Nose Job (Rhinoplasty) Questions and Answers Archive

Sep
2000

Q&A: What should I do if I had jaw surgery for TMJ and now my other jaw is popping?

Question:

I have been diagnosed with DJD left TMJ. I have had surgery to correct but now the right side is popping and clicking. I don't seem to be able to find a way to chew that I can control or eliminate the popping. The closest I come is placing the food in my mouth then placing my hands on both sides of my jaw and chewing then repeating until my meal is finished. Any suggestions?

- Victoria

Answer:

 David A. King, DDS - LocateADoc.com

My first recommendation would be to follow-up with the surgeon that treated the other joint to re-eval both sides. These symptoms may be early changes that could be managed conservatively ie: soft non-chewing diet, physical therapy, bite splints etc.

-- David A. King, DDS
Wilmington, Delaware



Jun
2000

Q&A: What should I do to address my pain when my dentist nor my oral surgeon can find anything wrong?

Question:

One year ago, pain in the right side of my face was misdiagnosed by several doctors (as osteoarthritis, trigeminal neuralgia, and TMJ). About 6 months later, it was correctly diagnosed as a severe absess of a lower right molar, and an oral surgeon extracted the tooth and debrided the cyst of infection. Since surgery, I have had constant pain in the crown immediately in front of the extracted molar (which crown had a root canal many years ago).The pain has intensified and now radiates toward the right ear and down into the chin, with very tender spots along the right jaw bone. Neither my dentist nor my oral surgeon can find anything on recent x-rays/panoramics to explain the pain, and both say there is nothing more they can do. The oral surgeon did say that the cyst of infection was severe enough to have affected the bone and mentioned the necessity in some cases for a hyperbaric chamber. To whom can I go now? I cannot endure the constant pain, and I am concerned about the consequences to my health if left untreated. What should my next step be? Is there some discipline or test which can determine whether or not there is infection in the bone? I would appreciate your response. Thanks.

Answer:

I cannot give you an opinion based upon the information you have given. i.e. your age, sex, general health, occupation, past medical history, etc... may or may not be important with regard to the symptoms you express. I might suggest the following: 1) Make an appointment with the nearest University Medical Center for a complete physical examination. 2) be sure the Medical Center has an Oral and Maxillofacial Surgery department for consultation 3) helpful tests would be a complete blood work up, a bone scan, chest xray, etc... Your pain could be any number of things, from fracture of the roots of the tooth next to the cystic area to osteomyelitis(bone infection), to tumor metastasis from another location, and ANYTHING in between. Without more information and a complete exam I can't be of any more help.

--Charles R. McNamara, DMD
Winter Park, Florida



Jun
2000

Q&A: What should I do if I have pain in both jaws, neck and shoulders and sever headaches and was diagnosed with TMJ?

Question:

I have been diagnosed with tmj with degenerative joint disease for the past 8 years. Over the past year my symtoms, pain in both jaws, neck and shoulders and sever headaches have increased greatly. I am also diagnosed with fibromylgia. I am almost always taking antiflamitories, muscle relaxers and pain pills. In addition I take accupuncture tx. and occasionally physical therapy. I also do several other things for relaxation. My job requirs me to talk all day and this seems to be causing me increase symptoms. Is my only other option surgery or stop talking?

- Rhonda

Answer:

Can't make an opinion based on what you're stating. Surgery is usually a last option, have you had other opinions? If not, you should.

--Charles R. McNamara, DMD
Winter Park, Florida



Nov
1999

Q&A: What should I do if after 2 months post sinus surgery I get hollow breathing sound, colored discharge and headaches?

Question:

I had sinus surgery 2months ago. I am experiencing a hollow sound when i breath. I have been getting discoloration(yellow) from my nose and have been on and off of antiboiotics since the surgery. I have been getting headaches for about 1 week and I am wondering if all of this is normal. Especially the hollow sound?

