A Step by Step Guide to Rhinoplasty Surgery

Definition

Rhinoplasty (RIE-no-plas-tee), also referred to as nose surgery, is a surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, its function or both.

When planning rhinoplasty, your surgeon considers your features, the skin on your nose and what you would like to change. The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can modify bone, cartilage, skin or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.

Why it's done?

Rhinoplasty can change the size, shape or proportions of your nose. It may be done to repair deformities from an injury, correct a birth defect or improve some breathing difficulties.

Risks

As with any major surgery, rhinoplasty carries risks such as bleeding, infection and an adverse reaction to the anesthesia. Other possible risks specific to rhinoplasty include:

• Recurring nosebleeds
• Difficulty breathing through your nose
• Permanent numbness in and around your nose
• Possibility of an uneven-looking nose
• Pain, discoloration or swelling that may persist
• Scarring
• Hole in the septum (septal perforation)

Talk to your doctor about how these risks apply to you.

How you prepare?

Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors that determine whether the surgery is likely to work well for you. This meeting generally includes:

Your medical history 

The most important question your doctor will ask you is about your motivation for surgery and your goals. Your doctor will also ask questions about your medical history — including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.

A physical examination 

Your doctor conducts a complete physical examination, including any laboratory tests, such as blood tests. He or she also inspects your skin and the inside and outside of your nose. The physical exam helps your doctor determine what changes need to be made and how your physical features — for example, the thickness of your skin or the strength of the cartilage at the end of your nose — may affect your results. The physical exam is also critical for determining the impact of rhinoplasty on your breathing.

Sometimes your surgeon may speak with you about performing a surgery to augment your chin. This is because a small chin will create the illusion of a larger nose. It's not required to have chin surgery in those circumstances, but it may better balance the facial profile.

Photographs

Someone from your doctor's office may take photographs of your nose from different angles. Your surgeon may use computer software to manipulate the photos to show you what kind of result is possible. Your doctor uses these photos for before-and-after assessments, reference during surgery and long-term reviews. Most importantly, the photos permit a specific discussion about the goals of surgery.

A discussion of your expectations

You and your doctor should talk about your motivations and expectations. He or she explains what rhinoplasty can and can't do for you and what your results might be. It's normal for people to feel a little self-conscious discussing their appearance, but it's very important that you're open with your surgeon about your desires and goals for surgery.

Before rhinoplasty, you may also need to:

Avoid certain medications

Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) for two weeks before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon.

If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.

Make arrangements for the day of the surgery 

For the first few days after anesthesia, you may have lapses of memory, slowed reaction time and impaired judgment. Therefore, please arrange for someone to drive you home if you're having an outpatient procedure. Also, arrange for a family member or friend to stay with you a night or two to help with personal care tasks as your recover from surgery.

What you can expect?

Rhinoplasty is not a procedure with a set series of steps. Each operation is unique and is customized for the specific anatomy and goals of the person undergoing the procedure.

Rhinoplasty may be done inside the nose or through a small external incision at the base of the nose, between the nostrils. Your surgeon will likely readjust the bone and cartilage underneath your skin.

Your surgeon can augment your nasal bone or cartilage in several ways, depending on how much needs to be added, the structure of your nose and available materials. For small changes, the surgeon may use cartilage harvested from deeper inside your nose or from your ear. For larger requirements, the surgeon can use cartilage from the rib, implants or bone from other parts of the body.

During the surgery

Rhinoplasty requires local anesthesia with sedation or general anesthesia, depending on the complexity of the surgery and your surgeon's preferences. Discuss with your doctor beforehand which kind of anesthesia is best in your case.

Local anesthesia with sedation

This type of anesthesia is usually used in an outpatient setting and is limited to a specific area of your body. Your doctor injects a pain-numbing medication into your nasal tissues and sedates you with medication injected through an intravenous (IV) line. This makes you groggy but not fully asleep.

