What is Rhinoplasty?
Rhinoplasty is a procedure that is performed by a Surgeon to change the shape of the nose. It may be performed to change the nose appearance for a purely asthetic reason or to alter or reconstruct the nose to improve breathing.
Bone and cartilage in your nose will be reshaped in order to achieve the desired results. Rhinoplasty is also known as Nose Job.
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How Long Does the Rhinoplasty Procedure Take?
Nose surgery is an outpatient procedure.
Your time in surgery may vary according to your individual needs and the specifics of the procedures being performed.
The procedure takes anywhere between 90-180 minutes. In some cases, a night of hospitalization (overnight stay) is required.
Your surgeon will fully explain all details to you during consultation.
Is the Rhinoplasty procedure Painful?
You will sleep through the operation (general anesthesia), but in some rare cases, local anesthesia is enough; in these cases, your nose will be numbed so that you won’t feel the pain.
Following surgery, most patients experience mild to moderate discomfort that can be controlled with medication. However, the first part of the recovery period can be somewhat awkward at work and in social settings due to possible bruising under the eyes and the use of a splint
Who can undergo Rhinoplasty?
Only those patients who are more than 16 years of age can undergo Rhinoplasty. As at this stage facial growth is complete and the facial bones are fully grown and set.
The patient should have good health. Asthama and Diabetes should be checked before undergoing surgery.
What is the recovery period after Rhinoplasty?
A typical Rhinoplasty healing time is about 10 -14 days.
After the operation, there may be bruising and swelling on your face, mostly around your nose and eyes. They begin to fade away in two or three days, and they will last up to 14 days maximum.
These swellings and bruising are normal, and you will heal gradually; It’s better to use ice packs for at least 72 hours after your surgery; ice packs could help a lot with these swellings.
You must wear a splint on your nose for a week (some surgeons do not use it) until a post-operation session with your surgeon.
There will be some inconvenience and pain in the recovery period; Do not worry, it is normal. Your surgeon will describe everything to you and will prescribe some pain killers to mitigate the pain.
How is the Rhinoplasty procedure performed?
Step 1 - Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2- The Incision
Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose.
Step 3 - Reshaping the nose structure
An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts.
Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.
Step 4- Correcting a deviated septum
If the septum is deviated, it can be straightened and the projections inside the nose are reduced to improve breathing.
Step 5- Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is re-draped and incisions are closed.
Additional incisions may be placed in the natural creases of the nostrils to alter their size.
For a few days, splints and gauze packing may support the nose as it begins to heal.
What’s the follow-up?
In, general you need to visit the doctor within first week after surgery to remove sutures and splints.
Nasal cleaning is also done at this time.
Antibiotic ointment at first and non-antibiotic ointment, such as A & D are prescribed, particularly to moisten the front part of the nose where most of the internal stitches are located.
In the closed rhinoplasty technique, where all incisions are in the interior and all the stitches are destined to dissolve, the ointment aids the process of healing and stitch disappearance.
What are the risks?
As with any other surgery, Rhinoplasty has below risks:
- An adverse reaction to the anesthesia
Other possible risks specific to rhinoplasty include but are not limited to:
- Difficulty breathing through your nose
- Permanent numbness in and around your nose
- The possibility of an uneven-looking nose
- Pain, discoloration or swelling that may persist
- A hole in the septum (septal perforation)
- A need for additional surgery
Tips to reduce swelling after Rhinoplasty
- Avoid strenuous activities such as aerobics and jogging.
- Take baths instead of showers while you have bandages on your nose.
- Do Not 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
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