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Recovery from Rhinoplasty (Aesthetic Nasal Surgery)

Here are some tips for your recovery period to make it much easier. Elevate your head at all times to keep swelling to a minimum. Apply ice bags to your eyes and cheeks as much as possible for the first 48 hours after the rhinoplasty. However, make sure not to get the nasal cast wet or put any pressure on it. It is recommended to stick to a liquid diet the day of the surgery. You will be able to resume a regular diet the next day. You will probably have some bloody nasal discharge for two to four days after your rhinoplasty surgery. Change the gauze pad under your nose as often as needed. Do not rub or blot your nose as this will lead to irritation. It is also normal to have a small amount of blood drip down the back of your throat. Should quick/brisk bleeding occur, lie down flat with your head slightly elevated. Apply fresh compresses to the nose. You may also be instructed to use Afrin nasal spray on a limited basis. Call the office if bleeding lasts for longer than 30 minutes. To prevent post-operative bleeding, do not sniff or blow your nose for the first two weeks after surgery. Try not to sneeze, but if you do, sneeze through your mouth. The day after surgery, begin to clean the edges of your nostrils to remove crusts. Use a Q-tip dipped in hydrogen peroxide. Strenuous activity should be restricted for at least two weeks after surgery. After two weeks, you should slowly increase your activities back to normal by the end of the third or fourth week. Avoid contact sports and any direct, physical contact to the nose for four to six weeks.

 

Some more general information for after your rhinoplasty surgery includes coming in around seven days after surgery at the office. At that time, the nose will appear better but still swollen. You will not see the final results right away. Much of the swelling will subside rapidly over the next few days to weeks. However, it usually takes about a year for the last 5 percent of swelling (usually in the tip of the nose) to disappear. The tip of the nose will feel numb and occasionally the front teeth will feel “funny”. These feelings will gradually disappear as well. The inside of the nose will also be swollen. This will result in difficulty breathing which will progressively improve with time. After the cast is removed, the nose can be washed gently with a mild soap and makeup can be applied.

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How Rhinoplasty Surgery Works and What to Expect

On the day of surgery, you will go to the surgery center where you are having the procedure done. There, you will be checked in by the nursing staff. This process consists of you filling out several forms asking for an emergency contact number, current information, and any new pertinent medical information. A member of the medical team will want to ensure you have a driver with you. You will also have to sign a form indicating that you understand and accept the risks of the procedure if you have not already signed this form prior to the surgery day. You will then be asked to change into a gown, go to the bathroom, remove any contact lenses, dentures, or other small items you may be wearing. You will meet with your surgeon before the surgery begins and they will go over the procedure with you again and explain the anesthesia that will be used.

 

After this process, you will have an IV inserted by the nursing staff and they will also administer antibiotics to you as part of readying you for your surgery. Once in the operating room, the staff will prepare you for surgery. . The anesthesia team will then administer medications to relax you and put you to sleep. As you drift off, the anesthesia doctor may ask how you are feeling to provide them with additional feedback on how the anesthesia is working. The surgical team will then cleanse your skin with antibacterial solutions and place sterile drapes and towels around your face to also help prevent infection.

 

A rhinoplasty is designed to reshape the nose and make it appear more aesthetic. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During the rhinoplasty surgery, incisions are made to access the bones and cartilage that support the nose. The incisions are made inside the nose so that they are almost invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another body party or synthetic filler). After reshaping the bone and cartilage, the skin tissue is redraped over the structure of the nose. A splint is then placed outside the nose to support the new shape of the nose as it heals. Most patients prefer general anesthesia but some may elect to have a “twilight sedation” or intravenous sedation. Rhinoplasty surgeries can change the size, shape, and angle of your nose and bring it into better proportion with the rest of your face. Rhinoplasty can also correct structural problems with the nose that cause chronic congestion and breathing problems.

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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Preparing for Rhinoplasty Surgery (Aesthetic Nose Surgery, aka “Nose Job”)

At your pre-surgical consultation that usually takes place two weeks before your actual surgery, you will receive an information packet that explains everything you should do and know before and after your rhinoplasty surgery. It will include information on where the surgery will take place, what time it will take place, and what time you need to be there before the surgery. The packet will also include information on the medications you should not take in the weeks leading up to your surgery. Additionally, most patients will also get routine blood work done before.

 

Preparation for your surgery begins two weeks before the actual procedure. In this time frame, you must stop taking aspirin and products that contain aspirin. We recommend that you begin taking vitamin B complex. Also, if you plan on wearing tinted glasses, like sunglasses, start a couple weeks before to get people accustomed to seeing you with them on. Additionally, you may wish to arrange an appointment with your family doctor to have a pre-op history and physical exam completed prior to surgery. If you smoke, stop smoking at least 6 weeks before surgery and do not start again until at least two weeks after your surgery date. Smoking significantly impairs your circulation and slows down healing. It is also very important to inform one of our staff if you develop an illness prior to your surgery date.  

 

Two days before your surgery it is also important to prepare for your surgery.  It is important to prepare for your recovery now, which begins with preparing ice cold compresses (small zip-lock baggies with frozen peas or corn) for after you return home. Also, go to the drug store and fill all prescriptions you will need. It is important to get 2×2 inch gauze squares, paper tape, Q-tips, Dial antibacterial soap, and hydrogen peroxide. Go to the grocery store as well to buy some “light foods” such as juices, teas, soup, toast, eggs, oatmeal, jelly, etc. Lastly, begin taking Arnica Montana (3 tablets, 3 times daily).

 

The evening before your rhinoplasty surgery you should wash your face with Dial antibacterial soap for 3 full-minutes. Do not eat after 12:00 midnight the night before your surgery. It is important to get a good night’s rest to increase the chances of a speedy recovery. It is also very important to make some jello, pudding, eggs, oatmeal, etc. for after surgery.

 

The day of your rhinoplasty surgery do not eat or drink anything prior to surgery. Wash your face with Dial antibacterial soap and do not wear any face makeup or lipstick, etc. Do not wear wigs, hairpins, hairpieces, or jewelry to the surgery. Wear loose, comfortable clothing and do not wear pullover tops or panty hose. Have someone drive you to your surgery and make sure a responsible adult will be able to drive you home and stay with you for 24 hours. If you take any medications on a daily basis, check with your surgeon to see if they want you to take them on day of surgery.

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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An Overview of Rhinoplasty (aka “Nose Job” or Surgery to Reshape the Nose)

A rhinoplasty (also known by many as a “nose job”) is a surgery to reshape the nose. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During the rhinoplasty surgery, incisions are made to access the bones and cartilage that support the nose. The incisions are made inside the nose so that they are invisible after the surgery. Sometimes, it is necessary to make a very small incision underneath the nose as well. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another body party or synthetic filler). The bones may need to be moved or “broken” in a very controlled fashion to make your nose narrower. After reshaping the bones and cartilage, the skin is then redraped over the underlying structures of the nose. A splint is then placed outside the nose to support the new shape of the nose as it heals. Most patients prefer general anesthesia but some may elect to have a “twilight sedation” or intravenous sedation. Patients generally do not need to stay over night after the procedure and go home a few hours afterwards. Rhinoplasty surgeries can change the size, shape, and angle of your nose and bring it into better proportion with the rest of your face. Rhinoplasty can also correct structural problems with the nose that cause chronic congestion and breathing problems.

Below is an example of a typical Rhinoplasty:

26 year old female who had “nose job” (rhinoplasty). The hump was reduced and the tip of her nose was reshaped.

 

If you are interested in scheduling a rhinoplasty surgery, please call Dr. Goldschmidt at (216)-264-8100 or fill out the contact form at the top of the page.

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Other X Factors That Can Influence Fat Tissue Health and Shape, Part 2: Life Changes

For both men and women, hormone levels change throughout the lifespan. Puberty and aging affect the hormones of both sexes, as well as pregnancy and menopause for women. And fluctuations in hormone levels, in turn, affect where and how our bodies store fat. Hormones such as leptin, insulin and ghrelin affect fat storage throughout the lifespan.

