Frequently Asked Questions
We hope that this section on frequently asked questions will help you in some way. Please let us know how we can make this page better for you and others. You can contact us here with any questions or concerns: Contact Seattle Rhinoplasty Expert
Question 1: Am I a good candidate for Rhinoplasty?
Answer: This depends from what aspect you are talking about. From an anatomical aspect, the farther you are from ideal the better the candidate you likely will be. From a psychological perspective, are you emotionally stable to handle these changes. The gorney diagram is a basic method of analyzing whether you are psychologically a good candidate from this general point of view. But this will not answer if you are emotionally a good candidate. From a health viewpoint, you should be in good health. We go over more of the question here: Am I a good candidate for Rhinoplasty.
Question 2: What can I expect I will look like after a Rhinoplasty?
Answer: The best way to handle this is by carrying out morphed pictures of your current nose to see how it will look on you. This can give you a visual perspective on this question. See it with a picture is a big step in seeing what you will look like. Although, this Rhinoplasty is not magic. We do all we can to get your results like the pictures that we will morph for you. We ask though to be realistic in this. You can only change someone's nose a certain degree while being safe.
Question 3: How long does it take to heal and how many days from work will I need?
Answer: Usually what we tell people is that you will need about a week to recover. Some people need less, some more. From a wound healing perspective, you typically get 20% of your healing the first 2 weeks, 60% at 6 weeks, and 80-90% at 6 months. From a visual perspective, most of your swelling will go down by one week. At a week you can still be slightly swollen and bruised but this should be minimal. Most people go back to work after a week. We usually take off the bandage and remove sutures at 6 days. You will have very minor healing after 6 months that can go on for 2 years.
Question 4: What kind of anesthesia will I need?
Answer: Rhinoplasty can be done under General Anesthesia or Intravenous Sedation (Moderate | Twilight Sedation). General anesthesia is a level that you will be completely sleeping. All of your muscles will be relaxed and you will not be able to breathe on your own. You will need to have a breathing tube inserted to help you breath and protect your airway. You will have no awareness during the procedure. This method has positives and benefits. You will be completely unaware during General Anesthesia but the risks are greater. Malignant Hyperthermia is a reaction that you can have that is rare but life threatening. This has a risk with General Anesthesia that you will not have with IV moderate sedation. With IV sedation you will have less risks for damage to your airway, malignant hyperthermia, and blood clots. But you will be more awake during this method. 99.9% of the time, people don't remember anything after IV sedation but this is always a possibility. Iv moderate sedation has less risks of complications in our experience.
Question 5: How often do I come back to see your team after the procedure?
Answer: You can see us as many times as you need to help you recover and heal your best. Typically, we have people come back the next day and then on day 3 and 6. Sometimes, we identify people that need more help and have them come back everyday in some cases. Cleaning is the most important part that we want you to achieve. This is the most important the first 24-48 hours and tapers off after that over the next 1-2 weeks. Cleaning the first 24-48 hours can determine how you heal for months. Not keeping things clean the first 24-48 hours can lead to more scarring and infections as well as other complications. You are welcome to contact us any time. We have a 24 hour answering service that has Dr. Young's cell phone number, his home number and other phone numbers to get a hold of him 24 / 7. We also have an email that you can write any time and an office cell phone number you can call or text at 425-505-0938.
Question 6: How much is a Rhinoplasty?
Answer: This depends on what you will have done. Working on the bridge or tip alone will make things less costly. Revisions will involve more things to do and time which usually means that revisions will be more expensive. The range is from 2500-12000 based on some of these variables. We always try to work with the individual. After all, we are in the business of helping people. We are in the people business offering | serving facial plastic surgery and not in the facial plastic surgery business serving people.
Question 7: What type of credentialling does your facility have?
Answer: Dr. Philip Young has numerous credentials including being Double board certified and an award winning Beauty Theorist having received the Sir Harold Delf Gillies Award from the American Academy of Facial Plastic and Reconstructive Surgery. Our Facility is AAAHC certified having achieved this 2 surveys in a row and receiving the maximum 3 years of accreditation each time. You can read more about our AAAHC certification here: Learn more about our Facility.
Question 8: Does your facility and Dr. Young specialize in Rhinoplasty?
