Rhinoplasty is a surgical procedure aimed at altering the shape of the nose, known for crusting a procedure to reshape the nose. One of the most common cosmetic procedures to improve the appearance.
Cosmetic improvements in improving the shape of the nose and at the same time, improvements in the ability to improve the tip of the nose to achieve natural and visible results. Rhinoplasty should create a more complex and attractive version of a person’s natural nose, balanced with other facial features, an image of an unnatural “military-surgical” appearance. Changing the shape of the nose precise sculpting of the basic structure of the nose (cartilage and bone) When healing is complete, refine your nose for other natural noses.
When considering rhinoplasty, there are many factors that affect you and your surgeon. These factors will help you plan your surgery and can affect the outcome of your surgery.
Age: Rhinoplasty is usually not recommended at a young age until growth is nearly complete. This age varies for each person, but is usually 15 to 16 for girls and 17 to 18 for boys. Previous surgery may affect the final growth of the nose, or the normal growth after rhinoplasty may undesirably alter the overall shape of the nose.
Thickening of the skin: Rhinoplasty changes the basic shape of the nose and these changes appear through the skin that covers the nose to give the general shape of the nose. Some people have very thin nose skin. Your surgeon affects the effect of skin thickness on the outcome of rhinoplasty.
Gender and ethnic differences: The shape of the nose can vary greatly between races and genders. There is no one-size-fits-all approach to rhinoplasty. You and your surgeon will discuss a personal approach to rhinoplasty that fits your ethnic and gender identity.
History of previous surgery: Previous rhinoplasty or septal deviation surgery can affect the approach to revision surgery. It is important that you tell your surgeon about all your previous nose surgeries.
Facial harmony: The nose is only one of many important facial features that make up the overall appearance of a human being. Desirable changes in the shape of the nose must be considered along with other facial features to maintain or improve the overall harmony of the face. For some people, there may be a combination of unbalanced facial features such as a prominent nose and small chin. Simultaneous treatment of both factors will help restore facial harmony better than rhinoplasty alone.
Medical history: Your surgeon will discuss your medical history including current medications and any impact that might have on your surgery or recovery.
Rhinoplasty surgery is performed in the operating room under general anesthesia to improve your comfort and improve the results of the surgery. Expect to arrive at the hospital or surgery center one to two hours before your scheduled surgery and remember not to eat or drink after midnight before surgery to reduce the risk of anesthesia. During this time, you’ll meet with the anesthesiologist and the operating room team. Your surgeon will also meet with you before surgery to review the plan and make sure all your questions are answered.
The operation itself will last for several hours, but when you wake up in the recovery room, it will seem to you that only a few minutes have passed. The skin of the nose is covered with surgical tape and often a plastic impression. There will be dissolvable stitches inside the nose, and if necessary, stitches can be placed on the strip of skin between the nostrils. Sometimes flexible splints are attached inside the nose. From time to time, you may have bleeding from your nostrils, as well as swelling and discomfort in your nose. There may also be bruises under the eyes.
In the recovery room, you will be closely monitored to ensure that your pain is well controlled and all vital signs are stable. At this point, you will be admitted to your discharge home. You have a friend or relative who will drive you home after surgery and stay with you for the first two days after surgery.
After surgery you will be discharged home with prescriptions for pain medication and possibly antibiotics or anti-nausea medication. You will also have written wound care instructions which include spraying the inside of your nose with a saline spray several times per day and applying antibiotic ointment to the incision lines. It is common to have some intermittent drops of blood from the nostrils for the first several days that can be dabbed away with a tissue. Expect your nose to feel congested after surgery especially if splints are placed inside the nose.
You will have pain following surgery, but with the medication the pain should be tolerable. This rapidly improves through the first week. You may also have some swelling or bruising under the eyes. Elevating your head during sleep and applying light weight ice packs to the cheeks can help speed up the resolution of the swelling and bruising. You should be up and around the house after surgery but avoid any strenuous activity, bending at the waist, or heavy lifting to minimize swelling, bleeding, and discomfort. Walking and light activity is encouraged and may help speed up your recovery.
Your first post-operative visit will be scheduled for five to seven days after surgery. At that time you will meet with the surgeon to review your recovery. The external nasal splint will be removed at that time along with any sutures on the skin or splints inside your nose. Your nose will be carefully examined to assure that you are healing well. At this visit your surgeon will discuss the next steps in your recovery including any limitations on activity or work and additional follow up visits. Most people return to work one week after surgery. While recovery proceeds quickly in the following weeks, keep in mind that it will take a full year for all the swelling to resolve and your final results to be achieved.
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