Rhinoplasty, sometimes referred to as nose job, is one of the most common surgeries that has increased dramatically over recent years in our country. Most people who undergo rhinoplasty, only think about the appearance and beauty of their nose and do not care about its other issues.
Nose is an important feature of the face that all of us are aware of its vital function and know that any nose abnormality will cause problems. Since nose plays an important role in facial beauty, majority of people get cosmetic nose surgery, and if there are any abnormalities in the nose, they will also be corrected during the surgery, that the most important of Which are breathing problems.
Rhinoplasty is usually performed under general or local anesthesia. The type of anesthesia to be used depends on the complexity of the surgery. By receiving local anesthesia, the patient can hear the sounds of the doctor working on the nasal bone and cartilage. Rhinoplasty is often done as an outpatient procedure, but sometimes with the surgeon’s preferences, the patient will need to stay in the hospital or clinic for one night. Note that the surgeon, who performs rhinoplasty, usually is an otolaryngologist or a plastic surgeon, or both.
In this procedure, first, the surgeon makes an incision to access the nasal bone and cartilage. This incision is usually made inside the nose, so there might be no visible scarring after the surgery. The surgeon may remove some cartilage or bone from parts of the patient’s own body if needed, or in some cases, may use synthetic fillers to add them in the nose. After reshaping and modifying the nasal bone and cartilage, the nose skin and tissue covers the new structure again. The type of nose skin and how it fixes, have a significant effect on the final result of the surgery. Finally, a nasal splint is placed on the nose to protect it and also help the nose retain its new shape while it heals.
Preparing for Rhinoplasty
You should avoid taking aspirin and ibuprofen for two weeks before your surgery, because these medications may increase bleeding. If the patient has a vital cold, rhinoplasty should be delayed for a few weeks. Please stop smoking for two weeks before and two weeks after your surgery. Talk to your doctor if you are taking herbal and chemical medications.
Rhinoplasty Post-operative Care
_You should eat nothing for about 4 hours after rhinoplasty, because anesthesia slows down the bowel movements, and you might experience nausea and vomiting.
_Apply cold compresses for the first 24 hours after your surgery, put 2 or 3 ice cubes into a piece of cloth and place it on your face and cheeks. It can help minimize your swelling and bruising.
_After the surgery, do not lie down more than normal, because too much lying down causes your nose to swell.
_Three days after the surgery, you can do easy tasks, such as household chores, office job, or working on the computer.
_After the surgery, if you have pain for any reason, only take acetaminophen or acetaminophen-codeine as a pain reliever, and avoid taking medications, such as profen, Gelofen, indomethacin, aspirin, etc.
Benefits of Rhinoplasty
Through rhinoplasty you can change the size, shape, or angle of your nose, which will bring your nose into better proportion with the rest of your facial features.
In addition to the cosmetic advantages, rhinoplasty can correct structural abnormalities that cause chronic nasal congestion or breathing problems.
Risks of Rhinoplasty
_Infection, which can be prevented by taking antibiotics.
_Skin problems, such as damaged skin tissue or adhesive allergy to medical sticking plasters and bandages.
_Nasal obstruction or congestion caused by swelling in the nose.
_Complications of anesthesia.
A Few Important Things You Need to Know Before Getting a Nose Job.
_Choosing a rhinoplasty surgeon who maintains safety standards is very important and can reduce the risk of infection, septal perforation (hole in the septum), and other complications.
_Patients must follow rhinoplasty pre and post-operative instructions. These instructions will minimize post-surgical discomfort, speed up your recovery, and protect your health.
_You need to keep your head elevated for the first few days after the surgery. You might be able to resume strenuous activities after several weeks.
_The splint and bandages will be removed about a week after surgery.
_If you are employed, you will need to take at least one week off work.
The Difference between an Open and Closed Rhinoplasty
The difference between an open rhinoplasty and a closed one is the incision that is made on the nose. In open rhinoplasty procedure, a small incision is made between the two nostrils (in the columella), and the skin is easily elevated off of the cartilage, while in the close rhinoplasty procedure, all incisions are made inside the nose. Generally, in both procedures, the skin is separated from the bone, which is necessary because of providing access to the nose.
Advantages of Closed Rhinoplasty Procedure
_A shorter operative time
_Less postoperative swelling
Advantages of Open Rhinoplasty Procedure
_Direct visibility, control, and more access to deep structures
_Suitable for patients with difficult nasal anatomy requiring more extensive reshaping.
Types of Rhinoplasty
_Nasal hump rhinoplasty
_Fleshy nose surgery
_Deviated septum surgery (septoplasty)
_Bony nose surgery
_Nasal polyps surgery
_Nostril reduction surgery
A skilled plastic surgeon should be able to perform all the surgeries, such as fleshy nose, bony nose, etc., without any postoperative breathing problems, reversibility, and problems due to complications of a bad rhinoplasty.