Frequently Asked Questions
Fat Transfer:
1. How long will I be swollen?
Majority of swelling will settle between the first and second week. Swelling will continue to improve up to two months after the procedure; however, you will not look distorted or unusual during this time.
Majority of swelling will settle between the first and second week. Swelling will continue to improve up to two months after the procedure; however, you will not look distorted or unusual during this time.
2. How
does
Dr.
Karam
know
how
much
to
inject
and
how
much
will
I
maintain?
Based on his experience of performing over 5000 fat transfer cases, Dr. Karam knows how much fat to add in order to correct a certain deficiency. Each case is unique and the amount of fat chosen is based on the individual patient and on the goal. Dr. Karam always errs on the side of under-filling as opposed to over-filling. This ensures a natural outcome. In general, most patients retain about 50% of the fat that is injected. In some rare instances, some patients may keep slightly less.
Based on his experience of performing over 5000 fat transfer cases, Dr. Karam knows how much fat to add in order to correct a certain deficiency. Each case is unique and the amount of fat chosen is based on the individual patient and on the goal. Dr. Karam always errs on the side of under-filling as opposed to over-filling. This ensures a natural outcome. In general, most patients retain about 50% of the fat that is injected. In some rare instances, some patients may keep slightly less.
3. Is
it
normal
for
one
side
to
be
more
swollen
than
the
other?
Swelling is very common after surgery and it is normal and expected for one side to be more swollen than the other side. In addition, do not be surprised if the next day it's the opposite side that is now swollen even if you are following all the instructions correctly. However, some patients experience more swelling on one side because they are sleeping on that side, which is why we ask that you sleep inclined and on your back for at least the first week.
Swelling is very common after surgery and it is normal and expected for one side to be more swollen than the other side. In addition, do not be surprised if the next day it's the opposite side that is now swollen even if you are following all the instructions correctly. However, some patients experience more swelling on one side because they are sleeping on that side, which is why we ask that you sleep inclined and on your back for at least the first week.
4. What
are
the
lumps
and
hardness
that
appear
under
the
skin?
The lumps and hardness is swelling and it will diminish with time.
The lumps and hardness is swelling and it will diminish with time.
5. Why
does
it
look
like
the
fat
is
diminishing
between
1-3
months
after
the
transfer?
Fat is living tissue. We are essentially transplanting a fat graft (a small amount of fat tissue). Since it is a living and functional tissue, it needs to establish a blood supply in its new home. During this period, the fat is living but the fat cells haven't started storing fat (which is what fat cells do to make them plump). So during this period, the fat grafts deflate (1-3 months following the procedure). Then starting 6-9 months following the procedure, they begin acting as they normally do and they start to re-inflate and get more full. This is why patients look best 1-2 years following a fat transfer. This process is the same for hair transplants and even trees/plants that are transplanted.
Fat is living tissue. We are essentially transplanting a fat graft (a small amount of fat tissue). Since it is a living and functional tissue, it needs to establish a blood supply in its new home. During this period, the fat is living but the fat cells haven't started storing fat (which is what fat cells do to make them plump). So during this period, the fat grafts deflate (1-3 months following the procedure). Then starting 6-9 months following the procedure, they begin acting as they normally do and they start to re-inflate and get more full. This is why patients look best 1-2 years following a fat transfer. This process is the same for hair transplants and even trees/plants that are transplanted.
6. Will
there
be
stitches
where
he
injects
the
fat?
There are no sutures used on the face after a fat transfer procedure. You will have small "poke hole size" scabs that form from where Dr. Karam injects the fat, but those usually go away on the third to fifth day. However, absorbable sutures are placed where we harvest the fat. These stitches will fall out on their own within 5- 10 days. It is recommended that sunscreen be used to prevent scaring for the first year.
