Dr. Manish Shah is a board-certified Denver, CO plastic surgeon that specializes in plastic surgery of the face and skin. With over 13,000 surgeries performed since 2005, Dr. Shah’s patients have come to rely on his expertise and skill.
Dr. Shah is a rhinoplasty revision expert who has extensive experience in repairing previously failed nose surgeries. He also specializes in deep plane facelifts, eyelid surgery, facial implants, facial fat transfer, and laser resurfacing of the skin. For nonsurgical procedures, we offer a full assortment of treatments.
After earning his M.D. from the University of Virginia, Dr. Shah trained at Emory University and the Medical College of Georgia in General and Trauma Surgery. He completed his formal plastic surgery training at the University of Tennessee. Dr. Shah then completed his aesthetic fellowship at the exclusive Manhattan Eye, Ear and Throat Hospital.
Hi I had one year ago the rhinoplasty. Everything was oke . I feel now there is a soft tissue and my gp told me aswell . So is this now helpful to do it. I didn’t had in the beginning tape or any massage
It might not be helpful at this point. A steroid injection might be a better idea, but I would recommend that you see your surgeon to see if they think it is a good idea at this point. Good luck!
That doesn’t make sense since the taping is designed to reduce deadspace. It’s similar to ACE wrapping a sprained ankle and icing it to reduce swelling.
@ManishHShahMDFACSDenver Each time you take tape off you are lifting skin from the underlying tissue. This is the general consensus now as discussed at the most recent European rhinoplasty conference
I’ll take my 20 years of nasal taping and post surgical molding experience over any consensus paper. Most of the top surgeons in the U.S. tape after surgery to shrink the skin and reduce nasal edema. If you don’t control skin sleeve thickness, especially in oily skinned individuals, you’ll end up with less defined outcomes even if you’ve handled the bone and cartilage well.
@ManishHShahMDFACSDenver that's why UK and European guidelines often differ. We don't all do things the US way but that's okay, you do you, we will do us :)
Salve, io ho fatto rinoplastica 1 mese fa ma il mio chirurgo mi ha detto di non usare fasce per il naso ma di lasciarlo libero…come mai? Dovrei metterlo invece o no?
Helloo doctor! I am 12 days post op i want to know Should we tape the tip too? My surgeon did not tell me to tape the tip he told me to just tape the bridge but every video i saw on youtube would recommend taping the tip!!
@@ManishHShahMDFACSDenver thankyou Dr Shah! However i have a concern my tip is raised for now and it looks like a piggy nose and my surgeon told me it will go down in a month, and i want my tip to go down so if i tape my tip I'm worried that it will keep my tip raised and it won't come down
neatly done , would love to see the post op 6 months follow up result and also a detailed description of the suture technique used, more power to you doctor
Thank you Doc Can you recommend a caffeine cream or tape to use? I got this from co2 laser 8 Weeks ago and it won’t go away. My doc is saying wait it out but I hate it and only on one cheek It’s small but noticeable. Thank you
I'm 1 year and 9 months after surgery. Will these tips help to reduce swelling, or is a revision needed? I can still feel my nose pulsing from time to time, does it mean it's still healing?
You can give it a try. If things don't improve in 3 months, you may need to consider revision surgery. This is if you had a primary, first time rhinoplasty. If this was not your first surgery, you may have swelling in the nasal tip for 2-3 years after surgery. In either situation, please see your surgeon after 3 months of trying my techniques. Good luck!
I am now 9 days post op, my tip is little bit above. It looks like a Pig Nose. My doctor is telling, this is not your final results. It will take upto 1 year for your final results. And there was lack of communication between us, since english is not his first language. I'm actually broken and depressed. My question is will the piggy nose go away, if yes how long should I have to wait? Is there anything I should follow to bring the tip down?
Hi. The tip does drop with time. It can take a while though. If patients are worried. After they are 1 month postop, they can try a dose of oral steroids to decrease swelling. Taping helps decrease the water in the tip (edema). Reduce your salt intake. And give yourself time to heal.
Hello, I just had rhinoplasty 2 weeks ago and one nostril looks more open than the other, is there a technique to improve this asymmetry while it recovers? make a thicker wing or lower it a little? Thanks!