Answer: Rhinoplasty comprises about 30-40% of what we do here at our facility. Dr. Young specializes in only the plastic surgery of the face, head and neck. He does not do any body plastic surgery except minimal scar revisions. We will have other doctors that perform body plastic surgery procedures. Dr. Philip Young trained in Otolaryngology Head and Neck Surgery. During this training, our speciality achieves the most in depth knowledge of the anatomy, and treatment of the face, head and neck area. This extensive knowledge helps us get the best results in plastic surgery of the face, head and neck. Dr. Philip Young is also fellowshiop trained having obtained a year in the speciality training for Facial Plastic and Reconstructive Surgery. While there he learned from Dr. Frederick Stucker one of the grand masters of Facial Plastic Surgery and a former president of the American Academy of Facial Plastic and Reconstructive Surgery. He is Beverly Hills trained having learned from some of the most well known surgeons in Beverly Hills including the Real Housewives Dr. Paul Nassif during his time at the University of Southern California; former president of the American Academy of Cosmetic Surgery Dr. Mark Berman; Francis Palmer; Stephen Pinkus; Peter Cheski, etc. He has also visited and learned from some of the best surgeons in the world having observed Former President of the American Academy of Plastic and Reconstructive Surgery and Current Editor of the American Journal of Plastic and Reconstructive Surgery, Rod Rohrich; The founder of the Deep Plane Facelift, Sam Hamra; one of the most well known rhinoplasty surgeons, Jack Gunter; etc.
Question 9: What is your facilities and Dr. Young's infection rate?
Answer: Rhinoplasty is considered a clean contaminated procedure. The national average for this type of surgery is 2-3%. We recently did a review of our infetions rates March 2015 and found that our infection rate is 0.63% much lower than the national average. Excluding implant surgeries this falls to 0.32%. Both figures are less than 1% which is much lower than the national average.
Question 10: What are the differences between caucasian rhinoplasties and other ethnicities?
Answer: Caucasian rhinoplasty involves, more oftentimes, reduction of their anatomical elements. They typically are concerned of taking down a dorsal hump or a large nose. Their skin tends to be thinner and hence less forgiving. Because reduction is the main focus, you are not likely to be in need of extra cartilage grafting unless certain elements dictate the need for them. Asian rhinplasties are known for their need for augmentation and making parts of their stand out or project. This is just the oppposite of the Caucasian nose. Hence in Asia, rhinoplasties often require grafting to achieve the desires of Asian patients. Some of the problem in this setting is a lack of cartilage material to do the grafting and augmenting. With the smaller nose, the cartilage elements become scarce as well. Ear cartilage grafts or knowing how to use deeper structures along the septum become useful and need to be considered by the Asian patient. For Middle eastern patients, they have elements of Caucasian and Asian noses having prominent noses like Caucasians and sometimes thicker skin like Asians. Knowledge of Asian and Caucasian patients can help understand the vagaries of the Middle Eastern Nose. African American noses often have many similarities with the Asian nose, except they are wider at the nostril area and at the nasal bones area. The tips and skin have similar consistencies. The Eastern Indian patient can have elements of both Asian, Caucasian and African American.
More to come. If you would like to have other questions answered on this page you can write us here: contactus(at)drphilipyoung.com or our Seattle Rhinoplasty Expert Contact Page
Question 11: How bad is the pain after Rhinoplasty?
Answer: The pain really is variable. Some people have more pain than others. Some have very little pain surprisingly. We usually prescribe Percocet for pain. The other medications we prescribe our an antibiotic like clindamycin or keflex depending on your allergies. Usually people do not use all of the pain medication that we prescribe. We have had many people not take any of the percocet.
Question 12: Do you like the open or closed approach?
Answer: I prefer the open approach as you can see the structures in their native position and working with the structures is much easier. I was trained in Beverly Hills at University of Southern California. Some of our teachers were Dr. Paul Nassif, Dr. Mark Berman, Dr. Stephen Pincus, Dr. Francis Palmer, Dr. Adrian Yi, etc. Most of these professors preferred the open approach. The disadvantage of this approach is the scar at the columella and the prolonged healing that most closed approach advocates cite. I think the advantages far outweigh the disadvantages. The closed approach uses the transfixion, marginal and intercartilaginous incisions to expose the nasal tip. This approach is too constraining and results are sacrificed in my opinion.