Rhinoplasty

Rhinoplasty is a reconstruction surgical Nose procedure mainly two types

• Reconstructive Surgery: This is done to restore normal anatomical function of the Nose, which are damage due any physical force or genital bone deformities. 
• Cosmetic Surgery: This procedure done for aesthetics purpose to make nose out line near to facial   golden ratio. This manly include changing the shape of the nose, removing bumps, adjusting the width of the nostrils without disturbing anatomical function

Rhinoplasty is a complicate methodical procedure where geometric calculation as to be consider around Nose. The nose is a seemingly simple human organ that has a 3D shape and is right there in the middle of the face. If is often what most people notice first when they meet a person. The changes though small can make a major difference in the form and function of a human nose. There is no one set of common plans or procedures, the surgeon has to plan and prepare each surgery for each patient differently.

Rhinoplasty, as with any major surgery has risk and following are some of them..

1. Bleeding may occur from time to time

2. Scarring or postoperative deformities may occur.

3.The patient may have difficulty breathing immediately after surgery.

4.May require further surgery.

5.Patients have to use nose strap for 30days

What is to be done after surgery?

1.It goes without saying: DO NOT BLOW YOUR NOSE TO CLEAR IT..

2.Never remove your nose strap for 30 days

3.When the nose is bandaged do not take showers when bathing.

4.Avoid any activity that requires great physical effort

5.Constipation makes strain, which puts pressure on the face, which is not recommended. Eat lot of high fibre foods

6.Try to laugh or smile gently. Extreme facial expressions can cause problems.

7.When one is brushing the teeth try to limit the movement of the upper lip.

8.Wear clothes that open and close at the front. Avoid t-shirts or sweaters that you have to pull over your head.

9.Try not to wear eyeglasses or sunglasses for four to five weeks after surgery.

10.If you do have to go outside in the bright sun for any extended period of time, always remember to put on sunscreen ointment on you face, especially the nose. Otherwise, there may be permanent uneven discoloration of the skin.

Small changes, often measured in millimeters, can make a big change in how the nose looks. An experienced surgeon can most often, get the results that the patient expects. Sometimes, this may not be enough and a second surgery may be necessary. This, however, will necessitate the waiting period of at least one year as the nose can change during this period.

Blog reviewed by: Dr Aarti
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Will My Breast Implant Affect My Mammogram?

Have breast implants? Or thinking of getting implants? You might have a concern that a breast implant will make it hard for your doctor to detect and treat breast cancer. The great news is that having breast implants doesn’t keep you from being able to get your annual mammogram. 

How breast implants affect mammogram test?

Breast implants placed above the muscle (subglandular) can potentially reduce the chances of interpreting mammogram because not all the breast tissue can be visualized.
Implants placed beneath the muscle (subpectoral) are much less likely to interfere with the radiologist's ability to interpret the mammogram. Mammograms are considered as an effective way to screen breast cancer in women with breast implants.

How does getting a mammogram with breast implants work?

Getting a mammogram screening with breast implants, differ from the regular mammogram procedure. Since the X-rays used in mammograms are not able to capture images through the implants, technologists rely on implant displacement views to see the tissue behind and around it.
Implant displacement views consist of 8 breast pictures, instead of the usual 4, which are taken while the implant is pushed back against the chest wall and the breast tissue brought forward. This may feel very uncomfortable for women with breast implants, particularly if they have a lot of scar tissue. How ever, it is the best way for capturing clear images of the breast.

How to make my mammogram successful?

 

If you have breast implants, you can take steps to make your mammogram more successful, such as:

• Getting familiar with your implants is the first step: After the breast implant, it’ll take a while to get used to your new breasts because they’ll have a different texture. They’ll also have new folds or dimples which may create discomfort for you during the initial period. After you get comfortable with your new breasts, you will not have any problems in noticing changes. Women with implants can sometimes even notice changes more easily than women without implants.

• Find a facility that sees many women with breast implants:
  Seek the help of an expert caregiver or radiologist who has experience in performing and reading mammograms of women with breast implants. Ensure staff are experienced, when you make your appointment. You must know that the clinic obtains special mammogram views in addition to the standard mammogram images to better evaluate the breast tissue.
   
• Explain your medical history:
  When you make your appointment, and also when you arrive at your appointment, speak up about your breast implants.
   
• Seek immediate medical attention if there are any abnormalities: If you have noted changes in your breast or if you have concerns, tell your doctor promptly. Your doctor will talk with the radiologist to decide whether you need additional imaging or breast ultrasound.

Whether you have implants or not, becoming aware of your breasts and go in for regular breast screening exams.

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