By Marie Hall
One of the most important things patients must know before undergoing a rhinoplasty, is that there should not be any nicotine products in their blood system before surgery. Nicotine can have detrimental effects on the results of a rhinoplasty. We specifically state the importance of not having nicotine, which might not mean to just stop smoking.
Quitting smoking before undergoing a rhinoplasty might not be adequate. If a patient stops smoking tobacco but is using a substance to help them stop smoking such as nicotine patches or gum, they are placing themselves at risk when undergoing a nose job. The dangerous chemical is nicotine.
Nicotine damages the capillaries or smallest blood vessels of the nose. It may prevent adequate blood flow to the nose that may delay or even prevent healing. At the worst case, nicotine can cause part of the skin of the nose to die. This would be a disastrous result that would result in a less than ideal outcome.
For these reasons, patients considering a rhinoplasty must be off of nicotine products from anywhere between 3 weeks to 9 month depending on a couple of factors. The following qualities will require patients to be off of nicotine products longer:
1) Long history of smoking
2) Heavy use of nicotine on a daily basis
3) Revision Rhinoplasty
4) Patients with thin nasal skin
There are products or foods that we eat that can thin our blood. When our blood is thin, it can cause more bleeding during a nose job resulting in:
1) Increased bruising
2) Increased difficulty of surgery for your surgeon
3) Increased operating time
For these reasons, we have a handout of all of the medications and foods that we want patients to avoid before surgery. The list is too extensive to include in this blog, but we will list a few of the most common items that thin the blood. They are:
– Aspirin and all aspirin containing products
– Vitamin E
– Fish Oil
– Red Wine
– A variety of other supplemen
We recommend patients prevent the use of the above products two weeks before their surgery. If aspirin is taken for pain relief, we recommend Tylenol or Acetaminophen for the weeks leading up to surgery.
There are natural supplements that help swelling and bruising resolve after a rhinoplasty in North Carolina. The natural supplements that I believe aid in the healing process are:
1) Arnica Montana
We will have our patients start these supplements before surgery and continue them during their recovery.
During the first week after surgery, we want patients to have rest comfortably at home without worrying about their supplies required for their care. A list of all required supplies and medications are given to patients two weeks before their nose job. It is strongly recommend that patients have all of the supplies in their possession before surgery.