There are no sutures used on the face after a fat transfer procedure. You will have small "poke hole size" scabs that form from where Dr. Karam injects the fat, but those usually go away on the third to fifth day. However, absorbable sutures are placed where we harvest the fat. These stitches will fall out on their own within 5- 10 days. It is recommended that sunscreen be used to prevent scaring for the first year.
7. Where
is
the
fat
harvested?
Dr. Karam has found that the best sites for harvesting fat are from the thighs or the stomach.
Dr. Karam has found that the best sites for harvesting fat are from the thighs or the stomach.
8. Does
he
freeze
the
fat
if
I
need
a
touch
up
in
the
future?
Dr. Karam only harvests the amount of fat that is needed for the procedure. He does not take out any extra fat for any reason, including for future use. Frozen fat is unreliable at best since the freezing and thawing process is too harsh for the delicate fat cells.
Dr. Karam only harvests the amount of fat that is needed for the procedure. He does not take out any extra fat for any reason, including for future use. Frozen fat is unreliable at best since the freezing and thawing process is too harsh for the delicate fat cells.
9. Will
massaging
help
with
the
swelling?
No, massaging is not needed and can actually be harmful in terms of your results. There may be specific times and situations that Dr. Karam will recommend massaging; however, this is rare and if he does not suggest it, then that indicates that you do not need to do it.
No, massaging is not needed and can actually be harmful in terms of your results. There may be specific times and situations that Dr. Karam will recommend massaging; however, this is rare and if he does not suggest it, then that indicates that you do not need to do it.
10. Are
there
other
sources
that
can
cause
swelling?
Increased activity level can increase your swelling, especially the first month post surgery. In addition, changes in weather, especially heat, can cause you to swell more.
Increased activity level can increase your swelling, especially the first month post surgery. In addition, changes in weather, especially heat, can cause you to swell more.
11. Is
it
Permanent/
what
happens
if
I
need
a
touch
up?
Fat transfers performed by Dr. Karam are a permanent procedure. Since it is a living graft it achieves a blood supply in the same way that a skin graft or hair graft would. Once that process of neovascularization (new blood supply) has been established, the fat grafts not only survive in their new environment but they thrive. This process can take several months to occur. The general rule of thumb is that whatever you have by 2-3 months is your lowest point. It will not get less, but you might see an increase in fullness over the following year as the fat grafts make the transition from survival to returning to their biological natural ways of storing fat. Very limited cases have ever needed another fat transfer touch up and it is always best to wait until at least one year after the surgery to see the true result before any touch up procedure is scheduled.
Fat transfers performed by Dr. Karam are a permanent procedure. Since it is a living graft it achieves a blood supply in the same way that a skin graft or hair graft would. Once that process of neovascularization (new blood supply) has been established, the fat grafts not only survive in their new environment but they thrive. This process can take several months to occur. The general rule of thumb is that whatever you have by 2-3 months is your lowest point. It will not get less, but you might see an increase in fullness over the following year as the fat grafts make the transition from survival to returning to their biological natural ways of storing fat. Very limited cases have ever needed another fat transfer touch up and it is always best to wait until at least one year after the surgery to see the true result before any touch up procedure is scheduled.
12. My
skin
is
yellow?
Why?
The yellow, green, and/or brown colorations you might see are signs that you are at the end of the healing phase of a bruise-usually days to weeks after the surgery. Eventually everything is reabsorbed or excreted by the body and the bruise disappears.
The yellow, green, and/or brown colorations you might see are signs that you are at the end of the healing phase of a bruise-usually days to weeks after the surgery. Eventually everything is reabsorbed or excreted by the body and the bruise disappears.
13. How
long
before
the
bruises
go
away?
Not all patients experience bruising with a fat transfer procedure. However, those who do will commonly experience bruising for about one to two weeks. Makeup and/or concealer can be applied to camouflage bruising, if needed. In cases of dark bruising or bruising that does not seem to be resolving, Dr. Karam will recommend that you see a laser specialist for treatment. This has been shown to speed up the healing process.
