Rhinoplasty (Nose Job, Nose Surgery) Questions and Answers

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

Paul Nassif, MD
Beverly Hills, CA

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.

Brent Murphy, M.D.
Atlanta, GA

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.

Paul Zwiebel, MD
Littleton, CO

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.

Question:

I have 2 questions: 1. My daughter who is nearly 7 years old, has inherited Class III, skeletal malocclusion. Two out of three orthos we've consulted recommend starting treatment right now. Treatment would consist of expanding the upper arch and the use of a chin cup with anterior traction to upper teeth. We've read studies that indicate that in the short-term results from this treatment are very effective but that long-term, growth of the lower jaw can resume, in adolescence. What is the success rate for permanent treatment of class III at an early age? Can early treatment lead to greater problems later on to correct additional growth at a later age? Do you recommend treatment at this age? 2. My other daughter who is nearly 9 has excessive overcrowding. Two orthos we've consulted recommend we wait until more adult teeth come out. One ortho recommends the extraction of 7 baby teeth and the use of a space maintainer to allow more room for the adult teeth. Do the baby teeth not already act as a space maintainer, therefore making this apparatus unnecessary? Is there a chance that her jaw will develop normally allowing room for all her adult teeth? What do you recommend? Any info. you can provide would be greatly appreciated, as we are a little confused given the differences of opinion. Thank You

Answer:

1) Class III malocclusions are very difficult to correct. If the discrepancy between the upper and lower jaw is too great, jaw surgery in combination with orthodontics is required to achieve a correction. Consequently, children in the 7 to 9 year range who demonstrate class III growth are frequently treated to re-direct this unfavorable growth. I treat each patient individually addressing their specific circumstances. Sometimes I do begin treatment at 7 years of age. 2) While I can't diagnose a patient without seeing him/her, generally the space for the permanent teeth in front of the first permanent molars has been determined as soon as these molars erupt. There are appliances available to expand the dental arches to some extent. Although all orthodontists have similar goals for the patient, the method of achieving those goals can vary from orthodontist to orthodontist. Sometimes there can be a significant variance in the treatment plan.

Question:

Im a competitive strongman athlete. I have been out of the gym for several weeks now. Recently I was diagnosed with spondylolysis and a herniated disc. The spondylolysis is on the L5 bilaterally. The herniated disc is at S1. What is the best course of action for me to take so I can ensure quick and 100% full recovery? My doc is suggesting surgery but I wasnt wanting to go that rout. Thank you for you help!

Answer:

Spondylosis is another name for degenerative joint disease or Osteoarthritis. This is a fairly common thing as people get older. I dont know your age, but I am guessing you are at least in your 30s. The disc can also become affected just like in your case. Unfortunately the L5 S1 disc that is herniated will never be 100% again. If you are experiencing neurological problems such as radiating pain or severe leg spasms, then you may need to consult an Orthopedic surgeon. However Chiropractors have great success with this type of problem. I am living proof. I also have a disc herniation that was helped by Chiropractic. Give chiropractic and their treatment a chance, then if no relief consult a surgeon. If you are in NJ look me up.

Question:

My daughter needs orthodontic treatment. The orthodontist is recommending surgery to expand her top jaw and shorten her bottom jaw. Is this common? What alternatives are there to surgery? I do not notice a severe underbite when I look at her. My daugther is currently 12 1/2.

Answer:

Although I cannot diagnose a patient with seeing him/her, in general at age 12 expansion can be accomplished with a non-surgical approach. Another factor to consider is the severity of the problem and how much expansion is required. If a child of 12 has a disproportionately large lower jaw sometimes a trial non-surgical approach is recommended. Lower jaw growth usually continues until the bodily growth is complete. So if the patient has surgery at 12 years of age, he/she could outgrow his/her treatment. Talk to the orthodontist about your concerns. If you still don’t feel comfortable with his/her advice, get a second opinion.

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• Learn about Rhinoplasty (Nose Job, Nose Surgery) in the Articles Section
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