Rhinoplasty is the most demanding facial plastic surgery operation. The variables and intricacies of human anatomy and genetics influence all levels of healing, which makes planning, preparation, surgery, and post-operative care for a rhinoplasty patient a universe unto itself. Minute change or major change, reduction or augmentation, primary or secondary, no rhinoplasty operation is preordained to be easy or simple. Each rhinoplasty requires the total immersion of every nuance of knowledge and experience to assure the best possible result. Dr. Pastorek must understand not just your external appearance, but also the internal nasal anatomic relationships.
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Once he completes your examination, Dr. Pastorek presents you with a plan for the aesthetic correction you want. He likes to be absolutely certain of your goals before you leave the consultation. He wants you to know what is realistically possible with aesthetic nasal change before he starts any discussion about your preparation or post-op course. Various surgeons manage rhinoplasty in different ways. Dr. Pastorek performs his procedures through internal incisions (known as a Closed Rhinoplasty). You will usually leave the post-operative recovery room within one hour following the surgery. Cold compresses to your eyes are routine, so you can’t drive anywhere.
On the sixth day after the surgery, Dr.Pastorek removes the external silicone splint in the office. Because of surgical edema, the nasal appearance at this time never reflects the final result, but even after seven days, you can expect your nose to look better than the original. Most patients feel comfortable returning to work, school, or social situations immediately after the splint is removed. You will visit the office about 60 days after the splint is removed for a post-op follow-up, and Dr, Pastorek will meet with you after 6 months for a final visit. You can make other appointments as necessary. The doctor will provide in-depth information about post-operative care and activities when he removes your splint. Post-op photos are usually taken at the 6-month visit.
Dr. Pastorek feels that rapid recovery is one of the benefits of the internal incision approach to rhinoplasty and of his attention to detail before the surgery. The use of NASA technology, specifically lightwave frequency treatment, after the splint is removed quickens the reduction of post-operative swelling. With Dr. Pastorek’s technique, 25% of the post-op surgical swelling is usually down in 7 days, half of the swelling is down at 6–8 weeks, and almost all swelling is gone by 6–8 months. Final resolution is often related to your individual nasal skin thickness, so your results may vary.
Dr. Pastorek has performed over 6,900 rhinoplasty procedures in New York. If you’d like, you can view an entire Rhinoplasty operation performed by Dr. Pastorek below. Unlike most would expect, there is little or no bleeding from the incisions. This is due to Dr. Pastorek’s very specific pre operative protocol and the exact placement of local anesthesia. You will note the patient is perfectly relaxed and comfortable throughout the duration of the surgery.