Not all patients experience bruising with a fat transfer procedure. However, those who do will commonly experience bruising for about one to two weeks. Makeup and/or concealer can be applied to camouflage bruising, if needed. In cases of dark bruising or bruising that does not seem to be resolving, Dr. Karam will recommend that you see a laser specialist for treatment. This has been shown to speed up the healing process.
Face/Neck/Brow Lift:
1. How
long
until
the
incisions
heal?
Everyone heals at a different rate. As a rule of thumb, incisions look the worst between weeks 2-6 and they then start to settle up to one year following the procedure. While they are red and slightly raised, camouflaging them with make up is needed. It is important to be patient during this process. Our incisions heal extremely well in the overwhelming majority of cases.
Everyone heals at a different rate. As a rule of thumb, incisions look the worst between weeks 2-6 and they then start to settle up to one year following the procedure. While they are red and slightly raised, camouflaging them with make up is needed. It is important to be patient during this process. Our incisions heal extremely well in the overwhelming majority of cases.
2. Why
is
there
rippling
where
the
sutures
are
or
used
to
be?
Rippling/Bumps commonly occur where the sutures are placed; the swelling along the incision line causes this. The skin will relax and the rippling will begin to smooth out once the sutures are removed at your one-week post op appointment. The bumps will take a few weeks to a few months to completely smooth out.
Rippling/Bumps commonly occur where the sutures are placed; the swelling along the incision line causes this. The skin will relax and the rippling will begin to smooth out once the sutures are removed at your one-week post op appointment. The bumps will take a few weeks to a few months to completely smooth out.
3. What
is
"poking"
out
along
the
incision
line?
I
think
I
have
sutures
left
in.
Some patients will experience a stitch that feels like a wire poking out from the facelift/browlift incision line. This stitch is one of the sutures beneath the skin and the tail end of the suture can "work its way out" through the skin. The stitch is harmless and any of the staff members can easily clip the suture so you do not feel it sticking out anymore. There is no increased risk of infection or negative results occurring from this minor nuisance. The sutures will dissolve in 4-6 months.
Some patients will experience a stitch that feels like a wire poking out from the facelift/browlift incision line. This stitch is one of the sutures beneath the skin and the tail end of the suture can "work its way out" through the skin. The stitch is harmless and any of the staff members can easily clip the suture so you do not feel it sticking out anymore. There is no increased risk of infection or negative results occurring from this minor nuisance. The sutures will dissolve in 4-6 months.
4. When
will
the
numbness
and
tingling
go
away?
Numbness is common and will last a few months.
Numbness is common and will last a few months.
5. It
has
been
a
couple
weeks
and
my
face
and
jaw
still
feels
very
tight,
when
will
this
go
away?
This procedure is effective and lasting because your facial muscles are literally lifted and tightened in a more youthful position. You will typically experience this for 3-4 weeks.
This procedure is effective and lasting because your facial muscles are literally lifted and tightened in a more youthful position. You will typically experience this for 3-4 weeks.
6. Are
there
sutures
under
the
skin
in
the
muscle?
There are sutures under the skin. These sutures are the ones that physically lift and hold your facial muscles into their new "younger-looking" position.
There are sutures under the skin. These sutures are the ones that physically lift and hold your facial muscles into their new "younger-looking" position.
7. Will
the
Browlift
change
the
shape
of
my
eyes?
The Browlift will not change the shape of your eyes. The purpose of the procedure is to simply lift the tail end of the eyebrows so they are no longer sagging and to make the transition from the facelift to the brow area more seamless to achieve that refreshed look.
The Browlift will not change the shape of your eyes. The purpose of the procedure is to simply lift the tail end of the eyebrows so they are no longer sagging and to make the transition from the facelift to the brow area more seamless to achieve that refreshed look.
8. How
long
will
the
results
last?