General anesthesia

You receive the drug (anesthetic) by inhaling it or through an IV line — a small tube placed in a vein in your hand, neck or chest. General anesthesia affects your entire body and induces a temporary state of unconsciousness. General anesthesia requires a breathing tube.

After the surgery, you'll be in a recovery room, where the staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight.

After the surgery

After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery. In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor also tapes a splint to your nose for protection and support. It's usually in place for about one week.

Slight bleeding and drainage of mucus and old blood are common for a few days after the surgery or after removing the dressing. Your doctor may place a "drip pad" — a small piece of gauze held in place with tape — under your nose to absorb drainage. Change the gauze as directed by your doctor. Don't place the drip pad tight against your nose.

To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery:

• Avoid strenuous activities such as aerobics and jogging.
• Take baths instead of showers while you have bandages on your nose.
• Don't blow your nose.
• Eat high-fiber foods, such as fruits and vegetables, to avoid constipation. Constipation can cause you to strain, putting pressure on the surgery site.
• Avoid extreme facial expressions, such as smiling or laughing.
• Brush your teeth gently to limit movement of your upper lip.
• Wear clothes that fasten in the front; don't pull clothing, such as shirts or sweaters, over your head.

In addition, don't rest eyeglasses or sunglasses on your nose for at least four weeks after the surgery, to prevent pressure on your nose. You can use cheek rests, or tape the glasses to your forehead until your nose has healed.

Use SPF 30 sunscreen when you're outside, especially on your nose. Too much sun may cause permanent irregular discoloration in the skin of your nose.

Some temporary swelling or black-and-blue discoloration of your eyelids can occur for two to three weeks after nasal surgery. Swelling of the nose takes longer to resolve. Limiting your dietary sodium will help the swelling go away faster. Don't put anything such as ice or cold packs on your nose after surgery.

Your nose changes throughout your life whether you have surgery or not. For this reason, it's difficult to say when you have obtained your "final result." However, most of the swelling is gone at a year.

Results

Very slight changes to the structure of the nose — often measured in millimeters — can make a large difference in how your nose looks. Most of the time, an experienced surgeon can get results both of you are satisfied with. But in some cases, the slight changes aren't enough, and you and your surgeon might opt for a second surgery for further refinements. If this is the case, you must wait at least a year for the follow-up surgery, because your nose can undergo changes during this time.

Via: http://www.mayoclinic.org/

Read More

Don't Let Your Children Skip Breakfast

You’ve heard it since grade school: Breakfast is the most important meal of the day. But with a morning of competing priorities, snooze buttons and questionable appetites, it’s easy to skip breakfast. It’s estimated that 12 to 34 percent of children and adolescents regularly miss the morning meal. Breakfast really is the most important meal of the day, and you should start your day and your children’s days off right by finding the time to eat this meal. 

Benefits of Breakfast:  
1. Energy:
Along with sleep and exercise, breakfast is one of the best ways to recharge your batteries. It’s the perfect opportunity to get energy-boosting carbohydrates like whole-grain bread, oatmeal and fruit. Create a breakfast with staying power using protein and carbohydrate combos like fruit and yogurt, whole-grain cereal with milk or a whole-grain waffle with nut butter. Breakfast is an ideal way to energize so there will be no sleeping in class! 
2. Healthy weight:
Teens may think skipping breakfast is a good way to save on calories and lose weight, but quite the opposite is true. Breakfast skippers tend to weigh more than those who eat breakfast regularly. Additionally, those who eat a morning meal tend to make healthier food choices throughout the day, which can positively impact weight and long-term health. 
3. Improved concentration:
Studies suggest that eating a healthy breakfast improves brain function — particularly memory and recall. This is essential for soaking up new knowledge and applying it later for a big exam. 
4. Better grades:
Research shows students who eat breakfast perform better academically. It’s not fully understood why, but scientists believe it may be because breakfast supplies essential nutrients to the nervous system to rev up brain power. Or the explanation could simply be that breakfast alleviates hunger and a rumbling tummy, which can interfere with academic performance, behavior and self-esteem. 

