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Discussing Nasal Polyps

Discussing Nasal Polyps

Nasal polyps can develop in various sizes and colors. They usually range from brownish-yellow to pink in color. At the onset, the nasal polyps appear as teardrops. shutterstock 90101779 300x300 - Discussing Nasal Polyps | Beverly Hills | Los Angeles

However, on becoming larger, they look like grapes on a stem. Polyps can develop in one or both nostrils at the same time and may grow alone or in clusters.

Large polyps or polyp clusters can lead to problems in breathing and affect the sense of smell. Polyps can block the sinuses and lead to issues such as recurrent infections.

The surgeon will evaluate the patient’s nasal polyps and recommend a suitable treatment plan on the basis of this assessment. Kind and accomplished double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding communities in The Golden State.

Who may get Nasal Polyps?

Nasal polyps are present in between four and 40 percent of the population. Polyps are nearly two to four times more common in males than in females. People who have nasal polyps typically develop them in youth or as middle-aged adults.

Polyps are more likely to develop in people with repetitive sinus infections, allergies, and asthma. They are also more likely to develop in children with cystic fibrosis.

Diagnosis

An expert surgeon can diagnose nasal polyps usually just by asking the patient questions on their symptoms and evaluating their nasal condition. A lighted device can help the surgeon view the nasal polyps within the nose.

The surgeon may also order the following tests to confirm the diagnosis:

  • Nasal Endoscopy
  • CT Scan
  • Skin prick allergy test
  • Cystic fibrosis

Treatment

In the treatment of nasal polyps, the below are used often:

Steroid Nose Drops or Spray

The surgeon may prescribe nasal drops or a steroid spray to the patient. This will assist in the reduction of swelling in the polyps. This is a common course of treatment for patients with one or a cluster of small polyps. Treatment side effects may include:

  • Nosebleeds
  • Headache
  • Sore throat

Steroid Pills

The patient may need steroid pills if they have more significant polyps or severe swelling. The physician may prescribe the patient these pills only or along with a nasal spray.

Steroids are quite effective in the reduction of the size of the polyps. But they can present complications such as weight gain. The patient should only use these pills for a few weeks and not for a more extended period.

Other Drugs

At times, the surgeon may prescribe other drugs to treat the conditions that may be causing an aggravation of the inflammation. For example, they may prescribe antifungal meds to address fungal allergies, antihistamines for treating allergies, and antibiotics to treat bacterial infections.

Surgery

In case the polyps are very large, or the patient is unresponsive to other treatments, the surgeon will recommend a surgery to treat the nasal polyps.

Polypectomy

This is a common treatment to remove polyps. The patient undergoes the procedure under either local or general anesthesia. The surgery is performed by placing a long, thin pipe connected to a camera within the patient’s nose and sinuses.

Double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other suburbs and neighborhoods in this area of the southwest for rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

Rhinoplasty to Correct Enlarged Turbinates

Rhinoplasty plastic surgery can help to correct the condition of enlarged turbinates. Turbinates are thin, long bones that protrude outwards from the sides of the shutterstock 88936747 200x300 - Rhinoplasty to Correct Enlarged Turbinates | Beverly Hills | Los Angelesseptum within the nasal cavity. Turbinates appear as small, curled knobs on the ends.

There are three forms of turbinates. The bones found in the upper part of the nose located between the eyes and nose are known as superior turbinates. Middle turbinates are found in the middle portion of the nose, while inferior turbinates sit right atop the nostrils.

The surgeon will evaluate the patient’s nose during the initial consultation to understand whether enlarged turbinates surgery is suitable for them. Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations.

Turbinate Rhinoplasty

Turbinate rhinoplasty can treat turbinates that are inflamed because of allergies or irritants. Sometimes the turbinate can become constricted if a deviated septum pushes it to a single side. This leads to the opposite turbinate becoming larger to compensate for the constricted turbinate which leads to further breathing problems.

