Question 1

What is Dr. Bellamy's approach to discussing rhinoplasty goals during a consultation?

Accepted Answer

During consultation, Dr. Bellamy will discuss a patient's top three goals for their nose and ensure that those goals are surgically attainable.

Question 2

What are common patient goals for rhinoplasty?

Accepted Answer

Common goals include modifying the bridge (bringing it down or out), adjusting the tip (rotating it up or down), and refining/narrowing the bridge or tip on frontal view.

Question 3

What is the typical recovery process and timeline after rhinoplasty with Dr. Bellamy?

Accepted Answer

Patients typically need pain medication for about three days. Bruising is usually gone within a week, and significant swelling within one to two weeks. A splint is used for one week, followed by strips for a second week. A week of downtime is generally sufficient before slowly resuming work.

Question 4

Where is the incision located for a Direct Neck Lift?

Accepted Answer

The incision for a Direct Neck Lift is hidden below the chin.

Question 5

Why are surgical drains used, and how should they be cared for?

Accepted Answer

Drains are crucial for procedures like liposuction to prevent fluid buildup, achieve the best results, and allow for aggressive surgical approaches. Stripping the drain is an important part of care to keep the tube flowing, and can be performed by the patient or another person. The process is the same: secure the drain with your non-dominant hand close to the patient, then use your dominant hand with an alcohol pad, lotion, or Purell to facilitate sliding. Pinch the drain with your thumb and index finger and slide down the tube towards the bowl to remove blood clots or debris, ensuring free flow.

Question 6

What is Dr. Bellamy's opinion on 'tubeless surgery'?

Accepted Answer

Dr. Bellamy states that the advertised term 'tubeless surgery' is merely a marketing term.

Question 7

What are the benefits of Closed Preservation Scarless Rhinoplasty?

Accepted Answer

Closed Preservation Scarless Rhinoplasty is expected to result in quick and easy healing, no visible signs of surgery, and a quicker and easier recovery overall.

Question 8

How does aging affect the nose, and can rhinoplasty address it?

Accepted Answer

As people age, the soft tissue (skin and fat) of the nose continues to grow and droop. Rhinoplasty can be used to re-support the nose in later years of life to address this age-related drooping.

Question 9

When is it safe to perform rhinoplasty, especially for younger patients?

Accepted Answer

Rhinoplasty is safe to perform once the bones and cartilage of the nose have stopped growing, which corresponds to reaching skeletal maturity. Skeletal maturity happens younger in women (as young as 13) compared to men (typically 17-18 years old). After this point, the decision involves a discussion about appropriateness and requires consent from both the patient and, if applicable, their parents. Surgery can proceed if all parties are in agreement.

Question 10

What is Liquid Rhinoplasty and how is it performed?

Accepted Answer

Liquid Rhinoplasty, also known as a liquid nose job or nonsurgical rhinoplasty, can be completed in approximately five minutes. The procedure involves adding filler above and below a nasal hump to straighten the bridge and provide more projection to the nasal tip, balancing the overall appearance.

Question 11

What are the signs and treatment for an infected silicone nasal implant?

Accepted Answer

Draining pus from a nasal implant site indicates ongoing contamination or infection, even if the implant doesn't visually 'look infected.' An infected or contaminated silicone nasal implant will not resolve on its own, even with antibiotics; the only way to cure it is to remove it. After removal, the patient will be cleaned up and put on antibiotics. A period is then needed for the area to 'cool down' before nasal reconstruction can be performed to achieve a natural-looking nose. Silicone nasal implants, often L-shaped, are used for bridge augmentation.

Question 12

What is liquid rhinoplasty, how long do its results last, and what are its limitations compared to surgical rhinoplasty?

Accepted Answer

Liquid Rhinoplasty, also known as a liquid nose job or nonsurgical rhinoplasty, can be completed in approximately five minutes. The procedure involves adding filler above and below a nasal hump to straighten the bridge and provide more projection to the nasal tip, balancing the overall appearance.

Question 13

Why are surgical drains necessary for procedures like liposuction, and how long do they typically stay in?

Accepted Answer

Drains are crucial for procedures like liposuction to prevent fluid buildup, achieve the best results, and allow for aggressive surgical approaches. Stripping the drain is an important part of care to keep the tube flowing, and can be performed by the patient or another person. The process is the same: secure the drain with your non-dominant hand close to the patient, then use your dominant hand with an alcohol pad, lotion, or Purell to facilitate sliding. Pinch the drain with your thumb and index finger and slide down the tube towards the bowl to remove blood clots or debris, ensuring free flow.

Question 14

What are the common causes of infection in silicone nasal implants, and what are the warning signs patients should look for?

Accepted Answer

Draining pus from a nasal implant site indicates ongoing contamination or infection, even if the implant doesn't visually 'look infected.' An infected or contaminated silicone nasal implant will not resolve on its own, even with antibiotics; the only way to cure it is to remove it. After removal, the patient will be cleaned up and put on antibiotics. A period is then needed for the area to 'cool down' before nasal reconstruction can be performed to achieve a natural-looking nose. Silicone nasal implants, often L-shaped, are used for bridge augmentation.

Question 15

What are the ideal characteristics of a candidate for surgical rhinoplasty?

Accepted Answer

Rhinoplasty is safe to perform once the bones and cartilage of the nose have stopped growing, which corresponds to reaching skeletal maturity. Skeletal maturity happens younger in women (as young as 13) compared to men (typically 17-18 years old). After this point, the decision involves a discussion about appropriateness and requires consent from both the patient and, if applicable, their parents. Surgery can proceed if all parties are in agreement.

Question 16

What does Dr. Bellamy say about consultations?

Accepted Answer

We'll have that conversation as to what your top three goals are for your nose.

Question 17

What does Dr. Bellamy say about recovery?

Accepted Answer

A week of downtime is generally sufficient after rhinoplasty before slowly resuming work. A splint is used for one week only after rhinoplasty. Swelling after rhinoplasty is typically gone within one to two weeks.

Question 18

What does Dr. Bellamy say about what they specialize in?

Accepted Answer

The practice performs fat transfer procedures. The practice performs blepharoplasty procedures. The practice performs brow lift procedures.

Question 19

What does Dr. Bellamy say about results?

Accepted Answer

Achieving good results is important to the practice.

Dr. Justin L. Bellamy, MD

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