What is a Good Breakfast for Teens?
Breakfast should be good blend of carbohydrates, proteins, vitamins and minerals. Thumb rule is fruits, dairy product and grain depending on your personal choice -be it a stuffed Parantha or Idlis. Whether it is served hot or at room temperature, does not matter. General suggestion is that you should get about a quarter of your daily calories during breakfast.
Morning is the best time to give kids a few servings of fruit.
Eggs or other protein-rich food are also a good choice to start the day. You can add nutrient-rich dry fruits as well.
Some schools provide breakfast at school. Ensure that they are providing a good nutritious breakfast that will meet your child’s nutritional needs.
Encourage eating breakfast daily at home or school and make it easy. Grab-and-go meals like a waffle with peanut butter, a boiled egg and fruit or homemade oatmeal bars make eating breakfast a breeze.
Whatever the reason is - whether it is a question of rushing your kid to reach school on time or your cook does not turn up - make sure your teen does not miss the first and the most important meal of the day. Though it may take time, helping your teen eat a nutritious breakfast today will build healthy eating habits that last a lifetime.

Read More

Essential Travel Tips For Almost Any Destination

Even the most experienced jet-setter may suffer a bit of nervousness or stress when traveling to a new places.

You don't have to wander far to enjoy an exciting weekend getaway. There are several things to do in your home state or maybe the one that is in close proximity. You are able to support local economy by traveling near home. You may learn about a great attraction in your neighborhood that you had never known of.

Try to obtain a accommodation on the high floor. You need to avoid residing in rooms with sliding doors anytime you can. Rooms with sliding doors are easier for thieves to destroy into.

Try to acquire a hotel which is with a upper floor. You should also avoid remaining in rooms with sliding doors whenever you can. Rooms with sliding doors are easier for thieves to get rid of into.

Should you wear corrective lenses, ensure that you pack a spare pair of glasses. This gives by using a spare pair in the event the glasses you happen to be wearing become damaged you is still capable of seeing. You really should keep these on the person, in case something occurs to that bag on a trip.

Use the E-tracking function that a great many travel sites have.This feature keeps you updated with inexpensive travel options. You are able to receive alert via email in the event the flight you want or already have booked changed regarding your travel arrangements.

Weather can be quite a huge aspect in travelling and should never be underestimated when planning your travel plans. Check forecasts so you know exactly what the weather will be in your destination before traveling.

Will not freak out in case your luggage is not found your destination. Get the lost luggage claims center, keep the travel documents and passport on hand and finish all required paperwork as instructed from the baggage department personnel.Quite often, and you will continue with your journey as planned.

Understand that you are not the sole person vacationing in hotels.Be sure to maintain the noise level down and close doors quietly. Even during daytime, you will discover a chance someone could be wanting to sneak within a cat nap or they might be trying to get over jet lag. You don't must whisper and tiptoe, it's only polite to behave with some decorum.

When your travels include multiple countries, ask about needed visas. There is more than one kind of visa should you not get the correct one, and some countries are incredibly strict about who they let in. Speak to your travel agent, or make inquiries from the embassy websites of the countries you will be visiting.

Inform your children about airport security is focused on.

When you find yourself about to travel, consider choosing pants and dresses in dark colors. Dark clothing is likely to conceal dirt and wrinkles, which can be common on clothes if you are out and about for a long period. You may bring some lighter colored accessories to brighten your look.

When packing for a journey, consider choosing dark clothing, specifically for dresses and slacks. Dark clothing may be more travel-friendly as it hides dirt and minimizes the appearance of wrinkles, that are common on clothes if you are away from home for a long period. It is possible to pair the dark clothing with complementary light-colored accessories to brighten your outfits an even more cheerful appearance.

Research various hotels, expected climatic conditions and also other vital information.

Research your destination online to get reviews of hotels, resorts and attractions before selecting your travel plans.

Ensure your pet dog is definitely familiar with new places should you be traveling together. They must always maintain them on a leash.

