will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

The risks include:

  • Nose asymmetry
  • Rupture of small surface vessels of the nose
  • Infection
  • Poor wound healing
  • Bleeding (hematoma)
  • Change in skin sensation (numbness)
  • Nasal airway alterations may occur after a rhinoplasty or septoplasty that may interfere with normal passage of air through the nose
  • Nasal septal perforation (a hole in the nasal septum) may develop but is rare; this is usually associated with septal surgery only
  • Pain, which may persist
  • Unfavorable scarring
  • Skin contour irregularities
  • Skin discoloration and swelling
  • Possibility of revisional surgery
  • Anesthesia risks

COST

A quote will be provided to you after your consult with Dr. Alexander. Cost is always a consideration in elective surgery, but remember that the surgeon’s experience and your comfort with him or her are just as important as the final cost of the surgery. We offer patient financing plans, so be sure to ask.

Costs include:

  • Surgeon’s fee
  • Operating Room and Supplies
  • Anesthesia fees
  • Prescriptions for medication
  • Post-surgery garments, and
  • Medical tests

Most health insurance plans will not cover elective surgery, related complications or another surgery to revise the appearance of your nose. When nose surgery is performed to improve breathing function, this is considered reconstructive and may be covered by insurance. Pre-certification is often required for reimbursement or coverage. Be sure to consult with your insurance company in advance of any surgery.

IMPORTANT TERMS TO KNOW

Anesthesia—General: The patient is asleep, requiring that the airway be protected, either by a standard breathing tube, or by a laryngeal mask (LMA), an inflatable mask that goes in the back of the throat but doesn’t go down the trachea. Through the airway, an anesthesiologist gives gases to put the patient asleep. Drugs may also be given through the IV.

Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.

Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. anesthesiologist.

Cartilage: Connective tissue that forms the structure of the nose.

Columella: The narrow strip of tissue that separates the nostrils.

Deviated septum: Cartilage that separates the nostrils is misaligned which may cause partial nasal airway obstruction.

Hematoma: Blood pooling beneath the skin.

Rhinoplasty: Surgery to reshape the nose.

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Rhinoplasty (Nose Job)


BEFORE AND AFTER




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