The Ultimate Guide to Rhinoplasty Surgery
Rhinoplasty, the plastic surgery of the nose, is one of the most performed plastic surgeries in the world, according to a study published by ISAPS (International Society of Aesthetic plastic Surgery ). The nose is the central organ of the face and any irregularity is easily noticed. This really bothers some people who have an inharmonious nose.
With more than one hundred years of practice, the surgical technique has undergone major changes in recent decades. Modern and structured Rhinoplasty procedure provides the plastic surgeon with a more predictable result. In addition, the improvement and preservation of respiratory function should always be prioritized.
Surgery can be performed from 16 to 17 years of age when the bony and cartilaginous structures of the nose are fully developed.
About nose surgery
The nose is a complex structure with respiratory and olfactory functions. It has great variation in shape among different peoples and each one has a concept of beauty and harmony for this organ. In the 70’s and 80’s, the upturned, small, thin-backed nose was the most sought after.
Today, the vast majority of patients seek surgery to produce a beautiful nose without the stigma of surgery. The patient wants a harmonious nose, but not seen as an operated nose.
In the preoperative period, routine exams and facial tomography are requested. The surgery lasts 2 to 3 hours and is performed under general or local anesthesia with sedation. The patient can be discharged on the same day.
The scar is quite discreet and small or is hidden inside the nostrils. It is glued with special tape over the nose to reduce swelling (edema) for 1 to 2 weeks.
A small cast or cast can be used for 1 week when a bone fracture is needed. Ecchymoses (purple) disappear after 7 to 21 days and during this period exposure to the sun should be avoided.
The patient is back to social life in 1 to 2 weeks. After 1 month there is already a substantial improvement in swelling. Gradually this small residual swelling will regress. With 6 months to 1 year we have the definitive result.
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Rhinoplasty Synopsis
- Procedure: Rhinoplasty or Nose Surgery.
- Indication: Aesthetic and/or functional alterations of the nose.
- Recommended age: From 16 to 17 years old when facial structures are developed.
- Anesthesia: Local with sedation or general. Always with an Anesthesiologist.
- Duration: On average 2 hours. Always in the operating room. Hospital discharge on the same day.
- Scar: Inapparent or very discreet.
- Recovery: Return to social life after 1 to 2 weeks.
- Important: Avoid sun exposure for 1 to 3 weeks.
- Related plastic Surgeries: Nose Fracture, Mentoplasty, Facial Prostheses
Common questions
Is the result of Rhinoplasty worth it?
Rhinoplasty can provide great satisfactions. Remember what was said before: each case is analyzed individually at the first consultation, when all the details reported here are clarified, as well as those that have been forgotten by mistake. As long as we mutually decide to perform the Surgery (doctor and patient), the result is worth it. Otherwise, the operation must be refused.
How is the postoperative evolution?
The patient should not forget that, until the desired result is achieved, several evolutionary phases are characteristic of this type of Surgery. This is how edema (swelling), spots of blood infiltration, respiratory difficulty in the first days, are common to all patients. Evidently, some present these phenomena with less intensity than others.
We hope you are in this group. If not, don’t worry. Give it time, your organism will take care of all the small inconveniences that will unfailingly draw attention and someone who will not spare the question: “…isn’t something wrong happening?”. It is evident that any and all concerns on your part should be transmitted to your plastic surgeon, and only to him, who is able to clarify and reassure you. In time: there is usually a period of euphoria, as soon as the plaster or immobilizer is removed (7th day).
In rare cases, mild anxiety ensues, due to the transient appearance of edema and blood spots. This is fleeting and usually reflects the desire to achieve the end result as soon as possible. Be patient. Remember that no cosmetic nose Surgery results should be evaluated before the 6th postoperative month.
When will I be able to sunbathe?
As long as there is ecchymosis (purple) on the skin, it cannot be exposed to the sun. This is because the sun changes a pigment that is in the ecchymosis (blood) and can stain the skin. Usually this ecchymosis disappears between 7 to 21 days. After this period, you can expose yourself to the sun, but always using sunscreen SPF 30 or more. However, for long exposures (beaches, sunbathing), it is advisable to wait a minimum period of 30 to 45 days.
What position to sleep in for the first few days?
Always with the head slightly elevated from the bed (pillow). Face up should be kept whenever possible. These positions reduce the risk of sleeping on the operated nose.
Is there a risk in this rhinoplasty surgery?
Rarely a Rhinoplasty Surgery determines serious complications. This is due to the fact that each patient is properly prepared for the Surgery. The danger is no greater or less than traveling by plane or car, or even simply crossing a public road.
Is there pain after rhinoplasty surgery?
Rarely, Rhinoplasty presents a very comfortable postoperative period. When any pain occurs, it is easily treated with painkillers, which will be prescribed as a preventive.
Is there nose bleeding after the procedure?
