Brazilian Waxing Of Female Genitalia

Dr.

Atilio Esteche

The aesthetic rhinoplasty is surgery used to improve the shape of the nose giving it a harmonic with preservation of its functions, other reasons may be: straighten a crooked nose to improve breathing is difficult , correct a depression of the nasal dorsum or correct distortions caused by a traumatic, surgical or an adaptation of a previous rhinoplasty, in this case is called secondary rhinoplasty or even tertiary, etc.

Initial Consultation

The patient comes to the plastic surgeon to solve a problem surgically nasal aesthetic and functional, observable or not.

rigor initial questions are:

• Do you feel healthy?

• If you had or have suffered trauma skull, face or nose or was operated specifically above the nose or other anatomic area

• Breathing is good or not

• have recurrent nosebleeds

• or allergic rhinitis (and if used chronically nasal drops for it)

• or sinusitis

• or asthma

• or frequent headaches or migraines and improves spontaneously with or without medication / hospitalization

• or anosmia (smell little or almost nothing)

• Consultation with ENT or allergist regularly

• have systemic disorder, a general enfemedad

• Diabetes

• Hypertension

• Make physical activity and supports it without problems or feel tired easily

• His wounds coagulate faster and the resulting scar takes time evolution normal

• regularly are medical sedatives, antidepressants, antipsychotics, hypnotics or anti-inflammatory analgesics aspirin, Corticosteroids, diclofenac, etc. or other nonsteroidal antitinflamatorios

• received or receives any anticoagulant

• take herbs or natural medicines such as ginkgo biloba or other

• Allergy to antibiotics

• Allergy local or general anesthetic

• Do you smoke, drink alcohol, narcotics?

• When was the last time you conducted a medical check-up, an electrocardiogram or echocardiogram, or ultrasound or computed tomography or magnetic resonanacia study (MRI) or a nasal or videoendoscopy sinuses, a chest X-ray or laboratory analysis of blood and urine. Other tests and what was the reason and if you received treatment?

• regular consultations especialistas o médicos generalistas  y los motivos

• Internación hospitalaria, por qué motivo y por cuánto tiempo

Preguntas dirigidas al motivo de consulta.

La nariz

La paciente acude al cirujano plástico para resolver su problematica nasal  quirúrgicamente with cosmetic and reconstructive purposes , that could be real or fictitious, looking in most cases a resolution to this distorted body image that causes disturbances in self-esteem and social relationships in their optimal social environment.

The vast majority of the / operators report that their life has changed "after rhinoplasty and it was worth the investment. These are people in which their expectations are realistic to understand that surgery is its scope and limitations.

Listen to the patient and his desire to capture and cooperation in the outcome is important to note the psychological reaction that can occur to a greater or lesser problem solved or not surgery , if he persists in magnifying the situation and there in the doctor-patient-flowing dialogue and understanding of risk / benefit result, it is better to discontinue the intervention because , is requesting surgery impossible or unpredictable outcome.

A successful outcome is one that meets the patient and the surgeon, and limiting .

Some patients ask to change your facial structure, there are cases where this is feasible, but in others the plastic surgeon is best qualified by experience to decide which is what can be achieved or not and what is best for the patient .

The ideal patient would is very concerned that a great deformity or its anxiety or worry is proportional to their problem other hand, there are those / these where his concern is exaggerated more than the degree of defect and that their expectation for the outcome beyond what surgery can offer for aesthetic improvement.

If the level of experience and skill required for a rhinoplasty exceeds the capacity of plastic surgeon must send it to another colleague who possesses the required skills to solve the case whenever possible, feasible.