This is always difficult question to answer because it is hard to define "lasting." The real answer is that it is permanent. However, aging does continue even after the procedure. The rate of your aging will be significantly slower once you have this done. The average patient will feel satisfied for 10-15 years.
This is always difficult question to answer because it is hard to define "lasting." The real answer is that it is permanent. However, aging does continue even after the procedure. The rate of your aging will be significantly slower once you have this done. The average patient will feel satisfied for 10-15 years.
9. When
can
I
wear
makeup?
Patients are free to wear makeup 10 days after surgery. However, it is recommended that all incision lines be only covered with breathable makeup to allow for those areas to heal properly. Some common breathable makeup include mineral make up, such as Bare Minerals, or we also sell a foundation called Oxygenetics. Please be mindful to discontinue any products if your skin becomes red, itchy, and/or inflamed.
Patients are free to wear makeup 10 days after surgery. However, it is recommended that all incision lines be only covered with breathable makeup to allow for those areas to heal properly. Some common breathable makeup include mineral make up, such as Bare Minerals, or we also sell a foundation called Oxygenetics. Please be mindful to discontinue any products if your skin becomes red, itchy, and/or inflamed.
10. When
should
I
start
using
sunblock?
Sunblock is an important beauty element that should part of your daily routine. Sunblock should begin 10 days after surgery and applied especially to the incision lines. Although sunblock should be part of your life long beauty routine, it is particularly important the first year post surgery or you run the risk of your incision lines discoloring. Please note that it is not necessarily the SPF that protects you but the Zinc Oxide of at least 9% AND Octinoxate of 7%. A good product line that carries those levels of protection is Obagi. Again, please be mindful to discontinue any products if your skin because red, itchy, and/or inflamed.
Sunblock is an important beauty element that should part of your daily routine. Sunblock should begin 10 days after surgery and applied especially to the incision lines. Although sunblock should be part of your life long beauty routine, it is particularly important the first year post surgery or you run the risk of your incision lines discoloring. Please note that it is not necessarily the SPF that protects you but the Zinc Oxide of at least 9% AND Octinoxate of 7%. A good product line that carries those levels of protection is Obagi. Again, please be mindful to discontinue any products if your skin because red, itchy, and/or inflamed.
11. Is
there
a
risk
for
nerve
damage?
No, the technique that Dr. Karam performs purposely avoids the facial nerves.
No, the technique that Dr. Karam performs purposely avoids the facial nerves.
12. Can
I
use
scar
gel
to
speed
up
the
healing
process
of
my
incisions?
For patients who want to be proactive as possible, scar gel is a good option. We do recommend a medical grade scar gel that creates a silicone barrier over the incision line, such as BioCorneum.
For patients who want to be proactive as possible, scar gel is a good option. We do recommend a medical grade scar gel that creates a silicone barrier over the incision line, such as BioCorneum.
Eyes:
1. Why
is
there
"rippling"
where
the
sutures
are
or
used
to
be?
Rippling/Bumps commonly occur where the sutures are placed; the swelling along the incision line causes this. The skin will relax and the rippling will begin to smooth out once the sutures are removed at your one-week post op appointment. The bumps will take a few weeks to a few months to completely smooth out.
Rippling/Bumps commonly occur where the sutures are placed; the swelling along the incision line causes this. The skin will relax and the rippling will begin to smooth out once the sutures are removed at your one-week post op appointment. The bumps will take a few weeks to a few months to completely smooth out.
2. When
will
the
incisions
heal?
The eyelid skin is some of the best healing skin on the body. Even though, in the end those incisions will hardly be noticeable, everyone heals at a different rate. As a rule of thumb, incisions look the worst between weeks 2-6 and they then start to settle up to 1 year following the procedure. While they are red and slightly raised, camouflaging them with make up is needed. It is important to be patient during this process. Our incisions heal extremely well in the overwhelming majority of cases.
