all things considered it’s in the patient’s interest that the surgery be done in less time rather than more time because the lack of efficiency that would translate a shorter operation to a longer operation has a consequence of more swelling and more bruising. it is a natural tendency for human tissue when being manipulated for 4 hours to swell more than it would if it were manipulated for 2 hours or say 1 hour. the drugs that we inject at the time of surgery and this is after the patient is asleep which numb the tissue allowing a lighter anesthetic by the anesthesia specialist also contains that anesthetic drug also contains a drug to shrink the blood vessels to clamp off the blood supply so that we’re not operating in a pool of blood. otherwise we couldn’t do our work we can’t see. but that is not an indefinite period of time. in other words it’s pretty finite. after an hour to an hour and a half that drug wears off the blood vessels start to open up and now they leak more. so ideally you’d like to get that operation done or at least that part of the operation done in less than an hour to an hour and a half. therefore the object generally in nasal surgery which has big potential for significant bleeding get the operation done in less than an hour. whether you’re operating for cosmetic purposes or cosmetic and even breathing purposes you’ve got about one golden hour to do the work. so if you do it less swelling less bruising. now we do have the help of some medications. but they are not always as predictable and they effect different people and bruising is a phenomenon for example that can depend on everything from your natural innate tendency to bruise some people say i’m a bruiser some aren’t to for a woman what point in the menstrual cycle are they. oh yeah. so you’ve got all these factors in play and we haul out all the best drugs we can. in order to reduce the bruising we have the anesthesiologist inject an anti swelling medication even prior to the outset of the operation before we make the first incision so that we know that there’s this big rush of drugs that have now been absorbed into the body and are available to reduce the swelling.
why does a faster surgery produce a better outcome?