When you are recovering, post-surgical rhinoplasty, it is a normal and natural reaction for there to appear to be slight swelling. An individual who has underwent said procedure will notice this immediately once the bandages are removed. The nasal bones tend to want to drift outward after the compression releases the restriction.

For this reason, it is extremely important to understand the techniques behind nasal exercises otherwise because of soft tissue memory shifting of the nasal bones may occur.

What are Nasal Exercises exactly?

Nasal exercises, also known as ‘digital’ exercises, refer to a postoperative instruction that involves massaging the nasal bones after rhinoplasty or revision rhinoplasty surgery. Nasal exercises would only be recommended in rhinoplasty patients where the nasal bones were ‘broken’ during the nose reshaping process. This is also referred to as an osteotomy when the nasal bone is repositioned or narrowed or both. This is commonly performed after a large hump deformity has been corrected and in cases where the nose is crooked. An osteotomy is also frequently done simply to narrow a wide nose during cosmetic rhinoplasty. Nasal exercises are done to help further contour the nose during the rhinoplasty recovery process. Whenever the nasal bone is reshaped as part of a rhinoplasty surgery, a nasal cast is placed to keep the bones in their new position. The nasal cast is usually removed in 5-6 days. In a majority of cases, the nasal bones are fairly well positioned in their new location. However, because the bones were completely cut and moved, they are also still mobile at 5-6 days out from surgery. Once the cast is removed, the nasal bones have the potential to move or drift out of the desired position. If they do so, they will typically trend toward moving back to their original position. And this movement or drifting can occur any time between cast removal and 6-8 weeks out from surgery. Why 6-8 weeks? Because this is the average amount of time it takes before the nasal bone fuses and heals in its new position.

Nasal exercises allow the surgeon to digitally manipulate the healing of the nasal bones, shift displaced grafts and increase the resorption rate of surgical edema in specific areas. Nasal exercises involve application of digital pressure over a specific location to improve nasal contour. The patient will press on the area of the deformity for one minute twenty to thirty times per day. It is crucial that the patient understands to press in the exact location with the appropriate amount of force. The exercises are generally well tolerated but should be done to the point of slight discomfort.

The Benefits of Nasal Exercises include:

The massive advantage of doing nasal exercises following rhinoplasty or revision rhinoplasty is that an individual can truly optimize the surgical results and achieve the best possible outcome.

This video by Dr. Philip Miller shows how to keep the nasal bones narrowed after rhinoplasty and to facilitate the reduction of swelling.

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Rhinoplasty, more simply referred to as a nose job, is a nose surgery procedure that by now, we have all heard of. But, other than the fact that rhinoplasty is performed to change or repair the shape and structure of the nose, how much else do we really know? Probably not so much!

If you’re looking into rhinoplasty (or just curious about it), here are the top five interesting facts about it you should know:

1.The first rhinoplasty was performed over 2000 years ago.

The Sushruta samhita by Sushuruta is a medical book that was written in India around 5000 BCE that describes the techniques of rhinoplasty still used today. The techniques were used to restructure noses that had been cut off in battle or otherwise damaged.

Plus, even older then the Sushruta samhita is a papyrus from Egypt, the Ebers papyrus, that gave details on rhinoplasty for restoring a nose that had been cut off as punishment for a crime – apparently a common punishment in that culture.

The discovery of Indian rhinoplasty techniques, and later the Ebers papyrus, brought rhinoplasty to England in the 18th and 19th centuries.

2. Rhinoplasty uses other parts of the body.

Many people assume plastic surgery such as rhinoplasty uses implants to change the shape of the nose. While there are some times when implants are used, it is much more common to take skin or cartilage from other parts of the body and graft it onto the nose.

One common form of rhinoplasty uses skin from the forehead, cut and shaped into what is needed for the nose.

3. Rhinoplasty is much more common than you may think.

In fact, it’s one of the most common forms of cosmetic surgery. In 2007,12 million plastic surgeries were performed in the United States alone. Of these, the top five procedures were breast augmentation, liposuction, rhinoplasty, eyelid surgery and abdominoplasty.

And, since 2007, the demand for rhinoplasty has done the opposite of slow down — it’s continued to grow according to ASAPS stats which say that in 2015 alone 145,000 people headed to plastic surgeons for nose surgeries.

4. Technique for men’s and women’s rhinoplasty varies.

You may think a nose job is a nose job, but when it comes to rhinoplasty, it’s almost entirely art. The angle and slope of a man’s nose is different from a woman’s, and many experienced plastic surgeons will choose angles that feminize a woman’s nose.

5. Rhinoplasty surgery is pretty quick!

Believe it or not, the surgery itself only takes 1-2 hours, and that’s not all — recovery doesn’t take too long either. In most cases, patients are only required to wear a small cast for up to five days.

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Check out Dr.Miller’s client Brittany only 2 months post-surgery!

Young Brittany came to Dr. Miller to fix the prominent bump that was on her nose and to give a little more definition and volume to her receding chin. She has made an impressive recovery in a very short amount of time. You can visibly see that she has little to no swelling in both the nose and chin area where typically, in other cases, there still may be some obvious puffiness.

It is important to remember that not all individuals heal the same nor do they heal within the same time frame. Undergoing a rhinoplasty procedure can be very traumatic to the face and skin along with the procedure that was done on Brittany’s chin. Her immaculate results are all in thanks to Dr. Miller and his unique, meticulous approach to satisfying his patients with safe, effective techniques.

Rhinoplasty is one of the most popular cosmetic surgical procedures that is performed in the U.S. Commonly referred to as a nose job, this procedure helps reshape your natural nose to a more desired contour. Whether you were born with an undesirable nose or are seeking repair to damage that was caused by trauma in an accident or injury or alleviate structural issues that obstruct breathing. Thousands of patients each year rely on nose surgery to gain relief from low self-esteem or functional issues.

Having work done on the chin to correct an inverted structure is performed using a pre-formed silicone implant and this will help the overall balance and symmetry of the face. This can improve the complete look of the facial features like the nose and cheek. The balance that this procedure provides can help dramatically enhance your overall appearance and restore confidence.

Brittany offers some words of advice for any individual that may be contemplating going in for a procedure such as these. She mentions the importance of research and how that can have a direct effect not only on the process from beginning to end but on the results of your procedure as well. She also advises others to be prepared for what you’re signing up for. Patience is key and the results will not pop-up the next morning. Great results take time and your body is undergoing a natural healing process. After the surgery you will be shocked with the way you look and feel but the end result will make it all worth it.

For a closer look, check out Brittany’s post-op video below.

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