- Amy

Answer:

Stephen A Imbeau, MD - LocateADoc.com

it sounds like you still have sinus trouble you need a BOard Certified Allergist who is interested in sinus problems BUT you also need to go back and see your ENT again

--Stephen A Imbeau, MD
Florence, South Carolina



Oct
1999

Q&A: Is there a surgery that can remove the bump on my nose without breaking it?

Question:

Is there a surgery that can remove the bump on my nose, without breaking it?

- Donna

Answer:

Jonathan Ross Berman, MD - LocateADoc.com

Absolutely, we perform many nosejobs. Many do not require the bones to be broken. Call us and check out our website at www.drberman.com. Thanks for your question. JRB

--Jonathan Ross Berman, MD
Boca Raton, Florida



Oct
1999

Q&A: What is the average cost of a nose job and where can I have it done?

Question:

I know the the price of plastic surgery varies from place to place and from doctor to doctor but could you please give me a approximate range of how much a nose job will cost? Could you also tell me where I can get this done? Thank you.

- Subroto

Answer:

Carmen Ann Paradis, M.D. - LocateADoc.com

The surgeon's fee for an average "nose job" would be about $3500. If only something minor was required it would be less, if more extensive, more. For a board certified plastic surgeon in your area contact www.plasticsurgery.org. Good luck Carmen Paradis M.D.

--Carmen Ann Paradis, M.D.
Cleveland, Ohio



Sep
1999

Q&A: If I had thin retinas prior to surgery and seem to be OK now, can I be a candidate for LASIK eye surgery?

Question:

I was diagnosed with having thin retinas and underwent surgery on both eyes to close numerous holes. I have a very high prescription and was told that this condition is common with people with such a strong prescription. I have been problem free for the last 7 or 8 year since surgery. I would like to know how this condition might effect my ability to receive lasik surgery.

- jim

Answer:

John D. Zdral, M.D. - LocateADoc.com

LASIK should have no effect on the retina, as the procedure is done on the surface of the cornea. Before the procedure, I would have a retina specialist do a screening, since you have had previous surgery, but after obtaining a clearance, there would be no other problems. Virtually all patients we treat are near-sighted, and therefore have longer eyes and "thinner" retinas. If you would like to schedule a complimentary consultation, please call Pam, our laser vision coordinator, at 1-800-824-1073.

--John D. Zdral, M.D.
Fullerton, California



Sep
1999

Q&A: What could be happening if I still have burning eyes after treatment for Rosacea post cataract surgery?

Question:

My cataract operation was April 19, almost 5 months ago, and my eye has been burning ever since. My doctor calls it rosacea stemming from skin around the eye (though I had never had the problem before). He prescribed eye scrub and Noritate applied under the eye once/day. Two weeks ago dermatlogist was very indecisive about whether he was even seeing rosacea, but he prescribed tetracycline. Still have burning eye.Other possible diagnoses?

- John

Answer:

Byron Stratas, M.D., F.A.C.S. - LocateADoc.com

Rosacea, blepharitis, and dry eye (tear dysfunction) could be part or all of the problem. You probably never noticed it. Then you were on anti inflammatory medication after cataract surgery. Now that you are off the medication you feel the difference which you had grown accoustomed to before.

--Byron Stratas, M.D., F.A.C.S.
Wilmington, North Carolina



Aug
1999

Q&A: How effective are the eye lens implants for cataract surgery and how long do they last?

Question:

My wife, 30 years of age, has recently been diagnosed with cataract. She is not diabetic and never used steroids. She has been healthy all her life. My question is how effective is Intra occular lens surgery in restoring normal vision. Also how long do these lenses last? thanks for your reply in advance.

Answer:

John D. Zdral, M.D. - LocateADoc.com

Small incisiion cataract surgery is very successful at restoring vision. The lens implant that is used is permanent and will never degrade. The healing is very rapid and your wife should expect excellent vision afterwards. For an evaluation in the office please call 714-879-7372. Thank you. Sincerely, John D. Zdral, M.D.

--John D. Zdral, M.D.
Fullerton, California