Can Rhinoplasty Pain Be Managed Without Narcotics?

Q: Dr. Eppley, My rhinoplasty questions are:

1. Is it possible to do a nose reshaping with results similar to the pictures I’ve attached? My main concern is how far my nostrils project into my nose tip. I would like to have more of a tip to my nose. I also would like my nose to be just slightly shorter. It is important to me that my nose would look very natural and not extremely narrow or perfect. 

2. I am also concerned about the look of my neck and jaw. I’d like to remove fat from around my lower cheeks, jaw, and neck. Could this procedure be done at the same time as my nose? Are there extra risks to doing both at the same time? 

3. What would be the cost to have both of these done? And the cost for them separately? 

4. Does your team provide financing options? What are the terms of the financing options? 

5. How far out would I have to schedule? 

6. I also have POTS and fibromyalgia, though not to a severe level. Would this affect my candidacy for these procedures? I have been under anesthesia before. 

7. How long would I have to stay locally for these procedures? 

8. How much pain could I expect for both of these procedures? Could I manage the pain with ibuprofen or advil alone?

A: Thank you for sending your pictures to which I can say the following:

1) While the general type of profile nose shape can be achieved the reduction in nostril length/exposure is probably overly optimistic.

2) Submental/jawline liposuction can be done at the same time as a rhinoplasty. Doing them together does not increase the risks of either procedure over being done alone.

3, 4 and 5) Will be answered by my assistant.

6) I am not aware that POTs or fibromylagia have any adverse effects in these facial procedures.

7) Most patients return home the following day.

8) These are not particularly painful procedures that require any narcotics.

Dr. Barry Eppley

Indianapolis, Indiana