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Precision Surgery with First Intraoperative CT Scanner in USA


Dr. Matouk performs Rhinoplasty in order to reshape the nose. Appearance can be improved for those people who are dissatisfied with the shape and size of their nose. Nasal reconstruction was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage.   Dr. Matouk has given many courses, in the community as well as in national meetings, to teach other surgeons his technique of “Precision Open Septo-Rhinoplasty” (POSR).

Reasons for Surgery

Reasons include reducing the size of the nose, removal of bumps as well as improving the angle of a nose. Conditions may be natural or due to external trauma to the face. This operation will also help patients who have difficulty breathing. The operation can be performed on all age groups, including teens and the elderly.

Before Surgery

A medical history along with a careful examination is conducted in order to evaluate your general health. We will discuss with you the way your nose can look in relation to your other facial features. Digital Photographs and computer imaging allow Dr. Matouk to evaluate the appropriate procedure to achieve the desired results. Pre-operative instructions may include eliminating certain drugs that contain aspirin to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection.

Method of Surgery

Surgery is usually performed under IV sedation, which is both extremely comfortable and results in less swelling and bruising than general anesthesia. In most cases involving a reduction in shape or size of the nose, angle or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin re-draped over the surface.

Patients who have a deviated septum may benefit by correction of this problem. The incisions are placed inside the nose, unless the surgeon uses an open approach, in which case the incisions are made across the columella (the tissue between the nostrils). In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile.

Post-Operative Information

The recovery takes one to two weeks. Most people resume their normal activities within a week or two. Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is removed within a week. Nasal splints may be inserted at the time of surgery to protect the septum. These are removed within a week. There is always some stuffiness of the nose, especially when work has been done on the nasal septum.

Pain is minimal and is controlled with medications. Bruising occurs around the eyes and begins to fade within a few days. Discoloration usually disappears in two weeks.

What to expect

Please read and familiarize yourself with these instructions both before and after your surgery. By following them carefully you will assist in obtaining the best possible result from your surgery. If questions arise, do not hesitate to communicate with us and discuss your questions at any time.

  • Rest or sleep on your back with your head elevated at least 45 degrees for the first 72 hours following your surgery. Ice may be applied to eye and nose areas for the first 24 hours to prevent bruising and swelling.
  • Do not blow nose until instructed. Wipe or dab nose gently with Kleenex, if necessary change dressing under nose (if present) as needed.
  • The nasal cast will remain in place for approximately one week and will be removed in the office. Do not disturb it, keep it dry. After the doctor removes your nasal cast, the skin of the nose may be cleansed gently with a mild soap or Vaseline intensive care lotion. BE GENTLE. Makeup may be used as soon as bandages are removed.
  • Avoid foods that require prolonged chewing. Otherwise, your diet has no restrictions. Brush your teeth gently with a soft toothbrush only. Avoid manipulation of upper lip to keep nose at rest.
  • Avoid extreme physical activity. Obtain more rest than you usually get to avoid exertion, including athletic activities and intercourse. Do not bend over or lift heavy objects for one week. This may cause bleeding.
  • You may wash your face carefully avoiding the dressing. Take tub baths until the dressings are removed. DO NOT wash hair for one week unless you have someone else do it for you. DO NOT GET NASAL DRESSING WET.
  • Wear clothing that fastens in front or back for one week. Avoid slip over sweaters, T-Shirts and turtlenecks.
  • Absolutely avoid sun or sun lamps for 6 weeks after surgery. Heat may cause the nose to swell.
  • Do not swim for one month.
  • Do not be concerned if following the removal of dressing, the nose, eyes and upper lip show some swelling and discoloration this usually clears in 2-3 weeks. In certain patients it may require 6 months for all swelling to completely subside.
  • Take only medications prescribed by Dr. Clemenza.
  • Do not wear regular glasses or sunglasses, which rest on the bridge of the nose for at least 4 weeks. We will instruct you in the method of taping glasses to your forehead to avoid pressure on the nose. Contact lenses may be worn within 2-3 days after surgery.
  • After nasal packing has been removed, you may moisturize the inside of the nose with Vaseline. Later, Ocean spray nasal spray may be used often to prevent drying of the nasal passages.

Please Report:

  • Excessive bleeding: if this does occur, lie flat with head elevated about 30 degrees. Apply ice packs with slight pressure just outside and below the outer part of your nostrils (just above the corners of your mouth). Remain quiet and relaxed for 15-30 minutes. Call our office if the bleeding does not stop with the ice.
  • Any itching, rash or reaction to tapes or medications
  • Temperature above 100.5 degrees orally.
  • Injury of any kind to the face and/or nose.


Your insurance company may pay for all or part of the costs associated with your surgery if it is performed as a result of nasal obstruction. It is recommended that you check with your carrier to determine if there is coverage.