Rhinoplasty

April 16, 2018 Written by Beautiphi - 0 Comments

Rhinoplasty

Nose irregularities can be treated temporarily with dermal filler, with a skilled injector, or permanently with surgery – a rhinoplasty.

Your nose is the most prominent feature on your face – and therefore very noticeable.

If there are issues with its proportion or appearance, you may find yourself feeling less confident and more self-conscious. Medically speaking, structural abnormalities in the nose can also impair breathing, which can have dramatic impacts on your life.

Nose surgery, or rhinoplasty, helps you correct these issues.

Your nose’s proportion and appearance is largely driven by your genes, but sports, an accident, or prior surgery can all also lead you to consider rhinoplasty to correct your individual issues.

One important thing to keep in mind – a rhinoplasty is a highly individual procedure which should only be done with realistic expectations. It should NOT be undertaken to satisfy someone else’s wishes.

Your plastic surgeon has extensive experience helping patients like you correct proportion, appearance, and structural issues in the nose, including such elements as:

  • Nose size – in relation to the rest of your face
  • Visible humps and depressions – especially on the bridge
  • Un-proportional width in the nose
  • Drooping or bulging in the nasal tip
  • Large, wide or upturned nostrils
  • Deviation and other structural abnormalities that may affect breathing

To Prepare for your surgery

Patients seek a rhinoplasty for many reasons, usually unique to the individual. Some want a slimmer profile to their nose, while others may desire to refine the shape. Whatever your reason is for undergoing a procedure on such a central physical feature, proper preparation is of the utmost importance.

When you are done with your initial research on rhinoplasty, the next step should be to schedule a consultation with Dr. Taylor. Be sure to think about the types of questions you may want to ask, and consider writing them down to ensure that you make the most of your initial meeting.

Questions Your Plastic Surgeon May Ask During Your Consultation

You may meet with your surgeon multiple times while preparing for nose surgery as you complete your consultation, planning, and medical testing.

At your initial consultation, expect to be asked a number of questions regarding the reasons you are seeking a rhinoplasty and what you hope to achieve with the surgery.

These questions will range from the general to the very specific, including exactly how you would like to change your nose. Are you hoping to change the overall size, or are you looking to narrow a portion of it, adjust the nasal tip, or change the nostril size? Consider these details carefully before meeting with your nose surgeon. The clearer you can be about the changes you are seeking, the easier it will be for your surgeon to plan your procedure, and the better your chances are of being pleased with the outcome.

Beyond these details, you should also prepare to discuss your complete medical history, and expect to undergo a number of medical tests, which ensure that you are healthy enough for surgery and give your surgeon an opportunity to anticipate any potential complications.

Prepare for blood tests and imaging, including x-rays, as well as other testing, such as an electrocardiogram, to ensure that your heart is sufficiently healthy for anaesthesia.

You may also be instructed to temporarily avoid certain activities for a time leading up to and following your procedure. Some medications can conflict with anaesthesia, and alcohol and tobacco use can interfere with the healing process.

Other Considerations When Preparing For A Rhinoplasty

Your surgeon will use your consultation and testing to make sure that you are physically prepared for your rhinoplasty procedure, but there are other steps you can take to help your recovery go as smoothly as possible.

  • Go shopping and stock up on items that you will need for post-surgical care. Make sure to buy plenty of gauze, cotton swabs, hydrogen peroxide and ice packs, as well as soft foods that will enable you to eat without moving your facial muscles any more than necessary.
  • Fill prescriptions beforehand, as you will need your medications as soon as you return home.
  • Arrange for a friend or family member to stay with you the first night after you return home and to be available to help you for the first few days.
  • Consider how you will explain your procedure to others, particularly if you would like to keep the fact that you have had nose surgery private. If so, plan to stay in your home for at least ten days following your rhinoplasty. Since there may still be some visible bruising after this point though, many patients prefer to explain this by attributing it to a procedure to repair respiratory issues.
  • Make sure you have plenty of books, magazines and videos available for your recovery period. You will need these items to keep you entertained, as you should avoid any unnecessary physical exertion – as well as activities that use your facial muscles, like talking on the phone – during the first week or more of your recovery.
  • Plan to go without contact lenses for two to three days following your procedure, and be aware that you will be unable to wear glasses until after your facial cast is removed – usually about ten days following surgery.
  • Have soft facial tissues on hand to wipe away drainage gently, but be aware that you will be unable to blow your nose until your surgeon instructs you otherwise.
  • Be very careful to avoid getting your bandages wet. This may mean you need to skip washing your hair for up to a week, use pre-packaged facial cleansing cloths to wash your face, and take special care when brushing your teeth – both to avoid moisture and to keep your facial movement to a minimum.
  • Keep plenty of button-up shirts on hand, as putting on shirts over your head may cause issues with your bandages.

What You Can Expect

Plastic surgeons have been performing rhinoplasty operations since just about the beginning of recorded history, with the first written reference occurring circa 500 B.C. Since that time, medical science has perfected the rhinoplasty procedure and expanded its uses. Today, patients seek nose surgery to correct and adjust just about every aspect of nasal structure.

During The Procedure

The delicate nature of reconstructive nose surgery requires that the patient be sedated during the procedure. You can expect to be given either intravenous or general anaesthesia for your rhinoplasty. Leading up to your surgery, your surgeon will put you in contact with your anaesthesiologist, who will determine the best anaesthesia option for you and provide more specific instructions.