Sex Hormones and Fat Changes

Body fat can be a source of estrogen production, and both men and women can produce estrogen in their body fat. In women, estrogen is produced primarily by the ovaries, which produce more estrogen before menopause, than after. In addition, men’s bodies produce androgens in the testes, although the amount produced tends to decrease as men age.

Both estrogen and androgens affect not only how much fat the body stores, but where the body stores fat. Higher levels of estrogen are associated with fat storage in the hips, giving many women a characteristic “pear-shaped” look. Lower estrogen and androgens are also associated with fat storage around the middle, which can create an “apple-shaped” look in some people.

As a result, the location of a person’s body fat may change throughout the lifespan. Both men and women may find that fat accumulates around their middle as they age, and women may see abdominal fat increase after menopause.

Leptin and Ghrelin

Leptin is a hormone created within the body’s fat cells. From there, it moves into the bloodstream and travels to the brain, where it affects appetite. Leptin may be the reason someone experiences hunger when his caloric needs are being met. The connection between leptin and appetite continues to be studied.

Ghrelin, sometimes known as lenomorelin, also plays a role in appetite. Just as leptin signals to your body that you’ve had enough to eat, ghrelin signals that you are hungry and should eat. In addition, ghrelin plays a significant role in the body’s distribution and use of energy, and thus it may be involved in the body’s rate of calorie retention or burning.

Schedule an appointment with our Cleveland liposuction doctors at The Cosmetic Surgery Center by calling (216) 264-8100 today.

Below is an example of a typical result:

liposuction abdomen and flanks.

For a free, private consultation about your liposuction options in Cleveland, please call our team at The Cosmetic Surgery Center at (216) 264-8100.

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Other X Factors That Can Influence Fat Tissue Health and Shape, Part 1: Medication

After liposuction, it’s common for patients to focus on preventing the regrowth of fat. Understandably, you want the results to last, and you don’t want to start battling fat deposits in new areas of your body.

While you can influence your body’s overall health, including its fat deposits, through attention to diet and exercise, there are a number of “X factors” that also can be weight-gain culprits. One of these is medication.

A 2015 article published by the UC San Diego Health System noted that many drugs prescribed for high blood pressure, diabetes and depression may cause weight gain. Here, we discuss a few such groups of medications and their potential effects.

Antidepressants

Antidepressants have been linked to weight gain in a number of studies, whether they were classified as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), or tricyclic antidepressants. (Other versions, however, have been linked to weight loss.)

Antihistamines

How do medications meant to control allergies affect weight? Studies indicate that certain antihistamines target the H1 histamine receptor, which plays a dual role in allergen response and in satiation. Basically, the medicine that dampens our immune response may also be telling us “You’re still hungry” when we’re full. As a result, patients might eat more while taking allergy meds than they would otherwise.

Beta Blockers

Beta blockers are commonly used to treat high blood pressure and reduce the risk of heart attacks. However, some beta blockers on the market have commonly-experienced side effects like fatigue and sluggishness–so it is harder to exercise and easier to gain weight.

Diabetes medications

Diabetes medications are intended either to replace insulin in the body or to encourage the production of insulin by the pancreas. Since insulin is essential in fat storage and management, these medications can encourage the body to put on weight.

What should you do if you think your medication is adding to your weight? Do not stop taking your prescribed medication without talking to your physician. Instead, go to the doctor who prescribed your medication. Tell your physician about your concerns and ask about alternatives.

Your meds may be necessary to take care of your health. But being on medication may mean it is all the more important to keep up with your diet and exercise plan.

To learn more about your liposuction options, connect with our qualified Cleveland liposuction surgeon, Dr. Matt Goldschmidt, at The Cosmetic Surgery Center at (216) 264-8100.

Below is an example of a typical result:

liposuction before and after

 

To see more images, please visit our Before and After Gallery 

 

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The Right Diet to Follow After Surgery? Part 2: Advice for Your “Un-Diet”

The mechanisms by which each human body manufactures, stores, and burns fat are complex, unique, and governed by genetics. While your diet and exercise choices contribute to your health, they don’t change your genes. So how much power do you have to control your body’s fat after your liposuction?

