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What type of exercises can you do after tummy tuck surgery? | AtlantaCertain areas on the body are more difficult to tone than others. The tummy is one such problem area. For this reason, some patients choose to undergo abdominoplasty, also known as a tummy tuck, to address that excess fat.

After surgery, it is important to follow a well-planned exercise routine that helps maintains muscle tone and does not let excess fat develop in the area.

Many people wonder when they can exercise following abdominoplasty surgery. However, as every person is different, it is essential to wait until the surgeon approves before starting an exercise regimen.

Plastic surgeon Dr. Paul McCluskey provides tummy tuck surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

Exercise for Recovery

In the initial week after the surgery, the patient will need plenty of rest and should restrict their exercise to walking to enhance blood flow, reduce inflammation, and decrease the risk of blood clots. As the patient has the drainage tubes and sutures initially, they should walk only when they are able to do so easily.

 

Light Exercise

Most soreness resolves in around two weeks. At this time, the patient should start cautiously expanding their exercise regimen. They should start out with low stress walking on an even and flat surface, which is a good starting point.

Most cosmetic surgeons recommend waiting four to six weeks before starting a moderate exercise regimen. Bike riding, low impact aerobics, and incline walking are all excellent examples of light exercises.

 

Strenuous Exercise and Lifting

The patient will likely be out of most of their bandages at six to eight weeks, which may make exercise more comfortable. But strengthening exercises using weights can create a substantial strain on the incisions and sutures.

The healing period can become much longer if significant damage occurs. Therefore, it is a good idea for the patient to be very conservative letting their body guide them when engaging in vigorous activities if they want to maximize fitness benefits and avoid injuries.

 

Abdominal Exercises

Patients should also start abdominal exercise at six to eight weeks. Below are three effective exercises for toning the abdominal region:

Crunches

For maintaining a taut abdomen, crunches have long proven effective. Start by lying on your back and elevating your legs close to your chest. Now, cross your ankles and position your hands behind your head. Now gently contract your abdominal muscles while bringing your head closer to your knees.

Hold this position and count to ten. Then relax and return to the initial position. Consistently build up to repeating these steps 20 times each session.

 

Floor Leg Lifts

Start by lying down on your back with the arms at your sides. Now, lift your legs six to ten inches off the ground while tightening your abdominal muscles. Maintain this position for as long as you can and then lower your legs. Repeat the steps as many times as possible, but stop when you start feeling tired.

Post-operative exercises are a crucial part of a healthy recovery process. It is vital to increase the level of difficulty slowly and discontinue the workout immediately if you experience any pain.

Every patient is different, and you should discuss your exercise regimen with your doctor to ensure that you start a safe and healthy workout regimen that is most appropriate for you.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for tummy tuck.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

How long do you have to have tummy tuck drains in for? | AtlantaCandidates who have been researching different types of abdominoplasty (tummy tuck) will probably know about the temporary post-operative drains.

For people who have never undergone plastic surgery before, often just the word “drain” can be quite a turn-off.

However, these devices are not as scary as they appear. In most cases, they are an integral part of a proper post-operative plan to help expedite recovery times so that the patient is able to show off their new toned and flat tummy in no time.

Plastic surgeon Dr. Paul McCluskey provides tummy tuck surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

What Are Tummy Tuck Drains?

After surgery, fluid – usually serous fluid comprising blood plasma from ruptured blood vessels and inflammatory fluid produced by the injured cells – has a tendency to accumulate in the region between the skin and muscle, called the “dead space.”

This space is the reason for the fluid accumulation that triggers seromas. Therefore, in traditional abdominoplasty, steps must be taken to eliminate excess fluid accumulation in this region. A tube is placed in the soft tissue extends to the dead space enabling the body to eliminate the fluid.

After the abdominoplasty, the plastic surgeon inserts the drains. These drains are typically clear tubes made of silicone. They are inserted through a short incision behind the primary incision.

In a majority of cases, the drains run from either a tiny gap in the lower abdominal incision or the substantial surface area between the ribcage and pubic region.

The tube then extends out of the body into a small bulb around the size of a lemon. The fluid accumulation must be periodically emptied by squeezing the bulb, which causes a gentle suction that extracts fluid from the body.

