Thursday, August 30, 2012

What causes a deviated septum?

Nose surgery may include septoplasty for a deviated septum. The septum is the wall that separates the two sides of the nose and is composed of cartilage in front and thin bone in the back. A deviated septum can occur due to numerous reasons. The septum can become deviated during birth as the baby passes through the birth canal, from trauma to the nose, or from normal pubescent growth.

Septoplasty is a procedure that addresses the deviated septum by removing the deviated portions of cartilage and bone and assuring the cartilage in front sits in the center between the two nostrils.
Sometimes this cartilage requires a small piece of bone from the back of the nose to brace the cartilage in the front and keep it straight. Other times, a PDS plate may be needed to brace this cartilage. A severely deviated septum, especially of the cartilage in front, may require a rhinoplasty approach for best results.

Dr. Funk is double board-certified in ENT surgery and Facial Plastic surgery and is a rhinoplasty and septoplasty expert in Houston, TX.

Tuesday, August 21, 2012

Rhinoplasty Recovery Tips

Recovery after rhinoplasty or a nose job typically takes 7-10 days. However, there are certain things that can help expedite your recovery after rhinoplasty. Every patient is different and depending on your age, skin thickness, medical issues, and degree of work needed on the nose, recovery can be different.

That being said, here are a few recommendations I make to my patients.

1) Keep cold compresses over your eyes with swiss therapy gel mask every 1-2 hours for the first 2-3 days. This will help decrease the amount of swelling and bruising around the eyes.

2) I place my patients on Arnica Montana starting one day prior to surgery and four days after. Studies have not proven this expedites recovery, however, I have noticed decreased bruising and swelling in some of my patients with this herbal medication.

3) Prevention - this should be obvious, but avoid aspirin, ibuprofen, alcohol, and other vitamins and herbal remedies that can thin the blood and cause more bruising 2 weeks prior to surgery.

4) Keep your head of bed elevated the first 2 days after surgery. This decreases swelling and bruising.

5) Rest and relax! The more you increase your heart rate and blood pressure, the more likely you will have bleeding which may lead to more bruising and swelling.

Dr. Funk is a rhinoplasty or nose job expert in Houston, TX and performs nose surgery on a weekly basis.

Monday, August 13, 2012

Will I have packing after rhinoplasty?

Nasal packing after rhinoplasty, nose surgery, or sinus surgery is a method employed by some surgeons to help prevent a nose bleed after surgery.

After rhinoplasty, I rarely if every use any nasal packing. I would say that in about 5% of my rhinoplasty patients, there is significant enough bleeding during surgery that packing the nose is warranted. The packing I place is very light and gently removed the following day. Gone are the days of rhinoplasty where we heard people telling tales of yards and yards of packs removed from their nose. I feel that if surgery is performed without significant trauma to the tissues and pain is controlled afterwards, packing is unnecessary. I believe packing can cause postoperative pain and discomfort in many patients.

After endoscopic sinus surgery, I may place very small packs deep inside the nose to keep the sinus openings patent. These packs are removed on postoperative day 5. There is little discomfort from these packs and most of my patients don’t even know they were there.

Dr. Funk is a nose surgery specialist in Houston, TX and performs rhinoplasty, revision rhinoplasty, and septoplasty regularly.

Monday, August 6, 2012

Facelift in a Jar?

Many of my prospective facelift patients ask me about over the counter or prescription topical products that can provide lift or tighten sagging jowls, lax neck skin, or improve the bands in their neck. Unfortunately, these types of products do not exist. I do believe that these products and topical medications can help prevent future wrinkles and prophylactically slow the aging process.

In order to address a significant descent issue that occurs with loss of elasticity in the face and neck, surgery is typically required. A facelift or face and neck lift will improve the jowls, laxity along the jawline, the loose neck skin, and muscle banding that occurs in the neck.

When it comes to a facelift, I don’t think we should be reaching into a jar to treat the facial aging process in our 50’s, 60’s, and 70’s. I like to reach for true and tried techniques that provide a more youthful, natural, and unoperated appearance.