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Coronavirus Update

To Our Patients: Update on Coronavirus (COVID-19)

What a very different world we have just in the past week. We understand how stressful this is- emotionally, medically, and financially. I am reaching out to communicate with you and the rest of our patients to hopefully help guide you as best I can. Through television, radio, internet news, and social media, we are bombarded with information every minute, and it is difficult to know what information is accurate. As a doctor with a background in scientific research, I believe in making decisions based on known or proven facts, not on hunches or conjecture. When it comes to your health, PLEASE consider the source of your information. For instance, you may have heard recently about a particular actor with a large social media following alleging he had a cure for the coronavirus. Or you may have heard that a particularly well-known professional baseball player was consulted on how to handle the pandemic. If I want to be entertained, or want to improve my batting average, I would consult with those people. If I have concerns about what medication to put into my body, or how to improve a worldwide public health crisis, I would prefer consulting with someone who has devoted their life to researching those topics.

That being said, I would encourage using the Center for Disease Control (CDC) website (www.cdc.gov) as your main source for information. It is straightforward, science-based unbiased advice regarding this particular strain of coronavirus, COVID-19

To further assist you, we are adjusting our office policy. We are keeping the office open for your health needs, but we are restricted from scheduling certain surgeries at the Paoli Surgery Center and Main Line Health Hospitals (injuries/fractures, and cancer cases are permitted) to help conserve limited resources, and limit your unnecessary exposure unknowingly to the virus. In our office, we are wearing masks, pre-screening patients, measuring temperatures on everyone (including staff), further spacing appointments, having patients wait in their cars to reduce proximity, and arranging telemedicine (video appointments) when possible. Of course, we continue to disinfect our exam rooms between every patient, much as we always have been doing. We may not be able to immediately answer your phone call, but we will return your calls.

Sorry for such a long message, but I needed to share all of this with you. Please be smart and stay safe!

Christopher Hove, MD

 

Rhinoplasty: Surgery as an Art

Whether you are considering changing the shape of your nose for appearance, or because of breathing problems, or perhaps both, you want to be confident you select a surgeon who has the experience and knowledge to appreciate how important the role is between nasal function and form.  Facial plastic surgeons excel in this procedure, having performed hundreds of nasal surgeries even before they complete their training.  Truly an art form, rhinoplasty requires career-long dedication for complete mastery, and Paoli surgeon Dr. Hove has attained this distinction. He fully understands the balance between the outward appearance of the nose and the breathing function.  Novice surgeons may not recognize subtle anatomic features that have a profound impact on how well breathing will be after surgery, or they may miss an underlying diagnosis of nasal polyps or sinusitis.  This is especially true if their training is limited to just the outside of the nose.

Surgeons’ approach to the nose has changed dramatically in the past three decades.  Techniques that originally gave excellent immediate results in the 1980’s have led to some long-term problems with structure and function.  Dr. Hove often performs reconstructive rhinoplasty on patients with these problems.  For first-time cosmetic rhinoplasty,  surgery today is usually not so aggressive, and less invasive techniques are used to achieve natural aesthetic results while preserving the critical function and support structures.

An Artistic Approach to Reshaping the Nose

Rhinoplasty, commonly referred to as a nose job, can reshape your nose to address imperfections or even correct functional issues. When reshaping your nose, Dr. Hove will apply his artistic and surgical skills to design a procedure that reflects your unique features and desires. He is dedicated to helping you achieve your goals with precise, detail-oriented care.

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Closed Rhinoplasty vs Open Rhinoplasty?

This is a very common question that people have- “Will my rhinoplasty be done on the inside or the outside?”  What they refer to is how the surgery is done.  In other words, can the shape of the nose be changed by making incisions inside the nostrils (otherwise known as an endonasal, or closed, approach), or is there an incision made on the outside?  With an open approach, the incision is actually very small (about 5mm), and is made near the bottom of the middle part of the nose between the nostrils (called the columella),  When it heals, it is virtually imperceptible.  Dr. Hove has extensive experience with both approaches.  It may seem intuitive that the closed/endonasal approach is less invasive, but this is not always true.  In general, Dr. Hove prefers using the closed approach if only the dorsum (profile above the tip) of the nose needs to be changed.  If the tip needs to be sculpted, he prefers to use the open approach.  The open approach actually is LESS violating of the natural support structures of the tip, and allows him the best natural view of the cartilage to deliver you the best shape for your tip.

Will My Eyes Be Bruised After Rhinoplasty?

This is another common question.  This is much more likely if the bones (upper part) of the nose need to be reshaped.  Even so, it is usually 50:50 whether there is bruising or not, and it usually lasts 7-10 days.  If only the tip your nose needs to be addressed, then bruising is not likely.

Will My Nose Swell After Rhinoplasty?

Yes it will, but Dr. Hove uses a splint during the first week to limit the bruising and swelling.  After that, our patients will use tape at night to keep swelling to a minimum.  The vast majority of swelling is gone by 3-4 weeks  You may notice minor swelling changes actually for several months after surgery, mainly because you know what was done, but friends and family do not perceive this.

Is My Nose Packed After Rhinoplasty?

Dr. Hove does not routinely use packing after a rhinoplasty.

If you're curious about any of the procedures introduced on this page and would like to know more, please contact our office for further detail. Dr. Hove is always available to discuss your cosmetic surgery options with you and suggest how we can tailor a treatment plan to suit your individual needs. Please feel free to contact us for more information, or to schedule an initial visit.

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I believe that to excel in any career, one has to keep reaching, learning, and sharpening their skills, instead of resting idle on some self-declared title. At the Hove Center for Facial Plastic Surgery, we continually strive to bring you the latest advanced techniques and products in the field of facial plastic surgery, both cosmetic and reconstructive.

-Dr. Christopher Hove