Patient Questions

Hootan Zandifar is an Expert Contributor on FindaTopDoc. Here are some of their recent answers to patient questions.

Plastic Surgeon
Hootan Zandifar, MD

Typically, the nose is noticeably swollen for a few weeks after rhinoplasty. However, there will be some swelling that remains and over the course of a year will slowly go away. The final results are usually apparent around one year after surgery.

You can certainly have a second nose job after you had one several years ago. However, a revision rhinoplasty as it is called, has a higher risk of poorer outcome than the original rhinoplasty. If you need a revision rhinoplasty, you should see a facial plastic surgeon with particular expertise in revision surgery.

typically, after a rhinoplasty procedure, patients may require a few days of strong prescription pain medication. Usually after the first 3-5 days, the pain can then be controlled with over-the-counter pain medications.

A proper necklace scar is usually hidden nicely around the ear, behind the ear, and in the hairline. There is also a small incision along the chin which hides nicely.

Typical scars on the face go through a few phases. Initially, they are red and bumpy. this can last about 1-2 months. After that, they are a bit firm but less red and not as bumpy. After about 3 months the scars mature and have their final appearance. There are certain treatments you can do to improve the appearance of the scar. Silicone sheets can help with the redness and bumpiness of the scar while lasers such as IPL and PDL can improve the final appearance.

As long as you don't get the dressing wet or take a very hot shower, you should be able to shower after a rhinoplasty surgery.

A facelift procedure is performed to address the laxity of the lower face, jawline, and neck region. Patients who undergo a facelift procedure are usually in their mid-50s and older. However, if you have increased laxity of the lower face and jawline then you may benefit from a facelift procedure in your 40s.

After a rhinoplasty procedure, the swelling of the base of the nose and the upper lip may make it feel odd to brush your teeth. However, you can brush your teeth the same night as your procedure with out any risk of damaging the surgery.

The risks associated with neck lift procedures are the same as most risks associated with facial plastic surgeries. There is a risk of bleeding and infection but it is well controlled with the use of dressings and antibiotics. There is always a risk of scarring but we hid the scars in areas that are well hidden. Finally, there is a risk of nerve or muscle weakness or numbness but if your surgeon is an experienced facial plastic surgeon then that risk is very low. In general, a neck lift procedure is a low-risk procedure with very high patient satisfaction.

The facelift procedure is a surgical procedure that addresses the skin laxity of the lower third of the face and the neck. This is done via incisions around the ear, in the hairline line, and under the chin. With this procedure, we can remove extra skin from the lower face and jawline and improve the contour of the jawline and the neck. You do have significant improvement in the wrinkles of these areas however, a facelift procedure does not address fine wrinkles of the skin or wrinkles around the mouth, eyes, or forehead.

After about 2 weeks from a rhinoplasty, your nose will look normal. However, it may feel firm or swollen for up to one year.

There are several healing phases to rhinoplasty. The initial stage includes swelling and bruising and this heals quickly. After about 2 weeks you can go out and about with no one knowing you had anything done. After the first 2 weeks, however, the swelling continues to decrease at a slower pace. Typically, the final result is apparent at about the one-year mark.

Nose plastic surgery which is sometimes called a nose job or a rhinoplasty is a completely safe surgery when performed by a well-trained and well-qualified facial plastic surgeon. The results are permanent and your new nose will be with you for the rest of your life.

Otoplasty is the surgical name we give to a collection of surgeries done to fix the ear's cosmetic appearance. It is usually performed on ears that are protruded or have some deformity of their outline. If an ear is partially formed or not formed at all, we perform a surgery called microtia repair. Depending on what issues you have with your ears, one of these procedures can be used to correct it.

All surgeries leave a scar, however, when you have your surgery done by an expert facial plastic surgeon, the surgeon hides the scars in locations that are not noticeable. These areas include the lines around the ear, the hair line, and the lines under the chin.

the fastest way to recover from your eyelift surgery is to follow your surgeon's recommendation. Typically, it is recommended that you do not overuse your eyes during the first week. Applying ice will decrease the swelling and bruising. Taking care of the incisions will allow for a fast healing with an unnoticeable scar.

This is a great question. A facelift surgery elevates the musculature of the lower third of the face and removes the excess fat and skin. The incisions are hidden around the ear and into the hairline. The typical result can make someone look 10-15 years younger. These results last a lifetime, however, after a facelift we continue to age at the same rate as our actual age so over time laxity will return. However, you will always look younger than your actual age.

The length of brow surgery depends on the approach that the surgeon takes. An endoscopic brow surgery can take a bit longer than a hairline or direct brow lift. However, in general, brow surgery can take anywhere from 2-4 hours.

One of the best procedures to get rid of neck fat is submental liposuction. However, when you do liposuction, it is possible that you will have some skin laxity. So it may be best to combine liposuction with a facelift or a neck lift to remove the excess skin.

4 weeks after a rhinoplasty procedure, I would expect you to have some swelling of the nose. This may appear to make your nose look wider or bigger than you are used to. It should be resolved over the next few weeks. If it does not please consult your surgeon.