Correction of the nose bleeds is possible after rhinoplasty (Dr Young from Bellevue near Seattle). Based on what you said, the ENT doctor might have diagnosed what is called Ozena which is when the nostril passages are so open, the mucosa dries out which can lead to crust formation, bacterial overgrowth and bleeding.  You would need a thorough exam to evaluate why you are bleeding.  You could have prominent vessels that is causing the bleeding that could be taken care of.  If it is ozena, you can reconstruct your nose to prevent this drying through controlled narrowing of the nose, mucosal grafts, flaps into the nasal cavity, etc.  Exposure of cartilage, grafts, stithces, or implants could all be possibilities that could be the cause.  Get multiple opinions, is my best suggestion also.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Rhinoplasty (Dr Young Aesthetic Facial Plastic Surgery 1810 116th Ave NE #102, Bellevue, WA) when you are having a cold can increase your risk of complications.  There are always variables though that can increase or decrease this relative risk.  But with a cold, you can be more likely to have a cough after the procedure that could increase your risk of causing bleeding after your procedure.  Also if you are getting general anesthesia, the cold can increase your risk of having airway issues such as laryngospasm.  Most anesthesiologists will cancel a case if the person has a significant cold and with fever.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

There are many things that I ask to assess whether a patient is a good candidate for a rhinoplasty. One of the things that I want to make sure of is whether rhinoplasty is the right procedure for the patient.  I always ask what the patient is desiring from the rhinoplasty procedure as well to find out if what they are asking is possible with rhinoplasty.  I want to find out if their expectations are realistic and that the procedure will be able to achieve these realistic goals.  The one thing to remember is that perfection is not possible but we try to attain it as much as humanly possible.  I ask patient what they expect the surgery will do for them, if it will change their whole life, etc.  I also want them to see if I can be the right surgeon for them as well.  I get a sense during my conversation if this person will fit well in our practice in terms of coming back for follow ups and if their personality gels well with our staff.  My staff usually has a good sense of whether they will fit in and handle the post operative period and recovery well. The best situations are when the patients know what they want. The most difficult patients are those that are not able convey what they don’t like about their nose or the ones that demand a certain look. I usually ask them about the 2-3 things that they would like accomplished. I also put these in order. Understanding what the patients want is more than half the battle and is really the most important thing to find out. I try to find out also why they want surgery at this time. Some of the patients that I get worried about are the overly narcissistic person, the perfectionist, the person concentrating on a minor element but wants major improvements, and someone I don’t think will be happy no matter what the outcome. Rhinoplasty won’t change your life, but it can improve it. If you think it will change your life then you might consider something else in your ire. This is a video on Rhinoplasty.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This was a question that I answered for someone that was worried about the common perception that when you get a rhinonplasty you have to “Break” the nose. This is how I answered rhinoplasty (Aesthetic Facial Plastic Surgeyr and Dr Young is in Bellevue Washington) does not need “breaking” of the nose but a controlled shaping of the nose to be effective.  It is all in the way that you say things I would say.  Breaking the nose sounds very uncontrolled and unrefined.  Rhinoplasty couldn’t be further from this.  This procedure is the most intricate and detailed that a plastic surgeon can do.  The nasal bones often have to be shaped to take on the new form.  And breaking is not accurately used to depict what is going on during the procedure in my opinion.  The shaping of the nasal bones does require separating the nasal bones from the surrounding facial bones.  This is done with fine osteotomes that are sometimes as small as one millimeter.  This separation is done in an extremely controlled fashion and not like what is done when you break your nose in an accident that commonly can occur in many situations. This is a video on Rhinoplasty, scroll down to view.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This is a question that I answered for a patient that had a hump, and a wider nose but felt that it has gotten worse as she aged. She wondered if a rhinoplasty could correct those elements in her nose.  This is how I answered her questions:

Your Nose can grow as you age and rhinoplasty (Aesthetic Facial Plastic Surgeyr and Dr Young is in Bellevue Washington) can correct this and other anatomical characterisitics.  When you age, your skin can enlarge over time which can create the appearance of a larger nose.  Also as you lose volume in your face, the nose can take on a larger role.  Also as ligaments in your nose loosen your nose has a tendency to lengthen further creating the illusion that your nose is getting longer.  Many of these elements can be corrected with a rhinoplasty.  The hump that you have will appear larger because your tip will descend as you age.  This descent also brings your nose closer to your face which makes it look wider. This is a video on Rhinoplasty., scroll down to view.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington