Obviously, Covid 19 changed the world. There is no going back and we need to do work and practice in the midst of the pandemic. This is realty now that pandemic has been spread all over the world and control over it all about the consideration of the safety & hygiene measure. Rhinoplasty surgeon must evaluate the way of doing surgery and also come together to introspect on the matter associated with doing surgery and what factors can cause infection or discomfort must be analyzed in the view of covid 19.
But many webinars done on the rhinoplasty surgery during the time of Covid 19, which was joined by expert cosmetic surgeon/rhinoplasty surgeons, believe that things are going to get back normal very soon and there is no more question of fear or getting worried about having the surgery.
This webinar has added Dr Jay Calvert, President of the Rhinoplasty Society from CA, United States, Dr Nazim Cerkes from Istanbul, and Dr Martin Haug from Basel with the help of the European Society of Rhinoplasty surgery.
This webinar was sponsored by the Rhinoplasty Society includes incredible panelists such as Rod Rohrich, MD, Bahman Guyuron, MD, Sam Most, MD, Rick Davis, MD, Jeffrey Marcus, MD, Ash Ghavami, MD, and Dr Jay Calvert, President of The Rhinoplasty Society.
Being in the fraternity of plastic & cosmetic surgery and we perform rhinoplasty surgery as a specialty concern we are now happy to spread this message that performing cosmetic surgeries even in the time of Covid 19 has been approved globally.
To create this webinar the rhinoplasty society motivated the expert rhinoplasty surgeons from European countries in the motive of practicing the surgery worldwide with the available options after when everything reopens. This webinar highlighted the precautionary measure, limitations, safety, and hygienic measures that needed to be followed while performing the nose job surgery both in the aspect of pre-and post-surgery.
As a board-certified plastic & cosmetic surgeon, Dr. Jay Calvert has introduced the topic of rhinoplasty surgery in covid 19 that is solely based on the fact of scientific facts, limitations, and concepts, which has no connection with a political motive, or policymaking as he is not an infectious disease expert.
These recommendations are what he is doing as a rhinoplasty surgeon.
We must understand this fact that the world has been changed completely and we need to learn living with this corona virus. Thus, doing plastic surgery is a bit concerning this time as people want to have surgery as they want to live the fullest with the desire of looking beautiful regardless of their facial structure, accident or trauma injury, birth defect, or any other problem associated with the anatomical status of the patients.
The rhinoplasty surgeon must convey this message to their patients that surgery is safe and infection-free even in the Covid 19 era and one must learn to know the following:
1. The world is now different
2. No way to eradicate the virus until vaccine doesn’t invent
3. Patients want to have surgery
4. As things change, we must change with them.
How can we be safe?
Be informed & smart
Know what is happening locally & globally
Understand our patient and operation
Test our patient
Test yourself
Test your staff as well.
Some key points while preparing for the rhinoplasty surgery and setting the things according to the set criteria for following safety concerns are discussed below: -
The patients should also have a great concern for following and maintaining the safety and precautionary measure while coming for rhinoplasty surgery.
The flexibility on the part of the surgeon should be focused on the points as mentioned below:
1. There is no “right way”
2. Every area of the world is going to be unique
3. Customization in each locality
4. Information is the driver of action.
Consideration should be given on the following things: -
a) What happens before surgery?
b) What happens on the day of surgery?
c) What happens in the operating theatre?
d) What happens after surgery?
Pre-procedure testing is important in the following ways: -
a) RT-PCR is the most specific
b) An antibody test may be helpful
c) Reduce the risk to patient or staff
d) Avoid Covid 19 patient to the Operating Room
e) Self-quarantine 2 weeks before
f) Test 4 or 5 days before the operation
Requirements that should be checked are: -
a) Temperature monitoring
b) Vital signs
c) Testing is a key as we believe
We strictly follow the certain protocols jotted down below: -
1. We recommend self-isolation to the patients 14 days prior to rhinoplasty surgery
2. Test within 3-5 days of surgery
3. Isolation after test
4. Full Covid 19 history
5. Test staff and full Covid 19 history
6. Full PPE in the procedure room for direct contact
7. Nasal swabs
8. Isolate after surgery.
The clinical considerations in Rhinoplasty & Strategy for the safety of Patients in Covid 19 Era:
First of all, we must know the corona virus Covid 19 is highly contagious with high morbid and mortality that is caused by SARS-CoV-2.
Rhinoplasty & Covid 19: Clinical Consideration:
The nose has tissues where the susceptibility genes required for infection are expressed at high levels. High levels of ACE-2 receptors on host cells, which may be modulated by environmental and host factors. In the nasal passages, goblet secretary cells, which produce mucus, express RNAs for both of the patients that SARS-CoV-2 attaches to infect cells.
In the lungs, they found the RNAs for these patients mainly in cells called type II pneumocytes. These cells line the alveoli or air sacs of the lungs and are responsible for keeping them open. Covid 19 as the SARS-CoV-2 spike protein receptor, ACE-2, is highly expressed on the nasal mucosa and type II airway pneumocytes.
Virus shedding has the highest probability from the nose and therefore reflects a major source for transmission of disease. The other aspect also says that performing a rhinoplasty surgery is highly sophisticated as well as concerning tasks on the part of the surgeon due to the higher probability of transmission of health-associated infection from patient to surgeon. This, cosmetic & plastic surgeon is at high risk of infection yet they are performing and committing the duty in the safeguard of patients’ health, future, and desire to look beautiful and appealing.
My thought based on discussions with colleagues:
We should minimize the use of: -
Packing
Intranasal splint
In-office intranasal debridement
Instead, utilize quilting sutures after septoplasty.
Thus, there is the significant importance of testing and screening of the prospective patients prior to surgery in order to control the risk of coronavirus, and a step ahead we are committed to offering a safe and result-oriented plastic surgery with transparency, value for aesthetic practice, and the last, but not the least is about the safety of the rhinoplasty surgery. And this is all our strategy to fight against corona and serve our patients with the best efficacy and unmatched natural results.
If you have any queries about rhinoplasty surgery, feel free to contact Dr. Jay Calvert. DR. Calvert is a leading name in performing rhinoplasty surgery in Beverly Hills and Newport Beach, California, USA.
Prema Jha is a renowned name in the Hindi literature world as a contemporary Poet, Writer, and Fiction Novelist. she has contributed to many leading Newspapers, Magazines, Journals, Periodicals, Blogs, E-Journals, and Channels as an established author. She is a well-known name in plastic cosmetic surgery's writing fraternity due to her writing contributions in reputed medical journals, websites, portals, magazines, and newspapers. She has done her Dual Masters Degrees in Media and Human Resource Management from NIILM School of Business, New Delhi. She is also working for social causes for Peace- Development across the Globe as a "Youth Peace Activist & a Hair Transplant Consultant."