The good news is that there are several guidelines that many clinicians can agree upon. And rather than restricting you to a “one size fits all” menu, you can use these guidelines as a framework to make your own preference-based dietary choices.

We explore some of the guidelines here, and the Nutrition Coalition provides a complete list on its website.

  1. A low-fat diet may not be the best choice. A low-fat diet has been associated with heart disease. Instead, focus on foods contain “healthy” fats and incorporate more of these into your diet.
  2. Consider a low-carbohydrate diet. Insulin is produced in response to food intake (carbohydrates in particular), and it plays a key role in fat storage and management. As a result, adding flavorful low-carb options into your diet may provide some benefits.
  3. Learn to love whole foods. Try replacing some of your favorite processed foods with their whole-food counterparts. Whole foods– including whole grains–provide vitamins, minerals and fiber that processed counterparts do not.
  4. Aim for the right amount of salt. A 2013 report by the Institute of Medicine concluded that, while too much salt is bad for human health, too little salt can harm you as well. Instead, research the recommended salt intake for your age and health, and aim for that amount.
  5. Move your body for enjoyment, rather than weight loss. Choose movement-based activities you enjoy, whether that’s running a 5k, tending your garden, or playing with your kids. Enjoying the activity is likely more important than what the activity is–because if you get something out of it, you’re more likely to keep doing it.

Curious about how you could transform your body with liposuction? Our experienced, careful Cleveland doctors at The Cosmetic Surgery Center can help. Call us today at (216) 264-8100 to set up an appointment with Dr. Matt Goldschmidt.

Below is an example of a typical result:

liposuction of the arms

To see more images, please visit our Before and After Gallery 

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The Right Diet to Follow After Surgery? Part 1: Why Traditional Diet Advice Might Not Work

After you’ve taken the plunge, talked to a doctor, and had liposuction performed, you want those results to stick around. If you’re like many people who struggled with problematic fat deposits, you’ve probably already tried dieting and exercise–and you may turn to them again. You may also wonder what diet advice to follow after your procedure.

While the overall health benefits of moderate exercise are well-documented, the science of dieting to address fat growth is more complicated. It isn’t as simple as “calories in, calories out.” Instead, each body has a unique pattern of generating fat, distributing it throughout the body, and storing the fat. This is all governed by a complex dance of hormones and enzymes, directed by the body’s genetic makeup.

In other words, your genes affect the fit of your jeans.

Diet contributes to an overall healthy life, just as exercise does. However, when it comes to fat generation, scientists debate what the “real” dietary villains are. In the past several decades, theories have ranged–from “eating fat makes you fat” to “carbohydrates are the real culprit.” Hearing this contradictory advice, many people have bounced from one diet to another, often in vain.

According to a letter signed by over 250 medical experts and published in the New York Times, insulin–a hormone secreted by the pancreas–plays a key role in the body’s fat storage and burning processes. The body secretes insulin in order to break down the foods we consume. How much insulin it secretes, depends on what kinds of food we eat. For instance, if we consume more carbohydrates, the body releases more insulin to deal with them.

Therefore, dietary choices may affect how the body stores fat, by regulating the flow of insulin into the bloodstream. As just one example, this may be the mechanism behind so-called “low-carb” diets–why controlling carbohydrates helps some people manage their weight, when if controlling calories did not.

Below is an example of a typical result:

Liposuction of abdomen and flanks

Liposuction of abdomen and flanks

To see more images, please visit our Before and After Gallery

Our experienced Cleveland liposuction surgeon, Dr. Matt Goldschmidt, at The Cosmetic Surgery Center can help you explore your liposuction options. Call us now at (216) 264-8100 to set up a free consultation.

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What to Expect, Long Term, From Your Liposuction Surgery

Once your surgical site has healed, the swelling and fluid retention have resolved, what comes next? What can you expect from liposuction surgery in the long term? Here, we talk about a few experiences that many of our patients share after liposuction surgery.

