Potomac Plastic Surgery® Blog

Septoplasty: No Nasal Packing?

Can I have deviated septum surgery without cotton nasal packing? Yes, one does not absolutely need cotton nasal packing after septoplasty or deviated septum surgery. Most plastic surgeons and otolaryngologist use cotton packing temporarily to help control natural bloody oozing following nasal surgery. This nasal discharge after surgery is the worst the first day, but often takes several days to resolve. Some surgeons may also use temporary silicone splint to help support the septum during the healing period. You may have a little extra nasal mucous discharge or nose bleed after surgery, if packing is not used. The amount of … Continue reading »

Rhinoplasty: Nasal Congestion after Surgery?

Yes, rhinoplasty or cosmetic nasal surgery may contribute to breathing problems with the nose. Nasal congestion may either be immediate or chronic with rhinoplasty / nose job surgery. Most immediate nasal congestion after rhinoplasty surgery is due to normal postoperative swelling. A majority of this internal, as well as external, swelling resolves within a couple weeks. However, it may take a couple months for the final internal swelling to resolve. Some surgeons use cotton nasal packs or silicone splints after surgery. Normal crusting and scabs inside the nose also keep the breathing down after surgery. Long-term nasal congestion after nose … Continue reading »

Botox: Baldness Cure?

There have been reports in the media recently that some doctors use Botox Cosmetic for hair loss. Initial reports sound promising. The truth is Botox is not FDA approved for hair loss, and physicians are using the medication off-label. Unfortunately, there aren’t any research articles in the medical literature that supports Botox injections for hair loss. There have not been any well-documented results with this application. Risks and side effects are unknown with this application. Long-term results are also unknown. Botox Cosmetic may be a potential treatment option for baldness and hair loss. However, plastic surgeons and dermatologists should do … Continue reading »

Rhinoplasty: Cast & Swelling at 1 week

Swelling following rhinoplasty surgery occurs both on the outside and inside of the nose. All patients feel congested and have nasal congestion and postnasal drip immediately after rhinoplasty surgery, which is normal. Normally, patients are socially acceptable within 2 weeks. Most nasal swelling after rhinoplasty resolves within one month. The final 20% of rhinoplasty swelling takes a much longer time to resolve, up to a year or longer after surgery. Fortunately, this final swelling is usually only evident to the surgeon and patient. Patients are anxious at the one week office visit to the plastic surgeon, and they have great … Continue reading »

Rhinoplasty: Nonsurgical with Injectable Filler

Be very careful with any cosmetic injections into the nose. The nose is very susceptible to discoloration, swelling, ischemia, pain, numbness, and other potential complications with inappropriate injections into the nose. There isn’t an injectable filler on the market currently that is FDA approved for injection into the nose. Everything is being used off-label for non-surgical rhinoplasty. Fillers should never be placed into the tip of the nose. Complications usually occur at the nasal tip. Fillers should only placed in the bridge to help smooth contour irregularities and minor augmentation. Fillers which have been used for nonsurgical rhinoplasty include Radiesse … Continue reading »

    Houtan Chaboki, M.D.