Your rhinoplasty procedure itself will be performed based on the specific changes you require in your nasal structure. When reshaping the nose, surgeons utilize a number of different techniques. Tissue may be removed to minimize certain areas, or cartilage from other parts of the body may be grafted in to add definition. In general, you can expect your nose surgery to take between one and three hours.

Rhinoplasty is normally performed on an outpatient basis, so you will need to secure transportation back home on the day of your procedure. You will also need someone available to stay with you for at least the first night after you return home.

After The Procedure

Following your nose surgery, you will have bandages, stitches and in some cases a cast to care for externally. Internally, you will likely have packing and splints, which will also require specific care. Be sure to follow all instructions related to keeping the area around your nose clean and dry, and make sure to take all prescription medications as indicated by your surgeon.

During the early portions of your recovery, you can expect to experience nasal drainage and soreness around the surgical area. The pain will subside gradually, and your surgeon will give you suggestions for pain medications, as well as prescription painkillers for the first few days. Many patients describe the pain following rhinoplasty as a dull ache.

It will be about five to seven days before your cast, stitches and/or splints are removed. Most patients choose to return to work around that time, but it will still be a while before you can fully resume your normal activities. You should plan to avoid vigorous activity for at least another week.

Some aspects of the recovery process may take quite a bit longer. Nasal symptoms caused by allergies and other issues will seem more intense, and you may find your nose draining more often than you are accustomed to. These symptoms usually begin to normalize within about six months.

Results

Recovering from rhinoplasty is a very gradual process. While you may see some results within two to three weeks once the swelling subsides, the more extensive the change in your nasal structure, the longer it will take your body to completely adjust.

You should also prepare yourself for a bit of psychological and physiological adjustment following your nose surgery. For a while after your procedure – up to six months for some patients – you will experience numbness in certain areas of your nose, especially the tip. In addition, since your facial structure will have changed, the sensations of speaking, laughing or making facial expressions will be quite different. Your face may not feel like “yours” again for several months.

Rhinoplasty results are permanent, and most patients require no further surgery. It is important to realize, however, that our noses change subtly throughout our lifetimes. In rare cases, patients will need to have additional nose surgery eventually, but even in those cases it is often decades before another procedure is required.

In general, nose surgery is a straightforward procedure with a high rate of satisfaction when administered by a skilled surgeon. If you have questions we haven’t addressed here, or if you are ready to schedule a rhinoplasty consultation, contact your surgeon’s office.

Recovering From Nose Surgery – A Timeline

Whether your motivation is medically driven to correct breathing issues, or aesthetically driven to change your nose’s appearance, knowing what to expect in the days immediately following rhinoplasty is important. You of course want to know about the process of recovering from a nose job to ensure a speedy recovery. Besides temporary inconveniences related to any type of surgery, some common questions specific to nose surgery recovery include:

  • How long will it take me to heal completely?
  • How much will it hurt and for how long?
  • How much time off from work do I need?
  • What are the risks?

Continue reading below for a general timeline of what you can expect when recovering, along with certain risks you will need to discuss with your surgeon.

The First 24 Hours

The surgery will take 1 to 3 hours depending on the specific procedure. You will return home the same day, so make sure to bring someone with you who can drive you home afterwards.

Immediately following the surgery a puffy face and stuffy nose are normal. There will be a dressing over your nose and possibly some packing inside. Although pain medications help, there will still be a feeling of pressure and some soreness.

You will need to relax in bed and keep your head elevated with 2 or 3 pillows. Keeping your head elevated will reduce swelling, which results in a faster recovery period and less soreness.

48 to 72 Hours Later

Some swelling and bruising around the eyes should be expected. You will likely look as if you have 2 black eyes.

You can expect to be out of bed and feeling better but should expect the pressure and soreness to linger. Cold compresses will provide some relief, and keeping your head elevated will help hasten the recovery process. The more you can keep the swelling down, the faster the swelling and soreness will disappear.

You will need to avoid exposure to the sun, and of course, must not blow your nose. You may use a cotton tipped swab if necessary.

One Week Later

By the end of the first week, the doctor will have removed the bandages, packing, dressing, and stitches if used. The black eyes will be less noticeable and will slowly fade away completely. You will still have some swelling and minor discomfort.

You will likely return to work and will be allowed to return to normal or light activity. You should not expect to look your greatest yet – just be patient.

Two to Three Weeks Later

Most of the swelling goes away during this period, as well as any bruising. You may experience some minor nose bleeding and stuffiness that should be gone after the first two weeks. You will start to feel and look better. However, your new features have not yet settled completely.

Although contacts usually may be worn shortly after rhinoplasty surgery, glasses should not be worn because there can be no pressure applied to the nose yet. You may be asked not to wear glasses for up to 4-6 weeks.

You should continue avoiding activity which could result in any object forcibly coming into contact with the nose.

Two to Three Months Later

With monitored progress, you will return to normal activity. It may take a full three months for all the swelling to completely disappear and for the final appearance to be revealed. After three months the new proportions will have settled into place and the resulting facial features will remain.

Risks

A general anaesthesia is used, with which minor risks are associated. Those with heart or lung problems need to first have a discussion with their family doctor. Smokers need to know the bruises will take longer to heal, probably three weeks – which is why it’s advised you quit, at least during the surgery and recovery period.

Side-effects are usually limited to numbness and peeling skin.

Besides some temporary inconvenience, recovering from rhinoplasty is rather straightforward and relatively fast – following your surgeon’s advice to the letter though is absolutely critical to ensuring a smooth recovery.

If you are not quite ready for a rhinoplasty, but still wanting to make adjustments to your nose – try dermal fillers.  Contact Beautiphi to have a consultation with Stacey on 0223837968

 

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