 

Why Drains Are Used

The main function of these drainage tubes is to reduce the serous fluid accumulation in the incision and treatment areas. This helps reduce complications related to the abdominoplasty procedure.

In addition, the drain site helps prevent post-op seromas, collections of lymph fluid that can occur underneath the surface of the abdominal skin after surgery. Seromas can cause serious complications such as fever, pain, infection, inflammation, and blood drainage.

The duration of tummy tuck drain use differs between patients. A majority of surgeons state that they typically remove the final drain within one week. However, at times, patients need to keep them in for as long as two weeks.

 

How to Empty and Clean Tummy Tuck Drains

Any skilled cosmetic surgeon will provide the patient with proper drain care guidelines before their procedure. For best outcomes, it is advisable for patients to follow these instructions closely.

Generally, they will need to empty the bulb a few times daily until they have completely healed or their doctor considers it safe to take the drains out. It is essential to comprehend exactly how, and how frequently, to drain the fluid as well as the best techniques to ensure that the drains remain clean to prevent infection.

 

Showering and Routine Life with Drains

It can be challenging to bathe after the procedure, and it can be even more difficult when dealing with drains. Generally, patients should take gentle showers or sponge baths during recovery to prevent irritating their drains, stitches, or incisions.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for tummy tuck.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Is a tummy tuck painful? | Atlanta | Buckhead | Rowell | MariettaPatient counselors usually hear concerns from tummy tuck patients who are anxious about the prospect of suffering pain during or after an abdominoplasty (tummy tuck) procedure.

Both men and women want to remove sagging skin and protuberant abdominal muscles as well as reduce the number of stretch marks that remain after weight-loss and pregnancy.

 

The Wrong Way to Look at It

But some patients become so scared by the perceived “painful” recovery period that they postpone scheduling the procedure for months and, at times, even years. But procrastination is a huge mistake.

A few weeks of discomfort should not dissuade an individual from the future of a flat, sleek, and defined stomach area.

A successful recovery for the patient depends on understanding the truth about pain, taking advantage of modern pain management, and setting themselves up with sufficient recovery time and support.

Plastic surgeon Dr. Paul McCluskey provides tummy tuck surgery to patients in Atlanta, Buckhead, Georgia, and surrounding communities.

 

More about the Pain

The pain during abdominoplasty recovery does not outweigh the beautiful outcomes that manifest afterwards. It is important to remember that the human mind is quite masterful at dramatizing a painful recovery scene before the event even occurs.

However, in reality, there is nothing excruciating about tummy tuck recovery.

The discomfort after abdominoplasty does not occur from the incision (which will actually remain numb for some time), but from the muscle tightening.

Patients find routine activities such as walking up stairs, standing straight, and rising from a seated position or bed uncomfortable as the core muscles are sore after being sewn together from the breast bone to the pubic bone.

Effectively, a tummy tuck is akin to a military boot camp for the abdominal muscles. Those stubborn muscles previously had the roominess of a loose abdomen. They retaliate by acting tired and sore.

Those muscles quickly become fatigued and angry from the layers of stitches placed to keep them tight. The muscles soreness reduces after a week and becomes less at the mind’s forefront. Most patients are walking upright and performing their daily activities after only two weeks.

Patients resume exercising at four to six weeks after a tummy tuck procedure. Some patients report small muscle “zingers” with yoga or exercise, which is entirely normal. But the surgeon may advise patients to resume exercising slowing and stop if it hurts.

Many patients who are extremely active return to working out sooner and report stronger core strength as an added benefit of undergoing the procedure.

 

Additional Considerations for a Smooth Recovery

The patient should allow themselves to recover completely for two weeks. The surgeon will counsel the patient about assuming a “recovery mindset.” A majority of modern women are overscheduled and busy.

Women take on so much and often like to believe that they are superhuman. This idea can make them feel frustrated and anxious during the recovery process as they are not able to keep up with the responsibilities and demands of “normal” life during the initial two weeks after the surgery.

In a few short weeks, the patient will feel better and their energy levels will return to normal. But they will not be able to undertake household or work-related tasks during this period.