There is a small amount of bleeding which is normal for the first 48 hours. This, however, should not be a cause for concern, as a protective dressing, superimposed over the opening of the nose, is purposely kept in order to stop this bleeding. This additional dressing can be changed at home as often as needed.
How are the postoperative dressings?
In those noses where there are important bone alterations, it is necessary to perform a nasal fracture to correct them. In these cases, the nose is kept immobilized with plaster or other immobilizing material. It is necessary to keep the plaster that covers and stabilizes the nose for an average of 7 days. In some cases, nasal packing is used, which can be left for 24 to 72 hours. If simultaneous correction of the septum is performed, this time can be exceeded by changing the tampons. All dressings are quietly removed in the office.
What is the length of stay?
It may vary from part-time to 1 day of hospitalization. Everything will depend on the type of anesthesia used and the patient’s recovery in the immediate postoperative period. Usually our patients can be discharged on the same day. However, your doctor will try to determine the length of stay, always aiming at your comfort and safety.
How long does the surgery take?
On average 2 hours. In some cases this time is exceeded, as circumstances require. However, the surgical procedure time should not be confused with the patient’s length of stay in the Surgical Center environment, since this stay also involves the period of anesthetic preparation and postoperative recovery. Your doctor will tell you the total time.
What type of anesthesia is used?
In most cases we use general anesthesia. Local and local anesthesia with sedation can also be used. It will be up to the surgeon and patient to decide which is most suitable in each case.
What are the possible complications of rhinoplasty surgery?
Rhinoplasty rarely causes serious complications. However, as it is a surgical procedure, unforeseen developments may occasionally occur. Fortunately, these eventual contingencies are subject to subsequent corrections, through surgical revisions, in favor of the planned result. The possible “unforeseen events” should not be confused with the intermediate forms through which the nose passes, in the mediate postoperative period, until it reaches its definitive shape. Any doubts regarding a possible postoperative complication will be clarified by your surgeon, who will be able to inform you about this in advance, without any embarrassment.
How long does the result last?
The result of a Rhinoplasty persists for a long time. After a few years, as in any part of the body, some morphological changes may occur in the nasal region.
For those who have a frequent runny nose, will Surgery alleviate this problem?
Practice shows us that in some cases, after Rhinoplasty, the chronic symptoms that have been bothering the patient for years can be minimized or even disappears. This, however, cannot be guaranteed in all cases. The important thing is to clarify that respiratory function must be preserved after Rhinoplasty. A runny nose can be a consequence of allergic rhinitis that is usually treated with medication.
How will my respiratory function be after rhinoplasty surgery?
Rhinoplasty also aims, if possible, to improve the patient’s respiratory conditions, when these conditions are precarious in the original nose. Although there is some respiratory difficulty in the mediate postoperative period (a few weeks), this is due to the fact that the edema also exists in the inner part of the nose, as well as the movement of the respiratory valve is impaired in this period, due to the change in the elasticity of the wings. Over time, it tends to normalize. Respiratory problems can be linked to the septum that, in most cases, we correct in the same surgical time. When septum correction requires special care, Rhinoplasty should be performed at a second opportunity, after the septum has been corrected.
When will I have the definitive result of the shape and function of my nose)?
Several phases are characteristic of the postoperative period of the nose. So, in the 1st phase (shortly after the plaster was removed, around the 7th day), despite the correction of several aesthetic defects of the original nose, we noticed an edema (swelling) that decreases with the passing of the days and that tends to normalize around the 6th month. There are patients who reach the definitive result a little earlier, as well as others who go beyond this period. The persistence or not of the transient edema for a longer period than normal usually does not affect the final result.
Will I be able to choose the shape of my nose before the Surgery?
Not. There is an aesthetic balance between the nose and the face, a balance that the surgeon must observe in order to preserve the naturalness and authenticity of this face. Each case is studied in detail, so that the nose can be given the best possible shape, within the requirements of the face. If your choice coincides with that type of nose planned, your wish will undoubtedly be granted. Surgeon and patient must agree on the possible result to be obtained.
Is there a scar after rhinoplasty surgery?
After Rhinoplasty there will be a small external scar that is not very apparent, as a result of an incision (cuts) made in the columella. In other cases, it is necessary to place external scars (barely visible) on the nasal ala to reduce the wide nose. All this to provide a better result to the final shape or even to the nasal physiology. In some cases, there is no need for an external scar and the scar is completely hidden inside the nostrils.
Why choose us
Our mission is to deliver outstanding quality patient care and service as well as fabulous Aesthetic cosmetic surgery results. From your first phone call to your final visit, we want you to feel as if you are in the company of good friends. Plastic Surgeon, Dr. Ashish Khare believes that each patient is unique and tailors treatment of each person.
- Certified by The Board of Plastic Surgery
- 10+ Years of Surgical Training Experience
- Experienced in all Plastic Surgery Procedures
