The Mandell-Brown Plastic Surgery Center
Nose Surgery (Rhinoplasty)
Cincinnati - Dayton - Ohio
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Nose (Rhinoplasty)

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FAQs
Preop Info
Postop Info

Thinking about changing your nose? You are not alone. According to several polls, 20% of Americans are dissatisfied with their nasal appearance. Rhinoplasty or nose reshaping comes from the Greek word “Rhino” which means nose and “plasty” which means to shape or mold. In nasal surgery, the plastic surgeon utilizes small incisions inside the nose to reshape the underlying bone and cartilage.

No other cosmetic procedure requires the skills of a sculptor balanced with the aesthetic sense of an artist. According to Cincinnati Magazine in a poll of 1500 physicians, Dr. Mark Mandelll-Brown was voted the BEST Cosmetic Surgeon—Rhinoplasty. Known for his natural look, Dr. Mandell-Brown is the number one choice of physicians in the Tristate area.

The key to nasal surgery is creating a natural nose that fits the individual’s face. During the consultation Dr. Mandell-Brown utilizes computer imaging to show potential goals of surgery. Computer imaging can not guarantee a particular result. Imaging does enhance communication between the patient and the physician. “Many of the revision nose surgeries we perform are for patients where the original physician did not utilize computer imaging. The physician performs what they like and the patient’s view may differ. It’s too late to discuss after surgery when the bandages are removed,” commented Dr. Mandell-Brown in a recent article for Creative Living.

It is critical with nasal surgery to maintain or improve the nasal airway. Function and appearance are important for the successful rhinoplasty. With newer techniques, recovery is quicker and easier. With one of Dr. Mandell-Brown’s techniques, packing is not required. Additionally, bruising is reduced with special attention to intraoperative care, vitamin use, and post- operative care.

Some surgeons routinely make incisions on the underside or outside of the nose. Dr. Mandell-Brown prefers to use incisions inside the nose which are hidden. Only in certain revision cases does Dr. Mandell-Brown recommend the colummela or outside incision.

Realistic goals are important. The determining factor for the final result depends on the patient’s skin. The thinner the skin, the more dramatic result. Those individuals with thicker skin, the underlying changes to the cartilage and bone will be less dramatic.

When breathing problems exist or recent nasal injury has occurred, insurance coverage may help reduce the rhinoplasty costs. This can be determined at the time of your consultation.

Photo Gallery

Rhinoplasty

Rhinoplasty

Rhinoplasty (Frontal)

Rhinoplasty (Side)

Rhinoplasty

Rhinoplasty (Frontal)

Rhinoplasty (Side)

Rhinoplasty

Rhinoplasty

FAQs

Q. Does rhinoplasty mean you use plastic in the nose?

A. No, rhinoplasty is derived from the greek words rhino(nose) and plasty(shape or mold). Occasionally, grafts of cartilage, bone, or silastic implants are utilized to build up the nose. This is based on individual analysis and discussed during the consultation.

Q. Do I have to be put to sleep for nasal surgery?

A. No. I prefer twilight anesthesia for my patients. Some surgeons prefer general anesthesia where a tube is placed into the windpipe to enable the patient to breathe during surgery. With twilight anesthesia (also known as IV sedation) there is less nausea, less bruising, and it is easier to shape the patient’s nose to their face without the general anesthesia tube in the way. With modern pharmacologic agents, the patient has no recall of the surgery and can not feel anything. It is similar to a deep state of sleep walking—the patients are in a near sleep-state but still breathing for themselves.

Q. Why don’t you pack the nose like other doctors?

A. I utilize a special suture to sew the lining back in place instead of using packing to hold the lining in place. It takes special skill to use this suture technique but I believe it is better for the patient. Sometimes I use plastic splints in the nose to help keep the nose straight internally. However, these splints have a breathing channel so air can flow through the nose. The plastic splints, if used, are removed one week after surgery.

Q. How long does nose surgery take?

A. Typically, rhinoplasty surgery takes one to two hours.

Q. When do I look decent to go out after a nosejob?

A. Most of our patients take a week to recuperate. Some with desk jobs can return to work in three to four days. The patient wears a protective splint on the nose for one week. If your job requires more rigorous activity, we suggest five days off.

Q. Do you do a standard “nose job”?

A. Definitely not! I strive to make the patient’s nose fit their face. Since each patient is uniquely different, each procedure is tailored to the individual patient. Many surgeons, however, perform a routine rhinoplasty
.

Q. Have you done a rhinoplasty on anyone famous?

A. Yes, but we don’t reveal them.

Preoperative Preparation for Rhinoplasty Surgery
So you have decided to have nasal surgery. How do you prepare for your procedure? Before the surgery, Dr. Mandell-Brown’s office will send you a list of items to get and medicines to avoid. The following should help.

Two weeks before surgery avoid the following:
1. Aspirin Products-
affects platelets and leads to more bruising

2. Advil, Motrin, etc…-
may affect platelets and can possibly cause bruising

3. Vitamin E-
studies show this vitamin can affect platelets

4. Herbal Products-
many of the natural occurring herbal items can affect platelets and bleeding factors, so stop 2 weeks before.

For example:
Ginseng-
can be associated with increased blood pressure and heart rate. It may also increase bleeding.
St. John’s Wort-
may prolong effects of anesthetic agents
Echinacea-
may reduce your immune system
Feverfew-
may increase bleeding
Garlic-
lowers blood pressure but may increase bleeding
Valerian-
may prolong anesthetic agents

One week before surgery start the following:

1. Dr. Mandell-Brown’s office should have sent a vitamin packet. Start taking Vitamin B and C each day for a week before and then continue for a week after the surgery. These two vitamins help the tissues heal after surgery. Do not take more than the one
   vitamin each day.
2. Purchase the following items to be used after surgery:
   • Peroxide
   • Q tips
   • 2x2 gauze pads
   • ½ inch paper tape
3. Purchase your prescriptions from the pharmacy.
4. Make sure you have your history and physical completed along with any recommended lab work.
5. Relax the night before surgery. Do not eat or drink anything after midnight.
6. The morning of surgery thoroughly wash your face and hair before arriving at
   The Mandell-Brown Plastic Surgery Center. Remember, no coffee or other fluids.

Postoperative Instructions

Information coming soon...