It’s prudent to seek help from friends and family to assist with meals, cleaning, running errands, and watching the kids in this situation.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for tummy tuck.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Will insurance cover any part of tummy tuck costs? | Atlanta | RoswellIn general, abdominoplasty procedures are usually elective or cosmetic procedures. Such procedures are likely not eligible for insurance coverage. Patients with epigastric umbilical, ventral, or incisional hernia may be able to receive coverage for this portion of the surgery.

It is vital that a general surgeon be present during the functional part of the operation to repair the hernia. Generally, full disclosure of hernia and the cosmetic part of the procedure will be described through the insurer.

 

Issues to Contemplate

Enormous panniculectomies, which refers to large abdominoplasties on patients who have received gastric bypass procedure will, at times, be covered by insurance if there are functional issues including back pain, and rashes and dermatitis beneath the large pannus, after massive weight loss.

Plastic surgeon Dr. Paul McCluskey provides tummy tuck surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

What is Panniculectomy

Significant weight loss is a healthy approach for people who are suffering from obesity. However, the excess skin that remains after the weight loss is not healthy. The excess skin may be heavy enough to lead to physical pain.

It can impact mobility, restrict physical activity, and affect personal hygiene. Skin folds may become tender and prone to yeast infections. Panniculectomy is a surgery to eliminate the excess skin that remains after major weight loss.

The patient may be able to receive insurance coverage for this procedure as it is considered reconstructive when it is undertaken to correct or relieve physical symptoms. But the law is still evolving around this issue.

A few years ago, insurance companies offered coverage for a panniculectomy. Subsequently, they decided that it was an issue of one’s own making and started denying coverage for this surgery.

After the American Medical Association classified obesity as a disease, states started requiring insurers to offer coverage for the procedure once again.

 

Other Specific Cases where Tummy Tuck may be covered by Insurance

Panniculectomy is a procedure that eliminates only excess skin. On the other hand, a tummy tuck (abdominoplasty) involves the removal of excess skin and fat from the abdomen area as well as a tightening of the underlying abdominal muscles.

A woman may feel like they need a tummy tuck following pregnancy, especially if their expanding belly causes the abdominal muscles to separate vertically, in a condition called diastasis. But insurance does not offer coverage for diastasis repair, which is considered by the medical profession as strictly cosmetic.

An abdominoplasty may be eligible for insurance coverage, but when it is undertaken as a part of breast reconstruction.

For instance, in what is called a DIEP Flap procedure, the surgeon will use fatty tissue and skin from the abdomen to replace the tissue and skin removed from the breast during mastectomy, which results in a natural, soft, reconstructed breast.

The blood vessels in the lower abdomen, right underneath the skin, are used in SIEA Flap surgery. Regardless of the approach, the contour of the abdomen can be improved and smoothed through a cosmetic abdominoplasty.

Patients should ideally discuss with their insurer beforehand in case of an abdominoplasty. The surgeon’s staff may be able to offer the patient information and assistance on the insurance documentation and formalities.

 

Financing

Patients who do not receive insurance coverage for a tummy tuck procedure may be able to pay for their surgical procedure using major credit cards.

They can also use various financing options to pay for their abdominoplasty, including financing from medical care financing firms providing loans exclusively for medical purposes.

These companies usually provide more competitive interest rates, faster loan approvals, and easy monthly installments of up to 60 months. Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for a tummy tuck.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Ethnic Cosmetic Rhinoplasty - Latin Rhinoplasty Nose Surgery | AtlantaDepending on their origin, people of Hispanic heritage can have diverse facial characteristics. Hispanic encompasses people mainly from Latin America, including Mexico, Cuba, and Puerto Rico, as well as Spain and Portugal.

While each group has similarities in their overall facial structure, subtle differences exist as well.

Hispanic patients comprise a significant percentage of rhinoplasty cosmetic surgery patients in the US. Dr. Paul McCluskey has identified the characteristics that Hispanic patients find to be the most troublesome.

 

Attention to Detail

These characterized are summarized as thick nasal skin along with weak cartilage at the tip, a flared or wide nasal base, and a prominent bump high on the nasal bridge. Due to these factors, the surgeon must develop a meticulous and careful approach for Hispanic nose surgery procedures.