The eyelid skin is some of the best healing skin on the body. Even though, in the end those incisions will hardly be noticeable, everyone heals at a different rate. As a rule of thumb, incisions look the worst between weeks 2-6 and they then start to settle up to 1 year following the procedure. While they are red and slightly raised, camouflaging them with make up is needed. It is important to be patient during this process. Our incisions heal extremely well in the overwhelming majority of cases.
3. When
can
I
wear
eye
makeup?
Patients are free to wear makeup 10 days after surgery. However, it is recommended that all incision lines be only covered with breathable makeup to allow for those areas to heal properly. Some common breathable makeup include mineral make up, such as Bare Minerals, or we also sell a foundation called Oxygenetixs. Please be mindful to discontinue any products if your skin becomes red, itchy, and/or inflamed.
Patients are free to wear makeup 10 days after surgery. However, it is recommended that all incision lines be only covered with breathable makeup to allow for those areas to heal properly. Some common breathable makeup include mineral make up, such as Bare Minerals, or we also sell a foundation called Oxygenetixs. Please be mindful to discontinue any products if your skin becomes red, itchy, and/or inflamed.
4. Why
is
my
vision
a
little
blurry?
Typically, this is because of the lubricant that is placed in the eye.
Typically, this is because of the lubricant that is placed in the eye.
5. How
does
he
know
where
to
make
the
incision?
And
why
is
one
side
healing
faster
than
the
other?
The incisions are made in the natural upper and lower eyelid crease (superior and inferior tarsal crease, respectfully). Be mindful that the natural crease in one eye may be higher/lower than the other eye. Incisions are closed exactly the same in every case and there is never a difference in technique between the 2 sides of the face, however, the two sides do heal differently. They eventually even out and look the same.
The incisions are made in the natural upper and lower eyelid crease (superior and inferior tarsal crease, respectfully). Be mindful that the natural crease in one eye may be higher/lower than the other eye. Incisions are closed exactly the same in every case and there is never a difference in technique between the 2 sides of the face, however, the two sides do heal differently. They eventually even out and look the same.
6. Why
are
the
skin
pinch
incisions
so
low?
It is made in the inferior tarsal crease. This location is the safest position to place the incision. When placed higher the muscle that functions to hold the lid up will be weakened and risk pulling the eyelid down.
It is made in the inferior tarsal crease. This location is the safest position to place the incision. When placed higher the muscle that functions to hold the lid up will be weakened and risk pulling the eyelid down.
back to rejuvenation of the eyes
Rhinoplasty:
1. If
Dr.
Karam
didn't
pack
my
nose,
why
am
I
stuffed
up?
It is very common to be "stuffed up" after surgery. The reason is that there is swelling inside the nose, as well as outside the nose. This swelling will peak on the third day, and then go down slowly thereafter. Expect to breathe mainly through your mouth the first week following the procedure.
It is very common to be "stuffed up" after surgery. The reason is that there is swelling inside the nose, as well as outside the nose. This swelling will peak on the third day, and then go down slowly thereafter. Expect to breathe mainly through your mouth the first week following the procedure.
2. How
long
will
my
nose
stay
swollen?
Because the nose is not very vascular, swelling of the nose can last several months and even up to a year. In most cases the swelling is not distracting or obvious.
Because the nose is not very vascular, swelling of the nose can last several months and even up to a year. In most cases the swelling is not distracting or obvious.
3. When
will
my
external
sutures
and
external
nasal
splint
be
removed?
Your sutures and nasal splint will be removed at your one-week post-op appointment. Some dissolvable internal sutures will remain in place for six months.
Your sutures and nasal splint will be removed at your one-week post-op appointment. Some dissolvable internal sutures will remain in place for six months.
4. Are
there
sutures
inside
my
nose?
There are dissolvable sutures in your nose that remain for about 3-5 months. These sutures are used to support the nose during healing and to close the incisions.
There are dissolvable sutures in your nose that remain for about 3-5 months. These sutures are used to support the nose during healing and to close the incisions.
