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>> Dr. Lamperti: Hello my name is Dr. Thomas Lamperti and I’m double board-cerified Facial
Plastic Surgeon in the Seattle area. Often patients wonder when coming to me regarding
improving their nasal shape or function or both they are often concerned about getting
their nose packed after surgery. Either they, or they know family members who've had surgery
before and they just fear having their nose stuffed with anything, really, after surgery.
They recall the discomfort that people have told them about and so forth. Typically what
they're recalling or have heard about is having strip gauze put in their nose -- fine, half
inch long fabric essentially that is stuffed in the nose after surgery. This is an older
technique that isn't used much anymore. It has generally been phased out thankfully.
It is very uncomfortable having it removed. I myself have had this done when I was little
and broke my nose. After my nose was reset they actually packed my nose with this and
I can tell you from experience that it is not very pleasant.
>>So do you put anything in the nose after surgery?
>>Dr. Lamperti: So certainly we do try to avoid putting anything in the nose. Sometimes
with my patients I will put splints inside the nose. It is not really packing -- you
can still breath through your nose. Certainly not as well as you would normally because
of the reactive swelling on the inside from the surgery itself. But the splints are generally
thin silicone or a type of plastic just laid inside by the septum itself to prevent scar
bands, to help with the healing. It really depends on a case-by-case basis, but especially
on a case where the septum was operated upon. So on a very bad septal deviation we'll have
a more likelihood of perhaps needing a splint of some sort. The splints aren't permanent--they're
taken out in about a week or so. And that part is certainly a lot more tolerable than
the packing that used to be used. www.drlamperti.com