Rhinoplasty (Nose Job, Nose Surgery) Questions and Answers

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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?

Answer:

call the doctor who did your surgery and be re-evaluated.

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.

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?

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.

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?

Answer:

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

Question:

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

Answer:

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

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.

Answer:

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.

Question:

My Father who is 67 years old, recently had corneal transplant surgery. Myself (38) and my older brother (40) have been disagnosed with the same condition...corneal guttata. Can you give me more information on this disease? My brother and I both experience very blurred vision early in the morning and late at night with much sensitivity to light. The eye doctors we have seen have basically told us there is no option for us other than transplant surgery, which they obviously don't reccommend at our age. After seeing what our Father has gone through with his transplant, with infections and not much improvement in his vision that option looks pretty bleak to us unless the future holds more technology that could help our condition. I noticed on one of your "Ask A doc" message boards that a doctor responded stating that there were some eye drops and ointments available that were helpful? I have used Muro128 in the past, but it didn't seem to help much. Is there something else that we could inquire about?

Answer:

Dear Marie, I'm afraid you need to re-direct your questions to a "corneal specialist". I personnaly do only "laser vision correction". Sincerely, Dr. Alexandra Chebil, M.D.

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.

Answer:

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.

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?

Answer:

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.

Question:

I under went rhinoplasty in Dec.'98. Aside from the fact that my nose looks somewhat 'lopsided' since the surgery, I have some form of tissue or cartilage that protrudes under the skin inside my nostril that is uncomfortable when I move it. But more importantly, I am still having just as much trouble breathing now as I did a month after my surgery. The problem is that it has kept me from being able to engage in aerobic activity and it has caused me to have frequent migraines. I have to constantly take many over the counter drugs (i.e. vapor-rub,nasal decongestants) and have trouble sleeping at night because of the trouble breathing. Please help, I need some advise as to whether I should go see a physician or will this pass with time? Is this malpractice?

Answer:

Your first step should be tp return to the surgeon who did your original surgery and ask him to evaluate your concerns and discuss with you what might be done to improve your situation. After you have had that consultation, you may wish to see another surgeon for a "second opinion". Most surgeons would wait at least one year from the time of the last surgery before considering a secondary surgical procedure.

Question:

My 66 yr. old mother has inflammation/redness in one eye. It does not have any other symptoms of conjunctivitis, i.e. itchy, discharge, only a blood-red appearance. Her physician's sched was too full to see her, and called in a prescription for antibiotic drops. She does take high blood pressure meds, and estrogen replacements. She is due to have surgery to correct a fallen bladder this week, and we need advice as to what the eye problem might be if not cunjunctivitis, and how her prescriptions may affect this, or if she is even alright to procede with surgery. Thank you.

Answer:

You really need to have an eye examination to diagnose this problem. If you would like to schedule an appointment please call our office at 1-800-824-1073.

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:

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.

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