Mr Sabbagh uses both the open and closed approach in rhinoplasty. For most cases which only require a hump reduction and minor adjustments a closed approach is utilized. In those cases that are complex, require changes to the tip or/and the septum then an open approach is selected.
Nasal packs are usually placed in the nostrils after surgery. In most cases the packs are removed one day after surgery. Cases that involve correction of the septum may require packs for 3 days.
An external splint will be used in the majority of cases. This will help to stabilize the new position of the nasal bones and also helps to minimize swelling. The swelling will be removed at one week following the surgery.
There will be a degree of blockage in the first week after surgery. This is because some blood and mucous dries up and prevents smooth flow of air. Steam can be helpful to loosen any blockage.
Bruising around the eyes is variable and usually occurs if the nasal bones need to be broken to narrow the nasal bridge. Most of the bruising subsides one week following the surgery.
For upper eyelids surgery is primarily to deal with the excess skin that has gathered above the lid. In some patients there are some fat bulges in the upper lid especially on the inner part of the upper lid. The excess skin is removed and the wound directly closed. One buried continuous pull through suture is used to close the wound which is removed at 1 week.
For lower eyelids, surgery is primarily to deal with the abnormal fat that has gathered causing bulges under the eye. The operation type will depend on the exact problem. An incision is made just under the eyelashes to get access to the fat. The excess fat can then either be removed or repositioned depending on the appearance of the area under the eye. The incision is closed with one continuous suture.
For Lower eyelids surgery (with or without upper lids) a general anesthetic is necessary. For upper eyelids in isolation surgery can be performed under general anesthetic or local anesthetic with some sedation.
Very thin steristrips are applied to the wounds which will need to stay on for 1 week.
There is always some bruising and swelling associated with eyelid surgery. Most of this usually resolves after 1 week. However this variable and occasionally bruising can take 2-3 weeks to fully resolve. It is recommended that you take 7-10 days of work to recover from the surgery. During this period there may be some discomfort around the eyes and patients may experience some watering of their eyes.
Scars heal extremely well and are almost invisible after 3-6 months. In the early period they will be visible and may appear a little red
Very rare complications include haematoma (collection of blood) requiring removal of some sutures and infection.
There may be some irritation to the eye after the surgery (eye watering, redness) which can take several weeks to resolve. In rare cases the irritation results in a clear film of fluid on the eye (Chemosis) which may require some eye drops.
With lower eyelids there is a small risk of the eyelid drooping 1-2 mm. This usually improves as the swelling subsides. On occasions this may require a small operation.