Take turns at driving while you are traveling for long periods of time. Should you drive until you are far too tired to continue driving, the latest driver will need to drive alone when you sleep. Will not hold off until you will be too tired to achieve this safely. Try to switch drivers every couple hours. This may keep you nice and refreshed for the long drive.

Take turns driving when you are flying with others. Should you completely exhaust yourself before you decide to offer to change, you increase the possibilities of stepping into a crash. Tend not to drive to the point where you stand completely exhausted to stop driving.You need to have someone replace you at the very least every 2 or three hours.This stops anyone driver from getting so tired they can't effectively drive.

Attempt to take clothing items that you can be worn multiple time. This will lower the volume of things you carry for your trip.

When packing your bag to get a trip consider the versatility from the clothing that may be worn multiple days. This will likely limit the quantity of items you need to squeeze into your luggage.

Lots of airports ask them to so children from possessing a temper tantrum. This may cause for your kids.

Be sure your pet is readily accustomed to new places if you are considering traveling with it. They must be thoroughly leash and voice command trained and kept on a leash always during travel and when traveling.

You may roll your clothes or use a travel vacuum bag as opposed to folding them. This will help you to help save you much space inside your luggage. This could allow you to pack smaller suitcases and bring along the needed baggage amounts in your vacation.

You should make certain that your pet dog traveling. They should be leashed and also kept on a leash during any section of travel where everyone is present.

If you remember above mentioned tips, you must be able to make the best from your upcoming vacation trip.

Read More

Useful Tips for Newly Married Couples

Marriages are one heck of a roller coaster ride. We are sure all the married readers would agree to this. For newlyweds, it is important to understand that once the excitement of the wedding and the honeymoon is over, there are a few things they need to keep in mind to make a strong foundation of their relationship. And, this 'work towards the strong foundation' has to be started from the very beginning. So, here are a few things that would help you to keep the stones of that strong foundation.

1. Divide your responsibilities

Nowadays, generally both the partners are working individuals. Both have to spend long working hours at their respective workplaces. In such a case, it is not fair to the wife if she has to handle all the household chores alone. For a successful marriage, try to divide your responsibilities.
For example, if the wife is taking care of the cooking, the husband can take care of the grocery shopping.

2. Discuss your finances

A universal topic which usually causes huge fights and misunderstandings is that of ‘money’. If not before marriage then immediately after it, a newly married couple should try to figure out a way to manage their finances together.
Weather you both are working or only one, you need to decide an amount for your household expenses, investment schemes, other expenses, and most importantly, set a particular amount to save every month.

3. Accept each other's weaknesses

Everyone dreams of finding a perfect life partner. One who is caring, sensitive, funny, charming and the list goes on and on. But you need to accept a simple fact that nobody is perfect, not even you! So instead of pinpointing your partner’s negative points or weaknesses, try to accept them. Do not try to change a person against their will. This might keep them from being open with you. Relationship with your special someone is a space where you just want to be your true self without any pretenses.

4. Resolve conflicts, don't increase them

There is no conflict or misunderstanding which cannot be solved by decent communication. Not discussing matters of conflict with each other can cause them to turn into huge fights. It is obvious that when two completely different people start a new life together, there will be matters of disagreement as the two keep discovering new things about the other. Sitting together and talking about these matters through peaceful communication will help you to resolve disagreement, before they elevate into a fight.

5. Set limits to family interference

For a newly married couple, a common problem that can bitter the relation between a newlywed couple is the unwanted family interference. It could be by the immediate family members or by distant relatives. For the safety of your own relation, set limits to this interference. Always stand up for one another and do not let a third person see even a little crack in the relationship that you and your spouse share.

6. Never forget romance

Don’t underestimate the power of a sweet word or a warm caress, a candlelight dinner accompanied with music, it can work wonders. So despite of your hectic schedules find the time to express your love and never take your partner for granted.

