Introduction
Are you considering reshaping your nose? but deciding to undergo rhinoplasty is not a choice to be made lightly. It’s crucial to clearly establish your goals and expectations for the treatment.
Overview
Rhinoplasty is a type of plastic surgery that changes the nose’s shape and size.
Some people have cosmetic rhinoplasty to improve how their nose and face look. Others undergo functional rhinoplasty, which improves breathing and nasal function.
Rhinoplasty is commonly called a nose job.
Benefits of rhinoplasty surgery
The benefits of a rhinoplasty surgery include:
· Changing the shape and size of your nose.
·Improving your facial appearance.
·Correcting any structural abnormalities of your nose like a deviated septum.
·Improving how you breathe out of your nose.
prepare for rhinoplasty surgery
It’s important to take any surgery seriously so that you can minimize risks and optimize the outcome. A good recovery depends on preparing your body and your mind in advance.
We recommend incorporating more fibre-containing foods in your diet, which will help reduce the digestive effects, like constipation, that may happen after receiving anesthetics. You should also avoid alcohol and consider taking vitamin C, zinc and, in some cases, iron to encourage proper healing after surgery.
Rhinoplasty may be performed in an accredited office-based surgical facility, a licensed ambulatory surgical center or a hospital. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
steps of rhinoplasty procedure
Rhinoplasty procedure includes the following steps:
Step 1 – Anesthesia:
People are often more nervous about the anaesthesia used during the surgery than the surgery itself. It can be quite confusing when trying to understand what anaesthesia is used for what procedures. Rhinoplasty can be performed under many levels of anaesthesia. Each option includes differences in cost, safety, side effects and level of awareness thus both having some advantages and disadvantages. Generally your surgeon and anaesthetist will guide you towards the appropriate type of anaesthesia for the particular procedure you are having.
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.
Step 3 – Reshaping the nose structure:
The shape of the bones or cartilage in your nose can be changed in several ways. It depends on how much needs to be taken out or added, the nose’s structure and available materials.
An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts. For small changes, cartilage may be taken from deeper inside the nose or from the ear.
Step 4 – Correcting a deviated septum:
If the septum is deviated, it can be straightened and the projections inside the nose 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 redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Step 6 – See the results:
For a few days, splints and gauze packing may support the nose as it begins to heal.
recovery after rhinoplasty surgery
It can take up to a year after your rhinoplasty surgery to fully recover. For a few days, splints and gauze packing may support the nose as it begins to heal. Most patients will see a gradual change in appearance over the first few weeks as the tissues heal, and the swelling continues to disappear.
The soft tissues of the nose tend to hold swelling longer than most other places on the body, so even though you will see a marked difference after three to four weeks, your final nose contour may take several months to appear.
Pain and swelling will be most pronounced in the first week post-surgery, and you will likely have some bruising and tenderness on your cheeks and under your eyes for a week or two.
risks and complications of rhinoplasty
There are many risks and complications of rhinoplasty, which are listed below
• Anaesthetic complications:
Even though methods and safety of anesthesia have improved considerably over the past decades, it still absorbs a small risk. Predominance of major complications related with facial plastic surgery may be due to general anesthesia, such as DVT. The facial plastic procedure itself only rarely is the reason for a major complication. Consequently, when choosing the right type of anesthesia for rhinoplasty, safety should be the main concern for you as well as your rhinoplasty surgeon. There are various anesthesia options available, and you should discuss these diverse anesthesia techniques with your rhinoplasty surgeon.
• Infection :
Infection is a rare complication of rhinoplasty surgery, and your surgeon will prescribe a prophylactic course of antibiotics for you to take for the first week after your procedure.
• Bleeding or haematoma formation :
when a septorhinoplasty is performed, there is a small risk of a septal haematoma forming. This can be easily treated in the clinic but must be recognised early to ensure prompt and effective treatment.
• Delayed wound healing :
This is a common complication in patients who continue to smoke both before and after the procedure. This is why we always recommend all smokers stop smoking at least four weeks before and after surgery to reduce the risk of wound healing complications.
• Excessive scarring :
This complication can be minimised by the accurate placement of the incision for open rhinoplasty and with proper post-operative scar management. It should be remembered that scars may take up to 12 months to fully mature.
• Numbness of the nose tip :
Numbness or tingling affecting the nasal tip is a temporary side effect which should gradually improve between 3 to 6 months after surgery. It is most commonly related to rhinoplasty swelling, which may take up to 12 months to disappear after surgery.
• Persistent pain :
This is a rare complication and can be effectively managed with adequate postoperative pain relief and reducing activities which may increase nose swelling, such as carrying out strenuous exercise too soon after surgery
What is rhinoplasty surgery?
Rhinoplasty is a type of plastic surgery that changes the nose’s shape and size.
Some people have cosmetic rhinoplasty to improve how their nose and face look. Others undergo functional rhinoplasty, which improves breathing and nasal function.
Rhinoplasty is commonly called a nose job.
What are benefits of a rhinoplasty?
The benefits of a rhinoplasty procedure include:
· Changing the shape and size of your nose.
· Improving your facial appearance.
· Correcting any structural abnormalities of your nose like a deviated septum.
· Improving how you breathe out of your nose.
Where should rhinoplasty surgery be performed?
Rhinoplasty surgery may be performed in an accredited office-based surgical facility, a licensed ambulatory surgical center or a hospital. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
How long does it take to recover from a rhinoplasty surgery?
It can take up to a year after your rhinoplasty surgery to fully recover. For a few days, splints and gauze packing may support the nose as it begins to heal. Most patients will see a gradual change in appearance over the first few weeks as the tissues heal, and the swelling continues to disappear.
How long does it take for scars to heal after a rhinoplsty surgery?
• Excessive scarring :
this complication can be minimised by the accurate placement of the incision for open rhinoplasty and with proper post-operative scar management. It should be remembered that scars may take up to 12 months to fully mature.
How long after rhinoplasty will I look normal?
The soft tissues of the nose tend to hold swelling longer than most other places on the body, so even though you will see a marked difference after three to four weeks, your final nose contour may take several months to appear.
How long does a scar on your nose take to heal after rhinoplasty?
It should be remembered that scars may take up to 12 months to fully mature.
Results
If you’re self-conscious about the way your nose looks, you can visit a specialist to discuss whether you’re a good candidate for rhinoplasty. Nose surgery can improve your appearance, but you need to have realistic expectations about your results. It can take up to a year to see noticeable results after surgery. Getting a nose job is a big decision, so Talk to your healthcare provider about your concerns, and learn more about the outcomes and risks.
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