Need Detailed Info for Rhinoplasty 101

[MogEater]

Before surgery, when exactly should sodium be eliminated to reduce water retention? And how much potassium should be taken per kilogram of body weight — and when should supplementation begin?

Which injectable steroids do doctors typically use? Are injections administered every 30–45 days, with a total of 3–9 sessions?

While injections likely aren’t used before surgery, when are they usually started post-op?

Is it safe to use topical steroid creams while undergoing steroid injections? What do we know about diuretics — both medications and creams?

Why do doctors often design the nasal root to align with the brow ridge? Is there a reason the nasal root can’t be placed lower?

In some procedures, fat and soft tissue are removed from the nasal tip. What is the name of this technique?

What can be done to improve skin quality and elasticity before surgery? (Especially important when significantly reducing larger noses.)

Aside from high-dose collagen for 6 months and tretinoin for 3 months, what else can be done?

Open technique is always preferred — scars aren’t a concern since they won’t be visible.

From front and side views, which male celebrities have the best snub-style noses to use as reference models?

Theoretically, if the skin at the nasal root is gently lifted during rhinoplasty, an ideal medial canthus (inner eye curve) could be created. Why isn’t this approach used?

Please feel free to add more questions — let’s discuss.

 

[MogEater]

Hello,
I’d like to add a bit of information.

Most doctors want to solve the problem in the quickest way possible.
Many people can’t access the best doctors or don’t receive the fair treatment they deserve due to their status.
When Jordan Barrett had a rhinoplasty, he achieved an excellent result. The reason was that doctors put in extra effort for him — effort they wouldn’t normally spend on an average person.

A friend of mine had a rhinoplasty and experienced swelling, edema, and tissue hardness, yet their doctor didn’t take them seriously.
There are many such cases, which is why we must do our own research and manage the process ourselves.

What I’ll write here is specifically for patients with large nasal tips, thick skin, and overall big noses after rhinoplasty:

Pre-rhinoplasty preparation:
At least 6 months of tretinoin use. This is a must. Tissue and skin quality are very important in aggressive reductions.
It helps reduce edema in the nose and thins the skin as much as possible.

Hydrocortisone or similar aggressive skin and subcutaneous tissue-reducing creams could be a good alternative, but I haven’t completed my research on this yet.
Because these creams, when used for only two weeks and then discontinued, may cause the skin to revert to its original state.
However, based on theory and my previous experience with steroid creams, if used for a sufficient period in intervals — for example, 2 weeks on, 2 weeks off, for a total of 6 sessions — the skin might atrophy in a healthy way.
But as I said, I haven’t finished my research on this yet. I’ll write more as I find time.

If you have a very large, oily, bulbous nasal tip, studies have shown that CO2 laser can be effective.
In most cases it’s unnecessary and expensive, but for the best results, even just 2 sessions can be worthwhile.

Post-rhinoplasty care:

In the first week, the cast is removed. Around the third week, bandages are usually taken off, and the first steroid injection should be done after the third week.
This is very important to support tissue healing, reduce edema and inflammation, manage the process properly, and achieve the desired result.
Then, Triamcinolone Acetonide with 0.9% NaCl should be used in a total of around 4 sessions, spaced between 3 to 6 weeks.
Once healing is mostly complete — around 8 to 12 weeks — tretinoin should be restarted.

Likewise, I will add hydrocortisone or its derivatives as a final touch once I finish my research on them.