There will be asymmetric swelling for a while. I usually recommend oral steroids at the 4 week postop mark and the use of silicone nasal dilators to shape things better.
Hello Fatma. That is a broad question. What are you trying to change about your nose? हेलो फातमा. यह एक व्यापक प्रश्न है. आप अपनी नाक के बारे में क्या बदलने की कोशिश कर रहे हैं?
I’m 3 year post op. I informed my surgeon that I have swelling on My forehead area, when I apply pressure it leaves me with skin depression . Have you seen of this.? My forehead gestures a limited.
hello im 5 months post op i have formed like this small bump on the left side of my bridge but when i tape it looks like its gone over the tape but when i take off the tape this bump is still there ..whats the reason for this?
You are thinning the skin a bit. Try a little topical 1% hydrocortisone cream to see if you can get the bump to go away. Try it for one week. If no luck, then stop.
Hi , I had my septo_rhinoplasty 1.5 month before for dorsal hump removal and deviation correction . Now I’m feeling my nose tip is tilted to right side and one side of my nose looks more swollen then the other . What’s the reason ? Will it cure ? I’m really worried . My nose looks so weird 😢
This is normal. Decrease your salt and alcohol intake. Try taping and massage. The right and left sides of the face drain swelling differently and this is why everyone sees a small amount of asymmetry. Our lifestyle can make it worse. Follow my suggestions in the video with the permission of your surgeon.
Thank you so much Dr I want to know did u sutute the incision you made in the intraoral mucosa or did you just pass the suture from it but not closing it?
I am 4 days post op from cast removal. My doctor told me not to tape my nose. I have thick skin & my nose is very super swollen which I expected. My doctor told me the tapping isn’t necessary since it can pull and tug onto the skin so letting it naturally go down is better for me.
Surgeons have different opinions on taping and massage. Just follow your surgeons rules. That being said, thick skinned patients do the best with taping. You will need steroids most likely to reduce your swelling and that carries a risk of complications.
@@ManishHShahMDFACSDenver i figured. Ive been taking ibuprofen to help but i think he might consider a steroid shot down the road we will see! Thank you🙂🙂
Hi Dr Shah, love how responsive you are! I just had my nose done about 1 month ago and have developed a slight bump. My surgeon said it’ll go away and there’s no need for do anything or worry about it but I was wondering if I should follow the massage tips you mentioned and tape even when told it was not necessary! Thanks in advance :)
Hi Situl. I always recommend that you follow your surgeon’s instructions. However. If the bump isn’t gone in another month, I would ask about steroids and taping. Good luck!
Dear doctor, I have a question for you, I would be very happy if you answer it. I am in the 6th month of my rhinoplasty, my nose gets thinner when I apply excessive pressure by squeezing from the nasal walls and edges of my nose with my thumbs. Does this indicate that I still have a lot of swelling in my nose?
Dr. - I am massaging on the hour every hour - except for at night when the tape is in place? In your opinion - am I massaging too much? Also - I am not massaging when the tape is in place as it seems to make the tape adhere to my face so much that I am almost damaging my skin to remove it. Only happened once - but I learned NOT to rub that tape for that very reason.
Hello. My patients only manipulate the nose with massage three times a day for a couple minutes at a time. They wear tape for 2 months at night then stop. Any swelling that remains after that point is managed by diet and steroids. If you irritate the skin with too much taping you can reswell the skin and set your progress back.
I had rhinoplasty one month before with thick skin my nose more bigger but my surgeon doesn't tell anything about taping the nose ......does swelling go down or should I use taping?
Excellent video! Thank you so much :) I'm 6 months post op and I still tape every night and leave it on whilst I sleep. When I wake up my nose looks much nicer, it's more slim. It stays like this for maybe a few hours. My question - Is the appearance of my nose after I remove the tape a sign of what my nose will look like when it is fully healed?
Is it normal that i have a hole in my stitches? Its like the alar base i think its called is no longer connected to my face. A dr told me its because of swelling but in worried. Also im dripping loads. Im 9 days po
It can be related to swelling. Try applying topical vitamin C serum onto the area to boost collagen growth and wound healing. Also tape it down for the next week to aid resealing. Use a humidifier at your bedside at night and use saline nasal spray as needed during the day to help control dripping. Add an oral antihistamine as well. This should all help.
