Plastic Surgery/Nose Work

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Question
Dr Tobin,

Thanks for taking my question and taking the time to do this for people in need. Three weeks ago today, I underwent surgery to repair a deviated septum and straighten my nose. It was a closed procedure and I mentioned to my doctor that I would like to keep the shape of my nose the same, but correct a moderate to severe off center leaning to the right of my nose. No cartilage was remolded, only the nasal bone was broken and re-set.

The procedure seemed to go ok and I am breathing much better. I however am not satisfied with the results of the straightening. My nose looks identical or slightly more off center from the outside in before and after pictures. My nose was broken and put in a splint for 6 days. My questions are as follows:

Can I expect my nose to continue to straighten and improve in appearance in the next several weeks?

I played 9 holes of very careful golf (no hard swings/not smart I know)five days after the procedure with no pain during or after (brace was still on my face). Is it likely I ruined my results by doing so?

Can I now lift weights and play golf/exercise as normal without compromising the shape of my nose?    

Thanks Again!

Answer
John
Unfortunately, the information you provided as to the exact nature of the surgery and the time since it took place limits what I can tell you but, in general, it is difficult to assess the result of a rhinoplasty till the swelling subsides, which can take months. Also, when a nose is twisted due to deviatd cartilage, that is very difficult to totally correct. I know this doesn't totally answer all your questions, but it is the best I can do with the information you provided.

Depending on the doctor, it is generally recommended to avoid vigorous exercise for about 3 to 6 weeks after surgery. You should check with your doctor regarding this.

Sincerely
Howard Tobin. MD FACS

Plastic Surgery

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Howard Tobin MD FACS

Expertise

I can answer questions related to Cosmetic Surgery. I cannot answer questions related to reconstruction, burn treatment, cleft palate surgery or traumatic surgery. My practice is, and has been for 36 years, limited to Cosmetic Surgery. For further information, go to www.newlook.org

Experience

As mentioned above, I have exclusively practiced cosmetic surgery for over 36 years. My practice encompases all aspects of cosmetic surgery

Organizations
American Academy of Cosmetic Surgery (past president) American Society of Liposuction Surgery (past president) Cosmetic Surgical Society of Texas (past president) Fellow American College of Surgeons Texas Medical Association see cv on website www.newlook.org for further details

Publications
Seventy three published articles. see cv on website www.newlook.org for further details

Education/Credentials
Graduate of Princeton University and Baylor College of Medicine Internship - University of Virginia Residency - Baylor Medical College Affiliated Residencies Fellowship - University of Cincinnati see cv on website www.newlook.org for further details

Awards and Honors
American Medical Association - Physician's Recognition Award; 1969- present American Academy of Otolaryngology - Head and Neck Surgery Honor Award, October, 1983 American Board of Cosmetic Surgery - Certificate of Appreciation - 1987 American Academy of Cosmetic Surgery - Best presentation at 1987 annual meeting: "Revision Mammaplasty with Replicon Prosthesis" Accreditation Association for Ambulatory Healthcare Certificate of Appreciation 1989-90 American Academy of Facial Plastic & Reconstructive Surgery Honor Award for distinguished service, 1989 American Academy of Facial Plastic & Reconstructive Surgery Appreciation Award for authorship of monograph on outpatient surgery , 1993 Certificate of Excellence in Continuing Medical Education in Cosmetic Surgery, 1993 - American Academy of Cosmetic Surgery. International Academy of Aesthetic Surgery & Aesthetic Medicine - Honor Award, 1994 American Academy of Cosmetic Surgery - Recognition plaque following term of Presidency - 1995 Accreditation Association for Ambulatory Healthcare Special Citation of Appreciation for Service; November 1996 International Academy of Aesthetic Surgery & Aesthetic Medicine - Appointed honorary North American President, 1995 1997 American Academy of Cosmetic Surgery: Award for excellence in cosmetic surgery; Jan 2003 Cosmetic Surgical Society of Texas Appreciation Award for Leadership; 2004 Honorary Member Mexican Academy of Cosmetic Surgery 2007

Past/Present Clients
A past sponsor of the Miss Texas USA pageant, he has also served as a judge for this and other pageants. His patients include many pageant contestants and winners up to the Miss Universe title

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