Sunday, December 28, 2014

How is sinus surgery different from nose surgery?

Nose surgery such as fixing a deviated septum, making turbinates smaller, or opening the nasal valves assists with the nasal passage and improves breathing and airflow. This will not cure nasal allergies but by making the turbinates smaller, this may lessen the severity of nasal allergy attacks. It is important to understand that nasal surgery is completely different than sinus surgery.

Patients with chronic sinusitis are those that may have repeated sinus infections with facial pain, congestion, and headache. This is different than just not being able to breathe through your nose due to a deviated septum. Sinus infections may occur anywhere from 3-10 times per year and frequently require antibiotics. In between sinus infections there may still be some underlying symptoms of sinusitis. The sinuses are like a room that produces mucus. This mucus then needs to exit this “room” through a “doorway” that leads to a “hallway”. The “hallway” would be the nasal passage or airway. There mucus can either be blown out or moved back to be swallowed. If the “doorway” is too tight, thick mucus may not be able to exit into the nasal passage and accumulate in the sinus. This festers and grow bacteria which then leads to a sinus infection. These are the patients that may be candidates for sinus surgery.

With sinus surgery or endoscopic sinus surgery, the “doorway” is widened to allow easier passage of the mucus. This can be done with balloon sinuplasty or tradition endoscopic sinus surgery. With balloon sinuplasty, the small fragile bones of the opening are fractured and the opening is slightly widened. With traditional endoscopic sinus surgery, the bones are taken down and removed to permanently widen the opening between the sinus and the nasal passage.

Dr. Funk is a nose surgery expert in Houston, TX

Sunday, December 21, 2014

Who is the best nose surgeon in Houston?

Since the nose is on your face, you want to trust your face to an expert in that field and to someone who has done rhinoplasty or nose job surgery many times. More important than finding the best nose surgeon in Houston, is finding the RIGHT nose surgeon for YOU in Houston. That is, do you and the surgeon see eye to eye regarding your goals for rhinoplasty. Do you like his or her before and after rhinoplasty photos. Did you mesh well during the initial consultation? These are important aspects of finding the right nose surgeon for you.

It is important to evaluate the surgeon’s before and after photos carefully. Is the lighting similar in both photos? Are the proportions and angle of the photos taken similarly. Are the patient’s facial expressions the same in both photos? Is there a similar amount or style of makeup in both the before and after photo. Are the results to your liking? Do you find noses similar to yours in the surgeon’s before and after gallery? Are there enough before and after photos?

What is most important prior to choosing your surgeon is doing the research. You must select your surgeon carefully and meet with them more than once if necessary.

Dr. Funk is a rhinoplasty expert in Houston, TX.

Sunday, December 14, 2014

Is a Facelift Major Surgery

Many potential facelift patients come in not understanding that a properly done, long-lasting facelift is major surgery. Major is a relative term and when compared to heart, brain, or transplant surgery, I guess a facelift is not a “major” surgery.

However, there are many different types of facelifts where some are involved and others have an easier recover time. A mini facelift or short scar facelift may only take 2 hours under conscious sedation or twilight anesthesia and require 10 days of recovery while a deep plane face and neck lift may require 4 hours of general anesthesia and recovery of 2-3 weeks.

Regardless, most patients undergo a facelift later in life around their 50’s and 60’s. Anesthesia does place some stress on the heart and lungs and therefore these patients need to undergo clearance to assure they can handle this duration of anesthesia.

A facelift is not a surgery that should be taken lightly and one should prepare for this surgery not only from a medical/anesthesia perspective, but from a physical and emotional recovery standpoint.

Dr. Funk is a facelift expert in Houston, TX.

Tuesday, December 9, 2014

Is a nose job painful?

Many patients may be apprehensive or nervous about having nose job surgery due to concern over pain or discomfort. Is a nose job painful - this is a common question I receive during consultation.

I have to start off by saying that everyone’s pain threshold is different. Some may tolerate very little pain and require pain medications while others may do just fine after nose surgery with tylenol alone. Rhinoplasty is more uncomfortable than painful and causes considerable congestion inside the nose. This is the most common complaint after nose surgery.

It should be understood that the discomfort with a nose job is mainly over the first 1-2 days after surgery. By day 4 you should feel like you are back to the land of the living and capable of performing some basic activities of daily living around the house. In the end, 1-2 days of discomfort is well worth a lifetime of a softer, more refined nose.

Dr. Funk is a nose job expert in Houston.

Sunday, November 30, 2014

What type of anesthesia is used for rhinoplasty?

Anesthesia for rhinoplasty or nose surgery is typically under general anesthesia. This means you will have a breathing tube and certain gas anesthetics are used to keep you under. The reason general anesthesia is used more often for a nose job and not twilight or conscious sedation is to protect the airway. With nose surgery, there may be blood that drains from the back of the nose and irritate the vocal cords or enter the airway. This can lead to significant coughing or even aspiration.

Local anesthesia is injected into the nose after you are under general anesthesia. This helps block pain receptors in the nose and limits the amount of narcotic the anesthesiologist needs to use. It also has a little epinephrine in it and constricts the blood vessels leading to less bleeding during surgery.

General anesthesia today is quite safe with close monitoring throughout the procedure. It is important to have a board certified anesthesiologist present during your rhinoplasty.

Dr. Funk is a nose surgery expert in Houston, TX.