Plastic surgeon Dr. Paul McCluskey provides Hispanic and Latin nose surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

Nasal Characteristics of Hispanic Patients

In general, patients considering Hispanic rhinoplasty share similar characteristics, such as the nasal hump, thicker nasal skin, a wider nose bridge compared to that of a Caucasian nose, but less wide than the African American nose.

On top of this, the Hispanic nose has a bulbous nose tip that may be under-projecting with flaring nostrils and a wide alar base.

Hispanic patients tend to have a nose with weak nasal cartilages that causes a hanging or drooping nasal tip. Upon viewing the face in profile, the chin is typically smaller or recessed, leading to a less appealing and balanced profile.

Understanding these unique characteristics is vital to performing effective Hispanic rhinoplasty surgery.  

The nose can be further refined by carefully eliminating excess tissue at the nose base, which makes the base narrower.

Through careful surgical planning and meticulous attention to execution, Dr. McCluskey offers Ethnic rhinoplasty patients the level of refinement that is necessary for these complex procedures.  

Dr. McCluskey knows that a difference of only a few millimeters can have a deep effect on the overall appearance of the face. Minute changes that enhance proportion and definition are what create the overall beautiful outcomes that he regularly accomplishes for all his Latin and Hispanic rhinoplasty patients.  

 

Recovery

After the ethnic nose reshaping cosmetic surgery, the surgeon will position a small cast on the nose to encourage proper healing. This cast will be taken off, and any potential sutures will be removed in around one week following the nose surgery.

The patient may experience some mild bruising and inflammation under the eye region. These symptoms are entirely normal following nose surgery and usually, resolve within the first few weeks. The inflammation in the nose will decrease progressively, as well as refine its shape and size, as it heals over the next six months or up to a year before the final outcomes are visible.

 

Making the Patient Feel at Home

Dr. McCluskey and his team will be there to walk the patient through every step of their Hispanic rhinoplasty journey, from the pre-operative consultation to the post-op care. It is his goal to help his patients accomplish the best possible rhinoplasty outcomes.

Moreover, Dr. McCluskey takes significant pride in being a part of the pioneering team that revolutionized nose surgery by developing a nasal device that enables patients to breathe right after their Hispanic rhinoplasty procedure, which was not possible in the past.

Plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for Hispanic and Latin nose surgery.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Ethnic Cosmetic Rhinoplasty - Asian Nose Surgery | Atlanta | BuckheadRhinoplasty is considered to be one of the more intricate cosmetic surgery procedures. The nose is a prominent three-dimensional facial characteristic. It performs an important breathing function, which must be preserved during the procedure.

Dr. Paul McCluskey has been performing Asian rhinoplasty for the past several years. He is highly experienced in creating a nose shape that is harmonious with other facial features while also enhancing the function of the nose. In addition, Dr. McCluskey has the expertise in various Asian cosmetic surgery procedures.

Plastic surgeon Dr. Paul McCluskey provides Asian nose surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

Benefits of Asian Rhinoplasty

Patients of Asian origin may consider rhinoplasty for various reasons, ranging from purely cosmetic to treating conditions such as septal deviation or other airway-related conditions.

Many patients are able to achieve a permanent resolution of their breathing obstruction problems along with aesthetic nose reshaping.  

Asian rhinoplasty presents further challenges commonly related to developing more projection while refining the nasal tip. The Asian nose structure is more delicate, which necessitates a gentle and less vigorous nasal sculpting approach.

Dr. McCluskey often consults Asian patients who are considering rhinoplasty to address certain unwanted features but who do not want an “off-the-rack” nose that takes away from their ethnic identity.

Common requests from patients seeking Asian rhinoplasty include a thinner nose bridge, building-up the nasal dorsum, enhancing the projection of the nose, defining the nasal tip to make it more aesthetically appealing, or modifying the shape of the nostrils.

 

Expertise of Dr. McCluskey in Asian Rhinoplasty

Asian rhinoplasty is one of the more complex ethnic procedures that a facial plastic surgeon may perform. In terms of complexity, the procedure is second only to improvement of nasal dorsum deficit and weak cartilaginous framework along with thick skin and soft-tissue envelope.

Dr. McCluskey is an expert in facial and neck plastic surgery procedures and offers advanced Asian rhinoplasty in the Atlanta area.