7. Make time for each other

Another important thing is to always find time for one another no matter how busy each of you is. Handling stress at work along with household chores can get difficult for some. But you need to make a conscious effort to take time out for one another so as not to let the romance fade away. This is the best advice for those especially who have met through an arranged setup and are still discovering things about each other.

8. Be honest

Face your problems, admit that they exist and work on solving them. Hiding behind a screen will not make them disappear, and ignoring them will only build them up into a dormant volcano ready to erupt at any time, pouring out lava of pain, anger and disappointment.

9. Keep the balance between giving and taking

Love is all about giving, but mind you, this does not mean that one party should take advantage of the other; it can't mean endless giving from one partner and endless taking from the other. There is a thin line between the two partners of giving and taking each in his way.

10. Be prepared for big challenges

One of the most reliable predictors of a lifelong marriage is the commitment to a lifelong marriage. It is for this reason that long-lasting marriages bury the D word (divorce). This doesn’t mean that we hide our head in the sand and pretend that divorce would never happen to us. It means being proactive and doing the daily work of nurturing the marriage so that divorce does not become the final escape.
The wedding day is only the first day of many “I do’s.” It is the commitment to look for a way through a troublesome problem that makes solutions possible, despite all odds. When boredom or weariness challenge your love, it is commitment that pushes you to renew it by dating each other again, attending a marriage retreat or, if necessary, consulting a counselor.

Read More

Do You Want to Discover If Any of Your Ancestors Were Famous of Infamous?

Have you ever wondered if your ancestors were famous or infamous? The process of searching for your ancestors is known as tracing your genealogy. Earlier it was a lengthy process that involved digging through old records. Today, due to advancement in the Internet, it has become a very easy to know more about your family history.

One question may arise in your mind that why should we care about our family history? Actually, it is a thrilling job to find out whether your ancestors were heroes or villians. Many people got the experience interesting, exciting and hugely rewarding while searching for their family roots. Chances are, there are many remarkable characters—both heroes and villains—in your family line. And you may even have relatives living close by that you didn't know about.

But, best of all, building and maintaining a family tree and understanding our ancestors' experiences can provide meaning and continuity to our lives, while providing something priceless to pass on to the next generation.

So, what’s facilitated this new craze? Billions of historical documents from city, county, state, federal, and military archives have been placed on the Internet where they can be easily searched and downloaded by anyone. And now there are new services that provide ordinary Americans an easy way to research and organize their family histories, as well as share them with their family and friends.

The largest and most comprehensive of these services is called Ancestry.com.

Ancestry.com gives you access to all of the data you need on one, comprehensive site. With more than one billion searchable digital records—and thousands of new ones added daily—it’s a key resource for your family history search.  It shows you where to start your search, how to construct your family tree, and how to get past seemingly dead-ends in your hunt for information.

The service also provides an easy family-tree module so you can build and share your family tree with others. You can also access copies of many original records, such as birth and death certificates, newspaper clippings, and other fascinating public records about your family. These can be downloaded and printed for scrapbooks, or even as replacements of original documents that you may have lost.

Another fun thing you can do using Ancestry.com is look up old newspaper clippings from 50, 100, or even 150 years ago that mention your family members. It gives you access to expert genealogists who can help you if needed, and contains a wealth of articles on special topics such as researching African-American histories, military research, and more.

Ancestry.com offers subscription plans that are considerably lower than other online services offering this type of service—and none of those companies have the same kind of reach. Best of all, Ancestry.com is currently offering new customers a free, 14-day trial. You can begin researching your family tree right away and see the amazing amount of information available through the service—all for free.

Discover your family story. Start your free trial today here - Ancestry.com

Read More

Endometriosis - Diagnosis and Treatment

What is endometriosis?

Endometriosis is a female health disorder that occurs when cells from the lining of the womb (uterus) grow in other areas of the body. This can lead to pain, irregular bleeding, and problems getting pregnant (infertility).

