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What is Involved in Rhinoplasty

rhinoplasty

Noses present with all kinds of bumps and humps that can cause emotional distress and anxiety. Rhinoplasty is the name given to the procedure to remodel a nose.

How is Rhinoplasty Performed

A closed rhinoplasty is done through incisions inside the nose. This method is suitable for adjusting or reducing the nose’s size and shape. In an open rhinoplasty, an incision is made across the strip of skin between the nostrils. This allows easier access for more extensive work.

Who will Benefit from Rhinoplasty

Rhinoplasty is suitable for adults whose noses are fully grown and developed. It may also be performed on children who have sustained damage through an accident or who were born with a nasal defect.

What can Rhinoplasty Achieve

A successful rhinoplasty can change a person’s appearance, profile and mindset. Even a minor physical adjustment can have a major psychological effect.

What Rhinoplasty Cannot Do

Plastic surgeons have to work with the original nose and there are limits to what they can do. It is important to trust the surgeon who sees the whole picture of how the remodelled nose will fit into the face. Have realistic expectations and work with the experts.

What Form of Anesthesia is used

Most rhinoplastys are done under general anesthetic but minor remodelling can be done under local anesthesia. This is normally accompanied by sedation so the patient doesn’t remember much of the procedure.

What are the Steps of a Rhinoplasty

A typical rhinoplasty will follow these steps:
  • The surgeon makes small incisions inside the nose
  • The cartilage is reshaped and trimmed as necessary
  • In some cases, the nasal bones will be broken and repositioned
  • Tissue can be removed and cartilage and bone grafts introduced to build up areas as needed
  • The incisions are sutured closed
  • The nose is packed with gauze and taped to maintain its new shape and reduce swelling

Caring for the Nose after Rhinoplasty

It is important to rest after rhinoplasty. Avoid talking too much and lie still and relax. Don’t try and blow the nose and avoid bending and lifting.

Side Effects of Rhinoplasty

The most common effect is severe bruising and swelling around the eyes. This is more evident when the nasal bones have been broken.

How Long will Recovery Take

The nose will be swollen for about six weeks and it often takes a year for the final result to be seen. Areas of numbness are common as is a sensation of pins and needles. The bruising and discoloration take two to three weeks to subside and can be hidden to a certain extent with makeup.

A rhinoplasty can greatly improve the appearance of a nose and so give confidence to a person. It is essential that this type of surgery is fully understood and the limitations accepted before going ahead with it. With time and a positive outlook, rhinoplasty can transform a person’s life.

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Vitamin D Essential to Good Health

vitamin d

The results of the first Canadian study of the effects of vitamin D deficiency have been released by Toronto’s Hospital for Sick Children, and they look worrying.

Northern Latitudes Lack Vitamin D

Health Canada says that “Vitamin D is synthesized in the skin upon exposure to ultraviolet B (UVB) radiation.” That, of course, comes from the sun, so Vitamin D is often called the “sunshine vitamin.”

However, Canada being a northern country means that the sun’s UVB is weaker than in tropical regions. The result, according to Health Canada is that “Vitamin D synthesis in the skin is absent during the winter months (October to March), and for an even greater part of the year in far northern latitudes. This means that for a significant portion of the year, Canadians must rely on dietary intake of vitamin D to maintain adequate levels of vitamin D in the body.”

Sources of dietary vitamin D include milk, fatty fish, and egg yolks. Also, inexpensive supplements in pill form are available at pharmacies and health food stores.

Canadian Kids Don’t get Enough Vitamin D

Doctors at Toronto’s Hospital for Sick Children say that one third of Canadian youngsters living in urban areas don’t get enough of the sunshine vitamin. In a report released on May 4, 2009, researchers say their “finding is markedly higher than the data from a previous study of toddlers in Boston that found 14 percent of that population was lacking Vitamin D.”

Between November 2007 and June 2008, the study team “evaluated 92 healthy children aged 24 to 30 months who were attending routine well-child visits at a community-based pediatric practice in Toronto.” They monitored dietary intake through questionnaires filled in by parents and established Vitamin D levels through blood tests.

“The study revealed that factors associated with lower levels of vitamin D included lower milk intake, higher Body Mass Index (BMI), and watching television while snacking.”

Negative Health Effects of too little Vitamin D

The study’s lead author is Dr. Jonathon Maguire, an Academic Fellow in the SickKids Division of Pediatric Medicine who is pursuing a Master’s degree in Clinical Epidemiology at the University of Toronto. He is quoted by the hospital as saying, “Vitamin D deficiency is associated with a number of chronic medical conditions.”

He lists these as including rickets (a disease that may cause severe bone deformities and seizures), Type 1 diabetes, multiple sclerosis, and certain types of cancers.

Other researchers have suggested that vitamin D deficiency may be associated with tuberculosis, high blood pressure, seasonal affective disorder, and memory loss.

Writing about the study in The Globe and Mail (May 4, 2009) Martin Mittelstaedt noted that researchers believe babies get enough vitamin D from fortified formula and/or breast milk. He added that the story with toddlers seems to be different: “The finding of widespread insufficiency indicates most children aren’t getting enough vitamin D either through diet or through sunlight exposure. Dr. Maguire said that developing strategies to prevent deficiencies “would seem to be a prudent thing to do.’ ”

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