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Rhinoplasty Before & After Photos<br />

Results by Dr. Vito Quatela<br />

Q: What activity restrictions are there after<br />

rhinoplasty surgery? A: One of the most<br />

important restrictions after rhinoplasty is that once<br />

your cast comes off, which is after a week, you<br />

need to be very careful about the sun. Sunburn<br />

would traumatize the skin and cause significant<br />

swelling. It is important for patients to wear<br />

sunscreen. We restrict aerobic activity for three<br />

weeks after surgery because elevating your blood<br />

pressure and heart rate is going to cause more<br />

nasal swelling.<br />

Q: What can I expect after rhinoplasty surgery?<br />

When can I go back to work?<br />

A: With a rhinoplasty you expect some bruising,<br />

surprisingly it’s not with the nose, it’s about the<br />

eyes, and there’s a cast on your nose. For the first<br />

week, most people don't go in public because of<br />

the cast and bruising. After a week, the cast comes<br />

off, the bruising is diminished by at least 50-75%<br />

and it’s more easily covered with makeup. Some<br />

people will go back to work when the cast is<br />

removed and just use camouflage makeup. I<br />

recommend that people take two weeks off<br />

because nasal swelling is down, you're breathing<br />

better and the bruising is almost gone.<br />

I believe that primary rhinoplasty takes a year for<br />

full settling to occur. There are little changes along<br />

the way that result as the skin shrink-wraps to the<br />

framework.<br />

The key is to get the skin envelope to cooperate with<br />

what you’ve done to the structure of the nose so it<br />

translates through the skin, and that’s what happens<br />

during that first year.<br />

The nose looks quite good prior to a year because<br />

most of the result is front-ended so that a month<br />

afterwards you’re looking at 75-80% of the result.<br />

The last 10-15% of the result occurs over the course<br />

of the year.<br />

Q: How do I know if I’m emotionally ready for<br />

nose surgery? A: The most significant change,<br />

structurally, that I can make in someone’s appearance<br />

is a rhinoplasty. It really is an important decision in<br />

someone’s life, and you have to be certain that you<br />

are prepared for this change. To see yourself in<br />

different views is so important. Computer imaging<br />

has enabled us to eliminate some patients for whom<br />

the change could be too drastic or inappropriate. The<br />

other thing that computer imaging does is it prepares<br />

you for the change. You’ve already seen what you<br />

may look like and provided that your end point is the<br />

same result that you derived on the computer image,<br />

you’re more mentally prepared for that. Anybody who<br />

is truly motivated is ultimately happy and gets through<br />

that period after surgery very nicely.<br />

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