Austin Texas Board Certified Plastic Surgeon


Category: Rhinoplasty

Happiness and Plastic and Cosmetic Surgery

I wanted to be a Plastic Surgeon at a very young age, 12 years old. At the young age, I was enthralled with the opportunity plastic surgeons had to help improve the lives of their patients by enhancing their appearance.  Thus Plastic Surgery, and Cosmetic Surgery in particular, holds special meaning for me.  It is a medical discipline that is focused as much on the how people feel as the way they look.  I see the goal of Cosmetic Surgery as not just to modify the outside of one’s nose, face, or body but to generate happiness.  That is a bold statement, but I believe it is true.  Why else would people part with their hard-earned money, embark on an endeavor infused with inherent uncertainty, and take time out of their busy lives for the necessary recovery.  Happiness is what patients seek.  I have learned this, I respect this, and it is what guides my every action, every thought, and every decision when I take care of my patients.  It is important to note that I don’t believe that Cosmetic Surgery alone can create happiness.  In order to benefit from the changes Cosmetic Surgery can provide, a patient has to have the capacity to be happy, to be content.  Fortunately almost all patients do have that capability.  One of my biggest responsibilities as a Plastic Surgeon, as a doctor, is to hear and understand a patient’s goals, aspiration, and motivations and match those with an explanation of anticipated result outcomes, patient experience, and anticipated positive emotional impact.  When during a consultation, I am able to “look inside” a patients head to “see” what they are expecting and let a patient “peak inside” my head to “see” what I believe I can deliver; happiness is ultimately the result.  I call it the “Cosmetic Surgery Consultation Mind Meld.”  Understanding one another creates beneficial expectations and perceptions – and that is everything.  Hope to see you soon.

The link between nausea and bruising in rhinoplasty

Bruising occurs when blood seeps out of the blood vessels and gets trapped in the body’s soft tissues. This occurs as a normal occurrence in surgery and some continues to weep out in the first day or more of recovery.  When you are nauseated and retch or vomit you create a temporary increase in pressure in the blood vessels, especially in the head and face.  This results in pushing more blood out of the blood vessels into the surrounding muscles, fat, and skin thus resulting in more bruising.  So by limiting nausea we can reduce bruising.  Here are some ways to accomplish nausea reduction in which patients participate.

  • Emend – An Rx taken before surgery
  • Zofran – An RX taken after surgery, pair it if needed with the pain medication. See below.
  • Avoid eating a lot of solid food the day of surgery after the surgery. I suggest sticking to clears and crackers, dry toast.  Heavy food in the stomach can worsen nausea.
  • Avoid excess pain medication – This is a delicate balance because pain can raise the blood pressure too.
  • Take pain medication with some food – Again there is a delicate balance here because while crackers and toast are mild, too much can lead to nausea. May also need to take the nausea medications at similar times to reduce narcotic associated nausea.
  • Avoid swallowing blood – sometimes there is a small amount of oozing that drips back to the back of the throat. While it might seem impolite or untidy it is best to spit this out into a piece of tissue or into a cup. Blood in the stomach can cause nausea.
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