Question 1

Does the nose continue to grow with age?

Accepted Answer

It's a common misconception that the nose continues to grow. In reality, the nose is fully grown by the late teenage years. Changes in shape, such as widening of the nasal tip or drooping, occur due to the loosening of ligaments that hold the cartilage and soft tissue together, a normal part of the aging process.

Question 2

How should I tape my nose after rhinoplasty, and what are the benefits?

Accepted Answer

Nose taping after rhinoplasty helps to achieve better tip definition, encourages the skin to settle, and slims the super tip area. The process involves applying tape right above the tip in the super tip area to hold pressure down, and a second piece just above the incision, curved around the tip to slim it, ensuring nostrils are not blocked. This compresses the super tip and pinches the tip itself. Patients are recommended to apply the tape overnight and when relaxing at home.

Question 3

What is saddle nose deformity and how is it treated?

Accepted Answer

Saddle nose deformity refers to a collapsed nasal bridge or a loss of nasal height, characterized by an indentation in the middle part of the nose, resembling a saddle. This cartilaginous defect can significantly affect both breathing and the cosmetic appearance of the nose. Dr. Ginsburg repairs saddle nose using cartilage and bone grafting, frequently utilizing rib cartilage to raise the nasal bridge, restore necessary support, and improve both nasal function and overall appearance. The graft is anchored to the tip cartilage for strength.

Question 4

What is the typical recovery timeline and expectations after rhinoplasty?

Accepted Answer

Rhinoplasty recovery involves several stages. While initial results are visible early on, significant swelling can persist for weeks, and bruising may last longer depending on the extent of the surgery. For instance, patients at 3-4 weeks post-op are still typically swollen, with final results often becoming apparent over several months. Full healing can take up to a year or more, with some patients showing excellent outcomes at 9 months post-operation.

Question 5

How long do I need to tape my nose to achieve maximal tip definition, and does it really help with swelling?

Accepted Answer

Nose taping after rhinoplasty helps to achieve better tip definition, encourages the skin to settle, and slims the super tip area. The process involves applying tape right above the tip in the super tip area to hold pressure down, and a second piece just above the incision, curved around the tip to slim it, ensuring nostrils are not blocked. This compresses the super tip and pinches the tip itself. Patients are recommended to apply the tape overnight and when relaxing at home.

Question 6

Why does my nose seem to get wider as I age, and can rhinoplasty address this?

Accepted Answer

It's a common misconception that the nose continues to grow. In reality, the nose is fully grown by the late teenage years. Changes in shape, such as widening of the nasal tip or drooping, occur due to the loosening of ligaments that hold the cartilage and soft tissue together, a normal part of the aging process.

Question 7

How long does it take to see the final results after rhinoplasty, and how much of the swelling is gone by 3-4 weeks?

Accepted Answer

Rhinoplasty recovery involves several stages. While initial results are visible early on, significant swelling can persist for weeks, and bruising may last longer depending on the extent of the surgery. For instance, patients at 3-4 weeks post-op are still typically swollen, with final results often becoming apparent over several months. Full healing can take up to a year or more, with some patients showing excellent outcomes at 9 months post-operation.

Question 8

What are the common causes of saddle nose deformity, and what are the surgical options for correction?

Accepted Answer

Saddle nose deformity refers to a collapsed nasal bridge or a loss of nasal height, characterized by an indentation in the middle part of the nose, resembling a saddle. This cartilaginous defect can significantly affect both breathing and the cosmetic appearance of the nose. Dr. Ginsburg repairs saddle nose using cartilage and bone grafting, frequently utilizing rib cartilage to raise the nasal bridge, restore necessary support, and improve both nasal function and overall appearance. The graft is anchored to the tip cartilage for strength.

Question 9

What does Dr. Ginsburg say about their techniques?

Accepted Answer

The incision for otoplasty is made behind the ear. Otoplasty is performed on both ears, even if they have slightly different shapes, using the same core idea. The antihelical fold can be recreated with sutures during otoplasty.

Question 10

What does Dr. Ginsburg say about recovery?

Accepted Answer

Patients are recommended to apply the tape overnight and when relaxing at home, taking it off the next morning. Tape right above the tip in the super tip area to try to hold pressure down.

Dr. Mark Ginsburg, DO

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