  1. It may take your mind a little while to catch up to the new reality of your body.

You chose liposuction because years of struggling with finding the right clothes, camouflaging your least-liked body features, and fighting a losing battle with diet and exercise. Before surgery, you may have been excited and exhilarated–looking forward to clothes shopping or to shedding your feelings of discomfort or embarrassment. But post-surgery, you may feel as though you’re still dealing with those same concerns.

Discovering some of your old insecurities are present may feel discouraging in the extreme. It may help to remind yourself that this is normal. You lived in your pre-liposuction body for many years. During that time, you developed a number of habits, from feeling self-conscious about your body to reaching for clothing to hide yourself. Retraining your mind takes time. Be patient. As you get more comfortable in your new body, you’ll develop new habits to match.

  1. Your fat cells won’t return….

“Fat” can be thought of as having two separate parts: the fat cells themselves, and the fat substance that fills the cells. When people “lose weight” through diet or exercise, they lose the substance inside the cells, but the cells themselves remain.

During liposuction, however, fat cells in the targeted area are removed from the body. Even if you gain weight, the bulges that were removed will not return, because there are significantly fewer fat cells in that area to create the “bulge.”

  1. …but it’s still wise to pay attention to a healthy lifestyle.

Despite the fact you have fewer fat cells in treated areas, you are not immune to gaining weight, and it’s possible to develop “new bulges” in other areas. Your body still contains fat cells, and that’s good for you. Some fat is required for healthy functioning.

Therefore, use your liposuction surgery as a great jumping-off point for a commitment to a new healthy lifestyle. Get out more. Discover new nutritious foods for your diet. Explore new exercises or physical activities you might enjoy. Doing so will maximize your surgical results, and it help you feel better, inside and out.

Below is an example of a typical result:

liposuction before and after

liposuction before and after

To see more images, please visit our Before and After Gallery 

For a free, private consultation about your liposuction options in Cleveland, please call our team at The Cosmetic Surgery Center at (216) 264-8100.

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Recovering From Liposuction Surgery

Although liposuction procedures have become safer and less invasive as new techniques have developed, liposuction remains a surgical procedure. Your body will still need to recover from the surgery. Here are a few tips to help your recovery process.

While you are recovering from liposuction surgery:

  • Put the doctor’s instructions in a prominent place. You may need to double-check these instructions several times over the next few days or weeks. Put them someplace you can do this easily, such as on your bedside table.
  • Use your compression garment. You may receive a compression garment to wear after surgery. Use it! This garment helps control swelling and pain, improve healing and the contour of the tissues, and reduce the risk of fluid accumulations (seromas). The more closely you follow instructions on wearing the compression garment, the better your results will be.
  • Be patient. Liposuction can cause significant swelling and fluid retention. In the first days and weeks after your procedure, you may see little to no change in your body shape. You may feel as if the area has gotten larger. In fact, your body may continue to “shrink” for up to six months after the surgery. (Consider waiting to buy new clothes until several months have passed.)
  • Limit activities. Moving too much or overexerting yourself too soon after surgery may reduce the effectiveness of your results–and potentially damage your body. Plan to do too little, rather than too much.
  • Pay attention to your body. Stay alert for signs of infection, like additional pain, tenderness, inflammation, discharge or fever. If any of these signs appear, don’t ignore them. Your body is trying to give you vital information about its health and safety. Contact your doctor at once.
  • Go to follow-up appointments. As the weeks pass, you may start feeling perfectly healthy again. Proud of what you see in the mirror, you may decide that your post-op appointments are a lower priority. Keep these appointments nonetheless. They help your doctor spot any early or developing medical issues, and they help ensure you can fully enjoy the results of your liposuction for years to come.

Below is an example of a typical result:

31 year old male for liposuction of the abdomen and “love handles”. Side view before surgery.

31 year old male for liposuction of the abdomen and “love handles”. Side view after surgery.

 

To see more images, please visit our Before and After Gallery 

Would you like to know more about your liposuction surgery options? Our experienced Cleveland doctors are standing by to assist: get in touch with Dr. Matt Goldschmidt at The Cosmetic Surgery Center at (216) 264-8100.

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