Endometriosis is a condition in which cells that are normally found inside the uterus (endometrial cells) are found growing outside of the uterus. That is, the lining of the inside of the uterus is found outside of it. Endometrial cells are the cells that shed every month during menstruation, and so endometriosis is most likely to affect women during their childbearing years.

Causes of endometriosis:-

The cause of endometriosis is still unknown, and conventional treatments range from ineffective to surgical. But current research suggests that changes in diet and lifestyle can greatly reduce the symptoms and severity of the disease – while naturally improving the odds of conception.

Endometriosis is common. Sometimes, it may run in the family. Although endometriosis is typically diagnosed between ages 25 - 35, the condition probably begins about the time that regular menstruation begins.

A woman who has a mother or sister with endometriosis is much more likely to develop endometriosis than other women. You are more likely to develop endometriosis if you:

1. Started your period at a young age
2. Never had children
3. Have frequent periods or they last 7 or more days
4. Closed hymen, which blocks the flow of menstrual blood during the period

Symptoms:-

1. Painful periods
2. Pain in the pelvis, lower belly, rectum, vagina, or lower back. Pain may only occur at certain points in the menstrual cycle, during sex, during bowel movements, during ovulation, or all the time.
3. Pelvic or low back pain that may occur at any time during the menstrual cycle
4. Infertility
5. Diarrhea and/or constipation

Diagnosis:-
Eliminate:

1. Commercial meat & dairy: non-organic meat & dairy may contain hormones that mimic estrogen, and there is evidence that dioxins found in commercial animal foods can increase the likelihood and severity of endometriosis
2. Alcohol: can exhibit estrogenic effects
3. Sugar: can exhibit estrogenic effects
4. Toxic personal care & cleaning products: can exhibit estrogenic effects
5. Caffeine: consumption is directly correlated with incidence and severity of endometriosis
6. Polyunsaturated cooking oils (canola, soy, safflower, corn, sunflower): can increase inflammation

Increase:

1. Anti-inflammatory foods like non-GE salmon (omega-3’s), turmeric
2. Fiber (plant-based diet): improves GI function
3. Lipotropic (liver-supporting) foods: Onions, garlic, leeks, beets,broccoli, cabbage,    cauliflower, brussels sprouts, artichokes, bitter herbs like dandelion root, and milk    thistle: improve liver function
4. Probiotic supplements: improve GI function
5. Fermented foods like sauerkraut, real pickles and yogurt: improve GI function
6. Exercise: can decrease estrogen levels

By following the above guidelines, women suffering from endometriosis can naturally reduce their symptoms and improve their fertility. A natural reproduction specialist or fertility prep program can help make these changes easy – and permanent.

Read More

25 Things Not to Say to Someone Suffering from Depression

Friends, here is a list of gems that we should not use for the person with depression. I have my own list. This may differ from person to person. Let's check out the list....

1. “It’s all in your head, so if you stop thinking that way you’ll be fine.”

2. “If you’re feeling depressed, well, you’ve bought it on yourself.”

3. “Oh, just cheer up!"

4. “You’re so selfish.”

5. "It’s all in your head. You need to think positive."

6. “You’re so pathetic.”

7. “You’re so unpassionate.”

8. “You’re so useless.”

9. “You’re so weak.”

10. “You’re so ungrateful.”

11. “You’re insane!”

12. “Oh just grow up!”

13. “Why can’t you just be NORMAL?”

14. “You need to start appreciating what you’ve got before you lose it all.”

15. “You never think of anyone but yourself.”

16. “You don’t look depressed.”

17. “Just have a couple of beers and you’ll be fine.”

18. “Oh, get a grip.”

19. “You need a girlfriend/boyfriend.”

20. “You’re just creating dramas.”

21. “Go and buy some new clothes, all fixed.”

22. “Eat healthily, that’s all you need to do.”

23. “You’re embarrassing me.”

24. “Just look on the bright side! There are so many great things in your life!”

25. “You don’t need to be on medication — it’s so over-prescribed. Everyone’s on drugs these days.”

Read More