He will work with the patient to achieve an appearance that makes them feel confident and comfortable while naturally complementing their facial structure.  

Patients commonly choose to receive chin implants along with their Asian nose reshaping cosmetic surgery. This enhances their overall appearance and profile. In addition, many Asian rhinoplasty patients also subsequently choose to undergo Asian eyelid surgery as well.

 

Defined Nasal Tip

A common request in the area of Asian rhinoplasty is the desire to attain a less protuberant or bulbous nasal tip. Previously, achieving a redefined nasal tip involved aggressive over-resection of the lower lateral cartilages.

This often leads to loss of projection, a downturned, bulbous nose tip with potential long-term contour abnormalities, loss of support, and nasal blockage.

 

Less is More

Dr. McCluskey does not undertake aggressive cartilage removal as it can lead to damage necessitating a revision rhinoplasty surgery in the future. He believes in a “less-is-more” approach and surgical techniques that lower the chances of revision nose surgery while still accomplishing the patient’s aesthetic goals.  

Plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for Asian nose surgery.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Ethnic Cosmetic Rhinoplasty - African American Nose Surgery | AtlantaA highly experienced and skilled rhinoplasty surgeon will be able to understand the subtleties of African-American rhinoplasty.

Such a surgeon will be able to develop a balanced and desirable nose that enhances the natural beauty of the patient.

Each patient is unique and has specific aesthetic goals. Some issues that African-American experience and seek correction for are as follows:

  • Wide nostrils.
  • A wide or excessively large nasal tip.
  • A wide and low nose bridge.
  • Soft septal cartilage.

When addressing these issues, the surgeon will take special care to preserve and enhance the innate beauty of African-American patients. They will ensure that the patient appears as an enhanced version of themselves, with a more appealing nose shape that better suits their face.

Plastic surgeon Dr. Paul McCluskey provides ethnic cosmetic nose surgery to patients in Atlanta, Buckhead, Georgia, and surrounding communities.

 

An Overview of African-American Rhinoplasty

In preparing for the African-American nose reshaping cosmetic surgery, the surgeon will spend a significant amount of time with the patient to assess their anatomy and how it relates to their nose.

They will work closely with the patient to develop a customized surgical plan to achieve their desired nose.

It is important that the surgeon carefully preserves their ethnic identity when working with ethnic rhinoplasty patients. The procedure should focus on creating an overall beautiful and harmonious appearance.

The surgery will commence with the patient being placed under general anesthesia for their safety and comfort. After that, the surgeon will place a series of targeted incisions within the nostrils or on the outside of the nose.

 

A Key Decision

This is a critical part of the ethnic rhinoplasty procedure, and the surgeon will cautiously explain the benefits and risks associated with each incision option to the patient beforehand. This will allow the patient to determine which incision option is in their best interest.

Following the placement of the incisions, they will lift the soft tissues of the nose and resize and reshape the nose structure.

They will address the aesthetic imperfections that are most concerning to the patient to achieve a desirable nasal appearance. After creating a beautiful new nose shape, the surgeon will carefully seal the incisions to minimize any future scarring and ensure a discreet surgical result.

 

What to expect during Recovery

The surgeon will place a protective splint to cover the nose right after the procedure. This will remain in place as the patient returns home to recover. At this time, the patient can expect some inflammation, and pain and congestion in the nose area. However, these side effects should resolve by themselves within the next few days.

As the patient heals, they will need to avoid aggressive activity and tasks that may irritate or cause strain on the nose. Most patients will be able to return to work and resume their normal routine within a week. However, the surgeon may offer more personalized instructions during their post-op consultations.

 

Are you a Candidate for Rhinoplasty?

An African-American rhinoplasty may be a suitable option for patients who are unhappy with the appearance of their nose and seek to address it in a permanent manner to attain a more attractive appearance.  

Ideal candidates for this procedure should be in good health, non-smokers, and have reasonable expectations from rhinoplasty cosmetic surgery. While this procedure will create a beautiful, proportionate nose, it will not alter the patient’s identity in a manner that strips away their ethnic identity.

Plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for ethnic nose surgery.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Ethnic Cosmetic Rhinoplasty | Atlanta | Buckhead | Roswell | MariettaSome ethnic groups have certain features that are specific to them. However, every member of that particular ethnicity does not share these features.

At times, some ethnic patients may choose to undergo cosmetic surgery to modify nose or other facial characteristics.

 

Key Reasoning

Rhinoplasty is a sought-after choice among patients whose ethnic features include a broad nose. Individuals with African, Middle Eastern, and Asian descent typically consider nose surgery to reduce the width of their nasal structure.

Plastic surgeon Dr. Paul McCluskey provides ethnic cosmetic nose surgery to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

The Big Picture

The surgeon will need to follow an individualized surgical plan to address the unique anatomical and cosmetic needs of ethnic patients. The modifications in the nose should not be done to a point where it completely alters a person’s appearance.

 

Improving the Nasal Appearance in Ethnic Patients

Ethnic rhinoplasty involves the surgical modification of the nose to develop a shape that is more balanced and harmonious with the other facial characteristics of the patient without changing their appearance in a drastic way.

Nose reshaping cosmetic surgery on African American, Asian, and Hispanic patients should account or the different internal and external features of the ethnic nose.

Due to its distinct characteristics, the ethnic nose warrants special attention. For example, Asian, African American, and Hispanic patients typically have fuller, rounder, and less protuberant nose tips.

The patients may want to lengthen and refine the nasal it to allow it to appear taller and narrower. Additionally, ethnic rhinoplasty can also modify flared or wide nostrils.

 

Ethnic Rhinoplasty Techniques

In ethnic rhinoplasty, the surgeon uses specialized techniques such as altering the bone and cartilage shape within the nose, making the nostrils narrower or taking cartilage from other body areas for grafting to create a longer nose tip.

Some nose surgeons prefer synthetic implants due to their ease of placement. However, sometimes they can only use the patient’s own cartilage for safe and desirable results. This reduces the risk of complications, and migration or extrusion usually associated with synthetic implants.

Patients from Middle Eastern ancestry often choose to undergo rhinoplasty to reduce the nasal hump, refine the nasal tip, and accomplish a nose shape that is more harmonious with other facial features.

On the other hand, patients from African American ethnicity seek nose reshaping surgery to refine a wide nose bridge, narrow flared nostrils and build-up a weak nasal tip by using a cartilage graft taken from another area of the body.

Hispanic patients may seek rhinoplasty to reduce the size of a prominent nasal bridge while simultaneously augmenting a very flat nose. The plastic surgeon may refine a bulbous or thick nose tip to restore the emphasis on the other facial characteristics of the patient.

 

Conservative Approach

Developing a conservative surgical plan for ethnic rhinoplasty patients is important. This surgery should preserve the characteristics that make the ethnic face unique and distinct. Ethnic rhinoplasty should only enhance the natural beauty of the patient in a subtle manner.

Plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for ethnic nose surgery.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Cosmetic Rhinoplasty - Nose Alar Adjustment | Atlanta | BuckheadAlar adjustment is a surgical technique that reduces wide or flared nostrils. The nostrils’ outer edges are known as the ala. Alar adjustment is usually undertaken along with width reduction.

The surgeon excises a portion of tissue to adjust the level of tension that is causing the excessive nostril width.

The Weir technique refers to a specialized alar adjustment technique that involves a specific type of incision. The surgeon excises tissue to create a wedge-shaped cavity and then sutures it to create optimal contours.

Some ethnic patients tend to have flared nostrils along with a nasal flare. African American patients typically have this type of nose structure. At times, patients feel that their wide and/or flared nostrils take away from other facial characteristics. This can adversely affect an individual’s self-confidence.

Plastic surgeon Dr. Paul McCluskey provides rhinoplasty to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

Procedure

The surgeon will excise a wedge of tissue from the sides of the nostrils near the junction with the cheek in a procedure called alarplasty. The wedge base will be the level of the alar rims, and the pointed apex will be near the sides where the nose links to the cheek groove.  

The width of the nostrils will determine the amount of tissue excision. Many nose surgeons and patients try to measure the change in mm narrowing on the frontal view.

But this can be difficult as the wedge size that is excised does not properly reflect the frontal narrowing distance.