5. Can
I
remove
the
tape
from
my
nose?
The tape and splint must remain on your nose for the entire week until we take it off at your scheduled 1 week post-op appointment. They both help support the healing process and helps with your swelling so you can have a speedy recovery.
The tape and splint must remain on your nose for the entire week until we take it off at your scheduled 1 week post-op appointment. They both help support the healing process and helps with your swelling so you can have a speedy recovery.
6. Can
I
clean
my
nose?
After 48 hours, you should start using a Q-tip soaked with hydrogen peroxide to gently wash the scabs and any dried blood outside the nose. You may also clean inside the rim of the nose. Saline spray is great for cleansing deeper inside the nose as well. This can be started after the nose has stopped draining.
After 48 hours, you should start using a Q-tip soaked with hydrogen peroxide to gently wash the scabs and any dried blood outside the nose. You may also clean inside the rim of the nose. Saline spray is great for cleansing deeper inside the nose as well. This can be started after the nose has stopped draining.
7. Why
do
I
have
drainage
down
the
back
of
my
throat?
Normally the nose secretes about 8oz. of mucus (1 cup), which goes down the back of your throat, without you knowing it. However, after you have surgery the nose is stuffed up and you become more aware of this normal secretion.
Normally the nose secretes about 8oz. of mucus (1 cup), which goes down the back of your throat, without you knowing it. However, after you have surgery the nose is stuffed up and you become more aware of this normal secretion.
8. Why
do
I
have
more
drainage
from
my
nostrils
one
day
after
surgery?
Can
I
take
an
antihistamine/
allergy
medicine
to
help/stop
it?
The nose drains blood for about 24-48 hours after surgery until a scab forms. The combination of "normal mucus drainage" and "intranasal swelling" can cause the drainage to come out the nostril rather than to go down the back of the throat. Yes, you can take an over the counter oral antihistamine, such as Benadryl, but not necessary.
The nose drains blood for about 24-48 hours after surgery until a scab forms. The combination of "normal mucus drainage" and "intranasal swelling" can cause the drainage to come out the nostril rather than to go down the back of the throat. Yes, you can take an over the counter oral antihistamine, such as Benadryl, but not necessary.
9. Is
bruising
normal?
Bruising after rhinoplasty is normal, although only about 5% of Dr. Karam's patients have any noticeable signs of brusing after the first week.
Bruising after rhinoplasty is normal, although only about 5% of Dr. Karam's patients have any noticeable signs of brusing after the first week.
10. I
have
a
headache
and
trouble
sleeping.
Is
this
normal?
Can
I
take
anything
for
it?
Unfortunately, headaches are common due to the swelling of the nose and for some patients, sleeping on their back is the cause for sleepless nights. It is often a good idea to try something like extra-strength Tylenol for your headache and save the Hydrocodone for pain. After the night of surgery, you may take a light sleeping aid, such as Tylenol PM, if needed.
Unfortunately, headaches are common due to the swelling of the nose and for some patients, sleeping on their back is the cause for sleepless nights. It is often a good idea to try something like extra-strength Tylenol for your headache and save the Hydrocodone for pain. After the night of surgery, you may take a light sleeping aid, such as Tylenol PM, if needed.
11. My
teeth
are
sensitive,
is
that
normal?
Teeth, gum, and/or upper lip sensitivity is normal after rhinoplasty. Some patients may experience for a few days to several weeks.
Teeth, gum, and/or upper lip sensitivity is normal after rhinoplasty. Some patients may experience for a few days to several weeks.
12. When
can
I
resume:
-
A. Exercise- You
can
begin
doing
long
walks
by
three
to
four
days
postoperatively.
You
can
go
to
the
gym
and
use
a
treadmill
or
stationary
bike
(no
spin
class)
by
the
second
postoperative
week.
