Philadelphia Facial Plastic Surgeon - Dr. Jonathan Pontell, MD, FACS
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The Aesthetic Facial Plastic Surgery Center
Phone 610 405 6303
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When using grafts for a nose job, how are they secured so that they don’t move around?
I use many cartilage grafts in rhinoplasty. Most of the grafts are sewn in place so that they don't move. Occasionally, they are placed in a precise pocket that holds the graft in place and doesn't require any sutures.
Are there any risks associated with the use of grafts for rhinoplasty?
There are no surgical procedures that don't have any possible risks. I use cartilage grafts in almost every rhinoplasty in Philadelphia. Typically, I use nasal septal cartilage and occasionally ear cartilage. I can't recall any complications from these grafts, but complications are always a possibility. Very rarely, the grafts don't take.
I saw on TV that a 13 year old girl had a nose job and I was completely shocked. I thought that this age was way too young, am I correct?
Yes, I agree with you, 13 years of age is too young. I do rhinoplasty on girls at 15 years of age and boys at 16 years of age. I would not operate on adolescents younger then this as not enough facial growth has occurred prior to these ages.
During rhinoplasty, is it possible for the patient to wake up? For some reason this terrifies me. What type of anesthesia would ensure that I didn’t wake up during the procedure?
It is possible for patients to wake up under sedation anesthesia for rhinoplasty, but this is very unlikely. If the anesthesiologist sees the patient starting to wake up, the sedation medication is increased so the patient goes back to sleep. I do most rhinoplasty surgery in Philadelphia under general anesthesia and patients do not wake up during the surgery with this technique.
I had tip work done on my nose and it was only supposed to be the tip that was worked on. However, my entire nose looks swollen and awful. Is it normal for the whole nose to be swollen even though only a portion of it was actually worked on? When can I expect the swelling to go away?
Even though you only had a tip rhinoplasty in Philadelphia, the skin on the entire nose was probably lifted up. This causes the entire nose to swell. In my experience, most of the swelling goes away in the first month or so and the rest of the swelling goes away over the next 11 or so months. Even though the nose is swollen after surgery, the nose should have a better shape and typically looks better even immediately after the cast is removed
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