Some surgeons believe in treating enlarged turbinates by eliminating tissue to decrease their size while others do not remove any tissue. Rather, the surgeon fractures the turbinate outwardly. Turbinates produce moisture and warm the air going into the nose for proper breathing.

At times, eliminating these turbinates leads to a painful condition called atrophic rhinitis.

But if the surgeon fractures a turbinate in the outward direction and away from the septum and positions it correctly, it produces a larger passageway. This enhances breathing and facilitates proper functioning of the turbinates.

Surgical Procedure

Different techniques can be used to reduce turbinate size. The surgery to correct the size of turbinates is commonly called turbinate resection or turbinate reduction. This surgery can take place in an operating room or the surgeon’s office. The surgeon will usually perform a septoplasty and turbinate resection at the same time.

It is vital not to eliminate the turbinate completely as this can affect the overall turbinate function. The full excision of a turbinate can cause a very crusty and dry nose. Sometimes the turbinate tissue re-grows after the procedure which will require additional surgical intervention. In comparison to a complete turbinate removal, this is more acceptable.

Some techniques can reduce turbinate size without the excision of turbinate tissue or bone. Coblation, radiofrequency reduction, and cauterization are some techniques to achieve this reduction. These techniques involve a portion of the turbinate being warmed with a specialized instrument. The turbinate shrinks after some time because scar tissue forms due to the process of heating.

A portion of the turbinate can be taken out using certain procedures. In performing these procedures, the surgeon must ensure that adequate turbinate is left within the nose. The remaining turbinate can warm and humidify the air entering the nose.

A procedure known as submucosal resection is a standard technique to treat enlarged turbinates. Committed double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other towns and cities in The Golden State for rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

International Meeting of Rhinoplasty Societies – South Beach Miami, FL

The International Meeting of Rhinoplasty Societies brings together the Best of the Best in Rhinoplasty Surgeons from around the world.

The International Meeting of Rhinoplasty Societies has been organized by the Rhinoplasty Society (US) and the Rhinoplasty Society Of Europe. This symposium promises be the most extraordinary educational rhinoplasty symposium that our field has witnessed, highlighting the work of 50 master rhinoplasty surgeons from all parts of the world – those whose published works have defined the specialty.

The meeting will differentiate itself from all others by its breadth, pre-eminent faculty, and by the emphasis on high-quality video and graphic illustration. The program will be carefully orchestrated, designed to present “the best of the best” educational offerings.

  • Basic principles and techniques including breakout sessions by selected master surgeons to illustrate personal approaches to basic rhinoplasty
  • Advanced techniques, new concepts, as well as time-tested standards
  • Mastery of functional nasal surgery including evidence-based practice
  • The most modern approach to congenital nasal deformities
  • Debates and controversies in all aspects of rhinoplasty
  • Daily topic-oriented “break-out” sessions for specific areas of interest
  • Keynote lectures by the premier educators

International Meeting of Rhinoplasty Societies 1024x711 - International Meeting of Rhinoplasty Societies  - South Beach Miami, FL | Beverly Hills | Los Angeles

Correcting a Deviated Septum

Rhinoplasty plastic surgery can address a deviated septum to restore proper nasal function. Once the surgeon diagnoses the nature and extent of the deviated2018 05 30 copy 300x200 - Correcting a Deviated Septum | Beverly Hills | Los Angeles septum, they can develop an individualized surgical plan to rectify it.

Committed double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations across the horizon.

What is Septum Deviation?

The septum bifurcates the nasal cavity into two narrow passageways that begin from the upper part of the nose where it connects to the nostrils.

The septum consists of multiple bones and cartilage sections. The lower portion of the septum is located on the anterior nasal spine. This bone offers support and can be felt in the region where the nose links to the upper lip.

Septum deviation is the development or moving of the septum to a single side of the nasal cavity, rather than divide this cavity into two identical passageways. The septum can bend to a single side to create an S-shape or bow out creating a C-shape. These deviations in the septum can constrict the flow of air, slowly damaging the fragile nasal tissues.

