Patients are advised not to eat or drink after midnight prior to surgery on the day of the surgery. Also, it is advised to not have alcohol intake for a minimum of two weeks before surgery. Patients will be provided with specific instructions, including Dr. bandy’s vitamin protocol, during their pre-operative appointment..
You may have the options of being awake or asleep for rhinoplasty, depending on how detailed the surgery is. For a Complete Rhinoplasty, it is recommended for a general anesthesia rather than just a local anesthesia, because there will be times that it may not be tolerable for the patient.
When having surgery under a local anesthesia, the most painful part of rhinoplasty will be during the injection of the local anesthesia into the nose to get the nose numb. After you are numb, there will only be the sensation of pressure and touching, but no pain. With a general anesthesia, you are asleep prior to the local being injected. After surgery, you may feel some soreness, however, most patients simply describe a feeling of a pressure similar to a cold or sinus congestion.
If you are sick, you should check with your surgeon, as you may have to reschedule the surgery until you are well.
The timing of results depends on the patient’s own tissues. Sometimes you see immediate results after removal of the splint. However, there will be some swelling. Other times, it takes a whole month to six (6) weeks to see results, because of swelling and thickness of the patient’s skin and tissues. Final results take up to a year to see, when all swelling has subsided.
If the incisions are inside the nose, you would not see the scars. To reduce scarring, it is recommended to avoid the sun exposure or wear a good sunscreen and or silicone sheeting.
If you are having a general anesthesia, you will need someone to drive you home after surgery. Patients are able to drive home on their own if they are having a local anesthesia with no other oral medications or IV medications.
Do not pick at the sutures, or tapes on the nose. If you have to sneeze, you should sneeze with mouth open. This allows for less pressure in the nose when sneezing.
You should refrain from any kind of contact sports from the first 6 weeks after a rhinoplasty surgery and high impact workouts that elevate the blood pressure.
Rhinoplasty cost varies depending on the intricacies of the surgery. During your consultation, pricing specific to your case will be provided.
The cost of rhinoplasty varies depending on what needs to be done to achieve the patient’s goals. Tip Plasty (where just the tip is being operated on) can range from anywhere between $2,500 to $6,500 depending on what type of anesthesia is being performed, and the amount of work that needs to be done to achieve the intended results.
A Complete Rhinoplasty can range from anywhere between $6,800 to $14,000 depending on the complexity of the case. Complete Rhinoplasty may be performed for a primary rhinoplasty (first time having rhinoplasty done) or reconstructive rhinoplasty that is being performed as a secondary surgery, or in situations where there has been an injury or previous damage. It is normally more expensive with the second or third surgery, because you will likely have more scar tissue and work involved. Sometimes you need to have cartilage harvested from different areas such as the ear or even the septal cartilage to reconstruct the nose.
The cost for septo-rhinoplasty typically ranges between $8,500 to $15,000. Although some of it can be considered cosmetic, some of it may also be considered reconstructive. Thus, there may be some coverage through insurance companies for septo-rhinoplasty. Patients are recommended to be aware and take caution with insurance companies, because even if you get prior authorization, it does not mean that the insurance company will pay; they may evaluate it and determine it was cosmetic.Some patients that have done primary rhinoplasty end up with partial blockage of the airway. Thus, a cosmetic surgery might turn into reconstructive matter. Some of the patients that come in to see Dr. Bandy are patients that have had such blockage caused prior by previous surgery.
The patient has multiple financing options. For example, the patient can pay for the surgery on credit card, and make monthly payments back to their credit card. Additionally, CareCredit is a financing company specific for cosmetic surgery; patients can apply for CareCredit, and there are multiple options for CareCredit. Sometimes, patients opt to make payments directly to the office. This is a prepayment plan where a patient would pay until he or she pays the entire balance for the surgery; then, they would have their surgery.
Typically, no external splint is required if you do not need to break the bones of the nose, and are just working on the cartilage of the tip. Only tapes are required to support the cartilage. The tapes can typically be removed within three (3) to five (5) days. You will experience some mild soft tissue swelling. Patients are able to return to work as soon as they feel comfortable with their appearance. Often times, surgeries can be performed on a Friday and you can be back to work on a Monday or Tuesday.
A Complete Rhinoplasty is a procedure where all the tissues of the nose are addressed. For proper healing after the procedure, an external nasal splint would be required and possibly nasal packing. If the packing is necessary, then the packing will be removed on approximately the third to fourth post operative day. The splint will be removed around the fifth (5th) to seventh (7th) post operative day. The majority of people having a Complete Rhinoplasty will require approximately a week downtime prior to returning to normal activities. Again, for a simple Tip Plasty, you only need a few days. For a Complete Rhinoplasty, you typically need a week off.
We do have a post operative recovery facility that we refer our patients to in Orange County, CA and Los Angeles, CA. In these situations, they will be picked up by the post operative care facility from our recovery room and brought to the recovery center where they are recovered overnight, and then brought back the next day for their follow up appointment.