* MGH Operative Report - Rhinoplasty 01/28/98 - Melissa Schneider, MD - Joel J. Feldman, MD
Operative report for rhinoplasty 8 weeks after facelift at MGH Plastic Surgery Residents’ Clinic.
Read what Dr. Feldman tells his private patients to avoid 3 months after a face/neck lift.
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MASSACHUSETTS GENERAL HOSPITAL
OPERATIVE REPORT
NAME:’ IACOVELLI, LUCILLE M
DATE: 01/28/98
SURGEON: MELISSA SCHNEIDER, M.D.
JOEL FELDMAN, M.D.
PREOPERATIVE DIAGNOSIS: NASAL DEFORMITY. POSTOPERATIVE DIAGNOSIS: SAME.
NAME OF OPERATION: RHINOPLASTY.
INDICATIONS FOR PROCEDURE: The patient is approximately 8 weeks status post a face lift and blepharoplasty and now desires a rhinoplasty. In particular, she feels that her tip is very rounded and that on profile, her dorsal profile is slightly convex. So our goals for the procedure were to refine her tip and improve her dorsal profile.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in the supine position. After receiving IV sedation, her nose was locally anesthetized with approximately 10 cc. of lidocaine with epinephrine as well as cocaine packing. After local anesthesia was achieved, we began by first making an intercartilaginous incision and freeing the dorsal aspect of the nose. Once this was done, we rasped the most distal portion of the bony vault and then used a scissor to trim down the cartilaginous dorsal hump. Once this was done and a nice dorsal profile was achieved, lateral osteotomies were done in standard fashion. After this was done, an intracartilaginous incision was made in the lower lateral cartilage and a cephalic trim was done bilaterally on each side in order to refine the nasal tip. We then closed the mucosa with interrupted 4-0 chromic suture. A nasal splint was placed and the patient was returned to the recovery room in satisfactory condition.
JOEL JOSEPH FELDMAN, M.D.
MELISSA SCHNEIDER, M.D.
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