Some individuals have a deviation in the septum since birth while others experience a deviated septum due to a nasal injury. This can create issues in breathing. A deviation in the septum can also cause recurring pain in the face as well as nosebleeds.

How is Septal Deviation Corrected?

The surgeon will work on either the bony upper portion of the septum that sits atop the nose or the cartilage located in the lower part of the nose. The septum may also move off the anterior spine, and this condition is known as a caudal septal deviation. For such patients, the surgeon will move the septum back to the correct position and shift its base to the anterior nasal spine.

Septoplasty Procedure

The surgeon will reshape either the bony upper part of the septum on top of the nose or the cartilaginous lower portion depending on the location of the deviation.

Some patients suffer from a condition known as a caudal septal deviation in which the septum shifts off the anterior nasal spine. To treat this condition, the surgeon will rectify the septum’s shift and realign its base to the anterior nasal spine.

The procedure begins with the surgeon placing an incision on one nasal area to attain access to the septum. Then they will delicately coax the deviated septum back to the correct place. The surgeon will eliminate barriers such as cartilage or useless bone fragments. In the last step, the surgeon will reposition the mucous membrane.

The patient may require sutures to keep the membrane and septum in their positions. At times, the use of cotton to pack the nose is enough to maintain the position of the membrane and septum.

Recovery

Septoplasty is an outpatient procedure, and the patient can return home on the day of the surgery itself in most cases. Dedicated double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other towns and cities in this part of SoCal for rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

Types of Rhinoplasty Plastic Surgery

Nose reshaping surgery can address physiological problems that can hinder a person’s ability to breathe properly. It can also enhance the shape of an individual’s shutterstock 127767527 2 300x277 - Types of Rhinoplasty Plastic Surgery | Beverly Hills | Los Angelesnose for better proportion with other facial features. Many types of rhinoplasty techniques can be used to meet unique patient requirements.

Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations.

Correcting a Deviated Septum

The septum can bend on one side creating an S-shape or outwards in a C-shape. The area where the septum bends will determine whether the surgeon needs to reshape the bony upper part of the septum near the top of the nose or the cartilaginous lower region.

Sometimes the septum may even shift from the anterior nasal spine in a condition known as a septal deviation. In such cases, the surgeon will need to address the septum’s shift and align its base with the anterior nasal spine again.

Turbinate Rhinoplasty

Turbinate rhinoplasty can treat turbinates which may have become inflamed due to allergies or other irritants. Sometimes one turbinate can contract if a deviated septum pushes it to one side. Consequently, the opposite turbinate becomes larger to make up for the constricted turbinate. This can cause further hindrances in breathing.

Nasal Polyps

Similar to oversized turbinates, nasal polyps usually occur due to allergies and irritants. Nasal polyps are harmless growths that form within the passageways of the nose and appear as soft, jelly-like bulbs. The surgeon will use a snare instrument to reach within the nose and remove them cautiously.

Types of Cosmetic Rhinoplasty

Correcting the Radix

The upper bony part of the nose is known as the radix. The radix and cartilage that lies beneath it may be significant which causes a bump. A shallow radix can lead to depression and a bump. The surgeon can decrease the radix cautiously slicing off small portions. In this procedure, the surgeon may add volume to a depressed region via the patient’s own cartilage sourced from another area of their body.

Straightening a Crooked Nose

In case the patient has a slightly crooked nose, the surgeon can straighten its appearance by removing some cartilage or bone. They could also physically move tissue to address this condition. Similar to the use of a splint in the case of a broken nose, the surgeon may place a splint to hold the nose in position while it heals after this procedure.

Tip Rotation and Reduction

In case the nose does not have definition or appears too defined, it may not have a proper rotation. Rotation is the upward or downward turn of the nasal tip. The surgeon will carefully assess the base of the nose while adjusting the nasal tip by reshaping the cartilage as the width of the nasal base impacts the tension and rotation.

Projection Adjustment

The surgeon may trim a part of the cartilage at the nasal tip to reduce the projection of the nose. Double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and nearby areas for rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.