The surgeon will discuss with the patient whether they require a minor, medium, or dramatic change. A majority of patients seek a medium change. Patients should remember that it is always possible to excise more tissue at a later date if they feel that the nostrils are still too flared. However, the removal of excessive tissue is challenging to reverse.

Some rhinoplasty surgeons use a suturing technique to draw the walls in medially. But this may cause tissue bunching. Other surgeons place incisions only inside the nostrils from fear of scarring on the outside.

However, this technique does not produce dramatic changes. Incisions on the outside of the nose heal well and can be properly hidden adjacent to the alar groove. An experienced nose surgeon will place this incision in the region where the nostrils link to the cheeks. This enables the scar to remain hidden within the natural crease between these areas.

Alarplasty (nostril narrowing) is an effective procedure that can be performed as an individual surgery without undertaking a full rhinoplasty.

 

After the Surgery

The patient will undergo some pain and discomfort in the nose area along with swelling and puffiness during the first few days of the recovery period. The pain will resolve slowly in two to three days. But the swelling will take more time to subside.

Patients normally experience minor bleeding in the incision sites. This bleeding usually resolves in nearly two days. The inflammation on the face will begin to resolve in around one week and should be completely gone by two weeks.

The patient will have to visit the office to have their bandages removed around three days after the surgery. The surgeon will usually remove the sutures at the end of the first week.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for rhinoplasty.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Cosmetic Rhinoplasty - Nose Width Reduction | Atlanta | BuckheadThe pyriform aperture is the triangle that the nostrils and nose tip form when the nose is seen from beneath. The surgeon will make adjustments to the pyriform aperture to decrease the width of the nose tip.

They can narrow the width of the nose by making the angles of this triangle steeper at the point where the nostrils link to the face. Plastic surgeon Dr. Paul McCluskey provides rhinoplasty to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

 

Nasal Base Reduction

Nasal base reduction refers to a nose reshaping technique that decreases the width of the nose base in patients who have an excessively broad nasal base relative to the structure of their face. This procedure, in some variation, is usually a standard element in rhinoplasty and revision rhinoplasty procedures.

The nasal base reduction is undertaken even more commonly in ethnic rhinoplasty. Rhinoplasty patients of Asian, African American, and Middle Eastern heritage frequently need to undergo nasal base reduction.

In general, people of these ethnicities tend to have a wider nasal base. Therefore, a reduction of this area is necessary to achieve an aesthetically desirable nose appearance.

Many patients seeking rhinoplasty or revision rhinoplasty express concerns regarding their excessively large or broad nasal base. The nose base is usually measured from the outer margin of one nostril to the outer margin of the other.

Ideally, the width of the nose base should not be more than the distance between the eyes. If there were an imaginary line extending vertically down from the eye corners (inner canthus) on either side, the nasal base should fall between these two lines.

But it is important to understand that this is the cosmetic ideal for a Caucasian nose, and may not be suitable for ethnic patients. Most ethnic nose surgery candidates will achieve optimal results if the nasal base is slightly broader than this ideal.

 

Anatomy Involved In Nasal Base Reduction

The surgeon should possess an in-depth understanding of the anatomy of the nasal base area to decide on the surgical treatment for individual rhinoplasty patients. The columella is the column-like structure found in the middle of the nose base.

It bifurcates the nostrils into left and right parts. The alar base insertion is the part of the nostril wall that links to the upper lip-cheek juncture. The nasal sill area is located between the alar base insertion point and the columella.

 

A Wide Sill Region

Certain nose surgery patients with a broad nasal base also tend to have a wide sill area, which makes the nose appear even broader. An excessively broad sill can create a more horizontal type nostril shape. This is commonly seen in patients with a wide nasal sill.

 

What to Expect after Reduction Rhinoplasty Surgery?

Reduction rhinoplasty surgery involves the same recovery period and strategies as any other rhinoplasty surgery. Following the procedure, the patient will experience swelling and discomfort for a number of days as the nose and the surrounding tissues begin to heal.

The bruising will subside slowly, and the swelling will resolve as the nose area heals. The rhinoplasty results will manifest slowly, and the patient can return to their normal routine slowly following the recovery period.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for rhinoplasty.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

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