Perineorrhaphy
Hello, doctor: I suffered a dental fracture due to a car accident, which resulted in a tooth penetrating through to the nasal area on the right side of my nose.
The wound has healed well, leaving a scar from the surgery, but there are still sutures inside my upper lip that have not dissolved.
Should I consult about the previous cosmetic procedures now, or should I wait until the wound in my lip has completely healed? Additionally, how long does the cosmetic surgery take, and is the follow-up rate typically high? (This will influence whether I stay in the northern part of Taiwan or move to Kaohsiung.) My primary physician mentioned that it’s best to wait at least six months before proceeding, and that the wound should not be exposed to sunlight.
He also mentioned that cosmetic surgery costs around 3,000 TWD per centimeter; is this reasonable?
mei, 20~29 year old female. Ask Date: 2004/04/26
Dr. Luo Qihua reply Plastic Surgery
Hello: 1.
If the sutures on the inner lip mucosa have not fallen out after one week, they can certainly be removed, as this will be more comfortable and prevent any awkward sensations in the mouth.
2.
The quality of scar formation depends not only on the suturing technique but also significantly on the location of the wound and the patient's individual tendency to form scars; however, scarring on the upper lip is quite difficult to avoid.
3.
The decision to revise a scar should be made six months after suturing, to allow the scar to stabilize.
4.
Health insurance coverage is based on whether the wound has healed and whether it affects function, not on cosmetic appearance.
Therefore, scar revision will be out-of-pocket; regarding the cost of 3000 NT dollars per centimeter, for a skilled plastic surgeon, you should inquire at several cosmetic centers or clinics (specifically those recognized by the Taiwan Society of Plastic Surgery), and you will find that 3000 NT dollars per centimeter is reasonable, if not too reasonable.
Good luck.
Reply Date: 2004/04/26
More Info
Rhinoplasty, or nose reshaping surgery, is a common procedure that can be performed for both cosmetic and functional reasons, especially following trauma such as a car accident. In your case, where there has been significant injury to the nasal area, it is crucial to approach the recovery and subsequent surgical options with care.
Recovery Timeline
After a rhinoplasty, the recovery period can vary significantly based on the extent of the surgery and individual healing rates. Generally, the initial healing phase lasts about 1 to 2 weeks, during which swelling and bruising are most pronounced. By the end of the second week, many patients feel comfortable returning to normal activities, although complete healing can take several months. In your situation, since you mentioned that the wound has closed but there are still stitches in your upper lip, it is advisable to wait until those stitches dissolve or are removed before seeking further consultation about cosmetic procedures. This is to ensure that the area is fully healed and to avoid complications.
Consultation Timing
You should ideally wait until the upper lip's wound is completely healed before consulting with a plastic surgeon about further cosmetic procedures. This is important not only for your health but also for the surgeon to assess the area accurately. If the stitches are still present, it may indicate that the healing process is not yet complete, and any surgical intervention could risk further complications or poor aesthetic outcomes.
Frequency of Follow-Up Visits
Follow-up visits after rhinoplasty are essential to monitor healing and address any concerns. The frequency of these visits can vary, but typically, patients are seen at 1 week, 1 month, and then at 3 to 6 months post-surgery. Your original surgeon's recommendation of waiting at least six months before considering further surgery is a common guideline, as it allows for the full healing process to take place and for any residual swelling to subside.
Cost Considerations
Regarding the cost of rhinoplasty, the price can vary widely depending on the complexity of the procedure, the surgeon's experience, and the geographic location. The figure you mentioned—$3,000 per centimeter—seems to be a specific pricing model that may not be standard across all practices. Typically, rhinoplasty costs can range from $6,000 to $15,000 or more, depending on the factors mentioned. It is essential to discuss the total cost upfront with your surgeon, including any additional fees for anesthesia, facility use, and follow-up care.
Sun Exposure and Scar Management
Your surgeon's advice about avoiding sun exposure is critical. UV rays can darken scars and make them more noticeable. Using sunscreen on healing scars is advisable once the skin has fully healed to protect against pigmentation changes. Additionally, scar management techniques, such as silicone gel sheets or topical treatments, can help improve the appearance of scars over time.
Conclusion
In summary, it is best to wait until your upper lip's wound has fully healed before consulting with a plastic surgeon about further cosmetic procedures. The recovery from rhinoplasty typically spans several months, with follow-up visits being crucial for monitoring progress. Costs can vary significantly, so it is essential to have a clear understanding of the financial aspects before proceeding. Always prioritize your health and healing, and consult with a qualified surgeon who can provide personalized advice based on your specific situation.
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