What is rhinoplasty?

Rhinoplasty, sometimes referred to as a “nose job” or “nose reshaping” by patients, enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose.

What rhinoplasty can treat.

▪️ Nose size in relation to facial balance.

▪️ Nose width at the bridge or in the size and position of the nostrils.

▪️ Nose profile with visible humps or depressions on the bridge.

▪️ Nasal tip that is enlarged or bulbous, drooping, upturned or hooked.

▪️ Nostrils that are large, wide or upturned.

▪️ Nasal asymmetry.

If you desire a more symmetrical nose, keep in mind that everyone’s face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.

Rhinoplasty to correct a deviated septum. Nose surgery that’s done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing.

Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

Preparing for Rhinoplasty.

You must first meet with your surgeon to discuss whether you’re a good candidate for rhinoplasty. You’ll talk about why you want the surgery and what you hope to accomplish by having it.

Your surgeon will examine your medical history and ask you about any current medications and medical conditions. If you have hemophilia, a disorder that causes excessive bleeding, your surgeon will likely recommend against any elective surgery.

You should avoid painkillers containing ibuprofen or aspirin for two weeks before and two weeks after your surgery. These medications slow down the blood-clotting process and can make you bleed more. Let your surgeon know what medications and supplements you’re taking, so they can advise you about whether or not to continue them.

Smokers have more difficulty healing from rhinoplasty, as cigarettes slow the recovery process. Nicotine constricts your blood vessels, resulting in less oxygen and blood getting to healing tissues. Quitting smoking before and after surgery can help the healing process.

Rhinoplasty: Step-by-step.

A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You’ll get general or local anesthesia. With general anesthesia, you’ll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain.

During an operation, the surgeon makes cuts within the nostrils. In more difficult cases, the surgeon may also make cuts across the base of the nose. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.

Nose Job Recovery.

After a nose job, people usually wear a nasal splint for the first week. You can expect swelling and some bruising around the eyes after surgery that will begin to improve after the third day. It can, though, last up to two weeks.

Expect your nose to have a little swelling, which probably only you and your surgeon will notice. This will go away over the next six months. The final shape of your nose will be apparent after it has completely healed.

To reduce bleeding and swelling, you’ll want to rest with your head elevated above your chest. If your nose is swollen or packed with cotton, you might feel congested. People are usually required to leave splints and dressings in place for up to a week after surgery. You might have absorbable stitches, meaning they’ll dissolve and won’t require removal. If the stitches aren’t absorbable, you’ll need to see your doctor again a week after surgery to get the stitches taken out.

You should avoid strenuous activity for three to six weeks after surgery. You may return to your social activities as soon as within two to three weeks without any recognizable signs that you had a procedure done.

Your doctor may tell you to avoid the following for a few weeks after your surgery:

▪️ running and other strenuous physical activities.

▪️ swimming.

▪️ blowing your nose.

▪️ excessive chewing.

▪️ laughing, smiling, or other facial expressions that require lots of movement.

▪️ pulling clothing over your head.

▪️ resting eyeglasses on your nose.

▪️ vigorous tooth brushing.

Eight Ways to Reduce Swelling.

1. Ice– Keep the area cool for 24 to 72 hours following surgery to reduce swelling. Do not apply ice packs directly to your nose; any pressure could trigger bleeding or displace bones and cartilage. Instead, apply cool compresses to your cheeks, eyes and forehead. This will reduce blood flow to the area and prevent swelling.

2. Elevate Your Head – Any extra pressure in the area could worsen swelling. Elevating your head on at least two pillows allows excess fluids to drain, reducing inflammation.

3. Stay Hydrated– Drinking plenty of water improves the function of your body’s circulatory and lymphatic systems, helping your body drain excess fluids from the surgical site.

4. Avoid Salt– Salt retains fluid (the reason your eyes sometimes feel puffy after a night of snacking on popcorn at the movies). Avoid salty foods and beverages high in sodium to prevent unnecessary fluid retention and swelling.

5. Stay out of the Heat– Soaking in a hot tub, relaxing in a sauna or taking a long, hot shower will not only worsen swelling, but could also loosen bandages prematurely.

6. Do Not Smoke– Smoking slows the body’s healing processes and can cause excessive inflammation in your airways.

7. Avoid Certain Medications and Supplements– Certain medications and supplements thin the blood, which can worsen swelling and bleeding. Talk with your doctor about every medication (over the counter and prescription) and supplement you take before your procedure.

8. Be Patient– The healing process takes time and everybody heals differently. Most patients will be ready to return to work about seven to ten days after surgery. Others do not feel ready for two weeks. Most patients experience some minor swelling for three to even twelve months following surgery.

Risks of Rhinoplasty.

All surgeries carry some risks, including infection, bleeding, or a bad reaction to anesthesia. Rhinoplasty may also increase your risk of:

▪️ breathing difficulties.

▪️ nosebleeds.

▪️ a numb nose.

▪️ an asymmetrical nose.

▪️ scars.

Occasionally, patients aren’t satisfied with their surgery. If you want a second surgery, you must wait until your nose is fully healed before operating again. This may take a year.

Results of Rhinoplasty.

Although rhinoplasty is a relatively safe and easy procedure, healing from it can take a while. The tip of your nose is especially sensitive and can remain numb and swollen for months. You might be fully recovered in a few weeks, but some effects can linger for months. It could be a whole year before you can fully appreciate the end result of your surgery.

Reference :

“Cosmetic Surgery for the Nose “, webmd

“What is rhinoplasty? “, plasticsurgery

Teresa Bergen (2018-6-15), “Rhinoplasty”، healthline


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