You
can
begin
to
do
light
weights
and
non-head-down
exercises
by
the
third
week
(avoid
heavy
weights
that
would
raise
your
blood
pressure).
By
the
fourth
week
you
can
try
and
resume
pre-operative
exercise
routine,
but
stop
if
you
have
pain
or
discomfort.
B. Swimming- You can resume swimming after one month.
C. Taking my vitamins and/ or regular medications- You can resume all your medications and vitamins after two weeks from the surgery.
D. Wearing glasses/sunglasses- Only those patients who have their nose broken during surgery need to worry about glasses and sunglasses sitting on the bridge of your nose. This is only relevant for the first four weeks.
13.
How
long
do
I
have
to
sleep
elevated
and
on
my
back?
It's best to remain on your back and elevated for the first two weeks. Because some swelling will naturally follow gravity, keeping your head up is very beneficial. Those who sleep on their side will definitely notice swelling on one side more than the other.
It's best to remain on your back and elevated for the first two weeks. Because some swelling will naturally follow gravity, keeping your head up is very beneficial. Those who sleep on their side will definitely notice swelling on one side more than the other.
14.
Can
I
blow
my
nose
or
sneeze
after
surgery?
You can blow your nose and sneeze normally at about six weeks. However, if a sneeze is unavoidable just make sure to sneeze leaving your mouth open to avoid pressure within the nose.
You can blow your nose and sneeze normally at about six weeks. However, if a sneeze is unavoidable just make sure to sneeze leaving your mouth open to avoid pressure within the nose.
15. Why
is
there
so
much
numbness
at
the
tip
of
my
nose?
Numbness is very common and will last from a few weeks to a few months.
Numbness is very common and will last from a few weeks to a few months.
16. What
medications/
supplements
should
I
avoid
2
weeks
before
and
2
weeks
after
surgery?
You should avoid all NSAIDs, such as Advil, Motrin, aspirin, Excedrin, ibuprofen, Aleve, Naprosyn, etc. Additionally, you should avoid omega-3 supplements, such fish oils, chia seeds and flaxseed for two weeks before and two weeks after the surgery. If you any questions in regards to your meds please call the office before you take it.
You should avoid all NSAIDs, such as Advil, Motrin, aspirin, Excedrin, ibuprofen, Aleve, Naprosyn, etc. Additionally, you should avoid omega-3 supplements, such fish oils, chia seeds and flaxseed for two weeks before and two weeks after the surgery. If you any questions in regards to your meds please call the office before you take it.
17.
How
long
before
the
swelling
has
totally
resolved?
It
generally
takes
two
to
three
weeks
for
most
of
the
swelling
to
subside.
At
two
to
three
weeks
it
is
difficult
for
most
people
to
be
able
to
tell
if
you
have
had
surgery.
18.
What
are
the
changes
I
should
expect
while
my
nose
is
healing?
Your nose will continue to get smaller and more refined as the months go on. Your body heals at its own rate and it is important to be patient during this time.
Your nose will continue to get smaller and more refined as the months go on. Your body heals at its own rate and it is important to be patient during this time.
19. Regarding
donor
sites
for
ear
cartilage
grafts
or
fascia
grafts
from
the
scalp.
-
A. Why
is
there
bleeding
and
oozing? These
areas
are
highly
vascularized,
and
once
the
epinephrine
wears
off
from
the
local
anesthesia,
you
may
have
"reflex
bleeding
or
oozing".
The
bleeding
and
oozing
are
both
normal.
B. How do I clean the area? scalp wet where the fascia graft was harvested. However, do not get the yellow ear donor site or the nose cast wet. It is best to have someone else wash your hair for you.
C. When can I wash my hair?It is usually best to wait 48 hours after surgery to wash your hair and it is often beneficial to have someone wash your hair for you.
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Dr. Karam voted
"2010, 2011, 2012, 2013
Best Cosmetic Surgeon"
Ranch and Coast Magazine
Readers Choice Award
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