shal0m wrote:@inferno
what i have stated in my last post was very clear, that expectiations and rate of recovery varies among individuals. while description & perceptions may differ in a wide range, a picture speaks a thousand words.
I know 3 of u went thr tipplasty+/- other procedure, with boii18 having an implant, which is additional trauma to the nose.
i understand that even with a simple rhinoplasty, individuals already reports different rate of recovery. so the more data is collected, the more realistic the info will be.
so, I am not saying that's anything wrong with u or lazy, pls don't take it the wrong way, we are all here in the forum to share info and encourage each other.
All the best for ur recovery anyway...
@other friends in this forum
yes, when a person is +ve, the body does not secret much harmful biochemicals that affect health and/or healing; a healthy mind gives a healthy body.
i am trying to encourage ppl who go for PS to try to remain as +ve as they can during recovery, to look beyond the present image on the mirror, accept oneself during recovery, although one must not overlook objective (as opposed to subjective perception of one's looks) signs of infection or medical neglience.
On stitches and removal
yes, removing the stitches on skin slightly earlier, say at most 2 days do help reducing scars in certain extent- as stitches are foreign bodies to the body, while it holds the surgical edges together, it causes additional inflammation process too, and inflammation is one of the factors that determine the development of scars.
Of course, no untrained ppl should remove the stitch for u, he must know how to assess wound adhesience as the stitches are removed, to stop when he find the it is really not time yet to remove.
and also, since the stitch is removed, something else has to take over the responsibility of holding the wound together, eg a steri-strip-- a small strip that sticks on wound and can stay on skin for a week and is water proof.
The new trend in surgery is that dissolvable is stitched under the skin as close to surface as possible, while steri-strips are applies over wound during surgery, this reduces scarring to a minimal. However, at this point of time, most surgeons i know are not trained to perform stitching in this manner yet. It is also impt to note that this stitching method may not be appropriate for major surgeries where the incisions are large.
@boii18
i think, in comparison to some, u r already quite +ve and calm towards the events that followed the PS, i am truly happy for u.
i believe u will recover well w/o much further complications, all the best!!!
While I underwent three procedures " Tipplasty, Alarplasty and Implant" , the effect is definitely more obvious for me even at Day Two due to reduced nostril width and increase of nostril base height, and the sharpening effect of the implant. My tip is not very bulbous to begin with ( though it is ). I definitely swear that Dr has made my tip sharper looking than before, however. If you shift your alar inwards, it makes your tip appear larger definitely. But at this day, at this moment, my tip looks "fitting" with my alar, instead of sticking out like a sore thumb, though I can definitely see room for much improvement.
I trust that Dr done everything he can to ensure atraumatic surgical technique, and so most of us did not suffer much "damage". I read an article and its very important to use atraumatic surgical technique. See that youtube video? Its a great example of violent surgical technique, definitely resulting in more scarring. However, one has to BALANCE the "time" factor and the "trauma" factor. The LONGER a wound is exposed, the GREATER the chance of infection.
My mom says my tip is still swollen but will get better, but my nose is much sharper and higher than before.
Nothing is wrong with Lazy or Inferno? I guess it all boils down to different surgical techniques ( probably Dr pat did a much more "powerful" reduction, thus Lazy or Inferno will have much more defined tip than mine eventually - think that A and B formula ). Also boils down to individual healing rates, and I think that mindset does play a part as well. So I've been trying not to be upset or whatever. I admit when I saw my implant shift, I was depressed and shocked, but then I tried the best I can to remain +ve. I must say that I have zero pain and zero post-op effects. in fact, much to my surprise, my weight remained the same >.<
Well, I'm objective ( Who wants to think positive , really, if your nose is terrible... I dont think anyone can possibly do that ! ) about my results. Anyway, can add me on my MSN. I be glad to show you my current nose now
At this moment, I cannot say that Dr Pat is a good surgeon or whatever, but IMO, he has practices good techniques and has moderate to good artistic taste. With regards to the rest, we will have to look at final shape, implant position, alar healing, and columella scar healing. My Alar looks terrible ( it was a wedge and sill excision ) cos of the scabs. But the columella scar looks to be healing Very well.
I'll definitely be following up with Dr Lee from NUH in order to prevent hypertrophic scaring or even prolonged scaring. Thinking of going back to Tokai in Mid-May , the weekend with Monday being Vesak Day. Would wanna do botox there, and follow-up my nose. Hope he can inject kenalog or something to my scar tissue.
On stitches and removal, I think the exact timeframe is impt. However, if it is removed early, it might have a better post-operative outcome. I think the best judge would be a P.S. who sees you in real life, or better still, the original surgeon. Thus its BEST for you guys to stay in BKK for 1 or 2 weeks. After removal of stitch, you can initiate scar therapy.
Yes I trust the NUH p.s. can assess wound adhesiveness. In fact, my wound is no longer an incision mark, but has a scab. You can see the stitch going through the scab. How scary. I hope its ok. Yes , steri-strips can be placed if the stitch is removed a teeny-weeny bit earlier.
With regards to dissolvable stitches, Dr pat uses dissolvable stitches in my nose, however, he says he wish to use non-dissolvable stitches outside. reason being inflammation. dissolvable stitches have been known to cause inflammation, itching or other side effects, so its best to stay to tested and proven nylon ( or other material, though nylon is strongest ) stitches. Yes, I have internal incisions too O.o I was doing some cotton bud work and guess what, some stitch came out from inside my nose O.o
What I hear so far is about stitches being stitched as close as possible, yes, and placing steristrips. But that is limited to the area of body in question. I have read that wedge and sill excisions ( alarplasty ) are best covered with nylon stitches which are deep into the skin. reason being, that is the area where most of our movements are too, and yeah, they are placed near indented pockets of the skin ( the nostril indentations )
